Social Problem Solving in Staffed Community Homes Among Individuals With Intellectual Disabilities and Their Staff

Individuals with intellectual disabilities (ID) increasingly live with other individuals with ID in small community homes staffed by paraprofessionals where aggressive/challenging (problem) behaviors occur more frequently then among individuals with ID living with their families. Evidence suggests that individuals with ID are more susceptible to problem behaviors due to deficits in social problem solving, that social problem-solving interventions can improve behaviors, but that individuals with ID need long-term supports to maintain improvements. Steps to Effective Problem Solving (STEPS) is a research-based social problem-solving program tailored as a preventive intervention for staffed community homes. We pilot-tested STEPS in two staffed community homes to assess its feasibility and evaluate initial efficacy. Results showed reasonable attendance and satisfaction with the program. Intervention fidelity was developed and maintained, and participants could discuss key concepts. Although the sample size was small, effect sizes indicated initial efficacy for improvement in social problem solving and behaviors for participants with ID. The staffed community home may be an ideal environment in which to implement social problem-solving programs and develop long-term supports.