Service Delivery

Identifying good group homes: qualitative indicators using a quality of life framework.

Bigby et al. (2014) · Intellectual and developmental disabilities 2014
★ The Verdict

Look for resident movement, real choices, respectful talk, and proactive staff help to judge group-home quality in under ten minutes.

✓ Read this if BCBAs who consult, license, or place adults with severe ID in residential settings.
✗ Skip if Clinicians focused only on clinic-based skill acquisition.

01Research in Context

01

What this study did

Bigby et al. (2014) visited group homes for adults with severe intellectual disability. They talked to residents, families, and staff. The team wanted clear, watch-for signs of a good life in these homes.

They used a quality-of-life lens. The study lists simple things you can see, hear, or count during a walk-through.

02

What they found

Good homes show four bright signals. Residents move around and pick activities. Staff give real choices, speak with respect, and step in early when problems start.

The signs fit eight life areas such as friends, safety, and joy. You can tick them on a clipboard—no long forms needed.

03

How this fits with other research

Berkovits et al. (2017) took the same quality-of-life idea and built a 42-item scale with cup icons. Christine’s watch-list became a numbers tool for community surveys.

Eberhart et al. (2006) showed that offering two leisure choices plus light prompts tripled in-home play for adults with severe ID. Christine’s guide says choice is a marker of dignity; G showed choice is also an easy way to boost engagement.

Eto et al. (1992) found hostel residents had more brief, positive chats than hospital residents. Christine’s work adds the how-to checklist so you can spot those same warm moments today.

04

Why it matters

You can carry the four bright signals into any group-home visit. Watch for resident movement, real choices, respectful words, and proactive help. If any area feels thin, you now have words and targets for your next staff training or case meeting.

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→ Action — try this Monday

During your next site visit, tally how many times staff offer a choice within five minutes.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
21
Population
intellectual disability
Finding
not reported

03Original abstract

Abstract Despite change toward more individualized support, group homes are likely to remain for people with severe intellectual disability. As such, the search continues for ways to determine and maintain the quality of these settings. This article draws on in-depth qualitative analysis of participant observations conducted over 9-12 months in seven group homes for 21 people with a severe and profound level of intellectual disability. It explores the conceptualization of good outcomes and support for this group in terms of their quality of life and staff practices. The qualitative indicators of good outcomes for this group using quality of life domains can be used by auditors, community visitors, funders, advocates, or family members to guide observation and judgements about group homes.

Intellectual and developmental disabilities, 2014 · doi:10.1352/1934-9556-52.5.348