Abstract
Quality of life and choice availability remain critical aspects of new treatment programs for persons with mental retardation. The present study preliminarily investigated a brief training program for staff members to increase choice availability in living environments. A program of education, modeling, role-play, and feedback was used over a 5–week period for staff members in two intermediate care facilities. Two other facilities served as controls. Results indicated significant improvement in overall level of choice availability from preintervention to follow up for the treatment but not the control group. Contrary to expectations, however, levels of adaptive and maladaptive behavior remained unchanged. This study indicates that a cost-effective training program may be useful for enhancing choice availability in the short-term, but that other choice-oriented procedures may be necessary to generate further changes in effective behavior.
Similar content being viewed by others
REFERENCES
Carr, E. G., and Carlson, J. I. (1993). Reduction of severe behavior problems in the community using a multicomponent treatment approach. J. Appl. Behav. Anal. 26: 157–172.
Dattilo, J., and Rusch, F. R. (1985). Effects of choice on leisure participation for persons with severe handicaps. J. Assoc. Pers. Sev. Hand. 10: 194–199.
Dyer, K., Dunlap, G., and Winterling, V. (1990). Effects of choice making on the serious problem behaviors of students with severe handicaps. J. Appl. Behav. Anal. 23: 515–524.
Haring, T. G., Neetz, J. A., Lovinger, L., Peck,C., and Semmel, M. I. (1987). Effects of four modified incidental teaching procedures to create opportunities for communication. J. Assoc. Pers. Sev. Hand. 12: 218–226.
Ip, S. M. V., Szymanski, E. M., Johnston-Rodriguez, S., and Karls, S. F. (1994). Effects of staff implementation of a choice program on challenging behaviors in persons with developmental disabilities. Rehab. Couns. Bull. 37: 347–357.
Kearney, C. A., Bergan, K. P., and McKnight, T. J. (1998). Choice availability and persons with mental retardation: A longitudinal and regression analysis. J. Dev. Phys. Dis. 10: 291–305.
Kearney, C. A., Durand, V. M., and Mindell, J. A. (1995a). It's not where but how you live: Choice and adaptive/maladaptive behavior in persons with severe handicaps. J. Dev. Phys. Dis. 7: 11–24.
Kearney, C. A., Durand, V. M., and Mindell, J. A. (1995b). Choice assessment in residential settings. J. Dev. Phys. Dis. 7: 203–213.
Kearney, C. A., and McKnight, T. J. (1997). Preference, choice, and persons with disabilities: A synopsis of assessments, interventions, and future directions. Clin. Psychol. Rev. 17: 1–22.
Kennedy, C. H., and Haring, T. G. (1993). Teaching choice making during social interactions to students with profound multiple disabilities. J. Appl. Behav. Anal. 26: 63–76.
Pace, G. M., Ivancic, M. T., Edwards, G. L., Iwata, B. A., and Page, T. J. (1985). Assessment of stimulus preference and reinforcer value with profoundly retarded individuals. J. Appl. Behav. Anal. 18: 249–255.
Parsons, M. B., McCarn, J. E., and Reid, D. H. (1993). Evaluating and increasing meal-related choices throughout a service setting for people with severe disabilities. J. Assoc. Pers. Sev. Hand. 18: 253–260.
Parsons, M. B., and Reid, D. H. (1990). Assessing food preferencesamongpersons with profound mental retardation: Providing opportunities to make choices. J. Appl. Behav. Anal. 23: 183–195.
Parsons, M. B., Reid, D. H., Reynolds, J., and Bumgarner, M. (1990). Effects of chosen versus assigned job on the work performance of persons with handicaps. J. Appl. Behav. Anal. 23: 253–258.
Reid, D. H., and Parsons, M. B. (1991). Making choice a routine part of mealtimes for persons with profound mental retardation. Behav. Res. Treatment 6: 249–261.
Rice, M. S., and Nelson, D. L. (1988). Effect of choice making on a self-care activity in mentally retarded adult and adolescent males. Occup. Ther. J. Res. 8: 176–185.
Sigafoos, J., Roberts, D., Couzens, D., and Kerr, M. (1993). Providing opportunities for choicemaking and turn-taking to adults with multiple disabilities. J. Dev. Phys. Dis. 5: 297–310.
Sparrow, S. S., Balla, D. A., and Cicchetti, D. V. (1984). Vineland Adaptive Behavior Scales. American Guidance Service, Circle Pines, MN.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
McKnight, T.J., Kearney, C.A. Staff Training Regarding Choice Availability for Persons with Mental Retardation: A Preliminary Analysis. Journal of Developmental and Physical Disabilities 13, 1–10 (2001). https://doi.org/10.1023/A:1026532631438
Issue Date:
DOI: https://doi.org/10.1023/A:1026532631438