Quality Enhancement in Developmental Disabilities: Challenges and Opportunities in a Changing World

As person-centred services and supports become more prevalent, people with disabilities are enjoying more choices and opportunities - making it challenging to ensure the quality of every service offered. This work aims to help meet that challenge. Diverse contributors, including researchers, care providers, policy makers, self-advocates and family members, combine their expertise to help readers: understand the changing expectations of people with disabilities and their families - and the resulting challenges to quality enhancement; clarify the roles of Medicaid and the centres for Medicare and Medicaid Services; address health and safety issues, including investigation of abuse, neglect and death; design databases that track outcomes and target areas for service improvement; translate information into reliable quality enhancement approaches; manage staffing challenges like recruitment, retention and professional development; and consider future recomendations and policy directions.