Published on March 18, 2014
5th NATIONAL DISABILITY SUMMIT MELBOURNE, 17/ 18 MARCH 2014 Effectively Setting, Measuring and Evaluating Outcomes: The Capability Approach - an alternative perspective Dr Donna McDonald Griﬃth University
`I wonder why it wouldn't do?' thought Alice, as she groped her way among the tables and chairs, for the shop was very dark towards the end. `The egg seems to get further away the more I walk towards it. Let me see, is this a chair? Why, it's got branches, I declare! How very odd to ﬁnd trees growing here! And actually here's a liEle brook! Well, this is the very queerest shop I ever saw!‘ Lewis Carroll Through the Looking Glass Chapter 5 -‐ Wool and Water h9p:// www.literature.org/authors/carroll-‐lewis/through-‐the-‐looking-‐glass/ chapter-‐05.html
Topic points: • SupporAng people with disability to plan, set, measure, and review goals is criAcal. • How can providers develop the capacity to track outcomes for the people they support? • What are the challenges of measuring outcomes? • HighlighAng the value of Goal a9ainment scaling (GAS).
GAS: goal attainment scale • based on a medical framework of understanding disability experiences: • this does not sit comfortably alongside the socio-‐ economic and poliAcal frameworks—including the Sen-‐Nussbaum CapabiliAes Approach—within which I pracAce. • described as an individualized approach for establishing and measuring the a9ainment of goals for a diverse populaAon of clients with varying levels of disability and support needs: • provides a numerical schema for measuring the a9ainment or non-‐a9ainment of changes or “success” in a client’s performance.
Who tracks the trackers? Numbers cannot be understood without probing how they are produced. What and why are they counAng, measuring, evaluaAng . . . and for whom? In the NDIS world of person-‐centredness and choice a more appropriate quesAon is: • How can people with disabiliHes develop the capacity and skills to evaluate the supports or services for which they have negoHated and purchased from providers?
Quality of life vs Outcomes Measures obey the law of the hammer: Give a small boy a hammer and he’ll ﬁnd plenty of things that need pounding. In this context, let’s explore the CapabiliHes Approach as a more progressive way of measuring, assessing and evaluaAng that which needs to be measured, assessed and evaluated.
Capability Approach Expansion of capabiliAes and equity in capabiliAes are needed for a person to parAcipate fully and ﬂourish in society. The capability approach allows us to examine how changes aﬀect a person’s well being and agency. (Sen). “abiliAes to take part in … fundamental human experiences, and to live a good human life…” (Nussbaum). See more at: Human Development and CapabiliAes AssociaAon (HDCA) at hEp://hd-‐ ca.org/
Stocktake In working towards our common goal of a be9er, more inclusive society for all—including people with disabiliAes—we need to be: • responsive to the policy paradoxes inherent in such goals as equity and eﬃciency, and “soluAons” such as rights and powers that can confuse, bewilder and divert us from the main game. • Vigilant to quesAons that are framed in such a way that we risk, yet again, falling into the looking glass, darkly.
Calcification Inhibitors in CKD and Dialysis Patients
Griffith Graduate Research School. Services, ... Recruitment services; Work ... Past staff are encouraged to engage in University social events and ...
Social Work and Human Services; ... the Barbara Solomon School of Social Work and Human Services ... Christian University . K. Elizabeth McDonald, ...
... MS in Management and MS in Leadership; Dr. John McDonald, ... School of Social Work and Human Services . ... MS and PhD in Human and Social Services ...
Griffith Graduate Research School. Services, ... to engage in University social events and ... your relationship with Griffith University.
Social Work Work and Law Indiana University Health ... Illinois Department of Children and Family Services Reavis School District ... Donna Cisco, Field ...
Career Services; Emergency Alert; ... Madonna University 36600 Schoolcraft Road Livonia, MI 48150 ... Graduate School: ...
... Wharton School, University of ... Transportation, Education, Health and Human Services, ... Summer Institute on College Admissions ...
Building on the work of the Taskforce, ... Department of Social Services Source Australian Government Date published Wed 2nd Nov, ...
National Disability Insurance Scheme (NDIS) ... to the Department of Social Services ... with NDIS participant to receive instructions and work through ...
The first priority of Child and Family Services is to ... The Utah Department of Human Services prohibits ... Utah Dept. of Human Services. phone: Work ...