Table 1
Descriptions of the Two Groups — Non-Altered Decisions (n = 100) and Altered Decisions (n = 20).
| NON-ALTERED DECISIONS | ALTERED DECISIONS | CHI-SQUARE VALUE | P-VALUE | |
|---|---|---|---|---|
| Mild and moderate ID | 38 (38%) | 7 (35%) | 1.71 | NS |
| More severe ID | 31 (31%) | 9 (45%) | ||
| Unspecified | 31 (31%) | 4 (20%) | ||
| Gender | M/F 61/39 | M/F 12/8 | 0.93 | NS |
| Age | Mean = 40.8 (SD = 14.4) | Mean = 40.2 (SD = 14.4) | Student t-test = –0.19 | NS |
Table 2
Descriptions of the Two Groups—Non-Altered Decisions (n = 100) and Altered Decisions (n = 20)—and Presentation of the Best Practice Items.
| BEST PRACTICE ITEM | DOMAIN | ALL DECISIONS N = 120 | NON-ALTERED DECISIONS N = 100 | ALTERED DECISIONS N = 20 | CHI-SQUARE | P-VALUE |
|---|---|---|---|---|---|---|
| 1. A description of the challenging behaviour is present. | 1 | 117 (97.5%) | 97 (97%) | 20 (100%) | 0.61b | 1.00 |
| 2. A description of what triggers the challenging behaviour is present. | 1 | 98 (81.7%) | 78 (78%) | 20 (100%) | 5.40a | 0.02 |
| 3. A description of the damage caused by the challenging behaviour is present. | 1 | 115 (95.8%) | 95 (95%) | 20 (100%) | 1.04b | 0.59 |
| 4. Evidence-based assessment of the challenging behaviour is present. | 1 | 109 (90.8%) | 89 (89%) | 20 (100%) | 2.42a | 0.21 |
| 5. A precise description of the significant damage that is to be prevented is present. | 1 | 66 (55%) | 56 (56%) | 10 (50%) | 0.24 | 0.62 |
| 6. A personnel plan for follow-up of the client during the new decision period is present. | 2 | 73 (60.8%) | 58 (58%) | 15 (75%) | 2.02 | 0.15 |
| 7. Personnel guidance related to the implementation of the coercive measure is provided. | 2 | 37 (30.8%) | 29 (29%) | 8 (40%) | 0.95 | 0.33 |
| 8. The client participates in designing the plan for implementing the coercive measure. | 3 | 17 (14.2%) | 14 (14%) | 3 (15%) | 0.01a | 1.00 |
| 9. An individual plan is present. | 3 | 54 (45%) | 40 (40%) | 14 (70%) | 6.06 | 0.014 |
| 10. The client participates in describing her/his life situation. | 3 | 52 (43%) | 37 (37%) | 15 (75%) | 9.80 | 0.002 |
| 11. A topic about self-determination is provided in the decision. | 3 | 43 (35.8%) | 31 (31%) | 12 (60%) | 6.09 | 0.014 |
| 12. Recommended guidelines provided by the specialist services during the new decision period are provided. | 2 | 69 (57.5%) | 56 (56%) | 12 (60%) | 0.11 | 0.74 |
| 13. The user’s life situation is described. | 4 | 69 (57.5%) | 53 (53%) | 16 (80%) | 4.97 | 0.026 |
| 14. Other preventive solutions to be used before coercion are described. | 4 | 53 (44.2%) | 41 (41%) | 12 (60%) | 2.44 | 0.118 |
| 15. Other preventive solutions which have been tested in previous decisions are described. | 4 | 83 (69.2%) | 67 (67%) | 16 (80%) | 1.32 | 0.250 |
| 16. The guardian is active in the discussion about the new coercion decision. | 3 | 60 (50%) | 48 (48%) | 12 (60%) | 3.84 | 0.46 |
[i] a. One cell (25.0%), with an expected count less than five. The min. expected count is 3.67 (Fisher’s exact test).
b. Two cells (50.0%), with an expected count less than five. The min. expected count is 0.50 (Fisher’s exact test).