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Schiltz HK, Clarke E, Rosen N, De La Rosa SG, Masjedi N, Christopher K, Lord C. A Longitudinal Mixed-Methods Characterization of Family Support from Adolescence to Young Adulthood in Autism and Other Developmental Disabilities. J Autism Dev Disord 2024; 54:3225-3241. [PMID: 37668851 PMCID: PMC11362242 DOI: 10.1007/s10803-023-06070-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/13/2023] [Indexed: 09/06/2023]
Abstract
Although caregiving responsibilities and need for support persist and evolve across the life course in families with autistic youth or youth with other developmental disabilities (DDs), little is known about support during their child's adulthood years. Therefore, the present study used a mixed-methods approach to examine change and stability in formal and informal family support across the transition to adulthood. Caregivers of 126 individuals with autism or DDs completed a modified version of the Family Support Scale, including open-ended questions, at five time points from adolescence (age 16) into young adulthood (age 22). Caregivers reported that informal support from family members was the most frequently used, helpful, and valued source of support with relative stability across time. In contrast, the reported helpfulness, use, and value of formal support (e.g., professionals, schools) for caregivers declined over time. Qualitative content analyses revealed characteristics of highly valued support included support type (e.g., instrumental or emotional) and features of the support source (e.g., their understanding). There was a shift to valuing emotional support more than instrumental support over time, especially for caregivers of less able adults. Partnership and dependability emerged as highly valued features of the support source. These findings fit within a social convoy perspective and likely reflect the "service cliff" experienced by autistic individuals or people with DDs and their families. As social networks shrink over time and formal services are less readily available in adulthood, remaining sources of support, particularly from family members, become increasingly important.
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Affiliation(s)
- Hillary K Schiltz
- Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90024, USA.
| | - Elaine Clarke
- Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90024, USA
| | - Nicole Rosen
- Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90024, USA
| | - Sofi Gomez De La Rosa
- Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90024, USA
| | - Nina Masjedi
- Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90024, USA
| | - Kourtney Christopher
- Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90024, USA
| | - Catherine Lord
- Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90024, USA
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2
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Ogunjesa B, Gao X, Raj M. Factors Influencing Caregivers' Use of Respite Care Services: Secondary Analysis of the National Study of Caregiving. J Appl Gerontol 2024; 43:1100-1110. [PMID: 38298084 DOI: 10.1177/07334648241229574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2024] Open
Abstract
This study examines when and why unpaid caregivers use respite services. We conducted a secondary analysis of the 2017 National Study of Caregiving (NSOC) Wave III, a U.S. nationally representative sample comprising 2652 unpaid caregivers. We found that unpaid caregivers reporting financial, physical, and emotional difficulties in caregiving were more likely to use respite care services than those not reporting these challenges. White, non-Hispanic caregivers reporting that they received support from their social networks (families/friends) were more likely to use respite care services than non-White and/or Hispanic caregivers receiving such support. Non-White and/or Hispanic caregivers who belonged to or attended support groups were more likely to use respite care support than those without social group affiliation. Respite care is underutilized in the U.S. despite its value and efficacy in supporting caregivers' mental and physical well-being. Policies are necessary to increase availability and access to respite services for diverse unpaid caregivers.
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Affiliation(s)
- Babatope Ogunjesa
- College of Applied Health Sciences, University of Illinois Urbana Champaign, Champaign, IL, USA
| | - Xiaotian Gao
- College of Applied Health Sciences, University of Illinois Urbana Champaign, Champaign, IL, USA
| | - Minakshi Raj
- College of Applied Health Sciences, University of Illinois Urbana Champaign, Champaign, IL, USA
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Lahti-Anderson L, Kardell Y, Hall S, Magaña S, Reynolds M, Córdova J. A Research Agenda to Support Families of People With Intellectual and Developmental Disabilities With Intersectional Identities. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2024; 62:162-173. [PMID: 38802098 PMCID: PMC11286222 DOI: 10.1352/1934-9556-62.3.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 06/23/2023] [Indexed: 05/29/2024]
Abstract
Family members provide significant practical and emotional support to people with intellectual and developmental disabilities (IDD) across the lifespan. In September 2022, the State of the Science Conference on Community Living: Engaging Persons With Intellectual and Developmental Disabilities From Underserved Racial, Ethnic, Linguistic, and Cultural Groups in Research was held. This article summarizes the efforts of the workgroup that developed research goals related to supporting families of people with IDD. The focus was on families with intersectional identities and minoritized communities. Recommended areas of future research include exploratory research to better understand the experiences of these families, perspectives of families with intersectional identities about the formal support system, funding for family support and services, and inclusive research strategies.
