Service Delivery

Characteristics of Workplaces and Employers That Embrace Cognitive Diversity on the Work Floor.

Sigstad et al. (2025) · Intellectual and developmental disabilities 2025
★ The Verdict

Inclusive culture plus tailored supports let adults with ID thrive at work.

✓ Read this if BCBAs helping adults with ID keep community jobs.
✗ Skip if Clinicians who only serve in-patient or school settings.

01Research in Context

01

What this study did

The team asked 23 Norwegian employers what makes their company good at hiring adults with intellectual disability.

They used long interviews and group talks to learn what works on the shop floor.

All bosses already had workers with ID on the payroll.

02

What they found

Bosses said the same two things matter most.

First, the place feels safe and open to everyone.

Second, each worker gets supports shaped just for them.

When both pieces are in place, people with ID stay and grow in the job.

03

How this fits with other research

Martin et al. (1997) saw adults with ID so under-fed they needed feeding tubes.

That looks like the opposite of this paper, but the gap is setting.

The 1997 clients lived in bleak group homes; the 2025 workers are in rich workplaces.

Same diagnosis, different doors.

Heald et al. (2020) found older cancer patients with ID get half the doctor visits.

Both papers show service gaps close when staff choose to include, not exclude.

04

Why it matters

You can copy the two keys tomorrow.

Start by making one small ritual that signals everyone belongs.

Then ask your worker with ID what single tweak would make the job easier.

Do it that day.

These tiny moves add up to the inclusive culture bosses swear by.

FREE CEUs

Get CEUs on This Topic — Free

The ABA Clubhouse has 60+ on-demand CEUs including ethics, supervision, and clinical topics like this one. Plus a new live CEU every Wednesday.

60+ on-demand CEUs (ethics, supervision, general)
New live CEU every Wednesday
Community of 500+ BCBAs
100% free to join
Join The ABA Clubhouse — Free →
→ Action — try this Monday

Ask your client what one job tweak would help most, then help them ask the boss for it.

02At a glance

Intervention
not applicable
Design
other
Population
intellectual disability
Finding
not reported

03Original abstract

People with intellectual disability (ID) are only marginally represented in the competitive labor market. This article aims to explore what Norwegian employers describe as important features of their workplace that enable labor market participation for employees with ID. The article was based on a mixed method approach that combined qualitative interviews and a quantitative survey with employers who have hired people with ID. Findings suggest that building inclusive environments and individualized supports can be effective for supporting employees with ID. More research is needed to further understand how employers can provide sufficient support to their workers, and successfully hire and retain workers with ID.

Intellectual and developmental disabilities, 2025 · doi:10.1352/1934-9556-63.2.105