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Guidance for the implementation of best practice for the care of patients with tuberculosis

WILLIAMS, G.; ALARCON, E.; JITTIMANEE, S.; WALUSIMBI, M.; SEBEK, M.; BERGA, E.; VILLA, T. S.
Fonte: INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D) Publicador: INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D)
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
66.09%
The first two chapters of Best practice for the care of patients with tuberculosis: a guide for low-income countries include an introduction and guidance regarding implementation of best practice. The background to how the guide was developed is significant, as it was developed in collaboration with nurses and other health workers working in the most challenging settings. It therefore provides realistic and practical guidance for best practice where patient loads are large and resources are stretched. Guidance regarding standard setting and clinical audit is an important part of enabling people to recognise the strengths that already exist in their practice and approach those areas that require change in a systematic and practical way. The guide itself consists of a series of standards covering different aspects of patient care, from the moment they seek health care with symptoms to their diagnosis to early stages of treatment, directly observed treatment, the continuation phase and transfer of treatment. There are also standards relating specifically to HIV testing and the care of patients co-infected with tuberculosis and HIV. The standards themselves will appear in full in the subsequent chapters of this series.

Toward a more effective approach to stroke: Canadian Best Practice Recommendations for Stroke Care

Lindsay, Patrice; Bayley, Mark; McDonald, Alison; Graham, Ian D.; Warner, Grace; Phillips, Stephen
Fonte: Canadian Medical Association Publicador: Canadian Medical Association
Tipo: Artigo de Revista Científica
Publicado em 20/05/2008 EN
Relevância na Pesquisa
56.02%
Each year more than 50 000 Canadians experience a stroke and more than 300 000 currently live with its effects. Despite the evidence supporting best practices in stroke care, significant gaps in translating this knowledge into action remains in Canada. An interdisciplinary working group of the Canadian Stroke Strategy was formed to develop best-practice recommendations relevant to Canadian health care. The working group used a rigorous process to develop the guidelines, which included reviewing existing stroke recommendations and research literature, and consulting a national interprofessional consensus panel. The Canadian Best Practice Recommendations for Stroke Care consist of 24 recommendations based on the strongest evidence and address topics that span the full continuum of stroke care. Implementation and dissemination of these recommendations is in progress. Bringing about change will require political will and collaboration throughout the health care system.

Preserving Ecosystem Services in Urban Regions: Challenges for Planning and Best Practice Examples from Switzerland

Tobias, Silvia
Fonte: John Wiley & Sons, Inc. Publicador: John Wiley & Sons, Inc.
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
55.98%
This article presents a literature review that explores the challenges for planning in urban regions in connection with the preservation of ecosystem services. It further presents some best practice examples for meeting these challenges. The demand for the provision of ecosystem services within urban regions changed during the transition from a largely agrarian society to an industrial society and, most recently, to a service society. Although in the past, provisioning services such as food production or the provision of raw material were decisive for urban development, today cultural services, e.g., clear views or nearby recreation areas, have become increasingly important. According to the literature, soil sealing is the greatest threat urbanization poses toward ecosystem services, as it compromises all of them. Spatially extensive cities with a high building density particularly inhibit regulating services like the regulation of temperature or water surface runoff. Conversely, scattered settlement patterns may lead to very small remnants of open space that cannot reasonably serve as natural habitat, agricultural land, or recreation area. The challenges for planning in urban regions are: 1) specifying regulations that define outer limits to the development of each settlement unit...

Global Good Practice in Incubation Policy Development and Implementation

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
Relevância na Pesquisa
56.05%
This paper was based on a desk review of the literature relating to best practice in public policy supporting business incubation, supplemented by four national case studies covering Brazil, Ma-laysia, New Zealand and South Africa. These country studies were prepared through engage-ment of stakeholders, site visits and other sources of primary and secondary information collection. In the context of the study, we focused on best practice in policy development, meaning that public bodies should identify clear objectives and goals to be achieved within the resources avail-able and take steps to measure and assess what has actually been achieved, allowing changes to overcome unexpected barriers, as well as to identify and disseminate best practices to improve overall performance.

