The individual's existence is literally divided among the various agencies and programs that provide support and service. When organizations realize that services and supports are methods, and not ends in themselves, they become more thoughtful in connecting services with priority outcomes. Staff organize around outcomes. They emphasize the supports and contribute to outcomes. Employees begin to question the purchase and continuation of services that may have a strong constituency, but lead to no personal outcomes.
Outcomes then promote accountability.
A set of data collection instruments are used during a personal interview format for an individual with disabilities and scored by trained interviewers. Items are scored in a dichotomous format using standardized administration procedures as 'Yes' the specific outcome is present for the individual or 'No' the specific outcome is not present. The interview usually takes between 1.5 and 2 hours per individual. The individual may be the source of the information for the interview or staff or family may respond. Items are scored individually by the interviewers using pencil-paper forms and the data are sent to The Council's main office to be entered into a database and checked.