1 WHAT ARE THE MISSOURI QUALITY OUTCOMES ? The Missouri Quality Outcomes were developed as a result of listening to people with disabilities, their families, . The ou tcomes were designed to e ncourage personal qua lity of life outcomes and advocates determined life leading a self - focus on ; including personal values, choice, health, safety, with individual - advocacy. inclusion and self he Missouri Quality Outcomes T to b e a guide to assist the user with facilitating discussi on are intended to the individu al and supporting their pers onal goals, dreams and other around key areas of importance Improving quality requires continuous areas of interest to the individual that defines quality of life. efforts on getting to know the person in the settings and situations where they are supported, as well as , consistent interaction and involvement w ith the individual and their support systems for on - going assess ment of their quality of life . data collected by the Divisio The Missouri Quality Outcomes will be measured through annual n of . the data, the Division of Developmental Disabilities will address Developmental Disabilities Based on and supports through policies and practices areas of enhancements to services h the goal of , wit providing continuous improvement for people with developmental disabil ities . All Missouri Quality Ou tcomes are accompanied with a description of the outcome along with “talking points” that assist users i n de termining if the outcome has been met and identify areas for improvement . These “ talking points ” are not all inclusive, but are use d to aid in conversation w ith the when applicable individual and family member s .

2 People Participate in Meaningful Daily Activities of Their Choice Daily Life ABOUT THIS OUTCOME: - to make informed choices and encourage self duals signed to support indivi This outcome is de ing the full range of options ; es of their choice while explor determination in daily activiti pursuing including employment, volunteering, use of free time and participating in ac tivities of their choice . l . Outcomes/Supports should be individualized to assist in achieving maximum potentia TALKING POINTS : opti ou have people who explain Do y  ons and choices in a way that makes sense to you?  Do these explanations help you make informed decisions ab out your options?  When was the last time you tried something new?  Would you like to try something new? What needs to happen in order for you to try something new? t? to d etermine areas of interes to Have you had the chance explore a variety of opportunities  How do you spend your day ? like most/least day ? Is there anything you would like to change?  about your What do you

3 and in ive in Communities They Choose, With Whom They Choose People L Homes and Environments Designed to Meet Their Needs Community Living ABOUT THIS OUTCOME: the com munity and home of their This outcome emphasizes leaders individuals in selecting being Individuals ly choose who choice. The home is designed to meet the individual’s unique needs. active they live with and where. : TALKING POINTS  Did you choose this community? Did you choose your home? Did you choose who you live with (if applicable)?  What made you choose this community? What made you choose this home? who you are and what is important to you?  Are you satisfied with your home? Does it reflect your home to fit your needs? If not, are they needed?  examples may Are there adaptations ( in e to seizures, or other things that make the home include lighting that is sensitiv accommodating to the individual’s needs)

4 People Are Active Members of Th eir Communities While Determining Determination Valued Roles and Relationships through Self - Spirituality Social & : ABOUT THIS OUTCOME This outcome is about presence and participation in the community based on interests determined by , d into integrate munity service, in the the indiv their community, including com idual. Individuals are same way as neighbors and fellow community members. Individuals have natural supports in their lives and relationships that are not based on their disability . TALKING POINTS : about community activities and choose which ones to participate in?  Do you know in Do you have the support you need to participate community activities?  these  ? of interest to community activities Are you able to get tain relationships with other community  Do you have the support you need to develop and main members? church,  Ar e you a regular member of a social group and/or community organization that is not related to having a disability?  Do you spend time with people in your community who are not paid to provide you wi th support services ? Do you enjoy community activities (such as shopping, going out to eat, etc . ) and are you able to  do these activities?  Are you supported to explore and practice your religious beliefs?

