An ICF based Tool to
Identify Services and
Supports Needs for
Inmates with
Developmental
Disabilities
S. Antonio Ruiz-Quin...
The Project

           Integrating Person-Centered Planning
           Practices into Program Development,
           Reh...
Project Goals
                 Enhance the current classification and
                 evaluation system for inmates with ...
Outcome: Classification System

                 Enhance the State of New York
                 Department of Correctional...
Outcome: Person Centered
                Planning

                 Introduce Special Needs Units (SNUs)
                 ...
The Project Partners
                 New York State Department of Correctional
                 Services
                ...
Person-Centered Planning

              Person-centered planning is a collection of methods and
              resources th...
Research Data

        SYSTEM DATA
            To evaluate the outcomes of the intervention, we identified
            dat...
Research and Evaluation Design

          OVER TIME
              A pre- and post-data design will be applied to compare S...
Research Design

                                                       Project
                                      5 ye...
The ICF Checklist: Activities &
Participation Domains
Instrument: General Requirements

                 ICF-based tool to assess services and supports
                 needs o...
Instrument: Additional
                  Requirements
              A classification and evaluation system was
           ...
Instrument: Additional
                  Requirements
                A classification and evaluation system was
         ...
Instrument: Additional
                  Requirements
                A classification and evaluation system was
         ...
Instrument: Additional
                  Requirements
              A classification and evaluation system was
           ...
Instrument: Additional
                  Requirements
              A classification and evaluation system
              w...
Group Level Services and Supports
                  Needs Assessment


                 ICF-based tool to assess
         ...
A & P SNU Inmates Support Needs and Importance




Ruiz-Quintanilla, EDI
ACTIVITY LIMITATIONS &
                PARTICIPATION RESTRICTION


                 For the group of inmates with developm...
Support Needs

             Frequency of Support Needs
             0 No inmate needs support (0-4%)
             1 Few in...
Importance


             Degree of Importance
             0 Not important
             1 Of little importance
          ...
A & P SNU Inmates Support Needs and Importance




Ruiz-Quintanilla, EDI, Cornell University   23
Initial Results: Support Needs
                   50-75% (mean 3.71 – 3.00)
                       School education, econo...
Initial Results: Importance for
                  Successful Community Integration
                 IMPORTANT (mean 3.82 –...
Initial Results:
                 Scale Reliabilities “Support Needs”

                                              N-ite...
Initial Results:
                 Scale Reliabilities “Importance”

                                              N-items ...
Individual Level Capacity
                  Classification


                 ICF-based tool to assess
                 in...
Capacity
             1. For each activity please use the scales below
                    to indicate your assessment of ...
Capacity (without assistance)

             Extent of Activity limitation
             0 No difficulty
             1 Mild...
Next Steps

                 Distribute questionnaire and collect data
                 and feedback
                 Anal...
Special Thanks to …
                 John Culkin (Director of Mental Health Services),
                 Stanley Garman (As...
Contact Information
                                 S. Antonio Ruiz-Quintanilla, PhD
                                    ...
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S Antonio Ruiz Quintanilla

