Goal Attainment Scaling: A Framework for Research and Practice in the Intellectual and Developmental Disabilities Field

2021 ◽  
Vol 59 (1) ◽  
pp. 7-21
Author(s):  
Karrie A. Shogren ◽  
Evan E. Dean ◽  
Kathryn M. Burke ◽  
Sheida K. Raley ◽  
Julie Lounds Taylor

Abstract Goal setting and attainment is often a targeted outcome in the intellectual and developmental disabilities field; however, standardizing the measurement of attainment of individualized goals is challenging. The purpose of this article is to introduce a four-domain framework that provides a series of questions to research and evaluation teams in planning for the use of goal attainment scaling (GAS) as an outcome measure at the individual or aggregate level. We intend to stimulate discussion and ongoing work to further systematize how GAS is used in (a) intervention research to establish evidence-based practices and (b) practice to assess the extent to which interventions and supports lead to intended outcomes. The goal is to promote a clear planning process to inform data collection on individualized goal attainment outcomes that are rooted in goals and outcomes valued by people with intellectual and developmental disabilities.

2017 ◽  
Vol 39 (3) ◽  
pp. 195-210 ◽  
Author(s):  
Todd F. Lewis ◽  
Mary F. Larson ◽  
James S. Korcuska

Client-centered, outcomes-based mental health counseling is driving the behavioral health field toward identifying mechanisms to facilitate specific, measurable goal setting and tracking with clients. Motivational interviewing (MI) is an evidence-based, collaborative, goal-oriented style of counseling; however, the fourth process of MI, planning, is not as well defined as the other MI processes, especially related to goal setting. Goal attainment scaling (GAS) is a method for setting measurable goals and assessing clinical progress. The combination of MI and GAS has potential to be a valuable clinical tool to establish client-centered goals, monitor goal attainment, and provide feedback within clinical mental health settings. Therefore, we propose that the MI planning process can be enhanced by incorporating GAS. However, research is needed to substantiate the feasibility of the proposed integration. A brief case study is provided to illustrate key concepts.


Author(s):  
D. Christopher Gabbard

While John Locke’s impact on Jonathan Swift’s Gulliver’s Travels, an eighteenth-century satire, is a well-worn topic of scholarly discussion, Gulliver as the butt of a satire concerning an important aspect of Lockean epistemology has not been considered. In the 1690 Essay Concerning Human Understanding, Locke distinguishes between person (an abstract thinker) and man (an individual with a human shape but little capacity for thought). Locke’s differentiation underwrites the modern concept of intellectual and developmental disabilities. Cognitive ableism is the belief in the superiority of person over man, of the thinker over the individual with less capacity for thought. Approaching Book Four of the Travels from a disability studies perspective, this chapter argues that Locke’s person/man binary broadly comes into play, that the character of Gulliver straddles the person/man divide, and that his characterization parodies Locke’s distinction. Book Four satirizes cognitive ableism through its protagonist, who exhibits an extreme form of it.


2018 ◽  
Vol 28 (04) ◽  
pp. 365-368
Author(s):  
J. L. McLaren ◽  
J. D. Lichtenstein

AbstractChildren with intellectual and developmental disabilities (IDD) are likely to receive high-risk prescribing practices, such as polypharmacy, long-term use of psychotropic medications, and overuse of antipsychotics. Behavioural interventions, such as applied behavioural analysis, are evidence-based practices for children with IDD and should be the first-line treatment. Short-term use of psychotropic medications may be helpful in reducing the severity and frequency of challenging behaviours while evidence-based behavioural interventions are pursued. In this essay, we offer practical guidelines for better care.


Sign in / Sign up

Export Citation Format

Share Document