SIS (支持需需求量表)作為智障者支持需求評估工具: 文獻探討與案例分析

Background: Supports Intensity Scale (SIS) was developed by the American Association on Intellectual and Developmental Disabilities in 2004; the copyright of the Taiwanese version of SIS was purchased and issued in 2005 and 2006 respectively. This study aims to explore the utilization of the SIS in Taiwan and compare the assessment outcome of SIS with three other assessment scales' outcomes, namely, the disability diagnosis in the Disability Certificate of Taiwan, the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL). Methods: Two research methods were used: (1) a literature review and discussion; and (2) focus groups across Taiwan. Three focus groups were conducted during October of 2012; and eight service users with ID who had been assessed by the SIS were discussed. Results: SIS was designed to be part of the person-centered planning processes that focuses on the individuals' interactions with the environment and their preferences. Results showed that SIS is not only a valid and reliable assessment tool for service delivery, but it is also an effective tool for resource allocation. Based on the analyses of eight users, the ADL scale has underestimated their needs while both the diagnosis in the Disability Certificate and the IADL scale have overestimated them. With SIS, resource allocation can be more effective and appropriate. Conclusion: SIS can be another valid alternative of needs assessment for service users with ID in terms of resource allocation and service delivery.