  1. 1. An ICF based Tool to Identify Services and Supports Needs for Inmates with Developmental Disabilities S. Antonio Ruiz-Quintanilla, S. Bruyère, T. Golden, and C. Blessing Employment and Disability Institute Cornell University June 1 to 4, 2004 ADVANCING A RESEARCH AGENDA FOR ICF 10th North American Collaborating Center Conference on ICF
  2. 2. The Project Integrating Person-Centered Planning Practices into Program Development, Rehabilitation Treatment and Release Planning for Inmates with Developmental Disabilities. Ruiz-Quintanilla, EDI, Cornell University 2
  3. 3. Project Goals Enhance the current classification and evaluation system for inmates with special needs Refine and enhance services to inmates with developmental disabilities Improve the rehabilitation treatment process Integrate treatment and release planning Better prepare this group for integrated community living, learning and employment upon release. Ruiz-Quintanilla, EDI, Cornell University 3
  4. 4. Outcome: Classification System Enhance the State of New York Department of Correctional Services’ (NYDOC) system of classification and evaluation of offenders with developmental disabilities To increase the breadth and depth of information that is gathered and used for identifying services and supports that inmates with developmental disabilities will receive during their incarceration. Ruiz-Quintanilla, EDI, Cornell University 4
  5. 5. Outcome: Person Centered Planning Introduce Special Needs Units (SNUs) staff to person-centered planning and support approaches To refine and enhance services to inmates with developmental disabilities during their incarceration in the SNUs. Ruiz-Quintanilla, EDI, Cornell University 5
  6. 6. The Project Partners New York State Department of Correctional Services New York State Division of Parole New York State Developmental Disabilities Planning Council Mental health service providers Community providers Volunteers Employment and Disability Institute (EDI), Cornell University Ruiz-Quintanilla, EDI, Cornell University 6
  7. 7. Person-Centered Planning Person-centered planning is a collection of methods and resources that enable a person to choose their own paths to success. The tools of person-centered planning help to… understand the interests and desired life conditions of the person who is at the focus of the planning process discover the inherent gifts and capacities of the person explore the connection between a person’s interests and capacities and opportunities within the community facilitate transition planning and increase the probability of finding value and success as a community member Ruiz-Quintanilla, EDI, Cornell University 7
  8. 8. Research Data SYSTEM DATA To evaluate the outcomes of the intervention, we identified data elements from the current NYDOC and NYDOP data systems which can be used to monitor ongoing processes and help establish measures of success and benchmarks. QUESTIONNAIRE DATA A questionnaire will be used to collect additional information from security officers, treatment staff, service providers, community providers, parole personnel, and other collaborating partners. Ruiz-Quintanilla, EDI, Cornell University 8
  9. 9. Research and Evaluation Design OVER TIME A pre- and post-data design will be applied to compare SNU units among each other and across time. ACROSS SNUs Comparison among the SNU units will be used to estimate effects of characteristics like security level, or other organizational and cultural aspects of the facilities. MATCHED SAMPLES CONTROL A comparison of SNU data with matched samples from the general population of inmates (GPOP) (control group) allows the estimation of the influence of time, as well as the influence of other factors/variables proven to predict successful reintegration into the community (such as age, education, time in custody, family relations, region of residence). Ruiz-Quintanilla, EDI, Cornell University 9
  10. 10. Research Design Project 5 years back 5 years start T1 Ti+1 Ti+2 Tn Exp Groups Interv Dk, Dk Dk Dk,n Dk,1 Dk,i+1 SNU 1 Interv Dk,1 Dk,i Dk,i+1 Dk Dk Dk,n SNU 2 Dk,i Dk,i+1 Dk Dk Dk,n Dk,1 Interv SNU 3 Matched Control Dk,1 Dk Dk,i Dk,i+1 Dk Dk Dk Dk,n GPOP 1 Dk,i+1 Dk Dk GPOP 2 Dk,1 Dk,i Dk Dk Dk,n Dk,1 Dk Dk,i Dk,i+1 Dk Dk Dk Dk,n GPOP 3 Ruiz-Quintanilla, EDI, Cornell University 10
  11. 11. The ICF Checklist: Activities & Participation Domains
  12. 12. Instrument: General Requirements ICF-based tool to assess services and supports needs of inmates with developmental disabilities on a group level (survey questionnaire) ICF-based tool to assess services, individual progress and supports needs of inmates with developmental disabilities on an individual level (institutional folder) ICF-based research instrument to evaluate the program implementation (training impact) Ruiz-Quintanilla, EDI, Cornell University 12
  13. 13. Instrument: Additional Requirements A classification and evaluation system was developed based on the ICF’s Activity Limitation and Participation Restriction domains with the following criteria in mind: 1. SIMPLE 2. USEFUL 3. ALLOW MONITORING of progress 4. QUALITY STANDARDS Ruiz-Quintanilla, EDI, Cornell University 13
  14. 14. Instrument: Additional Requirements A classification and evaluation system was developed based on the ICF’s Activity Limitation and Participation Restriction domains with the following criteria in mind: 1. SIMPLE The instrument needs to be simple and clear enough so that service providers from a diversity of occupational backgrounds and educational levels can fill it out without the need for extensive instruction Ruiz-Quintanilla, EDI, Cornell University 14
  15. 15. Instrument: Additional Requirements A classification and evaluation system was developed based on the ICF’s Activity Limitation and Participation Restriction domains with the following criteria in mind: 2. USEFUL The collected information needs to be useful to allow staff to identify services and supports the inmates need and should receive during their stay in the SNUs. Ruiz-Quintanilla, EDI, Cornell University 15
