People with intellectual disabilities (ID) are an often overlooked minority population. They experience significant health disparities and a high risk of exposure to traumatic events that can lead to stress-related disorders. Access to effective treatments for stress-related disorders is limited for people with ID due to a lack of appropriate assessments and common communication deficits. We discuss and analyze four factors that have led to these disparities: (1) historical segregation; (2) society’s response to identification of trauma in vulnerable populations; (3) lack of accessible assessments and treatments for stress disorders in people with ID; and (4) communication deficits common in people with ID. Based on this analysis, we suggest behavior analysts advocate for policy development that would (1) increase acknowledgement of trauma in people with ID and mandate sharing of information about trauma across providers; (2) require observable and measurable goals be included in the assessment and treatment of trauma-related behavior change; and (3) increase funding for services and research in this area.

智障人士 (ID) 是经常被忽视的少数群体。他们的健康状况存在显着差异，并且接触创伤事件的风险很高，这些事件可能导致与压力相关的疾病。由于缺乏适当的评估和常见的沟通缺陷，智力障碍患者获得压力相关疾病的有效治疗的机会有限。我们讨论并分析了导致这些差异的四个因素：（1）历史隔离；(2) 社会对弱势群体创伤识别的反应；(3)缺乏针对智障人士应激障碍的可用评估和治疗方法；(4) 智障人士常见的沟通缺陷。基于这一分析，我们建议行为分析师倡导制定政策，以（1）增加对智障人士创伤的认识，并强制要求各提供者共享有关创伤的信息；(2) 要求在创伤相关行为改变的评估和治疗中纳入可观察和可测量的目标；(3) 增加对该领域服务和研究的资助。