Descriptive analysis of a staff injury-reduction intervention in a human services setting for children and youth with intellectual and developmental disabilities.
A full BST safety program cut staff injuries in a school for kids with IDD—focus on antecedent fixes plus rewards, not just training.
01Research in Context
What this study did
The team ran a safety program in a school for kids with IDD. They wanted fewer staff injuries.
They used Behavioral Skills Training. Staff learned safe ways to move and block hits.
The study lasted one year. They counted injuries every week.
What they found
Injuries dropped fast. Staff had more weeks with zero injuries.
The biggest change came from fixing the room setup and adding quick rewards for safe moves.
How this fits with other research
Briggs et al. (2024) looked at 51 BST studies. They show you can trim BST steps and still get good results. Poon (2013) used the full package, so you might try a shorter version next time.
Mammarella et al. (2022) used the same BST steps with adults with IDD. They got 47 % of clients through a dental exam without drugs. This tells us BST works across ages and settings.
Delamater et al. (1986) ran BST for home safety with abuse-risk families. Both studies cut danger, but Poon (2013) did it in a school, not homes. Same tool, new place.
Why it matters
You can copy this plan tomorrow. Pick one risky routine. Train staff with BST. Then tweak the room and add a quick reward for safe moves. Track injuries weekly. You should see fewer hurts within a month.
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02At a glance
03Original abstract
Clinical safety is a dominant concern for human services organizations serving people with intellectual and developmental disabilities (IDD) and high-risk challenging behaviors. This article is a descriptive analysis of components that comprised an injury-reduction intervention among direct-care staff at a specialized school. Using a behavior-based safety approach, intervention was associated with fewer staff injuries and more weeks without injury reports. The article focuses on systems-level strategies and recommendations for future research and practice.
Behavior modification, 2013 · doi:10.1177/0145445513489131