Best Practice Spectrum Renewal and Pricing : A Review of International Best Practice and the Lessons for the Government of Bangladesh

Friend, Graham
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
66.17%
The 15 year licenses of four mobile operators in Bangladesh; Grameenphone, Banglalink, Robi, and Citycell are due to expire in November 2011. The remaining two other mobile operators, state owned Teletalk and Airtel, were issued licenses in 2004 and 2005 and these are not due for renewal until 2019 and 2020 respectively. The World Bank has asked Coleago Consulting Limited (Coleago) to prepare a report on international best practice for spectrum renewal and pricing and to analyze the Bangladesh Telecommunication Regulatory Commission (BTRC) proposals in light of best practice. The mobile industry has changed dramatically in the intervening years and so license renewal provides regulators with the opportunity to update relevant regulation to better align the licensing framework and license conditions with the mobile industry of today and to accommodate future developments. In this report the author have surveyed a number of jurisdictions and examined both successful and not so successful spectrum renewal processes in order to derive a set of international principles of best practice for spectrum renewal and pricing. In doing so the author have also sought to identify best regulatory practice in a broader sense as successful spectrum renewal processes depend...

Best practice rail safety regulation

Gunningham, Neil
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Working/Technical Paper Formato: 350449 bytes; 367 bytes; application/pdf; application/octet-stream
EN_AU
Relevância na Pesquisa
66.07%
Regulating rail safety, and in particular, achieving regulatory best practice, is no easy task. The disaggregation and privatisation of the rail system, and the broader industry restructuring that took place in the 1990s have produced an industry that is structurally diverse, characterised by technological and corporate complexity and subject to competitive pressures as never before. Moreover, the multiplicity of different rail organisations that has emerged from this process – ranging from large, sophisticated commercial operators through to small heritage railways - has resulted in considerable variation in available resources, skills, experience and understanding, and in safety performance itself. There is much evidence to suggest that there are serious deficiencies both in the rail industry’s approach to safety and in the regulatory response to it, although the nature of these deficiencies varies considerably from State to State. In New South Wales, the Glenbrook and Waterfall accidents highlighted a series of major problems that (according to Hopkins analysis of the Glenbrook enquiry) include: a rule focussed culture [which] tended to deaden awareness of risks; the organisational and occupationally fragmentation of the railway system; a powerful culture of punctuality - of ‘on time running’ - whose side effect was to undermine safety; a railway culture that was profoundly risk blind...

A model for best practice safety regulation in the mining industry

Hopkins, Andrew; Wilkinson, Peter
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Working/Technical Paper Formato: 327229 bytes; 352 bytes; application/pdf; application/octet-stream
EN_AU
Relevância na Pesquisa
66.09%
The authors were engaged by the West Australian government in early 2005 to provide advice on best practice safety regulation for the mining industry in that state. The advice was provided in the first place to a Mine Safety Improvement Group and formed the basis of its report to government, delivered in April 2005. The full report is available at http://www.ministers.wa.gov.au/carpenter/docs/features/interim%20report%20stage%201%20w%20text.pdf The present paper aims to extricate the advice outlined in that report from the particular Western Australian context and present it in a way that is of potential relevance to other Australian jurisdictions. The aim, then, is to present a model for best practice safety regulation in the mining industry generally. Many discussions of regulatory models focus on the kinds of regulatory requirements that are to be imposed on the regulated industry. The discussion here goes beyond that to consider the regulator itself and how it might best be organized. In short, the paper deals both with the regulatory requirements and with the structure of the regulator. The latter is a pressing practical issue for any government seeking to set up a best practice regulatory regime and for this reason we devote considerable attention to it. In addition we discuss strategies for establishing such a regulator. The principles outlined are based on research carried out by the first named author (Hopkins)...

