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date: 19 February 2019

Abstract and Keywords

This chapter focuses on five significant impacts that the quality of life (QOL) concept has had on persons with intellectual and closely related developmental disabilities (IDD). The chapter begins with a discussion of paradigms and paradigmatic shifts and explores how the current IDD paradigm has altered the conceptual and service delivery framework that mediates the interaction between a scientist or practitioner and persons with IDD. The second section describes the five significant impacts the QOL concept has had on public and organization policies and practices toward persons with IDD. The chapter concludes by asking a simple question: “Has the QOL concept really made a difference?”

Keywords: continuous quality improvement, evidence-based practices, individualized supports, quality of life, redefined organizations

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