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Person‐Directed Staffing and Quality of Life: Links Between Staff Choice, Perceived Staff Stability and Community Participation for Individuals With IDD in the United States

Year: 2026

Type: article

Abstract: BACKGROUND AND AIMS: Direct support professionals (DSPs) are essential to individuals with intellectual and developmental disabilities (IDD), yet staff turnover remains a significant concern. This study examined whether individuals with IDD in the United States are involved in choosing their staff, how they perceive staff turnover and whether perceived staff stability is associated with quality of life. METHODS: Data from the 2022-2023 National Core Indicators-In Person Survey were analysed to assess relationships between staff choice, perceived staff stability and outcomes related to everyday choice, support-related choice and alignment of community activities with personal preferences. RESULTS: Individuals involved in choosing their staff were more likely to report greater staff stability. Perceived staff stability was associated with better alignment between community participation and personal preferences but was not significantly associated with choice-making outcomes. CONCLUSION: Findings support person-directed service models and highlight the value of involving individuals with IDD in staffing decisions to promote staff stability and person-centred community participation.

Source: Journal of Applied Research in Intellectual Disabilities

DOI: 10.1111/jar.70265

Authors: James Houseworth, Renáta Tichá, Roger J. Stancliffe, Sandra L. Pettingell, Yi‐Chen Wu

Institution: University of Minnesota

Language: English

Topic: Healthcare innovation and challenges

Subfield: Education

Field: Social Sciences

Domain: Social Sciences

SDGs: Decent work and economic growth, Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,600