Service Delivery

Effects of a Justice-Based Partnership Between Employees and Families in Creating Services and Supports to Enhance Quality of Life Outcomes.

Maniezki et al. (2021) · Intellectual and developmental disabilities 2021
★ The Verdict

Disability centers that practice everyday fairness get higher family satisfaction and better client quality of life.

✓ Read this if BCBAs managing or consulting in adult or child IDD programs.
✗ Skip if Clinicians who only provide in-home 1:1 therapy with no agency contact.

01Research in Context

01

What this study did

Maniezki et al. (2021) asked a simple question. Do disability service centers feel better to families when staff and families treat each other fairly?

They sent surveys to 111 centers. Staff, managers, and families rated how much "justice" they felt in their day-to-day contact.

The team then looked at three outcomes: family satisfaction, how good the services looked, and real quality-of-life gains for clients.

02

What they found

Centers that scored high on mutual justice also scored high on all three targets. Families were happier. Services looked sharper. Quality-of-life plans actually happened.

The link stayed strong even after the stat team controlled for center size and money. Fair play at work equals better lives for clients.

03

How this fits with other research

Jalili et al. (2024) asked a similar question but swapped "justice" for "trust." They found the same lift: when supervisors trust frontline staff, families later report better client quality of life. Together the two surveys show it is the relationship climate—not the exact label—that moves outcomes.

Green et al. (2020) sounded a warning. In their interviews, staff turnover and tight budgets bred challenging behavior. Alice’s findings do not clash; they simply point to a fix. Fair, just climates can buffer the very turnover C et al. flagged.

Burney et al. (2025) zoomed in on single clinicians. Parent-clinician humility helped engagement. Alice zooms out to the whole center. Both scales matter: one conversation and one culture.

04

Why it matters

You can write solid behavior plans, but if the workplace feels unfair families still walk away unhappy. Push your center to add justice checks to staff meetings: quick anonymous cards that ask, "Do families feel respected by us?" Track the answers each quarter. A five-minute pulse can predict—and prevent—drops in satisfaction before they hit survey season.

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→ Action — try this Monday

Add one question to your staff huddle: "What is one way we showed respect to a family this week?" Write answers on a shared board.

02At a glance

Intervention
not applicable
Design
survey
Sample size
1759
Population
intellectual disability
Finding
positive

03Original abstract

We propose a justice-based partnership between employees and family members as a means to create services and support systems for people with intellectual disability, enhancing quality of life indicators. More specifically, we examine the links from mutual intergroup justice to three outcomes reported by family members: satisfaction with the center, service quality delivered by employees, and performance focused on the quality of life of people with intellectual disability. We used data from 111 centers. In each center, a group of family members (n = 845) and a group of employees (n = 914) participated. Multilevel modeling revealed that mutual intergroup justice (between employees and family members) has a positive effect on satisfaction with the center, perceptions of functional and relational service quality, and performance based on quality of life.

Intellectual and developmental disabilities, 2021 · doi:10.1352/1934-9556-59.2.172