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Affiliation(s)
- Lynda Lahti-Anderson
- Lynda Lahti-Anderson, University of Minnesota; Yoshiko Kardell, Human Services Research Institute; Sarah Hall, University of Minnesota; Sandra Magaña, University of Texas at Austin; Michelle Reynolds, University of Missouri-Kansas City; and Jeanette Córdova, Association of University Centers on Disabilities
| | - Yoshiko Kardell
- Lynda Lahti-Anderson, University of Minnesota; Yoshiko Kardell, Human Services Research Institute; Sarah Hall, University of Minnesota; Sandra Magaña, University of Texas at Austin; Michelle Reynolds, University of Missouri-Kansas City; and Jeanette Córdova, Association of University Centers on Disabilities
| | - Sarah Hall
- Lynda Lahti-Anderson, University of Minnesota; Yoshiko Kardell, Human Services Research Institute; Sarah Hall, University of Minnesota; Sandra Magaña, University of Texas at Austin; Michelle Reynolds, University of Missouri-Kansas City; and Jeanette Córdova, Association of University Centers on Disabilities
| | - Sandra Magaña
- Lynda Lahti-Anderson, University of Minnesota; Yoshiko Kardell, Human Services Research Institute; Sarah Hall, University of Minnesota; Sandra Magaña, University of Texas at Austin; Michelle Reynolds, University of Missouri-Kansas City; and Jeanette Córdova, Association of University Centers on Disabilities
| | - Michelle Reynolds
- Lynda Lahti-Anderson, University of Minnesota; Yoshiko Kardell, Human Services Research Institute; Sarah Hall, University of Minnesota; Sandra Magaña, University of Texas at Austin; Michelle Reynolds, University of Missouri-Kansas City; and Jeanette Córdova, Association of University Centers on Disabilities
| | - Jeanette Córdova
- Lynda Lahti-Anderson, University of Minnesota; Yoshiko Kardell, Human Services Research Institute; Sarah Hall, University of Minnesota; Sandra Magaña, University of Texas at Austin; Michelle Reynolds, University of Missouri-Kansas City; and Jeanette Córdova, Association of University Centers on Disabilities
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4
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Ptomey LT, Barton K, Swinford E, Bodde A, George A, Gorczyca AM, Niedens CM, Sprague SC, Yeager A, Helsel B, Teri L, Vidoni ED, Perales-Puchalt J. Preliminary translation of 'Reducing Disability in Alzheimer's Disease' among individuals with intellectual disabilities and caregiver dyads. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2024; 37:e13239. [PMID: 38621995 PMCID: PMC11067498 DOI: 10.1111/jar.13239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 01/30/2024] [Accepted: 04/02/2024] [Indexed: 04/17/2024]
Abstract
BACKGROUND The Reducing Disability in Alzheimer's Disease in Kansas City (RDAD-KC) intervention has been shown to improve the health of individuals with dementia and caregiver dyads. This manuscript reports the results of implementing the RDAD among individuals with intellectual disabilities and caregiver dyads. METHODS Nine community agencies deployed the 12-week intervention. We assessed changes in individuals with intellectual disabilities' behavioural symptom related severity and physical activity, and caregivers' behavioural symptom-related distress, unmet needs, and caregiver strain. RESULTS Forty-four dyads enrolled, and 23 (~60 years, 48% female) completed ≥75% of the intervention. We observed decreases in behavioural symptom related severity (p = .07) and increases in physical activity (p = .20) among individuals with intellectual disabilities. We also observed decreases in behavioural symptom related distress (p = .14), unmet needs (p = .50), and caregiver strain (p = .50) among caregivers. CONCLUSIONS The RDAD-KC intervention showed promising, although statistically non-significant, benefits among individuals with intellectual disabilities and their caregivers.
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Affiliation(s)
- Lauren T Ptomey
- Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Kelli Barton
- Health and Aging Department, University of Missouri-Kansas City Institute for Human Development, Kansas City, Missouri, USA
| | - Emma Swinford
- Health and Aging Department, University of Missouri-Kansas City Institute for Human Development, Kansas City, Missouri, USA
| | - Amy Bodde
- Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
| | | | - Anna M Gorczyca
- Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - C Michelle Niedens
- Department of Neurology, University of Kansas Alzheimer's Disease Research Center, Fairway, Kansas, USA
| | | | - Amy Yeager
- Department of Neurology, University of Kansas Alzheimer's Disease Research Center, Fairway, Kansas, USA
| | - Brian Helsel
- Department of Neurology, University of Kansas Alzheimer's Disease Research Center, Fairway, Kansas, USA
| | - Linda Teri
- School of Nursing, University of Washington, Seattle, Washington, USA
| | - Eric D Vidoni
- Department of Neurology, University of Kansas Alzheimer's Disease Research Center, Fairway, Kansas, USA
| | - Jaime Perales-Puchalt
- Department of Neurology, University of Kansas Alzheimer's Disease Research Center, Fairway, Kansas, USA
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Brennan D, D’eath M. Irish social policy to family carers of adults with an intellectual disability: A critical analysis. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023; 27:1013-1031. [PMID: 35835719 PMCID: PMC10647897 DOI: 10.1177/17446295221115296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
This paper explores contemporary Irish social policy for family caregivers with specific focus on the dynamic between the individual, the family and the state in terms of the social contract for care provision for people with intellectual disability. Drawing from Bacchi's analytical framework (Bacchi, 2009), the Irish National Carers' Strategy is interrogated specifically with regards to how it frames and assumes the social contract for family care provision for adults with an intellectual disability. We suggest that Irish social policy constructs family caregiving as the assumed natural and neutral point of departure for providing care within society, and this constructed identify is subsequently reinforced through the provisions contained with the policies themselves that seek to support such caregivers. A fundamental reconsideration of the social contract for such care provision and support with society would appear warranted.
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Affiliation(s)
- Damien Brennan
- School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Maureen D’eath
- School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland
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Durkin MS, Yeargin-Allsopp M. Socioeconomic Status and Pediatric Neurologic Disorders: Current Evidence. Semin Pediatr Neurol 2018; 27:16-25. [PMID: 30293586 PMCID: PMC8340602 DOI: 10.1016/j.spen.2018.03.003] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Socioeconomic status (SES) is an important risk factor for many neurological disorders and a determinant of health outcomes and quality of life, especially for individuals with neurologic disorders and developmental disabilities. This article focuses on the relationship between SES and pediatric epilepsy, cerebral palsy, autism spectrum disorder, and intellectual disability. Disparities in the prevalence and long-term impact of SES on functioning in persons with disabilities are observed worldwide. Clinicians can use the information presented in the article to target early identification and interventions for improving outcomes in populations most at risk for these disorders and for poor health, social, and economic outcomes.
