Service Delivery

Family Role in the Development of Self-Determination for Youth With Intellectual and Developmental Disabilities: A Scoping Review.

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

We have stacks of parent opinions on self-determination but almost no studies testing what families should actually do at home.

✓ Read this if BCBAs writing home programs for youth with IDD or autism.
✗ Skip if Clinicians only running center-based drills with no parent contact.

01Research in Context

01

What this study did

Adams et al. (2021) read every paper they could find on how families help youth with intellectual or developmental disabilities grow self-determination.

They located 24 studies. None tested a family coaching plan at home. All simply asked parents what they thought about self-determination.

02

What they found

The review found lots of parent opinions. It found almost zero studies showing how to teach families to build choice-making, goal-setting, or self-advocacy at the kitchen table.

In short, we know what families believe, but not what they should do.

03

How this fits with other research

Firth et al. (2001) gives us one bright spot. Three adults with severe disabilities picked more-independent work when staff simply arranged two clear choices. The tactic is tiny, yet it proves self-determination can be taught.

Sánchez-Luquez et al. (2025) and Heller et al. (2015) show the same hole in a different spot. Family navigation and caregiver support programs help parents feel better and find services, yet none measure youth self-determination skills.

Saré et al. (2020) and Byiers et al. (2025) echo parents’ cry for earlier help. Mothers “gently push” teens into the community but have no manual. The gap is identical: rich parent stories, almost zero tested home interventions.

04

Why it matters

You can stop hunting for a ready-made parent curriculum; it does not exist yet. Borrow the simple choice method from Firth et al. (2001): offer two clear options, then let the learner pick. Start there in your next family training session and measure what happens.

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Teach parents to give their youth two clear choices during one daily routine and record which option the learner picks.

02At a glance

Intervention
not applicable
Design
scoping review
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

The development of self-determination is promoted by supportive contexts during adolescence; families are a key part of this context. In adolescent populations, research suggests families can support self-determination in a number of ways, yet less is known about how self-determination is promoted within families of youth with intellectual and developmental disabilities (IDD). To address this knowledge gap, we conducted a scoping review to examine the existing evidence pertaining to the role families of youth with IDD play in supporting the development of self-determination. A review of 24 publications revealed that existing research has focused on understanding family perspectives on self-determination, but there is a lack of studies investigating how families provide supports for self-determination in the home context for youth with IDD. Additionally, little intervention work has focused on supporting families to promote self-determination. Based on the findings, implications for future research and practice are provided.

Intellectual and developmental disabilities, 2021 · doi:10.1352/1934-9556-59.4.315