Service Delivery

Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS): Effects on Caregivers and Adults with Intellectual and Developmental Disabilities

Singh et al. (2016) · Frontiers in Psychology 2016
★ The Verdict

A week-long mindfulness-based caregiver training cuts restraints, stress, and injury in group homes for adults with IDD.

✓ Read this if BCBAs managing or consulting in residential IDD settings
✗ Skip if Clinicians focused only on direct child therapy in outpatient clinics

01Research in Context

01

What this study did

Singh et al. (2016) ran a 7-day mindfulness camp for caregivers in group homes. The adults they served had intellectual or developmental disabilities.

The camp taught Mindfulness-Based Positive Behavior Supports, or MBPBS. Staff learned to pause, notice urges, and pick calm responses instead of quick restraints.

02

What they found

After the week-long training, physical restraints dropped. Staff stress, injuries, and turnover also went down. The agency even saved money.

The same calm skills spread to how caregivers treated the residents. Adults with IDD showed fewer behavior crises.

03

How this fits with other research

McAdam et al. (2005) did something similar eleven years earlier. They trained staff to write and run PBS plans for adults with IDD. Most clients showed lasting drops in problem behavior. Singh’s work adds mindfulness to that recipe.

Erath et al. (2020) packed behavioral skills training into a single-day workshop. Their staff reached near-perfect fidelity after a few hours. Singh needed seven days, but both studies show brief group training can change adult-caregiver behavior.

Almén et al. (2020) cut caregiver stress with a short self-management plan. Singh got the same stress drop, yet used mindfulness and caregiver coaching instead of self-monitoring.

04

Why it matters

If you run a group home, you can copy this 7-day model. One week of mindfulness and PBS training can replace heavy restraint use with calm support. Staff stay safer, residents stay calmer, and budgets breathe easier. Try opening your next staff meeting with two minutes of guided breathing and build from there.

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→ Action — try this Monday

Start staff meetings with two minutes of mindful breathing and praise calm responses to problem behavior.

02At a glance

Intervention
caregiver coaching
Design
pre post no control
Population
intellectual disability, developmental delay
Finding
positive

03Original abstract

Caregivers often manage the aggressive behavior of individuals with intellectual and developmental disabilities that reside in community group homes. Sometimes this results in adverse outcomes for both the caregivers and the care recipients. We provided a 7-day intensive Mindfulness-Based Positive Behavior Support (MBPBS) training to caregivers from community group homes and assessed the outcomes in terms of caregiver variables, individuals’ behaviors, and an administrative outcome. When compared to pre-MBPBS training, the MBPBS training resulted in the caregivers using significantly less physical restraints, and staff stress and staff turnover were considerably reduced. The frequency of injury to caregivers and peers caused by the individuals was significantly reduced. A benefit-cost analysis showed substantial financial savings due to staff participation in the MBPBS program. This study provides further proof-of-concept for the effectiveness of MBPBS training for caregivers, and strengthens the call for training staff in mindfulness meditation.

Frontiers in Psychology, 2016 · doi:10.3389/fpsyg.2016.00098