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Affiliation(s)
- Maureen S Durkin
- Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin - Madison, Madison, Wisconsin
| | - Marshalyn Yeargin-Allsopp
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.
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7
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Rodríguez-Meirinhos A, Antolín-Suárez L, Oliva A. Support Needs of Families of Adolescents With Mental Illness: A Systematic Mixed Studies Review. Arch Psychiatr Nurs 2018; 32:152-163. [PMID: 29413065 DOI: 10.1016/j.apnu.2017.09.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Accepted: 09/03/2017] [Indexed: 10/18/2022]
Affiliation(s)
- Ana Rodríguez-Meirinhos
- Department of Developmental and Educational Psychology, Universidad de Sevilla, Camilo José Cela, s/n, 41018 Seville, Spain.
| | - Lucía Antolín-Suárez
- Department of Developmental and Educational Psychology, Universidad de Sevilla, Camilo José Cela, s/n, 41018 Seville, Spain
| | - Alfredo Oliva
- Department of Developmental and Educational Psychology, Universidad de Sevilla, Camilo José Cela, s/n, 41018 Seville, Spain
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8
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Sibling Relationships: Parent–Child Agreement and Contributions of Siblings With and Without ASD. J Autism Dev Disord 2017; 48:1612-1622. [DOI: 10.1007/s10803-017-3393-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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9
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Young RA, Marshall SK, Stainton T, Wall JM, Curle D, Zhu M, Munro D, Murray J, El Bouhali A, Parada F, Zaidman-Zait A. The transition to adulthood of young adults with IDD: Parents' joint projects. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2017; 31 Suppl 2:224-233. [PMID: 28834118 DOI: 10.1111/jar.12395] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/25/2017] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Parents have found the transition to adulthood for their sons or daughters with intellectual and/or developmental disabilities (IDD) particularly challenging. The literature has not examined how parents work together and with others in face of this transition nor has it highlighted parental goals in this process. This study used a perspective based on joint, goal-direct action to describe the projects that Canadian parents engaged in together and with others relative to this transition. METHODS Using the qualitative action-project method, joint projects between parents and with others were identified from their conversations and followed for 6 months. FINDINGS Three groups of projects were described: equipping the young adult for adult life, connecting for personal support and managing day-to-day while planning for the future. CONCLUSIONS Parents act together and with others relative to the transition to adulthood of their young adult children with IDD. These projects are complex and differ in goals, steps, resources and emotional regulation and motivation.
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Affiliation(s)
| | | | - Tim Stainton
- University of British Columbia, Vancouver, BC, Canada
| | - Jessie M Wall
- University of British Columbia, Vancouver, BC, Canada
| | - Deirdre Curle
- University of British Columbia, Vancouver, BC, Canada
| | - Ma Zhu
- University of British Columbia, Vancouver, BC, Canada
| | - David Munro
- University of British Columbia, Vancouver, BC, Canada
| | - John Murray
- University of British Columbia, Vancouver, BC, Canada
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Brennan D, Murphy R, McCallion P, McCarron M. "What's going to happen when we're gone?" Family caregiving capacity for older people with an intellectual disability in Ireland. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2017; 31:226-235. [PMID: 28665022 DOI: 10.1111/jar.12379] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/23/2017] [Indexed: 12/01/2022]
Abstract
BACKGROUND Changing family sociodemographic factors, increased life expectancy for people with an intellectual disability, deinstitutionalization and policy prioritization of the family as the principal care provider, presents new challenges to care sustainability. METHOD A qualitative study design was employed, entailing focus groups and semistructured interviews, with purposive sampling via the parent study population of the Intellectual Disability Supplement to The Irish Longitudinal Database on Ageing. RESULTS The traditional sociodemographic facilitators of family caregiving are in rapid decline. Families perceived limited support from services and limited future care options. Few future care plans have been formulated. A strong possibility exists of placement of older family members with an intellectual disability in out-of-family home care. CONCLUSION To anticipate and provide for quality care supports, there is a need to establish proactive initiatives, for both people with an intellectual disability and their families', to facilitate the early formation of long-term care plans.
