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Comparing Perspectives Between Different Agency Structures and Support Models
Katherine E Johnson1, Caitlin E Bailey2, Nancy R Weiss3
1Katherine E. Johnson, University of Delaware.
Intellectual and Developmental Disabilities
|May 31, 2022
Summary
Direct support professionals (DSPs) roles are changing. Those in innovative settings focus on self-determination and community, while traditional DSPs concentrate on daily living and health, highlighting a need for systemic service delivery transformation.
Area of Science:
- Social Sciences
- Healthcare Studies
- Disability Services
Background:
- The responsibilities of direct support professionals (DSPs) are undergoing significant evolution.
- Understanding DSPs' perceptions of their roles is crucial for effective service delivery.
Purpose of the Study:
- To explore how direct support professionals perceive their evolving roles.
- To compare these perceptions across different agency settings: traditional, intermediate, and innovative.
Main Methods:
- Qualitative study involving 440 DSP survey responses.
- Interviews conducted with 24 direct support professionals.
Main Results:
- DSPs in individualized/innovative settings reported expanded roles, emphasizing self-determination and community integration.
- DSPs in traditional settings focused on core care functions like daily living activities, medication administration, and health/safety.
- DSPs in intermediate settings experienced role conflict due to competing responsibilities.
Conclusions:
- DSP role perceptions vary significantly based on agency setting.
- Systemic transformation of service delivery is needed to address evolving DSP roles and role conflict.
- Future service models should support expanded DSP functions for enhanced self-determination and community engagement.
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