Service Delivery

The role of relational work in promoting safe community participation by people with mild intellectual disabilities and severe challenging behaviour living in residential facilities.

Lokman et al. (2025) · Research in developmental disabilities 2025
★ The Verdict

Safe community outings hinge on warm, planned ties between staff and external partners, not on tighter internal behavior plans alone.

✓ Read this if BCBAs who support adults with ID and challenging behavior in residential or day programs.
✗ Skip if Clinicians serving only early-childhood or outpatient clients who rarely access public spaces.

01Research in Context

01

What this study did

Lokman et al. (2025) interviewed staff and community partners about adults with mild ID and severe challenging behavior. The adults lived in group homes and wanted to use parks, buses, and shops.

The team asked: what makes these outings safe? They talked to police, librarians, transit workers, and caregivers. They wrote down every step that helped or hurt safety.

02

What they found

Safe trips did not start with a behavior plan. They started with a relationship. Staff who knew the local barista by name got faster help if a client grew agitated.

Joint risk plans worked best. The home, the bus company, and the store wrote one short plan together. Everyone knew the client’s signals and the quiet corner to use.

03

How this fits with other research

Fabbretti et al. (1997) showed that staff training inside the house cuts incidents and restraint use. Suzanne adds the next layer: once the client steps outside, outside partners need the same shared plan.

Hewitt (2014) warned that community inclusion is often blocked by red tape. Suzanne gives a practical fix: informal coffee chats between staff and store managers cut the tape faster than policy memos.

Levin et al. (2014) used fall-reconstruction interviews to show that safety events have many small causes. Suzanne uses the same idea for outings, mapping tiny relational cues that keep incidents from escalating.

04

Why it matters

You can run the best behavior program in the house, but one rough outing can erase months of progress. This study tells you to build a tiny network before the trip. Pick one partner—library clerk, bus driver, mall guard. Meet for ten minutes, swap cell numbers, and write a three-sentence plan. That quick chat is the intervention.

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Pick the next community spot on the schedule, call the manager, and co-write a 3-step joint plan before the outing.

02At a glance

Intervention
not applicable
Design
qualitative
Population
intellectual disability
Finding
not reported

03Original abstract

BACKGROUND: Promoting the level of community participation by people with mild intellectual disabilities who exhibit severe challenging behaviour is complex due to a variety of safety issues. METHOD: This qualitative study explored what residential facilities for people with intellectual disabilities as well as their external stakeholders do to promote safe community participation, taking feelings of safety of service users and their environment into account. Interview and focus group data from professionals of residential facilities and stakeholders from the police and municipality were thematically analysed, resulting in the identification of two main themes. RESULTS: The first theme concerns taking risks responsibly together, by identifying, weighing up, and managing risks, whilst the second pertains to residential facilities and stakeholders' ongoing efforts to change the perceptions and attitudes of the public and each other. Overall, the significance of relational work in promoting safe community participation was found. CONCLUSIONS: Residential facilities and external stakeholders should invest in strengthening their relationship.

Research in developmental disabilities, 2025 · doi:10.1016/j.ridd.2025.104946