How does the SRS rate an individual who needs full-time supervision but can direct their own care?
As a general rule, the SRS rates only the frequency and intensity of supervision being provided. The SRS does not take into account who is responsible for providing the supervision. This should not create a serious problem if the SRS is used with individuals with brain injury, since in this population it is expected that relatively few of those who receive full-time supervision would also be responsible for directing this supervision. However, if the SRS were used with individuals who do not have cognitive limitations (e.g., spinal cord injury), it might be important to clarify that the scale was being used to measure supervision only in the physical sense of the term.
