Service Delivery

How COVID-19 May Change the World of Services to People With Intellectual and Developmental Disabilities.

Bradley (2020) · Intellectual and developmental disabilities 2020
★ The Verdict

COVID-19 proved we can serve clients with IDD in new ways—keep the best crisis fixes forever.

✓ Read this if BCBAs who run or design adult and child IDD programs in any setting.
✗ Skip if Clinicians looking for step-by-step skill acquisition protocols.

01Research in Context

01

What this study did

Bradley (2020) wrote a roadmap paper. It asks one big question. How can COVID-19 teach us to build a stronger service system for people with intellectual and developmental disabilities?

The paper is not an experiment. It is a story that links each pandemic problem to a future fix. Telehealth, flexible staffing, and family-led planning sit at the center of the vision.

02

What they found

The author found that the virus broke old habits. When clinics closed, staff still found ways to help. Those emergency fixes can become permanent upgrades.

The paper ends with a call to action. Keep the best crisis moves—like video visits and rapid plan changes—after the pandemic ends.

03

How this fits with other research

Rosencrans et al. (2021) give the idea legs. They tracked Dutch adults with IDD who used an unplanned telehealth hotline. Calls jumped during lockdown, proving remote help meets real need.

Ingersoll et al. (2024) and Bentenuto et al. (2021) show the same pattern in Italy. One team kept residential psychological services online. The other saw child behavior worsen when therapy stopped. Both studies extend J’s plea: embed telehealth before the next crisis.

Patton et al. (2020) looks like a twin. Both papers landed in 2020 and map a post-COVID service world. The overlap is so strong that the two pieces act as conceptual replications of each other.

04

Why it matters

You can treat the paper as a checklist for your own program. Ask: Which pandemic work-arounds helped clients most? Turn those into standard options—permanent telehealth slots, flexible session lengths, and family choice about in-person or screen. Start small: pick one service line this week and write the backup telehealth plan before the next disruption hits.

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→ Action — try this Monday

Open the calendar, choose one recurring in-person session, and create its mirror telehealth slot with the same staff and goals.

02At a glance

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

03Original abstract

The COVID-19 epidemic caused disruption and dislocation in the lives of people with disabilities, their families, and providers. What we have learned during this period regarding the strengths and weaknesses of the service system for people with disabilities should provide a roadmap for building a more robust and agile system going forward. Based on a canvas of leaders in our field, I propose a way of outlining a reimagined system.

Intellectual and developmental disabilities, 2020 · doi:10.1352/1934-9556-58.5.355