Improving the Quality of Life of Adults with More Severe Learning Disabilities by Increasing their Interactions with their Immediate Environment

The nature and level of engagement in activity for 51 adults with severe learning disability living in 13 houses were assessed. The individual profiles and environmental characteristics which appeared to contribute to low levels of engagement were identified. The implications for service delivery for this vulnerable group of people are discussed. In addition, ways of increasing levels of engagement and service characteristics which support ‘good practice’ are identified.