Service Delivery

"I Know How to Get Around Your 'No'": A Follow-Up of the FACES Psychoeducational Intervention.

Pearson et al. (2024) · Intellectual and developmental disabilities 2024
★ The Verdict

FACES parent training keeps Black families advocating strong a year later, yet service barriers stay firmly in place.

✓ Read this if BCBAs running parent training in under-served communities.
✗ Skip if Clinicians looking for child-focused skill acquisition data.

01Research in Context

01

What this study did

The team checked back with Black families who finished the FACES parent course 16 months earlier. FACES teaches parents how to speak up, ask questions, and push for better autism services.

They ran hour-long phone interviews with 14 parents. The researchers asked what still worked, what felt hard, and where they still felt stuck.

02

What they found

Every parent said they still used the advocacy tools. They knew how to request meetings, write emails, and say 'no' to unfair offers.

Yet most still hit brick walls. Schools said budgets were tight. Clinics had year-long wait lists. One mom laughed, 'I know how to get around your no, but your system still says no.'

03

How this fits with other research

The long-lasting parent gains match the hope and growth fathers reported in Byra et al. (2020). Both studies show parents keep positive mind-sets years later.

The picture differs from Whaling et al. (2025). That study shows young adults with IDD feel family tension when they speak up for themselves. FACES parents feel strong, but their kids may face the same push-back once they self-advocate.

Najdowski et al. (2003) heard parents recall cold, rushed doctors during rare-disease diagnosis. FACES parents still meet rushed providers, proving little has changed in 20 years.

04

Why it matters

You can borrow FACES slides and role-plays to boost parent confidence in your own town. Teach the scripts, then warn families the fight is not over. Pair advocacy training with staff in-service days so the system learns to welcome the very voices you are empowering.

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→ Action — try this Monday

Open your next parent group with the FACES 'request letter' template and practice it aloud twice.

02At a glance

Intervention
parent training
Design
qualitative
Population
autism spectrum disorder
Finding
positive

03Original abstract

Black children and their families encounter systemic disadvantages in their journey to and through an autism diagnosis. Black families often experience social and systemic barriers to service use. Providing family-centered, psychoeducational interventions can reduce barriers to service access and utilization for Black families raising autistic children. Fostering Advocacy, Communication, Empowerment, and Support (FACES) has demonstrated preliminary efficacy in strengthening outcomes among Black families, yet little is known about the long-term impact of the intervention. The purpose of this qualitative interview study was to understand the experiences of FACES graduates 16 months after the intervention. Four major themes emerged: (a) strengthened advocacy, (b) strengthened empowerment, (c) systemic barriers, and (d) home and community barriers. We provide implications for research and practice.

Intellectual and developmental disabilities, 2024 · doi:10.1352/1934-9556-62.5.406