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Rationale for Family Quality of Life Focus. International focus on QOL for persons with intellectual disabilities (ID)Increased responsibility expected of family members in supporting and caring for their relations with ID; in Taiwan, approximately 90% live with families)Need for family supportMo
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1. Family Quality of Life and Application AmongPeople with Intellectual Disabilities and Their Families Professor Robert L. Schalock, Ph.D.
Institute of Health & Welfare Policy
Yang Ming University
October 17, 2008
2. Rationale for Family Quality of Life Focus International focus on QOL for persons with intellectual disabilities (ID)
Increased responsibility expected of family members in supporting and caring for their relations with ID; in Taiwan, approximately 90% live with families)
Need for family support
More holistic approach to understanding the impact of disability on the family and family members
Historically, stress burden of care, effect on family functioning, and/or eco-cultural deprivation/changed routine
Applying a QOL framework to families brings together a wider range of aspects of family life to understand family experiences and needed supports
3. Steps in the Development of a QOL Conceptual and Measurement Framework Observing and describing the phenomenon (focus groups)
Performing concept mapping (indicators to domains)
Validating the concept and measurement framework (factor analysis)
Cross-cultural studies to determine etic (universal) and etic (culture-bound) properties
Structural equation modeling to determine higher order construct
4. Individual-Referenced Quality of Life Conceptual and Measurement Framework
5. Family Quality of Life Definition “Family quality of life is a dynamic sense of well-being of the family, collectively and subjectively defined and informed by its members, in which individual and family-level needs interact.” (Zuna et al., in press)
6. Family Quality of Life Domains Aznar and Castanon (2005)
Emotional Well-Being Family Life
Personal Strength & Development Cohabitation Rules
Interpersonal & Community Relations Physical/Material Well-Being
Beach Center (Summers et al., 2005)
Family Interaction Physical & Material Well-Being
Parenting Emotional Well-Being
Disability-Related Supports
International Family QOL Project (Isaacs et al., 2007)
Health & the Family Financial Well-Being
Family Relationships Supports from Others
Supports from Disability-Related Services Influence of Values
Careers & Preparing for Careers Leisure & Recreation
Community Interaction
7. Family QOL Domains and Exemplary Indicators
8. Implications for Practice Policy Level
Identify impacts of current policies or policy changes on family QOL
Comparison before and after policy changes are implemented
Use domains and indicators to craft new policies designed specifically to address respective domain
Agency and Community Level
Basis for decision making (e.g. targeted supports; additional supports)
Basis for staff training
Basis for meeting accountability/reporting requirements
Individual Level
Identify priority areas
Assist in communication
Self evaluation (e.g. assess own opportunities, initiatives, attainment, and satisfaction with their overall family quality of life)
9. References Aznar, A. S. & Castanon, D. G. (2005). Quality of life from the point of view of Latin
American families: A participative research study. Journal of Intellectual
Disability Research, 49 (10), 784-788.
Chou, Y.C. & Schalock, R. L. (2007). Trends in residential policies and services for
people with intellectual disabilities in Taiwan. Journal of Intellectual Disability
Research, 51 (2), 135-141.
Chou, Y.C., Schalock, R. L., Tzou, P. Y., Lin, L.C., Chang, A. L., Lee, W.P., & Chang,
S. C. (2007). Quality of life of adults with intellectual disabilities who live with
families in Taiwan. Journal of Intellectual Disability, 51 (11), 875-883.
Isaacs, B. J., Brown, I., Brown, R., Baum, N. et al. (2007). The International Family
Quality of Life Project: Goals and description of a survey tool. Journal of Policy
and Practice in Intellectual Disabilities, 4 (3), 177-185.
Schalock, R. L., Gardner, J.F., & Bradley, V. J. (2007). Quality of life for people with
intellectual and other developmental disabilities: Applications across individuals,
organizations, communities, and systems. Washington, DC: American
Association on Intellectual and Developmental Disabilities.
Summers, J.A., Poston, D.J., Turnbull, A. P. et al. (2005). Conceptualizing and
measuring family quality of life. Journal of Intellectual Disability Research, 49
(10), 777-783).
Zuna, N., Summers, J. A., Turnbull, A. P., Hu, X. et al. (in press). Theorizing about
family quality of life. In R. Kober (Ed.), Quality of life for people with
Intellectual disability. New York: Springer.