Service Delivery

Assessing Alignment Between Intellectual and Developmental Disability Service Providers and Trauma-Informed Care: An Exploratory Study.

Presnell et al. (2022) · Intellectual and developmental disabilities 2022
★ The Verdict

IDD agencies only partly follow trauma-informed care; a quick staff self-audit points to where training is needed.

✓ Read this if BCBAs running adult day or residential programs for people with IDD.
✗ Skip if Clinicians who already use full trauma-informed care protocols and train staff monthly.

01Research in Context

01

What this study did

Presnell et al. (2022) asked staff at IDD agencies how well their work lines up with SAMHSA’s six trauma-informed care principles. They used an online survey. The team looked for gaps between what providers do and what trauma-informed care says they should do.

02

What they found

Staff showed only partial alignment with trauma-informed care. They scored best on safety and trustworthiness. They scored lowest on peer support and cultural humility. The study calls this a good start, not a finish.

03

How this fits with other research

Nevin et al. (2005) saw the same pattern seventeen years earlier: nurses felt eager to help adults with IDD but lacked targeted training. Jade’s team shows the training gap is still there, just framed around trauma.

Holingue et al. (2020) found caregivers unhappy with mental-health crisis care. Jade’s audit helps explain why: if staff miss parts of trauma-informed care, crisis moments feel unsafe.

Finke et al. (2017) reported high burnout and weak team vision in community ID teams. Jade adds that low alignment with peer-support and empowerment principles may feed that burnout.

04

Why it matters

You can copy the authors’ quick gap check. List SAMHSA’s six principles on one page. Ask your staff to mark where they feel strong, shaky, or missing. Schedule micro-trainings for the shaky spots. Five-minute huddles on peer support or cultural humility add up fast and may lower burnout.

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→ Action — try this Monday

Run a five-minute team huddle on peer support: ask each staff member to name one way clients could support each other this week.

02At a glance

Intervention
not applicable
Design
survey
Sample size
288
Population
intellectual disability, developmental delay
Finding
weakly positive
Magnitude
small

03Original abstract

People with intellectual and developmental disabilities (IDD) are disproportionately impacted by potentially traumatic experiences; however, organizations serving this population have lagged in their integration of trauma-informed care (TIC). Trauma-informed care is a systemwide response to the pervasiveness of trauma that frequently requires an organizational shift rooted in staff training. Using an online statewide survey, the present study examined beliefs and training among IDD service providers. Responses from 288 service providers suggested some alignment among beliefs and staff training content with TIC principles. Although the findings indicate a foundation for TIC, intentional efforts are needed for IDD agencies to fully embrace TIC.

Intellectual and developmental disabilities, 2022 · doi:10.1352/1934-9556-60.5.351