Service Delivery

Working in the public and private domains: staff management of community activities for and the identities of people with intellectual disability.

Todd (2000) · Journal of intellectual disability research : JIDR 2000
★ The Verdict

Staff semi-insulation and information-hiding tactics in the community may unintentionally reinforce stigma for adults with ID.

✓ Read this if BCBAs supervising community outings or writing social-validity goals for adults with ID.
✗ Skip if Clinicians who only run clinic-based DTT sessions and never program community integration.

01Research in Context

01

What this study did

The author spent months watching staff take adults with intellectual disability on grocery trips, to parks, and to cafes.

She wrote down how workers answered (or dodged) questions from curious strangers.

The study shows the tiny choices staff make every day that shape how the public sees the people they support.

02

What they found

Workers often gave vague replies like “They’re from the center” instead of saying the person’s name or interest.

They steered the group away from busy spots and kept conversations short.

These quick moves protected privacy, but they also hid the adults from real community life and kept stigma alive.

03

How this fits with other research

Matson et al. (2009) counted the damage: across 23 studies adults with ID had only three-person social nets and little paid work. Their numbers back up the ethnographic picture of shut-out lives.

Brown et al. (2019) saw the same control pattern around sexuality: staff and families filter information because they feel uneasy. The hiding habit repeats across life domains.

Erickson et al. (2016) offer hope. They showed that closer personal contact lowers public stigma. The more neighbors really know an adult, the less they fear the label. This points to a fix: real contact, not staff shields.

04

Why it matters

You write community goals, but staff micro-decisions can quietly block them. Use brief pre-outing huddles. Decide when to introduce the person by name and interest, when to let them pay, or order their own drink. Practice one sentence that invites the cashier to speak directly to the client. These small script swaps turn privacy walls into welcome mats and give the community a chance to see the person, not the label.

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Before the next outing, role-play one disclosure script where the client introduces themselves by name and favorite topic to a store worker.

02At a glance

Intervention
not applicable
Design
qualitative
Population
intellectual disability
Finding
not reported

03Original abstract

In addition to describing how the concept of stigma continues to be a pervasive influence in encounters between people with intellectual disability and others, the present study suggests that the management of this situation has passed into the control of care staff. An ethnographic study of young adults and community relationships suggests that the activities of staff are crucial in shaping the social profile of people with intellectual disability. The views of care staff about the taken-for-granted rights which characterize presence and participation in the community domain encourage them to adopt a semi-insulation approach to their work. Staff extend this approach by adopting information control strategies to conceal important information from students. The present author argues that there is a need for on-going research into staff activity in the community domain.

Journal of intellectual disability research : JIDR, 2000 · doi:10.1046/j.1365-2788.2000.00281.x