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Affiliation(s)
- Damien Brennan
- Trinity College Dublin, School of Nursing & Midwifery, Trinity College, The University of Dublin, Dublin, Ireland
| | - Rebecca Murphy
- Trinity College Dublin, School of Nursing & Midwifery, Trinity College, The University of Dublin, Dublin, Ireland
| | - Philip McCallion
- Center for Excellence in Aging and Community Wellness, University at Albany, State University of New York, USA
| | - Mary McCarron
- Trinity College Dublin, School of Nursing & Midwifery, Trinity College, The University of Dublin, Dublin, Ireland
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McCarthy MJ, Behimer G, Anderson JA, Riddle I. Caregiving for youth with co-occurring developmental disabilities and behavioral health issues when caregivers face additional health-related stressors: Analysis of risk and protective factors from a national sample. RESEARCH IN DEVELOPMENTAL DISABILITIES 2016; 59:399-409. [PMID: 27721195 DOI: 10.1016/j.ridd.2016.09.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Revised: 08/08/2016] [Accepted: 09/15/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Family caregivers of youth with DD and behavioral health issues experience the highest level of caregiving strain. Many must also deal with their own or another family member's chronic health condition, which may place them at additional risk for poor outcomes. AIMS (1) Provide a "snapshot" of DD family caregivers based on a national sample; (2) identify risk and protective factors among groups of DD caregivers with graduated levels of health-related stressors; (3) examine the impact of risk and protective factors on strain for DD caregivers. METHODS AND PROCEDURES We conducted a secondary analysis of data from N=600 DD caregivers recruited through sites across the United States. Risk and protective factors were compared among three groups of caregivers at study enrollment: (1) those focused on providing care for the target youth with DD, without additional health-related stressors with which to contend; (2) those contending with minor additional health-related stressors; and, (3) those contending with major additional health-related stressors. Predictors of caregiving strain at six months post-enrollment were identified. RESULTS 52% of the overall sample was unemployed and 71% were living at or below poverty. Differences were found among groups on a variety of risk and protective factors. With some exceptions, predictors of caregiving strain were similar to non-DD populations. CONCLUSIONS AND IMPLICATIONS This study provides valuable information about a population of caregivers who are highly vulnerable to poor outcomes. Findings highlight the importance of considering the needs, strengths, and outcomes of family caregivers.
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Affiliation(s)
- Michael J McCarthy
- School of Social Work, College of Allied Health Sciences, University of Cincinnati, PO Box 210108, Cincinnati, OH 45221, United States.
| | - Gretchen Behimer
- Clermont County FAST TRAC, Clermont County Mental Health and Recovery Board, 2337 Clermont Center Drive, Batavia, OH 45103, United States.
| | - Jeffrey A Anderson
- School of Education, Indiana University, W.W. Wright Education Building Room 3232, Bloomington, IN 47405, United States.
| | - Ilka Riddle
- Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 4002, Cincinnati, OH 45229, United States.
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Burke MM, Heller T. Disparities in Unmet Service Needs Among Adults with Intellectual and Other Developmental Disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2016; 30:898-910. [DOI: 10.1111/jar.12282] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/07/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Meghan M. Burke
- Department of Special Education; University of Illinois at Urbana-Champaign; Champaign IL USA
| | - Tamar Heller
- Department of Disability and Human Development; University of Illinois at Chicago; Chicago IL USA
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Heller T, Gibbons HM, Fisher D. Caregiving and Family Support Interventions: Crossing Networks of Aging and Developmental Disabilities. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2015; 53:329-345. [PMID: 26458169 DOI: 10.1352/1934-9556-53.5.329] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This scoping review addressed the following questions: (a) What types of caregiver interventions are being done in both aging and developmental disability research? (b) How are these interventions similar and different? (c) What kinds of outcomes do these interventions have? (d) What innovative approaches are these interventions using? and (e) What can each field (developmental disabilities and gerontology) learn from the other based on this review? The disability review spanned 20 years (1992-2012), resulting in 14 studies; the aging review spanned 5 years (2008-2012), resulting in 55 studies. Data from the final selected studies were then extracted and compared on research design, type of intervention (governmental programs, small-group psychosocial, and other), and outcomes. Generally, in both fields, family-support interventions benefited participants' well-being and improved service access and satisfaction. Increased partnership between the fields of aging and developmental disabilities is critical to future scholarship in caregiving for both populations.
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14
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Saxena M. Variables That Can Enhance and Complicate Sibling Caregiving of Individuals With Intellectual and Developmental Disabilities. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2015. [DOI: 10.1111/jppi.12127] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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15
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Boehm TL, Carter EW, Taylor JL. Family Quality of Life During the Transition to Adulthood for Individuals With Intellectual Disability and/or Autism Spectrum Disorders. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2015; 120:395-411. [PMID: 26322388 DOI: 10.1352/1944-7558-120.5.395] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Recognizing the prominent role of parents in supporting their children with intellectual and developmental disabilities (IDD), improving quality of life for these families is an essential endeavor. While much attention has focused on the experiences of families with younger children with IDD, little is known about the family quality of life (FQOL) among families with transition-age youth and young adults. We examined the FQOL ratings of 425 parents with a child between 13-21 years of age with intellectual disability or autism to understand FQOL and the factors that may shape it. Overall satisfaction with FQOL was somewhat high for this sample, with some variability across domains. Higher FQOL ratings were predicted by lower frequency of challenging behaviors, lower support needs, and higher strength of parental religious faith. We present recommendations for research and practice focused on promoting quality of life during the transition period.
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Pan L, Ye J. Family Care of People with Intellectual Disability in Rural China: A Magnified Responsibility. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2015; 28:352-66. [PMID: 25754400 DOI: 10.1111/jar.12167] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/08/2015] [Indexed: 11/27/2022]
Abstract
BACKGROUND Welfare for the disabled is becoming an important issue in China and care for people with intellectual disability is challenging because of the inadequacies in formal support and the social service system. MATERIAL AND METHOD Based on ethnographic research in two villages in North China, this paper analyses the dilemmas of family care for people with intellectual disability. The essential data is the ethnographic record of three cases. RESULTS Rural families strive to provide care through a set of arrangements and bear tremendous stress in the process. CONCLUSION Family care for people with intellectual disability in rural China has been increasingly challenged by the forces of labour migration, demographic changes and the ever-growing processes of commoditization. The role of the state has to be strengthened in welfare provision to balance the weakened family care ethos in transforming societies.
