Service Delivery

What qualities are valued in residential direct care workers from the perspective of people with an intellectual disability and managers of accommodation services?

Dodevska et al. (2013) · Journal of intellectual disability research : JIDR 2013
★ The Verdict

Residents prize people skills, managers prize paperwork skills—use both lists and let residents help pick.

✓ Read this if BCBAs who hire or supervise staff in group homes or supported living.
✗ Skip if Clinicians who only provide outpatient therapy with no hiring role.

01Research in Context

01

What this study did

The authors asked two groups what makes a good group-home worker. They talked with the adults who have intellectual disability and with 14 house managers.

Each person joined a small group chat. They named the worker traits they care about most and gave real-life examples.

02

What they found

Residents want workers who are friendly, patient, and talk with them. Managers want workers who are on time, give meds right, and fill out forms.

Both lists matter, but only the residents’ list includes warm, two-way relationships.

03

How this fits with other research

Perez et al. (2015) extends this idea. They trained workers in emotional intelligence and saw better coping skills four months later. The training turned the residents’ wish into a teachable skill set.

Kowalski et al. (2010) shows the flip side. When workers have heavy caseloads and little say, they burn out. Burned-out staff can’t show the warmth residents value, so hiring for heart is only half the battle—job design must protect it.

Cashon et al. (2013) adds a team angle. Negative team attitudes, not lone bad apples, push staff toward coercive moves. Hiring one warm worker won’t help if the house culture stays harsh.

04

Why it matters

Next time you hire, add a short interview led by residents. Ask how the candidate chats, jokes, and listens. Pair that score with the usual checklist of med certs and shift coverage. One hour gives you a worker who feels safe to the people who matter most.

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Add two resident-led questions to your next job interview and score answers on a 1-5 warmth scale.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
14
Population
intellectual disability
Finding
not reported

03Original abstract

BACKGROUND: To date, the descriptions of a 'good' direct care worker used to recruit workers for disability services have largely been drawn up by managerial professionals in charge of hiring supports for people with disabilities. However, previous research highlights that these professionals conceptualise a 'good' direct care worker differently from service users with an intellectual disability (ID), with professionals placing an emphasis on describing workers with a range of practical skills and knowledge and service users placing an emphasis on describing workers with interpersonal skills. The aim of this research was to replicate this finding using a methodological approach that rectifies some of the weaknesses of previous research in this field. METHOD: Semi-structured interviews were conducted to explore the qualities that are valued in residential direct care workers (RDCWs) from the perspective of seven residents with ID and seven managers of accommodation services located in metropolitan Melbourne, Australia. RESULTS: Thematic and chi-squared analysis confirmed the findings of previous research with residents with an ID placing more of an emphasis on the interpersonal behaviours of RDCWs in their descriptions compared to the managers. CONCLUSIONS: The interpersonal skills of a potential worker along with their practical skills and knowledge must be considered when recruiting RDCWs. It is also implied that given the different conceptualisation of a 'good' direct care worker across service users and professionals, increased service user participation in the organisation of appropriate supports is warranted.

Journal of intellectual disability research : JIDR, 2013 · doi:10.1111/j.1365-2788.2012.01565.x