Sustainable cities principles, policy and practice in the direction of urban planning in Australia

Fletcher, Tully
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Relatório
Relevância na Pesquisa
55.98%
This report considers current best practice in sustainable urban planning and measures Australian planning trends and governance frameworks against that standard. Best practice in sustainable urban planning Planning authorities should make the environmental footprint of proposed urban development and redevelopment a primary consideration. The environmental footprint of any given development should - as far as practicable - be minimised so as to approach or achieve a zero net affect on the local, regional and global natural environment; Urban design should seek to minimise carbon emissions and the use of non-renewable resources, maximise energy efficiency, and deal with industrial and residential waste in a cyclical fashion. Planning authorities should seek to create a built environment and public infrastructure which not only minimises ecological impact, but maximises social and economic outcomes for the affected jurisdiction. The benchmark model for sustainable urban design is one which combines high-density development and defined urban boundaries with a decentralised pattern of settlements linked with rapid, low-emission public and freight transit. Development should be focused around planned or existing transit routes...

Best practice in alcohol ignition interlock schemes

Bailey, T.; Lindsay, V.; Royals, J.
Fonte: ACRS; online Publicador: ACRS; online
Tipo: Conference paper
Publicado em //2013 EN
Relevância na Pesquisa
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Australia’s National Road Safety Strategy 2011-2020 proposes greater use of alcohol ignition interlocks. To inform a potential expansion of interlock use, an international literature review examined the influence of mandatory versus voluntary alcohol ignition interlock schemes (AIS) in offenders’ subsequent driving and broader rehabilitation, and interlocks as preventative measures in occupational driving contexts. Additionally, the review documented AIS operational effectiveness in relation to first offenders versus repeat offenders, timing of program admittance and exit, program monitoring, participant support programs and problems experienced in AIS implementation. Evaluations of road safety effectiveness for AIS in Canada, USA, Sweden and Australia were also studied. The literature review yielded a substantial list of considered best practice components of effective AIS, ranging from the various broad contexts where interlock use can be usefully encouraged or mandated, down to specific operational considerations. Identifying best practice components affords assistance to any efforts to progress the National Strategy’s vision for the future deployment of interlocks.; http://acrs.org.au/events/acrs-past-conferences/2013-a-safe-system-the-road-safety-discussion/; Bailey...

Prevention of extravasation of intravenous computerised tomography contrast media among adult patients in the medical imaging department of an acute tertiary hospital: a best practice implementation project

Mossard, J.; Streak, J.
Fonte: Joanna Briggs Institute Publicador: Joanna Briggs Institute
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
66.13%
BACKGROUND Intravenous Computerised Tomography (CT) contrast media extravasation is an uncommon but preventable risk of CT scans. Good screening methods can mitigate this risk, although they cannot eliminate it. OBJECTIVES The aim of this project was to promote best practice administration of CT contrast media in the Medical Imaging Department of the Canberra Hospital and thereby make a contribution to reducing incidence of extravasation from IV CT Contrast Media and improving patient outcomes. METHODS Audit based on best-practice evidence was used to determine screening and extravasation prevention practices in the CT Department of an acute tertiary hospital. This audit surveyed 50 inpatients attending the CT department for CT scan with intravenous contrast. An intervention of poster development, education and discussion of issues identified was instigated and a post-implementation audit was undertaken. RESULTS There was improvement in some areas of clinical practice following an education and awareness program. The need for an assessment tool to assist in determining patients at risk of extravasation was highlighted. Rather than an assessment tool, a poster was developed, and compliance with best practice was improved. Areas for future interventions to close continuing gaps between practice and best practice were identified.; Jenni Mossard...

Reporting and documentation of adverse drug reactions by health care professionals at a Kenyan public hospital: a best practice implementation project

