Self-Directed Care: An Evaluation

Heather M Young, Suzanne K. Sikma

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


This study evaluates self-directed care (SDC), a program introduced in 2000 in Washington State to promote consumer direction in community-based services for persons with disabilities. This report summarizes findings on satisfaction with the program, service quality and consumer safety, instances and outcomes of consumer abuse and neglect, and staffing issues in SDC. Methods included surveys and interviews with participants in SDC and review of existing databases, complaint logs and reports, and departmental field notes. Major findings were no negative outcomes for consumers, improvements in quality of life and quality of care for consumers, high satisfaction, perception of SDC as a valued option, and the challenges of ensuring adequate staffing.

Original languageEnglish (US)
Pages (from-to)185-195
Number of pages11
JournalPolicy, Politics, and Nursing Practice
Issue number3
StatePublished - 2003
Externally publishedYes


  • consumer direction
  • long-term care policy
  • older adults
  • persons with disabilities
  • self-directed care

ASJC Scopus subject areas

  • Leadership and Management
  • Issues, ethics and legal aspects


Dive into the research topics of 'Self-Directed Care: An Evaluation'. Together they form a unique fingerprint.

Cite this