Assessing Alignment Between Intellectual and Developmental Disability Service Providers and Trauma-Informed Care: An Exploratory Study.
IDD agencies only partly follow trauma-informed care; a quick staff self-audit points to where training is needed.
01Research in Context
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.
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.
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.
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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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
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