Nyakiba, J.O.; McMillan, M.; Kenyatta, G.
Fonte: The Joanna Briggs Institute, The University of Adelaide Publicador: The Joanna Briggs Institute, The University of Adelaide
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
66.13%
Background: Adverse drug reactions are a major cause of medicine-related morbidity and mortality, hospital admissions and increased health care costs. A majority, at least 60%, of adverse drug reactions are preventable. Reporting and documentation of adverse drug reactions is therefore critical to their prevention and management significantly improving patient safety, patient outcomes and patient care. Objectives: The broad objective of the project was to implement evidence-based best practice in the reporting and documentation of adverse drug reactions by health care professionals at a Kenyan public hospital. Methods: The project was designed as a Joanna Briggs Institute Practical Application of Clinical Evidence System best practice implementation project constituting three phases; audit design and baseline audit, implementation of best practice and post-implementation audit. Barriers and strategies to best practice were identified and implemented respectively in phase two. Results: This project resulted in significant improvements in practice as demonstrated by the follow-up audit. Improvement varied across the criteria from 1% to 100%. Great improvement was observed in all criteria except in reporting of adverse drug reactions. Conclusions: The project resulted in significant improvements in practice relating to the reporting and documentation of adverse drug reactions in this setting. Further work needs to be carried out to sustain and improve upon the results obtained by this project.; Jarred Okoyo Nyakiba...

Compliance to hand hygiene practice among nurses in Jimma University Specialized Hospital in Ethiopia: a best practice implementation project

Feyissa, G.T.; Gomersall, J.S.; Robertson-Malt, S.
Fonte: The Joanna Briggs Institute, The University of Adelaide Publicador: The Joanna Briggs Institute, The University of Adelaide
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
66.1%
Background: Hand hygiene practice reduces cross-contamination and infection, and it makes sense from a resource saving perspective. The hospital costs associated with a reduction of four or five Health Care Associated Infections may equal the entire annual budget for hand hygiene products. Objective: The objective of this best practice implementation project was to promote evidence informed best practice of hand hygiene among nurses in Jimma University Specialized Hospital Out Patient Department. Methods: An inter-professional project team conducted baseline and post implementation audits using Joanna Briggs Institute Practical Application of Evidences System (JBI PACES). Using six audit criteria, 163 hand hygiene opportunities were observed for both a baseline and follow-up audit. Seven nurses were interviewed for the seventh criteria. Results: The baseline audit revealed a compliance of 2% for using an effective hand washing technique involving three stages, and 4% for washing hands that are visibly soiled with liquid soap and water. Post implementation audit showed an average of 80% improvement in compliance to the evidence based audit criteria for effective hand hygiene. Conclusions: This project showed that role modeling, posting reminders about hand hygiene procedures and presenting evidence summaries to the clinical teams are strategies that result in improved adherence to best available evidence for hand hygiene. Involving key stakeholders in identifying the strategies to change practice is essential for the realization of the implementation of effective hand hygiene. A regular program of random audits conducted by an inter-professional team can help to achieve sustainable compliance to effective hand hygiene.; Garumma Tolu Feyissa...

Sustaining Health Care Practice Change: The Experience of Best Practice Spotlight Organizations Implementing and Sustaining RNAO Best Practice Guidelines

Schenck, Tracey
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
66.14%
Sustainability of change for improvement initiatives has been widely reported as a global challenge both within and outside health care settings. The purpose of this study was to examine the extent to which factors related to staff training and involvement, staff behaviour, and clinical leaders’ and senior leaders’ engagement and support impact the long term sustainability of practice changes for BPSO health care organizations who have implemented Registered Nursing Association of Ontario’s (RNAO) Best Practice Guidelines. Semi structured interviews with eleven organizational leaders’ from ten health care organizations were conducted to explore the unique experiences, views and perspectives on factors related to staff, clinical leaders and senior leaders and their involvement and impact on the long term sustainability of clinical practice changes within organizations who had implemented Registered Nursing Association of Ontario’s (RNAO) Best Practice Guidelines (BPGs). The interviews were coded and analyzed using thematic content analysis. Further analysis identified patterns and themes in relation to: 1. The National Health Service (NHS) Sustainability Model which was used as the theoretical framework for this research; and 2. Organizations found to have sustained practice changes longer term verses organizations that did not. Six organizations were found to have sustained practice changes while the remaining four were found to have been unsuccessful in their efforts to sustain the changes. Five major findings in relation to sustainability emerged from this study. First is the importance of early and sustained engagement and frontline staff...

