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What are Supports?

What are Supports?

What are Supports?

What are supports?

The concept of supports originated about 15 years ago and it has revolutionized the way habilitation and education services are provided to persons with mental retardation. Rather than mold individuals in to pre-existing diagnostic categories and force them into existing models of service, the supports approach evaluates the specific needs of the individual and then suggests strategies, services and supports that will optimize individual functioning. The supports approach also recognizes that individual needs and circumstances will change over time. Supports were an innovative aspect of the 1992 AAMR manual and they remain critical in the 2002 system. In 2002, they have been dramatically expanded and improved to reflect significant progress over the last decade.

Supports are defined as the resources and individual strategies necessary to promote the development, education, interests and personal well being of a person with mental retardation. Supports can be provided by a parent, friend, teacher, psychologist, doctor or by any appropriate person or agency.

Why are supports important?

Providing individualized supports can improve personal functioning, promote self-determination and societal inclusion, and improve personal well-being of a person with mental retardation. Focusing on supports as the way to improve education, employment, recreation and living environments is an important part of person-centered approaches to providing supports to people with mental retardation.

How do you determine what supports are needed?

AAMR recommends that an individual's need for supports be analyzed in at least nine key areas such as human development, teaching and education, home living, community living, employment, health and safety, behavior, social and protection and advocacy.

What are some specific examples of supports areas and support activities?

Human Development Activities

Providing physical development opportunities that include eye-hand coordination, fine motor skills and gross motor activities

Providing cognitive development opportunities such as using words and images to represent the world and reasoning logically about concrete events

Providing social and emotional developmental activities to foster trust, autonomy and initiative

Teaching and Education Activities

Interacting with trainers and teachers and fellow trainee and students

Participating in making decisions on training and educational activities

Learning and using problem-solving strategies

Using technology for learning

Learning and using functional academics (reading signs, counting change, etc.)

Learning and using self-determination skills

Home Living Activities

Using the restroom/toilet

Laundering and taking care of clothes

Preparing and eating food

Housekeeping and cleaning

Dressing

Bathing and taking care of personal hygiene and grooming needs

Operating home appliances and technology

Participating in leisure activities with the home

Community Living Activities

Using transportation

Participating in recreation and leisure activities

Going to visit friends and family

Shopping and purchasing goods

Interacting with community members

Using public buildings and settings

Employment Activities

Learning and using specific job skills

Interacting with co-workers

Interacting with supervisors

Completing work related tasks with speed and quality

Changing job assignments

Accessing and obtaining crisis intervention and assistance

Health and Safety Activities

Accessing and obtaining therapy services

Taking medication

Avoiding health and safety hazards

Communicating with health care providers

Accessing emergency services

Maintaining a nutritious diet

Maintaining physical health

Maintaining mental health/emotional well-being

Behavioral Activities

Learning specific skills or behaviors

Learning and making appropriate decisions

Accessing and obtaining mental health treatments

Accessing and obtaining substance abuse treatments

Incorporating personal preferences into daily activities

Maintaining socially appropriate behavior in public

Controlling anger and aggression

Social Activities

Socializing within the family

Participating in recreation and leisure activities

Making appropriate sexual decisions

Socializing outside the family

Making and keeping friends

Communicating with others about personal needs

Engaging in loving and intimate relationships

Offering assistance and assisting others

Protection and Advocacy

Advocating for self and others

Managing money and personal finances


Protecting self from exploitation

Exercising legal rights and responsibilities

Belonging to and participating in self-advocacy/support organizations

Obtaining legal services
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