Practitioner Development

Ongoing Transformation in the Field of Intellectual and Developmental Disabilities: Taking Action for Future Progress.

Schalock et al. (2021) · Intellectual and developmental disabilities 2021
★ The Verdict

Use clear, functional language and demand evidence for every IDD support you deliver.

✓ Read this if BCBAs and program managers who write goals, pick interventions, or train staff.
✗ Skip if Clinicians looking for single-case data on a new teaching procedure.

01Research in Context

01

What this study did

Hamama et al. (2021) wrote a position paper. They listed seven action steps to change how we serve people with intellectual and developmental disabilities. The paper is not a study with data. It is a call for better words, better science, and better accountability.

02

What they found

The authors found the field needs a shake-up. They say stop hiding behind polite labels. Use clear, functional words instead. They also say every program must rest on solid evidence. Workers must own their results.

03

How this fits with other research

Later papers keep the same drumbeat. Zwiya et al. (2023) pick up the call and add an equity lens. They ask us to include race and justice in every study. Jackson et al. (2025) go further. They show how to run studies with people with IDD as co-researchers, not just subjects.

Older papers foreshadow the same gripes. Hewitt et al. (2013) warned that good small programs stay small without policy help. Meissner (2011) said plans fail when staff see clients as helpless. Hamama et al. (2021) echo both points but widen the lens to the whole field.

No clash appears. Each new paper adds a layer, like stacking blocks. The 2021 paper is the base. Later pieces add equity, inclusion, and detail.

04

Why it matters

You can act today. Swap vague labels for plain, skill-based words in reports and goals. Check that each intervention you use has published proof. Ask your team to track outcomes and review them monthly. These small moves line up with the seven steps and push the field forward.

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Change one client goal from person-first fluff to a plain skill statement with data you can graph.

02At a glance

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

03Original abstract

There has been a significant transformation in the field of intellectual and developmental disabilities (IDD) over the last 5 decades. Although this transformation has profoundly influenced multiple stakeholders, the field is currently at a critical juncture and facing a number of social and political challenges. Given the relevance of the question, "where is the field of IDD and where do we go," the present article describes the field's transformation, and suggests future action steps to facilitate and sustain the transformation. The seven action steps discussed in the article relate to using precise terminology, incorporating a functional and holistic approach to IDD, embracing the supports model and evidence-based practices, implementing outcome evaluation, empowering individuals and families, understanding better the multidimensional properties of context, and incorporating an explicit notion of professional responsibility.

Intellectual and developmental disabilities, 2021 · doi:10.1352/1934-9556-59.5.380