An outcome management program for extending advances in choice research into choice opportunities for supported workers with severe multiple disabilities.

The team worked with 12 job coaches in community work sites.

Each coach supported one adult with severe intellectual disability.

They built a simple package: set a daily choice target, train the coach, then give feedback every month for one year.

Choices were small: which task to start, what break to take, or who to work beside.

Coaches gave more choices every month.

By the end of the year, workers got choices on almost every task.

The gains held steady for the full 12 months.

Ferron et al. (2023) updated this idea. They swapped the yearly cycle for daily three-question check-ins plus monthly coaching. Both studies show the same positive trend, so the newer method may save time.

White et al. (1990) and Green et al. (1987) trained the workers themselves to self-monitor. H et al. flipped the focus: train the staff instead. Together they show self-management tools work for both groups.

Hansen et al. (1989) proved individual job placements beat group crews. H et al. shows how to keep those placements high-quality by maintaining staff behavior long-term.

You can lock in daily choice opportunities with a light-touch yearly plan. Pick one clear target, teach the staff, and check in monthly. The worker gets more control, and you prevent drift without daily paperwork.