1. Building Bridges of Support Gent Use of the SIS by the Flemish Agency responsible for resource allocation Catherine Molleman (Researcher VAPH)
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2. Goal of research: More objective resource allocation (2004)
Search for instruments that can measure ‘objectively’ supports intensity
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3. SIS in experimental Dutch translation
What was available?
ADL-scales (Barthel, Elida) scales that measure behavior problems, (para)medical needs…
SIS in experimental Dutch translation
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4. SIS as a part of a VAPH instrument (ZZI)
ZZI has been validated (2012 version actually in use) for persons with intellectual disabilities
Method : algorithms to rank people in 6 categories of intensity of ‘care’ , 7 intensities of need of ‘surveillance’ (from less then once a week to permanently) and 4 categories of night surveillance
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5. ZZI Scales ≠ SIS Results = Quantitative input Ranking (care intensity
and surveillance)
algorithms
output
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6. Adds up to 19.160 SIS-results (within ZZI)
VAPH research unit in collaboration with Dr. W.Buntinx monitored and guided the SIS-programme in Flanders :
: included for simulation. Iters : services
2010 : 319 used for validation and direct payment allocation
Interviewers: trained and independent (multi-disciplinairy teams)
: subjects for personnel allocation
Adds up to SIS-results (within ZZI)
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7. ZZI has been implemented for the allocation of cash-budget and vouchers
1. people have to make an individual support plan and ask the agency for support
2. ZZI is (mandatorily) used to make a differentiation in the highest budget-categories (defines maximum of possible budget )
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8. Improves predictive value of algorithms in ZZI
Benefits of the SIS ?
An excellent explorative tool for individual supports planning as confirmed by the working field
Improves predictive value of algorithms in ZZI
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9. Ongoing : more validation studies of the ZZI
In the past: inter-interviewer reliability study including 80 subjects, 54 with intellectual disability (2012)
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10. Inter-interviewer SIS-reliability
interval between 2 ratings:
4,6 months (median)
n=57
Pearson corr. coeff.
n=80
Pearson
SIS-index
0,72
SIS1A
0,90
!!!
SIS-indexplus (=+SIS 2)
SIS1B
0,78
SIS1C
0,33 !
SIS-index min C&D
0,82
SIS1D
0,32
SIS-indexplus min C&D
SIS1E
0,75
SIS1F
0,70
SIS2
0,60
SIS 3A (Med)
0,68
SIS 3B (Behav)
0,86 !!
!!!
The interval between two ratings was 4.6 months, the Pearson correlation coefficients were 0.72 for both Sis-index and indexplus. These coefficients were higher for S1 A,B,E and F then for C and D. When excluding C and D correlation index was …. In addition we obtained a very high correlation for SIS3B and somewhat lower for SIS2 and 3B
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11. Ongoing : analysis of the link between the subscales of the SIS and the theoretical amount of the maximum budget as measured with the ZZI
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12. Correlation of SIS index and subscale SIS-scores with budget-categories
Pearson corr. coeff.
n=4.889
SIS-index
0,800
SIS1A
0,881
SIS-indexplus (=+SIS 2)
0,783
SIS1B
0,811
SIS1E
0,812
n=3.344
SIS1F
0,660
SIS-index min C&D
0,892
SIS2
0,600
SIS-indexplus min C&D
0,878
SIS 3A (Med)
-0,041
SIS 3B (Behav)
0,254
SIS1C
0,563
SIS1D
0,335
The interval between two ratings was 4.6 months, the Pearson correlation coefficients were 0.72 for both Sis-index and indexplus. These coefficients were higher for S1 A,B,E and F then for C and D. When excluding C and D correlation index was …. In addition we obtained a very high correlation for SIS3B and somewhat lower for SIS2 and 3B
Vlaams Agentschap voor Personen met een Handicap

13. Correlation of SIS index and subscale SIS-scores with budget-categories for persons with and without ID
With ID
Without ID
SIS-index
0,870
N=3.415
0,826
N=633
SIS-indexplus (=+SIS 2)
0,857
0,805
SIS1A
0,890
N=3.811
0,863
N=730
SIS1B
0,814
0,775
SIS1E
0,809
0,799
SIS1F
0,677
0,541
SIS2
0,596
0,547
SIS 3A (Med)
0,387
0,007
SIS 3B (Behav)
0,272
0,144
SIS1C
0,575
N=1.061
0,488
N=313
SIS1D
0,265
N=720
0,317
N=220
The interval between two ratings was 4.6 months, the Pearson correlation coefficients were 0.72 for both Sis-index and indexplus. These coefficients were higher for S1 A,B,E and F then for C and D. When excluding C and D correlation index was …. In addition we obtained a very high correlation for SIS3B and somewhat lower for SIS2 and 3B
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14. Challenge: when we ‘know’ the support need of an individual:
Which other factors could be taken into account for resource allocation by the state to avoid long waiting-lists?
Availability of :
Family members (and willingness of them to help)?
Material aids and adaptations?
Non-handicap (= regular) particular home help?
Income?
Work situation?
Disability specific factors ?
… ?
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15. Questions ?
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16. Questions later? Catherine Molleman
Flemish Agency for Persons with a Disability
Zenithgebouw
Koning Albert II-laan 37
B Brussel
BELGIUM
Contact:
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