Service Delivery

Parental adaptation to out-of-home placement of a child with severe or profound developmental disabilities.

Jackson et al. (2014) · American journal on intellectual and developmental disabilities 2014
★ The Verdict

Parents who place a child out-of-home need help reframing the move and staying involved to cut guilt.

✓ Read this if BCBAs serving families who use or are considering residential placement.
✗ Skip if Clinicians who work only with children living at home.

01Research in Context

01

What this study did

Danitz et al. (2014) talked to parents who moved a child with severe disabilities out of the home. They asked how moms and dads felt after the move and what helped them cope.

The team used grounded-theory methods. They kept asking questions until a clear story of stress, guilt, and relief emerged.

02

What they found

Parents felt two big things at once: sadness and peace. Guilt stayed high unless they reframed the move as something the child needed.

Four tools helped most: thinking of placement as medical care, visiting often, talking to a therapist, and giving it time.

03

How this fits with other research

Benderix et al. (2006) saw the same grief-to-relief swing in a single family with autism. B et al. widen the lens and show the pattern holds across many families.

Schlundt et al. (1999) showed families choose placement when they feel they must survive. B et al. pick up the story after the move and map how parents live with that choice.

Dixon (2014) found cognitive reframing lowers stress in moms of kids with ASD. B et al. echo this: parents who reframe placement as necessary feel less guilt.

04

Why it matters

If you work with families, expect mixed feelings after placement. Validate both the grief and the relief. Teach parents to reappraise the move as treatment, not failure. Schedule regular home visits or video calls to keep parent involvement high. Offer a list of counselors who understand disability. These small steps turn raw guilt into manageable stress.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add a parent goal in the behavior plan: weekly visit or video call to keep caregiver contact high.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
20
Population
developmental delay
Finding
not reported

03Original abstract

Utilizing grounded theory qualitative research methods, a model was developed for describing parental adaptation after voluntary placement of a child with severe or profound developmental disabilities in out-of-home care. Interviews of parents from 20 families were analyzed. Parents' cognitive appraisals of placement outcomes were classified as either inducing emotional stress (i.e., guilt, sadness, fear and worry, anger and frustration, and uncertainty) or relief. Parental appraisals of responses to placement by children, extended family, and friends were identified as factors affecting the parents' adaptation to placement. The primary coping methods used by parents to decrease emotional stress and increase relief consisted of reappraisals regarding the necessity of placement, involvement in the child's life, psychotherapy, and the passage of time.

American journal on intellectual and developmental disabilities, 2014 · doi:10.1352/1944-7558-119.3.203