Supports Intensity ScaleAdult Version - aaidd 2026

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Definition & Purpose of the Supports Intensity Scale—Adult Version

The Supports Intensity Scale—Adult Version (SIS-A) is a comprehensive assessment tool aimed at evaluating the support needs of adults aged 16 and older with intellectual and developmental disabilities. Developed by the American Association on Intellectual and Developmental Disabilities (AAIDD), it provides a structured framework to identify the level of support necessary to help individuals thrive in their daily lives. The assessment covers various life areas, including home living, community engagement, employment, health and safety, and social interactions.

Key Features

  • Comprehensive Assessment: SIS-A evaluates multiple dimensions of an individual's life, from basic daily activities to complex social interactions.
  • Demographic Information: Collects essential data about the individual to tailor the assessment process.
  • Behavioral and Medical Needs: Includes evaluations of medical and behavioral support requirements, ensuring a holistic understanding of the individual's needs.

How to Use the Supports Intensity Scale—Adult Version

Using the SIS-A involves a structured process, typically conducted by a trained interviewer. Here’s a step-by-step guide:

  1. Preparation: Gather relevant demographic and medical information of the individual being assessed. Ensure the environment is comfortable and conducive for the assessment process.
  2. Conducting the Interview: The SIS-A interview is typically conducted with the individual and at least two respondents who know the person well. These respondents provide insights into the individual's support needs across different domains.
  3. Scoring: The responses are scored to determine the intensity of supports required, which aids in developing individualized support plans.

Practical Applications

  • Support Plans: Use the results to create personalized support plans that cater to the individual’s unique needs.
  • Monitoring Progress: Regularly update the SIS-A to track changes in support needs as the individual progresses over time.

Steps to Complete the Supports Intensity Scale—Adult Version

Completing the SIS-A involves several crucial steps designed to capture a detailed picture of the individual's support needs.

  1. Initial Setup: Ensure that all necessary forms and tools are ready. Prepare a checklist of the individual’s information and the respondents involved in the assessment.
  2. Conduct Interviews: Utilize trained interviewers to facilitate discussions with the individual and their supports. Aim to create an open dialogue that encourages honest feedback.
  3. Analyze Data: Use the collected data to assess the support levels needed across the specified domains.
  4. Report Generation: Compile the assessment results into a comprehensive report that outlines the recommended support strategies.

Tips for Accurate Completion

  • Ensure Clarity: Questions should be clear and easily understandable to gather precise responses.
  • Engage Multiple Respondents: Incorporate diverse perspectives to achieve a balanced assessment.
  • Use Consistent Scoring: Apply the scoring guidelines consistently to maintain accuracy and reliability.

Who Typically Uses the Supports Intensity Scale—Adult Version

The SIS-A is primarily utilized by professionals working in the field of intellectual and developmental disabilities. This includes:

  • Support Coordinators: To develop individualized plans that optimize care and resources.
  • Healthcare Providers: To understand and address the holistic needs of those they serve.
  • Policy Makers: To design programs and allocate funding effectively.
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Case Scenarios

  • Rehabilitative Settings: Implement SIS-A to tailor rehabilitation programs that meet the specific needs of patients.
  • Community Organizations: Use SIS-A assessments to enhance community support initiatives.

Important Terms Related to the Supports Intensity Scale—Adult Version

Understanding the terminology associated with SIS-A is crucial for accurately interpreting assessment results and applying them effectively.

  • Intellectual Disabilities: Disabilities characterized by significant limitations in intellectual functioning and adaptive behavior.
  • Developmental Disabilities: Chronic conditions due to mental or physical impairments, developing before adulthood.
  • Support Needs: The types and intensity of assistance required by individuals to enhance their well-being and inclusion in community life.

Essential Concepts

  • Adaptive Behavior: The collection of conceptual, social, and practical skills learned and performed by individuals in their daily lives.
  • Standardized Assessment: Ensures consistent methodology across different evaluators and settings.

Legal Considerations for the Supports Intensity Scale—Adult Version

Legal considerations are vital when implementing SIS-A to ensure compliance and protect individuals’ rights.

  • Confidentiality: Personal data collected during the assessment must be kept confidential in accordance with relevant laws and ethical standards.
  • Informed Consent: Obtain consent from individuals or their guardians before conducting assessments to ensure transparency and authority.
  • Legal Compliance: Ensure assessments align with federal and state regulations governing the care of individuals with disabilities.

Practicing Due Diligence

  • Ensure Data Security: Utilize secure systems for storing and managing assessment data.
  • Regular Training: Provide ongoing education for assessors to remain updated on legal and ethical standards.

Key Elements of the Supports Intensity Scale—Adult Version

The SIS-A consists of several vital components that work together to deliver a complete assessment of support needs.

  • Interview Structure: Composed of sections that assess various support areas like health, safety, and social participation.
  • Rating Scales: Used to quantify the level of support needed in everyday activities.
  • Supplemental Sections: Address challenging behaviors and exceptional medical needs to ensure a comprehensive evaluation.

Areas of Assessment

  • Home Living: Supports required for household maintenance and personal care.
  • Community Engagement: Participation in community life, including accessing public facilities and services.
  • Employment: Assistance related to acquiring and maintaining employment opportunities.

State-Specific Rules for the Supports Intensity Scale—Adult Version

While the SIS-A is standardized, state-specific adaptations may apply.

  • Regulatory Requirements: Some states may have additional mandates or modifications to the SIS-A to align with local programs.
  • Funding Implications: States may use SIS-A data to determine eligibility for state-funded services and resource allocations.

Considerations for State Variations

  • Tailored Support Plans: Consider state regulations when devising support plans to ensure compliance and optimal resource utilization.
  • Regular Updates: Stay informed about state-specific changes to the SIS-A protocol to adapt practices accordingly.

Examples of Using the Supports Intensity Scale—Adult Version

Practical application of SIS-A can be observed in various real-world scenarios.

  • Educational Programs: Schools use SIS-A to develop individualized educational plans for students with disabilities.
  • Residential Services: Providers use assessments to tailor support services for residents, ensuring alignment with individual needs.

Case Examples

  • Community Integration: An individual receives targeted support to participate in local recreational activities, as determined by their SIS-A assessment.
  • Health Management: Assessment facilitates adequate healthcare planning by identifying specific medical and emotional support needs.

These selections aim to provide a comprehensive overview of the Supports Intensity Scale—Adult Version, ensuring detailed coverage of its functions, usage, and applications.

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Rating options are: 4=full physical assistance; 3=partial physical assistance; 2=verbal/gestural prompting; 1=monitoring; 0=none.
We aimed to create and validate the Adult Independence Living Measurement Scale (AILMS) to estimate personal skills considered tantamount for independent living in adult persons with intellectual and developmental disabilities.
Each support identified is assigned one of four levels of intensity - intermittent, limited, extensive, pervasive. Intermittent support refers to support on an as needed basis. An example would be support that is needed in order for a person to find a new job in the event of a job loss.
The Supports Intensity Scale - Adult Version (SIS-A) is a standardized assessment tool designed to measure the pattern and intensity of supports that a person aged 16 years and older with intellectual and developmental disabilities (IDD) requires to be successful in community settings.
Rating options are: 4= hourly or more frequently; 3=at least once a day but not once an hour; 2=at least once a week, but not once a day; 1=at least once a month, but not once a week; or 0=none or less than monthly.

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The SIS assessment measures the support a person living with intellectual. or developmental disabilities needs for everyday activities of independent living.

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