Practitioner Development

Training Healthcare Professionals to Work With People With Intellectual and Developmental Disabilities.

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

Daily patient contact teaches healthcare staff more than workshops ever do.

✓ Read this if BCBAs who train nurses, doctors, or dental teams serving teens and adults with IDD.
✗ Skip if Clinicians who only work in schools or homes without medical partners.

01Research in Context

01

What this study did

Adams et al. (2021) asked 155 U.S. healthcare workers how ready they feel to treat people with intellectual or developmental disabilities. The team used an online survey to rate comfort, experience, and competence for different disability groups.

They also asked which training methods the staff found most useful.

02

What they found

Workers felt most prepared for patients with autism or intellectual disability. They felt least ready for patients who are deaf-blind.

Daily hands-on contact beat single workshops. Staff said real-life practice with patients built skill faster than classroom lectures.

03

How this fits with other research

The result lines up with Smith et al. (1997) and Burack et al. (2004). Those earlier GP surveys in Australia also found communication trouble and lack of ID training.

Marrus et al. (2023) shows the gap still exists. Their 2023 survey of psychiatry directors found residents get almost no ASD/ID hours. The message is the same across decades: formal training is thin.

Dai et al. (2023) extends the story to adult outpatients. Three-quarters of doctors now speak only to caregivers, not to the adult with ID. Daily contact may boost comfort, yet the system still sidesteps direct patient talk.

04

Why it matters

You can use these findings when you consult with medical teams. Offer brief in-vivo shadowing or co-treatment instead of one-off lunch-and-learns. Model how to speak directly to the patient while you teach staff. Small doses of real-time contact may do more than slide decks ever could.

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Invite one nurse to sit in on your next community outing and prompt her to give simple instructions to the client.

02At a glance

Intervention
not applicable
Design
survey
Sample size
155
Population
intellectual disability, autism spectrum disorder, mixed clinical
Finding
not reported

03Original abstract

This study assessed 155 healthcare providers, from nine disciplines, who work professionally with people with intellectual and developmental disabilities (IDD). Using a national, web-based survey, respondents rated their experience, comfort, and competence in treating individuals with different disability types and preferred methods of continuing education; respondents also provided suggestions for attracting others to work with the IDD population. Findings revealed that experiences, comfort, and competence were all higher concerning persons with autism spectrum disorder (ASD) and intellectual disability (ID), lower for those with deaf-blindness. Overall, levels of experience exceeded levels of comfort, which in turn exceeded levels of competence. The most helpful venues for continued training involved day-to-day contact with persons with IDD, which also characterized open-ended responses. Research and practical implications are discussed.

Intellectual and developmental disabilities, 2021 · doi:10.1352/1934-9556-59.6.446