@article{ART003367495},
author={Jo Seon-Mi and Lee Ri-a},
title={A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities},
journal={Industry Promotion Research},
issn={2466-1139},
year={2026},
volume={11},
number={3},
pages={425-438},
doi={10.21186/IPR.2026.11.3.425}
TY - JOUR
AU - Jo Seon-Mi
AU - Lee Ri-a
TI - A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities
JO - Industry Promotion Research
PY - 2026
VL - 11
IS - 3
PB - Industrial Promotion Institute
SP - 425
EP - 438
SN - 2466-1139
AB - This study maps the landscape of intervention strategies to mitigate the "control-support" ethical conflict and moral distress among frontline staff for adults with developmental disabilities. Following PRISMA-ScR guidelines, 42 peer-reviewed articles from five electronic databases were analyzed. The synthesis reveals that these ethical dilemmas are structural anomalies generated by systemic legislative vacuums and organizational deficits rather than individual incompetence. Chronological mapping uncovers a paradigm shift evolving from descriptive field distress (2011–2016) to macro-institutional frameworks (2017–2022), and converging on evidence-based organizational protocols (2023–2026). A comparative analysis identified critical knowledge gaps in Korea, characterized by a lack of public administrative standards and practical coping mechanisms. To bridge these gaps, this study proposes a tripartite Korean master plan: (1) institutionalizing the Supported Decision-Making (SDM) paradigm within the Civil Act and establishing independent oversight bodies; (2) formulating a national Psychotropic Clinical Care Standard and operating a unified mandatory reporting system; and (3) implementing the Korean Safewards (K-Safewards) model with a Co-design approach that empowers frontline staff. This scoping review outlines structural interventions, paving the way for sustainable community care where the autonomy of individuals with disabilities and the psychological resilience of workers coexist.
KW - Developmental Disability Support Staff;Control-Support Conflict;Ethical Dilemma;Supported Decision-Making (SDM);Safewards;Scoping Review
DO - 10.21186/IPR.2026.11.3.425
ER -
Jo Seon-Mi and Lee Ri-a. (2026). A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities. Industry Promotion Research, 11(3), 425-438.
Jo Seon-Mi and Lee Ri-a. 2026, "A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities", Industry Promotion Research, vol.11, no.3 pp.425-438. Available from: doi:10.21186/IPR.2026.11.3.425
Jo Seon-Mi, Lee Ri-a "A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities" Industry Promotion Research 11.3 pp.425-438 (2026) : 425.
Jo Seon-Mi, Lee Ri-a. A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities. 2026; 11(3), 425-438. Available from: doi:10.21186/IPR.2026.11.3.425
Jo Seon-Mi and Lee Ri-a. "A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities" Industry Promotion Research 11, no.3 (2026) : 425-438.doi: 10.21186/IPR.2026.11.3.425
Jo Seon-Mi; Lee Ri-a. A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities. Industry Promotion Research, 11(3), 425-438. doi: 10.21186/IPR.2026.11.3.425
Jo Seon-Mi; Lee Ri-a. A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities. Industry Promotion Research. 2026; 11(3) 425-438. doi: 10.21186/IPR.2026.11.3.425
Jo Seon-Mi, Lee Ri-a. A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities. 2026; 11(3), 425-438. Available from: doi:10.21186/IPR.2026.11.3.425
Jo Seon-Mi and Lee Ri-a. "A Scoping Review on Organizational and Institutional Intervention Strategies for Mitigating the 'Control-Support' Ethical Dilemma among Support Staff for Adults with Developmental Disabilities" Industry Promotion Research 11, no.3 (2026) : 425-438.doi: 10.21186/IPR.2026.11.3.425
