Practitioner Development

Factors associated with staff stress and work satisfaction in services for people with intellectual disability.

Hatton et al. (1999) · Journal of intellectual disability research : JIDR 1999
★ The Verdict

Fix role clarity and supervisor support first, then layer in flexibility training to cut staff distress.

✓ Read this if BCBAs managing group homes, day programs, or any ID service team.
✗ Skip if Clinicians who only provide 1:1 in-home therapy and never supervise staff.

01Research in Context

01

What this study did

The team gave a survey to staff in intellectual-disability services. They asked about stress, strain, and job satisfaction. They wanted to know which workplace factors hurt or help staff well-being.

02

What they found

Three things stood out. Wishful coping, unclear job roles, and weak supervisor support drove most staff distress. The study did not test an intervention; it only mapped the pain points.

03

How this fits with other research

Kurz et al. (2014) later showed psychological inflexibility matters more than wishful coping. The newer finding does not erase the 1999 data; it sharpens the target. Where Hatton et al. (1999) said “fix coping,” Solomon says “build flexibility skills.”

Dagnan et al. (2005) and Eisenhower et al. (2006) tried to link staff stress to Weiner’s attribution model. They found weak or mixed support. These follow-ups suggest the 1999 focus on role clarity and supervision is still the safer lever.

Hatton et al. (1999) also looked at culture gaps in the same year. Culture mismatch predicted stress, too. Together the twin 1999 papers tell us both big-picture culture and day-to-day role design matter.

04

Why it matters

You can’t fix staff burnout with one pep talk. Start by writing clear job descriptions and setting weekly supervisor check-ins. Add brief flexibility training, not just coping chats. Track both changes; you should see fewer sick days and less turnover within a quarter.

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→ Action — try this Monday

Schedule a 15-minute meeting with each direct-care staff to rewrite their daily role list and pick one supervisor contact time.

02At a glance

Intervention
not applicable
Design
survey
Sample size
450
Population
intellectual disability
Finding
not reported

03Original abstract

Staff stress and morale have been identified as major issues affecting the quality of services for people with intellectual disability. The present study investigates factors directly and indirectly associated with staff general distress, job strain and work satisfaction amongst staff in services for people with intellectual disability. As part of a large-scale survey of staff in services for people with intellectual disability, information was collected from 450 staff concerning general distress, job strain and work satisfaction, and a wide range of factors potentially associated with these outcomes. Path analyses revealed that three factors accounted for 28% of the variance in general distress scores: (I) wishful thinking, (2) stress linked to work-home conflict and (3) role ambiguity. Six factors accounted for 50% of the variance in job strain scores: (I) wishful thinking, (2) stress linked to a lack of staff support, (3) alienative commitment, (4) role ambiguity, (5) stressors linked to a low status job and (6) working longer contracted hours. Six factors accounted for 66% of the variance in work satisfaction scores: (I) stress linked to a low status job, (2) support from supervisors, (3) influence over work decisions, (4) alienative commitment, (5) support from colleagues and (6) older staff age. A range of factors indirectly associated with the three outcome measures was also identified. The models of general distress, job strain and work satisfaction empirically derived in the present study confirm and extend previous research in this area. The implications for organizations and future research are discussed.

Journal of intellectual disability research : JIDR, 1999 · doi:10.1046/j.1365-2788.1999.00208.x