High support services provide specific health care to meet the needs individuals with severe and profound disability.
The quality of care and the interaction between carer and the person requiring care can range from positive and meaningful to negative and institutional. An assessment tool such as the Quality of Interaction Schedule, used by providers and regulators to assess a healthcare service can provide examples of good and poor care. It is used to evaluate the healthcare service as whole, not individual carers or single events.
A healthcare or medical model of service alone is not sufficient for services intended to support inclusion and active participation in mainstream community programmes and activities.
Negative or institutional care is not acceptable in any service.