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Affiliation(s)
- Lu Pan
- College of Humanities and Development Studies (COHD), China Agricultural University, No. 2 Yuanmingyuan West Rd, Beijing, 100193, China
| | - Jingzhong Ye
- College of Humanities and Development Studies (COHD), China Agricultural University, No. 2 Yuanmingyuan West Rd, Beijing, 100193, China
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17
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Grey JM, Griffith GM, Totsika V, Hastings RP. Families' Experiences of Seeking Out-of-Home Accommodation for Their Adult Child With an Intellectual Disability. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2015. [DOI: 10.1111/jppi.12106] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | | | - Vasiliki Totsika
- Centre for Educational Development, Appraisal and Research (CEDAR); University of Warwick; Coventry UK
| | - Richard P. Hastings
- Centre for Educational Development, Appraisal and Research (CEDAR); University of Warwick; Coventry UK
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18
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Kim GE, Chung S. Elderly Mothers of Adult Children with Intellectual Disability: An Exploration of a Stress Process Model for Caregiving Satisfaction. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2015; 29:160-71. [DOI: 10.1111/jar.12166] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/12/2014] [Indexed: 11/26/2022]
Affiliation(s)
- Go-en Kim
- Graduate School of Counseling, Welfare & Policy; Kwangwoon University; Seoul Korea
| | - Soondool Chung
- Department of Social Welfare; Ewha Womans University; Seoul Korea
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19
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Lunsky Y, Tint A, Robinson S, Gordeyko M, Ouellette-Kuntz H. System-Wide Information About Family Carers of Adults With Intellectual/Developmental Disabilities-A Scoping Review of the Literature. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2014. [DOI: 10.1111/jppi.12068] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Yona Lunsky
- Centre for Addiction and Mental Health; Toronto Ontario Canada
| | - Ami Tint
- Department of Psychology; York University; Toronto Ontario Canada
| | - Suzanne Robinson
- Department of Psychology; York University; Toronto Ontario Canada
| | - Marcia Gordeyko
- School and Child Clinical Psychology; Ontario Institute for Studies in Education; University of Toronto; Toronto Ontario Canada
| | - Hélène Ouellette-Kuntz
- Departments of Community Health & Epidemiology and Psychiatry; Queen's University; Kingston Ontario Canada
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Holl E, Morano CL. Supporting the Next Generation of Caregivers: Service Use and Needs of Adult Siblings of Individuals With Intellectual Disability. ACTA ACUST UNITED AC 2014. [DOI: 10.1352/2326-6988-2.1.2] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Abstract
As a result of gains in health care, people with intellectual disability are outliving their parents, creating an unprecedented need to support this population. Siblings represent the longest lasting family relationships and often become caregivers for their brothers and sisters with intellectual disability when parents pass away. Given the growing number of siblings who are assuming this caregiver role, it is important to understand the challenges and opportunities they face. This project explored the needs of adult sibling caregivers and the service system's efficacy in meeting these needs. Using focus groups and a phenomenological approach, this study explored siblings' experiences with the service system, including barriers, needs, and how services impact their well-being. Findings suggest that siblings who have greater access to services and supports experience greater well-being and ability to support their brothers and sisters with intellectual disability.
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Affiliation(s)
- Emily Holl
- Emily Holl , YAI Network, 460 West 34th Street, New York, NY 10001
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21
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Hewitt A, Agosta J, Heller T, Williams AC, Reinke J. Families of individuals with intellectual and developmental disabilities: policy, funding, services, and experiences. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2013; 51:349-359. [PMID: 24303822 DOI: 10.1352/1934-9556-51.5.349] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Families are critical in the provision of lifelong support to individuals with intellectual and developmental disabilities (IDD). Today, more people with IDD receive long-term services and supports while living with their families. Thus, it is important that researchers, practitioners, and policy makers understand how to best support families who provide at-home support to children and adults with IDD. This article summarizes (a) the status of research regarding the support of families who provide support at home to individuals with IDD, (b) present points of concern regarding supports for these families, and (c) associated future research priorities related to supporting families.
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22
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Dew A, Llewellyn G, Balandin S. Exploring the later life relationship between adults with cerebral palsy and their non-disabled siblings. Disabil Rehabil 2013; 36:756-64. [PMID: 23875813 DOI: 10.3109/09638288.2013.816786] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE Adults with moderate or severe cerebral palsy often require significant lifetime support from family and formal services. The aim of this study was to use a life course approach to explore how previous life experiences impact on the later life relationships of people with moderate to severe cerebral palsy aged 40 years and over and their non-disabled siblings. METHOD Twelve adults with moderate to severe cerebral palsy and 16 of their non-disabled siblings were interviewed twice to explore their relationships. Constructivist grounded theory method was used to analyse the data. RESULTS Four themes were identified as important in understanding these later life sibling relationships: sharing childhood experiences, contact in adulthood, diminishing parental role and increasing support needs. CONCLUSIONS The life course approach indicated that siblings' growing up together was important for the development and maintenance of emotional closeness later in life. Emotional closeness and familial obligation were important factors in motivating siblings with and without cerebral palsy to maintain or re-establish contact with each other in adulthood. Maintenance of sibling relationships in later life is dependent on health, proximity and the ability to keep in contact with each other. Implications for Rehabilitation As adults with severe cerebral palsy live longer, their relationships with non-disabled siblings often take on increased importance and particularly as their parents may be no longer able to provide support. Service providers have a role in helping ageing siblings with and without disability to maintain and build their relationships, for example, by supporting geographically distant siblings to keep in touch. Service providers have a role in supporting the person with a disability and their siblings to make plans for the future.