Best practice guidelines for the molecular genetic diagnosis of maturity-onset diabetes of the young

Ellard, S.; Bellanné-Chantelot, C.; Hattersley, A.T.; European Molecular Genetics Quality Network (EMQN) MODY group
Fonte: Springer Publicador: Springer
Tipo: Artigo de Revista Científica
Publicado em 23/02/2008 ENG
Relevância na Pesquisa
65.95%
Member of the EMQN MODY group: Gisela Gaspar; AIMS/HYPOTHESIS: Mutations in the GCK and HNF1A genes are the most common cause of the monogenic forms of diabetes known as 'maturity-onset diabetes of the young'. GCK encodes the glucokinase enzyme, which acts as the pancreatic glucose sensor, and mutations result in stable, mild fasting hyperglycaemia. A progressive insulin secretory defect is seen in patients with mutations in the HNF1A and HNF4A genes encoding the transcription factors hepatocyte nuclear factor-1 alpha and -4 alpha. A molecular genetic diagnosis often changes management, since patients with GCK mutations rarely require pharmacological treatment and HNF1A/4A mutation carriers are sensitive to sulfonylureas. These monogenic forms of diabetes are often misdiagnosed as type 1 or 2 diabetes. Best practice guidelines for genetic testing were developed to guide testing and reporting of results.

Turning Peer-to-Peer Knowledge Management into Implementation : Adventures in Business Registration Reform Practice

Christow, Dobromir
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Brief; Publications & Research
ENGLISH
Relevância na Pesquisa
56.07%
Some developing countries have successfully reformed their business start-up systems, but the majority significantly lags behind. And starting a business is one of the Doing Business (DB) indicators recognized as a major constraint to businesses in developing countries. For over five years, the World Bank Group (WBG) has been on a mission to support the poorest performers in starting a business. Although the WBG is one of several development institutions providing this form of technical assistance to countries around the world, our approach is novel: we use the services of government official's reformers from best practice countries to work with their peers in developing countries. This approach helps us transfer firsthand reform experience between peers. This smart lesson describes how the Business Entry (BE) team discovered another powerful partner governmental agencies and regulators from best-practice countries, and their international associations and engaged with them to make giant strides in introducing business registration reforms and creating an unprecedented peer-to-peer (P2P) learning experience.

An investigation of barriers to the adoption of software process best practice models

O'Connor, Rory V.; Coleman, Gerry
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/conferenceObject; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
66.09%
peer-reviewed; This paper presents the results of a Grounded Theory study of how Software Process Improvement (SPI) is applied in the practice of software development, focussing on what is actually happening in practice in the software industry in relation to the adoption of SPI ‘Best Practice’ Models, such as ISO 9000 and CMMI. The results produce a picture of attitudes and perceptions in relation SPI best practice models, grounded in the field data, and reveals that many software managers reject SPI because of the associated implementation and maintenance costs and are reluctant to implement SPI models such as ISO 9000 and CMMI. This paper presents the findings in relation to cost of process and the factors affecting it, including bureaucracy, documentation, communication, tacit knowledge and organisational creativity and flexibility and the associated impact on the adoption of SPI best practice models.

Timber Best Practice Guidelines for Protected Areas Management in Gabon

Winchester, Caroline
Fonte: Universidade Duke Publicador: Universidade Duke
Tipo: Masters' project
Publicado em 23/04/2013 EN_US
Relevância na Pesquisa
56.06%
Located in Central Africa, Gabon contains large swaths of tropical forest that are a reserve for an incredible level of plant and animal biodiversity. In order to protect this biodiversity, in 2002 thirteen national parks were created along with buffer zones surrounding these parks. Since 2007 Gabon’s national park agency, L’Agence Nationale des Parcs Nationaux (ANPN), has been the regulatory body governing both the parks and their associated buffer zones. In recent years, Gabon’s rapidly expanding timber industry has threatened the integrity of these parks. Within buffer zones, timber operators are required to submit environmental impact assessments to ANPN and the Ministry of Environment to demonstrate that timber operations will not negatively impact neighboring parks. However, as of 2012 ANPN lacked guidelines for how timber operations should be conducted in park buffer zones, and thus lacked a mechanism by which to enforce or monitor timber operators for environmental compliance. To help resolve this challenge, I spent a total of thirteen weeks in Gabon as an intern with ANPN. I was assigned the task of developing best practice guideline recommendations for how timber operations should be conducted in national park buffer zones. I also incorporated a way to score companies for their compliance with these best practices. In order to create the timber best practice guidelines I assembled twelve international guidelines into one document...

