Domain Factors Physical setting Size, crowding, privacy Comfort (heat, noise) Location and home environment Visitors and others (visitors, access to community and safety) Interpersonal and Relationships with organisational setting Behaviour of staff/carers/co-clients/friends Effects of behaviours of concern on staff/carers/co-clients/friends Structure structured vs unstructured, groups vs individual, routines and – practices Amount and quality of social interaction Staff/carer attitudes expectations, beliefs and responses – Staff/carer skills and turnover of resources available Organisational/familial culture Quality of management/leadership Adaptive behaviour Physical/motor abilities Personal care Domestic, community and vocational skills Social and communication skills Sexual behaviours Activities that are therapeutic (age-appropriate, purposeful, engaged) rather than anti-therapeutic (age-inappropriate, non-adaptive, disruptive) Quality of life Independence attaining and maintaining maximum independence – Participation attaining and maintaining full inclusion and participation in all – aspects of life Ability attaining and maintaining full physical, mental, social and – vocational ability Choice how preference and choice is expressed and how reinforcers may – be used to motivate change and teach new skills Quality of life measured through routine, schedules and social interaction: material wellbeing health and safety social wellbeing emotional wellbeing leisure and recreation opportunities autonomy Person–environment interaction The WHO International Classification of Functioning, Disability and Health identifies health and related domains in terms of body functioning, activity and participation and environmental factors. Behaviours of concern are the result of an interaction between the person and environment; they cannot be separated. ? Yes, and therefore a functional assessment of the person–environment interaction is essential for intervention with the person or via carers or staff.
Domain Factors Physical setting Size, crowding, privacy Comfort (heat, noise) Location and home environment Visitors and others (visitors, access to community and safety) Interpersonal and organisational setting Relationships with Behaviour of staff/carers/co-clients/friends Effects of behaviours of concern on staff/carers/co-clients/friends Structure – structured vs unstructured, groups vs individual, routines and practices Amount and quality of social interaction Staff/carer attitudes – expectations, beliefs and responses Staff/carer skills and turnover of resources available Organisational/familial culture Quality of management/leadership Adaptive behaviour Physical/motor abilities Personal care Domestic, community and vocational skills Social and communication skills Sexual behaviours Activities that are therapeutic (age-appropriate, purposeful, engaged) rather than anti-therapeutic (age-inappropriate, non-adaptive, disruptive) Quality of life Independence – attaining and maintaining maximum independence Participation – attaining and maintaining full inclusion and participation in all aspects of life Ability – attaining and maintaining full physical, mental, social and vocational ability Choice – how preference and choice is expressed and how reinforcers may be used to motivate change and teach new skills Quality of life measured through routine, schedules and social interaction: material wellbeing health and safety social wellbeing emotional wellbeing leisure and recreation opportunities autonomy Person–environment interaction The WHO International Classification of Functioning, Disability and Health identifies health and domains in terms of body functioning, activity and participation and environmental factors. Behaviours of concern are the result of an interaction between the person and environment; they cannot be separated. ? Yes, and therefore a functional assessment of the person–environment interaction is essential for intervention with the person or via carers or staff. related