Service Delivery

A Survey Assessing Privacy Concerns of Smart-Home Services Provided to Individuals with Disabilities

Brand et al. (2020) · Behavior Analysis in Practice 2020
★ The Verdict

Privacy is the top barrier to using smart-home tech in disability services—fix it with a clear written policy.

✓ Read this if BCBAs who use or plan to use remote monitoring, smart-home sensors, or video data in any setting.
✗ Skip if BCBAss who only run in-person sessions with no tech recording.

01Research in Context

01

What this study did

Brand et al. (2020) asked 104 agency staff who serve people with disabilities one big question. What worries you most about using smart-home tech like cameras, sensors, and voice assistants?

They sent an online survey to program directors, case managers, and direct-support staff across the United States. The survey listed possible concerns and let people rank them.

02

What they found

Privacy came out on top. More than cost, training, or broken devices, staff said keeping client data safe was their biggest fear.

Many wrote extra comments. They feared hackers, family members seeing private moments, and losing trust if data leaked.

03

How this fits with other research

Lin et al. (2005) also used a survey and found big gaps between what directors say is important and what actually happens. Brand et al. (2020) shows the same pattern: everyone says privacy matters, yet few agencies have clear rules in place.

Jackson et al. (2025) found students with disabilities under-use helpful tech even when it is free and ready. Brand et al. (2020) gives a reason: staff fear privacy breaches, so they may hold back on offering tools like smart-home supports.

Faught et al. (2021) showed people with IDD land in the hospital for problems that good community care could prevent. Smart-home tech could catch early warning signs, but privacy fears may keep agencies from trying it.

04

Why it matters

If you run remote sessions or use smart-home data, write a one-page privacy policy today. List who can see the data, when cameras turn off, and how you will tell clients and families. Hand it to staff and clients before the next visit.

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Draft and share a simple privacy policy that says who sees smart-home data and when cameras go off.

02At a glance

Intervention
not applicable
Design
survey
Population
mixed clinical
Finding
not reported

03Original abstract

Privacy has been identified as a primary concern among stakeholders (i.e., service recipients, advocates, administrators, family) when using technology to provide residential services to individuals in need. This paper summarizes a study that distributed a survey to agencies that provide services (e.g., clinical, recreational) and resources (e.g., advocacy groups) to people with various types of disabilities (e.g., physical, sensory, intellectual, developmental) across the United States. The results led to several recommendations about how smart-home service providers can use technology in a way that promotes client privacy. In addition, we make several suggestions for how remote staff (i.e., individuals monitoring the information gathered by technology) can assist in the process of ensuring client privacy.

Behavior Analysis in Practice, 2020 · doi:10.1007/s40617-018-00329-y