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23
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Glaesser RS, Perkins EA. Self-injurious behavior in older adults with intellectual disabilities. SOCIAL WORK 2013; 58:213-221. [PMID: 24032302 DOI: 10.1093/sw/swt018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Self-injurious behavior (SIB) is a distressing type of problem behavior that may be exhibited in individuals with intellectual disabilities (IDs). This article provides an overview of SIB, its underlying causes and functions, as well as other key variables associated with its manifestation. Adults with IDs are routinely living longer. Given this rapidly emerging and expanding population, special attention is given to SIB in aging adults with IDs that may result from age-related risk factors. Risks include increasing and unresolved health issues, physical changes, declining physical abilities, transitions to new residential environments, and the potential for experiencing loss and bereavement. The article concludes with practice implications for social workers who may encounter older individuals with IDs and SIB.
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Affiliation(s)
- Richard S Glaesser
- School of Social Work, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL 33612, USA.
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24
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Heller T, Arnold CK, van Heumen L, McBride EL, Factor A. Self-directed support: impact of hiring practices on adults with intellectual and developmental disabilities and families. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2012; 117:464-477. [PMID: 23167486 DOI: 10.1352/1944-7558-117.6.464] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The study examined the differential experiences and outcomes for people with intellectual and developmental disabilities and their families receiving self-directed services based on the type of personal support worker hired (parents, siblings, other relatives, friends, and agency staff). The sample consisted of 372 participants in a self-directed waiver program who used personal assistance services. Results indicated that the caregiver's satisfaction with the personal support worker, self-efficacy in managing personal support workers, and mental health varied significantly based on type of personal support worker hired. Also, the physical health and daily choice making of the adults with disabilities differed significantly by type of personal support worker hired.
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Affiliation(s)
- Tamar Heller
- Department of Disability and Human Development, University of Illinois, Chicago, IL, USA.
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25
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Arnold CK, Heller T, Kramer J. Support needs of siblings of people with developmental disabilities. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2012; 50:373-382. [PMID: 23025639 DOI: 10.1352/1934-9556-50.5.373] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
This qualitative study examines the support needs of adult siblings of people with developmental disabilities. A survey completed by 139 siblings of people with developmental disabilities captured the needs of adult siblings through 2 open-ended questions. A grounded theory approach was used, and the sibling responses anchored the analysis, interpretation of findings, and discussion using the constant comparison method. Eleven core variables and 3 overarching themes emerged. Three overarching themes for sibling support needs include: (a) getting disability-related information, (b) getting support for their caregiving role, and (c) enhancing the formal support system to address sibling needs.
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Affiliation(s)
- Catherine K Arnold
- University of Illinois at Chicago, Department of Disability and Human Development, 1640 W. Roosevelt Road, Chicago, IL 60608-1336, USA.
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26
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Taggart L, Truesdale-Kennedy M, Ryan A, McConkey R. Examining the support needs of ageing family carers in developing future plans for a relative with an intellectual disability. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2012; 16:217-34. [PMID: 22890999 DOI: 10.1177/1744629512456465] [Citation(s) in RCA: 69] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
BACKGROUND Planning for the future care of adults with an intellectual disability after the main family carer ceases their care, continues to be a sensitive and difficult time posing challenges for service providers internationally. Limited research has been undertaken on this topic because until recently, people with intellectual disability usually pre-deceased their parents. This study examined ageing carers' preferences for future care and the support systems required to make such future plans. METHODS The study was conducted in one region of the United Kingdom with a high proportion of family carers. A mixed methods design was employed. In Stage 1, a structured questionnaire was used to collate information on the health, caregiving demands and future planning preferences of 112 parent and sibling carers; aged 60-94 years. In Stage 2, 19 in-depth semistructured interviews were undertaken with a sample of carers to explore a range of issues around future planning. FINDINGS Over half of the carers were lone carers, mainly female, with many reporting a wide range of health problems. A third of these carers reported that their caregiving resulted in high levels of anxiety. The main preference of the carers was for the person to remain in the family home, with either the family and/or paid staff to support them. A minority of parent carers preferred the person to move into the home of a sibling, although some favoured the person moving to a residential facility with other people with intellectual disabilities. The majority of carers did not want their relative to move into an older people's residential/nursing facility. In the qualitative data, four main themes were identified around future planning: unremitting apprehension, the extent of planning, obstacles encountered and solutions for future planning. Avoidance, lack of guidance and a lack of appropriate residential provision were cited as obstacles to making future plans compounded by the emotional upset experienced by carers in thinking about the future. CONCLUSION Findings of this study clearly identify the emotional, informational and practical supports required by these ageing family carers. These findings have national and international relevance in influencing how governments and service providers support parent and sibling carers to proactively plan for the future, and in the development of both in-home and out-of-home options when a family carer can no longer provide care. This is more urgent than ever given the growing numbers of older persons with intellectual disabilities in future decades.
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Affiliation(s)
- Laurence Taggart
- Institute of Nursing Research, University of Ulster, Northern Ireland.
