Service Delivery

Developing a model for quality evaluation in residential care for people with intellectual disability.

Maes et al. (2000) · Journal of intellectual disability research : JIDR 2000
★ The Verdict

Grab the 13-indicator Delphi list to run quick, expert-approved quality checks in any ID residential setting.

✓ Read this if BCBAs who consult or supervise in group homes, ICFs, or supported-living sites.
✗ Skip if Clinicians who only provide in-home ABA therapy and never visit residential facilities.

01Research in Context

01

What this study did

The authors asked experts to rate what makes a good group home.

They ran three rounds of anonymous surveys.

Consensus gave 13 standards you can check any residential ID program against.

02

What they found

The team ended with a ready-to-use checklist.

It covers safety, choice, staff training, family contact, and more.

No outcome data were collected; the paper is the tool itself.

03

How this fits with other research

Kozma et al. (2009) later looked at 68 studies and found community homes beat large institutions in seven of ten life areas. Their review includes models like this one, showing the 13 standards sit inside a bigger evidence base.

Petry et al. (2007) used the same Delphi trick to pick quality-of-life items for people with profound disabilities. Both papers prove experts can agree on what "good" looks like, even when needs differ.

Adams et al. (2021) moved the idea forward. They offer six research steps to test any new model, turning the 2000 checklist spirit into an ongoing evaluation cycle.

04

Why it matters

You now have a free, 13-point audit you can run during site visits. Use it to spot gaps, write corrective-action plans, and show funders you follow consensus-based criteria. One afternoon with the checklist can replace hunches with clear next steps.

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→ Action — try this Monday

Print the 13 standards, pick one item like "individual choice," and observe five opportunities for resident choice during your next visit.

02At a glance

Intervention
not applicable
Design
methodology paper
Population
intellectual disability
Finding
not reported

03Original abstract

The present article describes the development of a general model for the evaluation, enhancement and assurance of quality of care processes in residential facilities for children and adults with intellectual disability. The framework is based on current theories regarding quality of life and quality evaluation, on a consensus between several participants in Delphi discussion-rounds, and on a questionnaire for care providers and clients in all Flemish residential facilities. The model describes 13 quality standards and a list of indicators concerning organization and support interventions. Facilities may use this set of criteria and indicators in several ways within a continuous and dynamic system of internal quality assurance. Finally, the prospects of and conditions for the implementation of this model are discussed.

Journal of intellectual disability research : JIDR, 2000 · doi:10.1046/j.1365-2788.2000.00266.x