Practitioner Development

A Delphi Study on Staff Bereavement Training in the Intellectual and Developmental Disabilities Field.

Gray et al. (2015) · Intellectual and developmental disabilities 2015
★ The Verdict

IDD support staff need a formal bereavement curriculum that teaches them to read client grief and to care for their own.

✓ Read this if BCBAs who train or supervise staff in residential or day programs for adults with IDD.
✗ Skip if Clinicians who only provide 1:1 outpatient therapy with no direct-care team.

01Research in Context

01

What this study did

Boudreau et al. (2015) ran a three-round Delphi survey. They asked 24 grief and IDD experts what frontline staff need to know when a client dies. The panel kept voting until 80 % agreed on each item.

The final list became a ready-to-use training plan. It covers how clients with IDD show grief and how staff can cope with their own loss.

02

What they found

Experts agreed on 62 core topics. Top items: notice grief signs in non-verbal clients, use clear language about death, and give staff time to debrief. They also ranked role-play and peer support as the best ways to teach these skills.

The plan splits content into two tracks: helping clients and helping yourself.

03

How this fits with other research

Earlier surveys saw the problem. Hogg et al. (1995) showed staff feel sadness and anger when clients act out. Nevin et al. (2005) added that half take client aggression personally. The new Delphi answers both papers by putting emotion self-care inside formal training.

Hatton et al. (1999) found poor supervisory support raises staff strain. The Delphi panel echoes this: they list regular supervision as a delivery method, not just a nice extra.

Droogmans et al. (2024) recently used staff diaries to show quality moments matter. Their "Harmonization" theme lines up with the Delphi call for honest, empathic talks about death.

04

Why it matters

Most agencies still give no bereavement module. You can lift the 62-item list and build a one-day workshop. Start with the client track: teach concrete grief signs like changed eating or rocking. Then run the staff track: offer a 30-minute debrief circle after any death. You will meet both the new curriculum standard and the old finding that supported staff stay longer.

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→ Action — try this Monday

Pick one topic from the Delphi list (e.g., "grief signs in non-verbal clients") and add a 10-minute teaching segment to your next staff meeting.

02At a glance

Intervention
not applicable
Design
survey
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

The Delphi technique was used to obtain expert panel consensus to prioritize content areas and delivery methods for developing staff grief and bereavement curriculum training in the intellectual and developmental disabilities (IDD) field. The Delphi technique was conducted with a panel of 18 experts from formal and informal disability caregiving, nursing, and hospice and bereavement service provision. Results showed that training should help staff identify and support service users experiencing grief. Importantly, staff also needs help in managing their own grief. Organizational policies and resources should be instituted to support the grief processes of both service users and staff. Practice-based applications are discussed, and research implications are presented for training evaluation.

Intellectual and developmental disabilities, 2015 · doi:10.1352/1934-9556-53.6.394