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27
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Chou YC, Fu LY, Pu CY, Chang HH. Difficulties of care-work reconciliation: employed and nonemployed mothers of children with intellectual disability. JOURNAL OF INTELLECTUAL & DEVELOPMENTAL DISABILITY 2012; 37:260-268. [PMID: 22853007 DOI: 10.3109/13668250.2012.704984] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND Whether employed and nonemployed mothers of children with intellectual disability (ID) have different experiences with reconciliation between care and work has rarely been explored. METHOD A survey was conducted in a county in Taiwan and 487 mothers aged younger than 65 and having a child with ID were interviewed face to face at their homes to explore whether there are different factors related to the reconciliation between care and work among employed and nonemployed mothers. RESULTS Except for the common ground of mothers' health and care demands, logistic regression revealed work flexibility and care support were important for employed mothers. In contrast, the success of reconciliation for nonemployed mothers was determined by their individual characteristics (i.e., age, marital status, family income). CONCLUSIONS Reconciliation policies for mothers with different employment statuses need to use different strategies.
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Affiliation(s)
- Yueh-Ching Chou
- Institute of Health and Welfare Policy, Research Center for Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan
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28
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Kusano CT, Bouldin ED, Anderson LA, McGuire LC, Salvail FR, Simmons KW, Andresen EM. Adult informal caregivers reporting financial burden in Hawaii, Kansas, and Washington: Results from the 2007 Behavioral Risk Factor Surveillance System. Disabil Health J 2012; 4:229-37. [PMID: 22014670 DOI: 10.1016/j.dhjo.2011.08.001] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2011] [Revised: 07/25/2011] [Accepted: 08/14/2011] [Indexed: 10/16/2022]
Abstract
BACKGROUND Given the unpaid nature of the work, informal caregiving can create a financial burden for caregivers. Little has been done to identify specific predictors of experiencing financial burden. This study investigated demographic and health factors comparing caregivers who reported having or not having financial burden. METHODS Data are derived from adult caregivers (N = 3,317) as part of the 2007 Behavioral Risk Factor Surveillance System in Hawaii, Kansas, and Washington. The adjusted odds ratios for reporting a financial burden were estimated for demographic and other risk factors. RESULTS Caregivers who reported a financial burden were younger, had lower incomes, were more likely to be current smokers, have had a stroke, and rate their health as fair or poor compared to caregivers who did not report a financial burden. Caregivers who were younger (ages 18-34), resided with care recipients, spent 20-39 hours per week providing care, and reported having a disability were at a statistically significantly higher odds of reporting a financial burden. CONCLUSIONS/IMPLICATIONS Given the current economic difficulties faced by many Americans, further insights into the perceived financial burdens experienced by informal caregivers as well as linkages to policy and programs designed to support caregivers are critical for public health professionals to address the expanding needs in states and communities.
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Affiliation(s)
- Claudia T Kusano
- Department of Epidemiology, University of Florida, Gainesville, FL 32610, USA.
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29
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Samuel PS, Hobden KL, LeRoy BW, Lacey KK. Analysing family service needs of typically underserved families in the USA. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2012; 56:111-128. [PMID: 22142360 DOI: 10.1111/j.1365-2788.2011.01481.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Present day service systems evolved from the traditional model of disability intervention where the child with the disability and the family were viewed as pathological entities that needed to be fixed rather than supported. Scholars have increasingly called for a greater focus on the family in service delivery, but few studies have empirically examined the practical reality of such a shift. The present paper examines the disability-related formal service supports within the family quality of life (FQOL) framework in a sample of predominantly low-income, minority families in the USA. METHODS Cross-sectional data collected from a convenience sample of 149 families using the Family Quality of Life Survey (FQOLS-2006) was analysed at the univariate, bivariate and multivariate levels. RESULTS Over half of the families indicated that they needed more help from the service system, and the largest barrier to accessing services was a lack of information. Almost all families viewed service support as very important to their overall FQOL; however, only half of them were satisfied with the formal support that they were receiving. Less than half of the families reported having many service support opportunities and high attainment of service support, although most took high initiative in pursuing formal supports. The path model illustrated the complex inter-relationships between the six dimensions of service support. CONCLUSIONS Findings underscore the need for resources to empower families and the value of using the FQOLS-2006 to ascertain the service support needs and strengths of families.
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Affiliation(s)
- P S Samuel
- Department of Health Care Sciences, Wayne State University, Detroit, Michigan 48202, USA.
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30
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Robinson LM, Dauenhauer J, Bishop KM, Baxter J. Growing health disparities for persons who are aging with intellectual and developmental disabilities: the social work linchpin. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2012; 55:175-190. [PMID: 22324333 DOI: 10.1080/01634372.2011.644030] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Similar to the general population, adults with intellectual and developmental disabilities (IDD) are living into their 70s and beyond. Health care disparities have been well-documented for this vulnerable and underserved population. Social workers are often responsible for assessment, coordination of care, and negotiation of needed services for people with IDD. This article explores the challenges facing social workers in meeting the growing health and social needs of aging adults with IDD and their families. Trends in social work practice and gaps in education are discussed as they relate to addressing and reducing current health disparities.
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Affiliation(s)
- Laura M Robinson
- Department of Pediatrics, University of Rochester Medical Center, NY 14642, USA.
