In order to be effective, a quality of life approach to services must be used in the context of: A good educational and training program A small - to medium-sized community A good public health delivery system A system of individualized supports.

A system of individualized supports.

Explanation:

Services related to the quality of life whether in nursing care or developmental disability studies must be focused on the individual needs of the person. These individual needs tend to differ from person to person and therefore an assessment involving the needs and requirements o that person is important. Therefore, a system of individualized supports is needed for effective quality of life services.