Service Delivery

Self-Advocate and Family Member Experiences With Supported Decision Making.

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

Trusted people, simple tech, and early practice let adults with IDD steer their own lives.

✓ Read this if BCBAs writing ISP or SDM plans for adults with IDD
✗ Skip if Clinicians who only serve verbal, fully independent adults

01Research in Context

01

What this study did

Adams et al. (2024) ran four online focus groups. Two groups had adults with IDD. Two groups had family members.

They asked how people make big life choices. They coded what supports each group said they use.

02

What they found

Three helpers showed up in every story. First, a trusted person who talks things through. Second, tech like pictures or apps. Third, early chances to practice small choices.

Families said the same trio works for them. They pick supporters, use simple tech, and start practice young.

03

How this fits with other research

Burke et al. (2018) asked 388 parents why planning stalls. Top answer: no guide on how to do it. E et al. now gives that guide: pick a trusted talker, add tech, start early.

Poppes et al. (2010) tested money choices and saw adults with ID pick one cue only. That looks like a clash, but it is not. P used cold paper tasks. E used real-life stories. With a trusted helper beside them, the same adults can weigh several facts.

Andrews et al. (2024) show teens with ID gain better life quality when they grow self-determination skills. E’s adults prove the path: keep those skills alive through trusted supporters and tech.

04

Why it matters

You can fold these three helpers into every ISP or transition plan today. Name the trusted supporter in writing. List the tech the person already likes. Add one new tiny choice each month. These steps cost nothing and raise self-determination without guardianship.

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 one line to the ISP: 'Trusted supporter will review next big choice using the person’s favorite app or picture set.'

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
43
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

Supported decision making (SDM) is a needed focus of policy and practice to enhance opportunities for people with disabilities to exercise self-determination as they are supported to make decisions about their life. This study used content analysis to analyze five focus groups comprised of 27 adults with intellectual and developmental disabilities (IDD) and 16 family members to understand how people with IDD use supports for decision making and how families support decision making. People with IDD and family members described a range of strategies and supports they used for decision making, including engaging trusted supporters, accessing technology, and using early experiences to build decision-making skills. Findings from this research can inform development of practices and policy to enhance use of SDM in research, policy, and practice.

Intellectual and developmental disabilities, 2024 · doi:10.1352/1934-9556-62.5.392