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31
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Townsend CE. Developing a Comprehensive Research Agenda for People With Intellectual Disability to Inform Policy Development and Reform. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2011. [DOI: 10.1111/j.1741-1130.2011.00297.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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32
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Wang YN, Shyu YIL, Chen MC, Yang PS. Reconciling work and family caregiving among adult-child family caregivers of older people with dementia: effects on role strain and depressive symptoms. J Adv Nurs 2010; 67:829-40. [DOI: 10.1111/j.1365-2648.2010.05505.x] [Citation(s) in RCA: 70] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Dow B, Meyer C. Caring and Retirement: Crossroads and Consequences. INTERNATIONAL JOURNAL OF HEALTH SERVICES 2010; 40:645-65. [DOI: 10.2190/hs.40.4.e] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
As older workers move closer to retirement, they are more likely to take on caring roles. This may affect their health, retirement plans, and income security. Retired men and women experience the caring role differently, with men less likely to be adversely affected and more likely to accept services and to derive satisfaction from caring. Carers make an important contribution to the lives of the people they care for and to the community. Caring is a productive role that can be sustained into older age, as long as the carer's health and well-being are maintained. More research is needed on the relationship between retirement and caring, to explore the extent of caring and its impact on retirement plans, income, and the physical and mental health of retired carers. This information could then be built into retirement planning to better prepare older workers for this important role. Caring roles and retirement intersect in several ways. About 6 million Americans, 2.6 million Australians, and 6 million people in the United Kingdom are informal carers. People (especially men) are more likely to take on caring roles as they get older and leave the paid workforce. The need to care for a spouse or older relative can be an unanticipated outcome or a precipitator of retirement. Retirement may coincide with illness or disability of a parent or spouse, or may be forced by the demands of caring. Caring may bring about major changes to retirement plans. The financial impact of having been a carer during one's working life may also be felt most keenly on retirement, through the lack of opportunities for savings and retirement fund co-contributions.
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Chou YC, Pu CY, Kröger T, Fu LY. Caring, employment, and quality of life: comparison of employed and nonemployed mothers of adults with intellectual disability. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2010; 115:406-420. [PMID: 20687824 DOI: 10.1352/1944-7558-115.5.406] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
The effects of caregiving on mothers of adults with intellectual disability was examined by determining whether there are differences in quality of life and related factors between mothers with different employment status. Study participants were 302 working-age mothers who had adult children with intellectual disability based on the 2008 census survey on intellectual disability carried out in Hsinchu, City, Taiwan. Results revealed that nonemployed mothers are more likely to have a lower level of health status, including the WHOQOL Physical Health domain, than are mothers employed fulltime. Multiple regression analysis showed that mothers' quality of life was significantly determined by the availability of a person with whom they could share care work, family income, social support, and employment status.
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Affiliation(s)
- Yueh-Ching Chou
- National Yang-Ming University, Institute of Health and Welfare Policy, Taipei, Taiwan.
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35
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Yamaki K, Hsieh K, Heller T. Health profile of aging family caregivers supporting adults with intellectual and developmental disabilities at home. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2009; 47:425-435. [PMID: 20020798 DOI: 10.1352/1934-9556-47.6.425] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2008] [Accepted: 02/22/2009] [Indexed: 05/28/2023]
Abstract
The health status of 206 female caregivers supporting adults with intellectual and developmental disabilities at home was investigated using objective (i.e., presence of chronic health conditions and activity limitations) and subjective (i.e., self-perceived health status) health measures compared with those of women in the general population in 2 age groups: middle age (Ages 40-59 years) and older ages (> or =60 years). Prevalence of arthritis, high blood pressure, obesity, and activity limitations for the caregivers in both age groups was significantly higher than that for women in the general population. Middle-age caregivers reported a higher prevalence of diabetes and high blood cholesterol than their age peers from the general population. Despite the potential health challenges, the caregivers generally perceived their health better than that of women in the general population. Older caregivers' perceptions on their psychological well being, however, appeared to an exception. Implications regarding potential health risks for caregivers and residential services for persons with intellectual and developmental disabilities are discussed.
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Affiliation(s)
- Kiyoshi Yamaki
- Department of Disability and Human Development, University of Illionois, Chicago, IL 60608, USA.
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Fujiura GT. Aging Families and the Demographics of Family Financial Support of Adults With Disabilities. JOURNAL OF DISABILITY POLICY STUDIES 2009. [DOI: 10.1177/1044207309350560] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Using data from the 2007 American Community Survey (ACS), the study estimated the degree of family financial support for adult members with disabilities living at home. Using the Internal Revenue Service definition of a “qualifying dependent,” need for financial support was defined in terms ability to financially contribute to one’s own support. Estimates indicated that 32.3% of the family-based population of adults with disabilities needed financial support. Among those meeting the support test, approximately 4 in 10 lived in households where the primary income earner was 60 years or older. Results are discussed in terms of greater attention to the impact of emerging family demographics for policy and assumption of a family perspective in policy making.
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Weeks LE, Nilsson T, Bryanton O, Kozma A. Current and Future Concerns of Older Parents of Sons and Daughters With Intellectual Disabilities. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2009. [DOI: 10.1111/j.1741-1130.2009.00222.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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38
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Floyd FJ, Costigan CL, Piazza VE. Chapter 2 The Transition to Adulthood for Individuals with Intellectual Disability. FAMILIES 2009. [DOI: 10.1016/s0074-7750(09)37002-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Abstract
The forces shaping intellectual disability policy-making are diverse; while many of the policy issues reviewed in this issue are specific to intellectual disabilities, there are others that transcend disability-specific concerns. Our review is organized around six emerging demographic and socio-cultural trends that may directly and profoundly impact the intellectual disability field: aging, changing labor markets, immigration, families, federalism, and culture. Each of these trends is discussed in terms of their relevance and potential impact on disability policy.
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Affiliation(s)
- Glenn T Fujiura
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, Illinois 60608, USA.
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