Recent work by the euroCRIS Best Practice/DRIS Task Group: A way forward for engaging with the CRIS Community

De Castro, Pablo; Mennielli, Michele
Fonte: euroCRIS Publicador: euroCRIS
Tipo: Conference Paper
EN
Relevância na Pesquisa
66.13%
Delivered at the CRIS2014 Conference in Rome; published in Procedia Computer Science 33 (Jul 2014).; Contains conference paper (7 pages) and presentation (11 slides).; Providing specific outputs for the CRIS community from the euroCRIS Best Practice/DRIS Task Group has remained a pending task for quite a long time. This is a description of the strategy laid out by the new Best Practice/DRIS Task Group management for re-launching TG activity within the wider framework of a euroCRIS service catalogue. A deeper engagement with the CRIS community is presented as one of the main challenges to achieve in forthcoming months in order for this strategy to deliver.; Following the recent change in the TG management, the first guidelines have now been put together for achieving a gradual increase in the coverage of the Directory of Research Information Systems (DRIS) and the production of Best Practice dissemination materials related to CRIS implementation and operation in different areas. The DRIS and Best Practice sub-strands are perceived as mutually reinforcing, as well as tightly linked to other euroCRIS TGs such as CRIS/IR interoperability. Progress in all of these will require a deeper level of stakeholder engagement activity than the one carried out so far. A successful TG activity will thus strongly rely on the ability to promote participation in and feedback to the Group discussions. We expect the dissemination of useful Best Practice information on Current Research Information System implementation and operation to underline the gradual emergence of a professional CRIS community working together for mutual support and reinforcement. This will eventually attract new institutions to become part of such community both as users and as suppliers of valuable information...

A best practice in education and support services for independent living of intellectually disabled youth and adults in Mexico

Katz,Gregorio; Rangel-Eudave,Guillermina; Allen-Leigh,Betania; Lazcano-Ponce,Eduardo
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
65.95%
This article describes a best practice in the field of intellectual disability, a program for independent living offered by the Center for Integral Training and Development (CADI per its abbreviation in Spanish) for people with intellectual disability in Mexico. A detailed description of an effective program that fosters autonomy, social inclusion and high quality of life in people with intellectual disability is presented. The program encompasses four areas: a) a therapeutic academic area that teaches applied living skills; b) development of social skills; c) development of vocational skills, and d) skills for independent living. The program is divided into three levels: a) initiation to independent living, where clients develop basic abilities for autonomy, b) community integration and social independence, which provides clients with the skills necessary for social inclusion and economic independence, and c) practical and psychological support, which offers counseling for resolving psychological issues and enables subjects to maintain their autonomy.

A best practice in education and support services for independent living of intellectually disabled youth and adults in Mexico

Katz,Gregorio; Rangel-Eudave,Guillermina; Allen-Leigh,Betania; Lazcano-Ponce,Eduardo
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
65.95%
This article describes a best practice in the field of intellectual disability, a program for independent living offered by the Center for Integral Training and Development (CADI per its abbreviation in Spanish) for people with intellectual disability in Mexico. A detailed description of an effective program that fosters autonomy, social inclusion and high quality of life in people with intellectual disability is presented. The program encompasses four areas: a) a therapeutic academic area that teaches applied living skills; b) development of social skills; c) development of vocational skills, and d) skills for independent living. The program is divided into three levels: a) initiation to independent living, where clients develop basic abilities for autonomy, b) community integration and social independence, which provides clients with the skills necessary for social inclusion and economic independence, and c) practical and psychological support, which offers counseling for resolving psychological issues and enables subjects to maintain their autonomy.