Practitioner Development

Direct Support Professionals: Stress and Resiliency Amidst the COVID-19 Pandemic.

Sheppard-Jones et al. (2022) · Intellectual and developmental disabilities 2022
★ The Verdict

DSP stress during COVID-19 eroded quality of life and resilience, and they lack clarity on their own hospital rights.

✓ Read this if BCBAs who supervise or train DSPs in residential or day programs.
✗ Skip if Clinicians who only work one-to-one with clients and never manage staff.

01Research in Context

01

What this study did

Sheppard-Jones et al. (2022) asked direct-support professionals how COVID-19 was hitting them. They used an online survey while the pandemic was still active.

The team looked at stress, quality of life, and resilience. They also checked what the staff knew about hospital rights.

02

What they found

Higher stress went hand in hand with lower quality of life and weaker resilience. The link was strong.

Staff could name disability rights better than their own rights if they landed in the hospital.

03

How this fits with other research

Hatton et al. (1999) ran a similar staff survey 23 years earlier. They found wishful coping and fuzzy job roles drove distress. Kathy’s team shows the same roles still matter, but now a health crisis piles on extra weight.

Kurz et al. (2014) showed psychological inflexibility turns workplace stress into burnout. Kathy’s findings line up: when stress climbs, resilience drops.

Adams et al. (2025) studied parents of autistic children and saw daily stress chew up quality of life. The same stress-to-life-quality path shows up in DSPs, hinting the pattern crosses jobs and homes.

04

Why it matters

You can’t serve clients well if your staff feel crushed. Check stress quickly and often, just like you check problem behavior. Add short resilience drills and clear written cards on hospital rights to onboarding packets. Small moves now can keep your team—and your clients—afloat when the next crisis hits.

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→ Action — try this Monday

Hand every DSP a wallet card listing their hospital rights and one quick breathing exercise to use before shift.

02At a glance

Intervention
not applicable
Design
survey
Finding
not reported

03Original abstract

This study reports on the results of an online survey of direct support professionals (DSPs) during the COVID-19 pandemic in June 2020 to measure their perceived quality of life, stressors, coping/resilience skills, and knowledge of health care rights directly related to the pandemic for the persons that they support. Specifically, we examined direct support workers' perceptions of their quality of life, levels of stress, and their self-reported resilience skills. We found that perceived stress was strongly correlated with both self-reported quality of life and resilience, but not with years of DSP experience. Moreover, while DSPs overwhelmingly knew and affirmed health care rights for people with disabilities, they were less knowledgeable about their legal rights during hospital stays.

Intellectual and developmental disabilities, 2022 · doi:10.1352/1934-9556-60.3.246