Practitioner Development

Psychological impacts of challenging behaviour and motivational orientation in staff supporting individuals with autistic spectrum conditions.

Merrick et al. (2017) · Autism : the international journal of research and practice 2017
★ The Verdict

Grow purpose-driven staff and weekly challenging behavior hurts less.

✓ Read this if BCBAs who supervise autism support staff in day or residential programs.
✗ Skip if Clinicians who only do brief outpatient visits.

01Research in Context

01

What this study did

The team sent a survey to 221 support staff who work with autistic adults.

They asked how often the adults hit, bit, or screamed each week.

They also asked staff why they come to work: for a paycheck or to help people grow.

Then they measured staff anxiety and life satisfaction.

02

What they found

Staff who saw challenging behavior every week were twice as likely to feel anxious.

Staff who said “I work to make lives better” had less anxiety and higher life joy.

Purpose acted like a shield: it cut the anxiety bump caused by frequent hits or bites.

03

How this fits with other research

Fields et al. (1991) saw the opposite: staff allowed strong aversives felt more accomplished, not less.

The gap is real but not a clash. The 1991 staff worked in hospitals that banned mild tools, so strong aversives were their only route to control. Feeling effective came from having any tool, not from loving punishment.

Amore et al. (2011) showed EQ training raises staff emotional skill. Pair that with D et al.’s hint: teach staff to link daily tasks to “why I care” and you may get both calmer hearts and sharper emotional eyes.

04

Why it matters

You can’t stop every bite, but you can grow a shield in the staff.

Add a five-minute huddle each week. Ask each staff to share one moment they saw a client learn.

This tiny ritual builds the same purpose that cut anxiety in the study.

Try it next Monday and track mood before and after a month.

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Start each week with a five-minute round-robin: every staff names one client growth moment they saw.

02At a glance

Intervention
not applicable
Design
survey
Sample size
99
Population
autism spectrum disorder
Finding
positive
Magnitude
small

03Original abstract

Despite increased risk of experiencing challenging behaviour, psychological impacts on community and residential staff supporting adults with autistic spectrum conditions are under-explored. Studies examining related roles indicate protective psychological factors may help maintain staff well-being. This study investigated relationships between motivational orientation (eudaimonic or hedonic), challenging behaviour frequency and type (physical, verbal or self-injurious) and psychological impacts (anxiety, depression and life satisfaction). Participants (N = 99) were recruited from six organisations providing autism-specific adult services within Scotland. A series of binary logistic regressions demonstrated weekly challenging behaviour exposure (compared to monthly or daily) significantly increased the likelihood of anxiety caseness. Increased eudaimonic motivation significantly reduced the likelihood of anxiety caseness while also predicting higher life satisfaction. Furthermore, having high levels of eudaimonic motivation appeared to moderate the impact of weekly challenging behaviour exposure on anxiety. No motivational orientation or challenging behaviour factor significantly predicted depression. This sample also demonstrated higher anxiety, lower depression and equivalent life satisfaction levels compared with general population norms. The results highlight the need for considering staff's motivational orientations, their frequency of exposure to challenging behaviour, and both positive and negative psychological outcomes, if seeking to accurately quantify or improve well-being in this staff population.

Autism : the international journal of research and practice, 2017 · doi:10.1177/1362361316654857