5 ental Health Resources Health/M People Are Able to Choose Informed Decisions and Are Supported in Making Being - Health and Well regarding their Healthy Living ABOUT THIS OUTCOME: care This outcome emphasizes the individual’s right to receive physical, emotional and mental health from the practitioner of their choice. receive information and education on ways to maintain Individuals . Individuals are supported in making healthy choices well - being their health and Talking Points : Who are the s you go to? talking with your doctors Are you comfortable  ? doctor about your health? Does your doctor listen to issues understand Does your doctor help you  your concerns? ?  How did you go about deciding which doctors to go to Do you have someone who goes to the doctor with you? Do you have someone who helps you  remember your doctor appointments?  Do you make a list of questions for the next time you see your doctor?  Do you take any medicines? If so, do you know what each medicine is for? How do you let others know when you are n ot feeling well?   What do you do to stay healthy?  Do you have an exercise you enjoy? How often do you exercise? Does anyone talk with you about making health in what you eat or getting exercise  ? y choices

6 People are Educated about Their Rights and Practice Strategies to Pr omote Their Safety and Security Safety & Security ABOUT THIS OUTCOME: This outcome emphasizes individuals living free from harm, being educated about their rights and living the individual’s supporting in healthy environments where safety and security are a high priority, while rights to live independently, make personal choices and take some risks. : TALKING POINTS  Do you feel safe in your home? If not, what would make you feel safe? Does your home have safety equipment like smoke alarms, fire extinguishers an d Co2  detectors? Do you participate in emergency drills/plans? what are some of the things you do to keep safe  Do you feel safe in your neighborhood? If not, in your home?  What are some of the things you do to keep safe in your community?  Do you understand your rights? (Example: Can you share what your rights are ? Has the DDD Rights brochure been shared with you? ) Are there any restrictions on your life that you feel are not fair, like not being able to use the  elf when you want to? If so, are you aware of due phone, or have friends over or being by yours process?  If there is a problem, who do you tell? What if the person you tell is part of the problem?  Have you ever felt mistreated? Did you report it? Was the problem solved? r home? Is your personal business kept private?  Do you have privacy in you

7 Themselves, Others and Causes People Have Opportunities to Advocate for hey Believe In T reams , including Personal Goals and D Citizenship & Advocacy ABOUT THIS OUTCOME: - advocacy. Training and ongoing support are often time This outcome emphasizes the importance of self require to assist an individual in developing their self - advocacy skills. TALKING POINTS : Have you participated in People First,  or other se lf advocacy group s ? Project STIR - advocacy trainings?  Do you attend self  Do you attend meetings related to causes you support?  Have you voted in an election? If not, why not?  If you have a guardian, do you feel he/she includes you in decisions?  If not, do you feel capable of making your own choices and exercising your rights without any support?  If needed, do you have people around you who you trust to help you make choices and exercise your rights?

8 Families are Provided With Knowledge That Empowers T hem to Facilitate - Determination Throughout the O pportunities for the Individual’s Self Course of His or Her L ife. Supports to Families / are supported to facilitate opportunities for Self - Determination for their family member ABOUT THIS OUTCOME: This outcome focuses on information presented to family members to educate them in the process of determination. Families provide support and insight that will assist their family member in leading a self - self - determined life including making cho ices, setting goals, assuming responsibility, and driving how one’s own life is lived. Families are integral in the development of a person’s independent and interdependent capacities . . Talking Points For Families : your family member? What are the strengths you see in   for your family member? - determination Do you have the information you need to promote self family member’s future  ? What are your goals How do you promote independence in the life of your family member?  are unable to provide care for your family member ?  Do you have a long - term plan in p lace if you Talking Points For Individual:  Do you have the information you need to promote self - determination in a way that is meaningful to you? find and keep  H ow does your family encourage you to friendships? How do es your family encourage you to make your own life decisions?   How does your family encourage you to set personal goals that are meaningful to you and follow through on them ?  Share at least one story of a time your family allowed you to t ake a risk or try something new without interfering?  What chores do you have within your home? What other responsibilities do you have in your home? 

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