Practitioner Development

Effect of resident and direct-care staff training on responding during social interactions.

Embregts (2002) · Research in developmental disabilities 2002
★ The Verdict

Staff-only training boosts staff social responses, but resident social behavior stays stuck until you train the residents too.

✓ Read this if BCBAs running group homes or residential units for kids with ID or ADHD.
✗ Skip if Practitioners who already embed direct social skills teaching for every resident.

01Research in Context

01

What this study did

The team trained both residents and staff in a group home. Residents had intellectual disability or ADHD. Staff gave daily care.

Staff got video clips and graphs showing their own social responses. Residents got role-play, video feedback, and self-monitoring. The study watched if social talks improved.

02

What they found

Staff started using more correct social responses after the training. The gain stayed.

Resident social behavior did not change. Inappropriate comments, interruptions, and off-topic remarks stayed the same.

03

How this fits with other research

Ramer et al. (1977) also trained residential staff with behavioral skills training. They saw big staff gains and youth liked the talks more. The target study matches the staff gain but misses the youth gain.

Reid et al. (1987) used a similar package—role-play, video, self-monitoring—directly on the residents. Their group quickly produced more positive social comments. The target gave the same tools to residents, yet saw no change. The difference: K et al. added strong reinforcement and practiced in leisure time, not just training sessions.

Koegel et al. (2014) trained school aides to run social games at recess. Students with ASD talked and played more. Again, when the social plan reaches the child, gains follow. The target kept the plan mostly with staff, so the kids never shifted.

04

Why it matters

If you want better social behavior from clients, train the clients, not just the staff. Staff training alone lifts staff skills, but the resident data stay flat. Add direct social skills teaching, peer practice, and on-the-spot reinforcement for the residents themselves. Next time, split your time: half on staff, half on youth social groups with built-in rewards.

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Run a 10-minute resident social group right after staff training—model, role-play, praise each positive comment on the spot.

02At a glance

Intervention
behavioral skills training
Design
single case other
Sample size
5
Population
intellectual disability, adhd
Finding
mixed

03Original abstract

The effectiveness of a multifaceted training package was evaluated for inappropriate social behavior of five children with mild mental retardation and attention deficit hyperactivity disorder (ADHD), who resided in a facility. The procedure encompassed resident training with video feedback and self-management and direct-care staff training with video and graphic feedback. Resident training occurred on an individual basis; feedback to staff was presented during routine staff meetings. Results showed increases of appropriate staff responses to residents' behavior. However, the effect of the package on residents' inappropriate social responses proved to be ineffective. Differences with previous studies as well as the need for research into procedural variables that affect social behavior of children with ADHD and mild mental retardation are discussed.

Research in developmental disabilities, 2002 · doi:10.1016/s0891-4222(02)00134-8