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Long-Term Experiences in Cash and Counseling for Young Adults with Intellectual Disabilities: Familial Programme

Melissa L Harry¹, Lynn MacDonald², Althea McLuckie²

¹Boston College, Chestnut Hill, MA, USA.

Journal of Applied Research in Intellectual Disabilities : JARID

|February 20, 2016

Abstract

Background:

Our aim was to explore previously unknown long-term outcomes of self-directed personal care services for young adults with intellectual disabilities and limitations in activities of daily living.

Materials And Methods:

The present authors utilized participatory action research and qualitative content analysis in interviewing 11 unpaid familial programme representatives of young adults with intellectual disabilities, ages 23-34, who were eligible for income-based Medicaid and enrolled five or more years in a Cash and Counseling-based programme of self-direction in the United States.

Results:

Young adults are represented as receiving services and supports in a supportive and stable environment, with previously identified short-term programme benefits evident over the long-term. Young adults are also transitioning to adulthood at home with their families as primary social support and caregivers, bridging a service gap.

Conclusions:

Our results show that self-direction helps meet these young adults' personal care and community engagement needs over time.

Keywords:

intellectual disability participatory action research qualitative content analysis representative descriptions self-direction young adults

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