Practitioner Development

Promoting Resilience in Direct Support Professionals of Adults With Intellectual and Developmental Disabilities: A Qualitative Descriptive Study.

Desroches et al. (2023) · Intellectual and developmental disabilities 2023
★ The Verdict

DSPs stay resilient through peer support, boundaries, and meaning—build these into supervision to reduce burnout.

✓ Read this if BCBAs supervising DSPs in residential or day programs for adults with IDD.
✗ Skip if Clinicians working only with children or without direct-care staff.

01Research in Context

01

What this study did

Researchers talked to 20 direct support professionals who care for adults with intellectual and developmental disabilities.

They asked open questions about how these workers stay strong during tough days.

The team then grouped the answers into nine clear strategies that help DSPs bounce back.

02

What they found

DSPs said they stay resilient by talking with coworkers, taking short breaks, and setting firm work-home boundaries.

They also use humor, focus on small wins, and remind themselves why their work matters.

These simple habits help them handle stress without burning out.

03

How this fits with other research

Winburn et al. (2014) showed that caregivers often feel fear and role conflict when supporting sexuality needs. Howard et al. (2023) gives the flip side—practical ways staff cope with exactly these stresses.

Fox et al. (2001) found half of staff feel unprepared for sexual incidents. The new study adds how seasoned DSPs self-train through peer talk and humor, filling the gap R et al. identified.

Ten Hoopen et al. (2025) listed 15 barriers families face getting respite. Howard et al. (2023) shows DSPs use the same barriers as reasons to build resilience—short staffing pushes them to lean on each other more.

04

Why it matters

You can weave these nine resilience habits into weekly supervision. Start each meeting with a two-minute win-share. End with a five-minute self-care check. These tiny rituals cut turnover and keep your best DSPs on the floor.

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→ Action — try this Monday

Add a 2-minute "bright spot" round to your next staff meeting—let each DSP share one small success from last week.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
10
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

The direct support professional (DSP) workforce shortage crisis has reached untenable levels during the COVID-19 pandemic as DSPs rapidly exit the workforce. To gain a better understanding of factors that contribute to DSP resilience during stressful and challenging times, we interviewed 10 DSPs identified by colleagues as resilient to elicit strategies to promote DSP resilience. Our content analysis revealed nine distinct strategies: (a) communication; (b) self-worth and recognition; (c) authentic, equitable relationships; (d) embracing change and learning; (e) establishing and maintaining boundaries; (f) cultivating an intentional mindset; (g) self-care; (h) spirituality/"the bigger picture"; and (i) a daily practice of humor and fun.

Intellectual and developmental disabilities, 2023 · doi:10.1352/1934-9556-61.3.250