Detection and prevention of abuse of adults with intellectual and other developmental disabilities in residential services: A systematic review

Background: The abuse of adults with intellectual and developmental disabilities in

care services seems to be relatively common, although there are anecdotal suggestions that abuse may be predictable and preventable.

Method: Evidence related to how abuse is detected and prevented within services

was reviewed. Database and ancestry searches were conducted, and the methodological quality of studies assessed using the mixed methods appraisal tool.

Results: A total of 48 articles were reviewed. The characteristics of victims, perpetrators and organisations were summarised. Several recommendations for how abuse

can be detected and prevented were made, including better staff training, supervision

and monitoring of services. The quality of studies limits the reliability and validity of

research findings.

Conclusion: Risk and protective factors related to the abuse of adults with intellectual and other developmental disabilities remain largely consistent. Further research

is required to support the implementation of recommendations aimed to detect and

prevent abuse.