  16. 16. Instrument: Additional Requirements A classification and evaluation system was developed based on the ICF’s Activity Limitation and Participation Restriction domains with the following criteria in mind: 3. ALLOW MONITORING The recorded information should allow monitoring progress towards the goal of community integration capacity achieved by inmates as a consequence of services provided. Ruiz-Quintanilla, EDI, Cornell University 16
  17. 17. Instrument: Additional Requirements A classification and evaluation system was developed based on the ICF’s Activity Limitation and Participation Restriction domains with the following criteria in mind: 4. QUALITY STANDARDS The instrument needs to fulfill quality standards commonly required by similar instruments, including for example inter- rater reliability. Ruiz-Quintanilla, EDI, Cornell University 17
  18. 18. Group Level Services and Supports Needs Assessment ICF-based tool to assess services and supports needs of inmates with developmental disabilities on a group level (survey questionnaire) Ruiz-Quintanilla, EDI, Cornell University 18
  19. 19. A & P SNU Inmates Support Needs and Importance Ruiz-Quintanilla, EDI
  20. 20. ACTIVITY LIMITATIONS & PARTICIPATION RESTRICTION For the group of inmates with developmental disabilities (SNU inmates) you work with please indicate their frequency of support needs in general for each of the following activities. Then use the Importance Scale to indicate the relevance of each activity for successful community integration of inmates with mental disabilities after release IN GENERAL. Ruiz-Quintanilla, EDI, Cornell University 20
  21. 21. Support Needs Frequency of Support Needs 0 No inmate needs support (0-4%) 1 Few inmates need support (5-24%) 2 Some inmates need support (25-49%) 3 Many inmates need support (50-75%) 4 Most inmates need support (76- 100%) 9 Not applicable Ruiz-Quintanilla, EDI, Cornell University 21
  22. 22. Importance Degree of Importance 0 Not important 1 Of little importance 2 Moderately important 3 Important 4 Very important 9 Not applicable Ruiz-Quintanilla, EDI, Cornell University 22
  23. 23. A & P SNU Inmates Support Needs and Importance Ruiz-Quintanilla, EDI, Cornell University 23
  24. 24. Initial Results: Support Needs 50-75% (mean 3.71 – 3.00) School education, economic self-sufficiency, higher education, solving problems, calculate, employment, political life, writing, multiple tasks, complex interactions, driving, reading, intimate relations, human rights, formal relations 0 – 4% (< 1.00) Lifting and carrying, drinking, eating, walking Ruiz-Quintanilla, EDI, Cornell University 24
  25. 25. Initial Results: Importance for Successful Community Integration IMPORTANT (mean 3.82 – 3.00): Solving problems, writing, reading, multiple tasks, economic self-sufficiency, listening, economic transactions, calculating, single task, spoken communication, employment, school education, health, grooming, washing, stranger relations, human rights, family relations, basic interactions, community life, intimate relations, formal relations, acquisition of goods, using transportation, complex interaction, non-verbal communications, speaking, informal education, meal preparation, toileting, housework Of little importance (mean < 2.0) Walking, fine hand use, lifting and carrying Ruiz-Quintanilla, EDI, Cornell University 25
  26. 26. Initial Results: Scale Reliabilities “Support Needs” N-items Cronbach alpha If item deleted SUPPORT NEEDS Learning and applying 6 .331 (Calculate) .448 knowledge General tasks and demands 7 .895 Mobility 6 .892 Self-Care 7 .892 Domestic Life 4 .832 Interpersonal Interactions and 7 .879 Relationships Major Life Areas 6 .266 (Higher education) .636 Community and Social Life 5 .810 Total Scale 48 .950 Ruiz-Quintanilla, EDI, Cornell University 26
  27. 27. Initial Results: Scale Reliabilities “Importance” N-items Cronbach alpha If item deleted IMPORTANCE Learning and applying 6 .445 (Watching) .578 knowledge General tasks and demands 7 .888 Mobility 6 .782 Self-Care 7 .932 Domestic Life 4 .813 Interpersonal Interactions and 7 .951 Relationships Major Life Areas 6 .717 Community and Social Life 5 .804 Total Scale 48 .936 Ruiz-Quintanilla, EDI, Cornell University 27
  28. 28. Individual Level Capacity Classification ICF-based tool to assess individual progress, service and supports needs for inmates with developmental disabilities on an individual level (institutional folder) Ruiz-Quintanilla, EDI, Cornell University 28
  29. 29. Capacity 1. For each activity please use the scales below to indicate your assessment of the SNU inmates’ capacity (the inmates current potential to master the activity). 2. Please rate the capacity as it applies to the SNU inmate IN GENERAL. We like you to help us identify the limitations and support needs that apply to this SNU inmate based on your experience working with him. Ruiz-Quintanilla, EDI, Cornell University 29
  30. 30. Capacity (without assistance) Extent of Activity limitation 0 No difficulty 1 Mild difficulty 2 Moderate difficulty 3 Severe difficulty 4 Complete difficulty 9 Not applicable Ruiz-Quintanilla, EDI, Cornell University 30
  31. 31. Next Steps Distribute questionnaire and collect data and feedback Analyze data Revise questionnaire Draft checklist for individual level Test checklist Revise checklist Ruiz-Quintanilla, EDI, Cornell University 31
  32. 32. Special Thanks to … John Culkin (Director of Mental Health Services), Stanley Garman (Assistant Director of Mental Health Services), and Heather Kasowski (Psychologist II) New York State Department of Correctional Services Ed Fraley (Assistant Parole Services Program Specialist) New York State Division of Parole Officers and Support Staff from the Special Needs Units at Sullivan, Arthur Kill & Wende New York Developmental Disabilities Planning Council Ruiz-Quintanilla, EDI, Cornell University 32
  33. 33. Contact Information S. Antonio Ruiz-Quintanilla, PhD Employment and Disability Institute School of Industrial and Labor Relations CORNELL UNIVERSITY 305 ILR Extension Building Ithaca, New York 14853-3901 USA Telephone: (607)255-2132 * Fax: (607) 255-2763 e-mail: Tony_Ruiz@cornell.edu Disability Statistics Web http://www.disabilitystatistics.org EDI Web http://www.edi.cornell.edu Ruiz-Quintanilla, EDI, Cornell University 33

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