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  • Philip McCallion Ph.D is a Distinguished Professor in the School of Social Welfare, co-director of the Center for Exc... moreedit
Background Increased participation in 'the community' has long been accepted as a route for providing people with intellectual disabilities (PWID) with a better life but there have been concerns that many PWID placed in the... more
Background Increased participation in 'the community' has long been accepted as a route for providing people with intellectual disabilities (PWID) with a better life but there have been concerns that many PWID placed in the community still live isolated lives. More recently, emerging evidence internationally identified that people with ID were often being physically integrated within their communities and wider society without becoming fully included members of those communities (Chowdurry & Benson, 2011; Kozma, et al., 2009; Verdonschot et al., 2009;). Recent evidence looking at outcomes for people with ID moving from institutional to community settings identify generally positive outcomes whilst acknowledging the continued low inclusion within wider non-disabled society (Chowdurry & Benson, 2011). Current policy developments and service provision in Ireland and elsewhere remain committed to the movement of people with ID from institutional, congregated settings to communit...
Abstract: The growing number of individuals with intellectual disabilities (ID) affected by Alzheimer disease and related dementias has raised major problems for care providers. How can quality care be provided to these individuals? This... more
Abstract: The growing number of individuals with intellectual disabilities (ID) affected by Alzheimer disease and related dementias has raised major problems for care providers. How can quality care be provided to these individuals? This paper examines group home-...
To investigate dental attendance patterns and reasons for nonattendance among older adults with intellectual disabilities (ID) in Ireland. A cross-sectional survey of quantitative data and text analysis of qualitative data drawn from a... more
To investigate dental attendance patterns and reasons for nonattendance among older adults with intellectual disabilities (ID) in Ireland. A cross-sectional survey of quantitative data and text analysis of qualitative data drawn from a nationally representative sample of 753 people with ID over 40 years of age in Ireland. Participants were considered as regular or irregular dental attenders for analysis of quantitative data. Text analysis grouped open-ended responses for analysis. There were slightly more females. Mean age was 54.1 years (SD = 8.8). Almost half had moderate ID. A majority (86.5%) of respondents attended dental services within the last 2 years. Age and type of residence were associated with frequency of attendance (p < .01), as were dentate status and reported oral problems (p < .001). Text analysis revealed a lack of perceived need as a reason for not attending regularly. Older people with ID in Ireland report a very high level of regular dental attendance. Irregular attenders did not attend because they saw no need. There is a need to further study the importance of regular dental attendance for this population.
There have been growing reports of older women and men caring for their grandchildren and great grandchildren. Many of these grandparents are caring for children with developmental disabilities. To systematically examine the effectiveness... more
There have been growing reports of older women and men caring for their grandchildren and great grandchildren. Many of these grandparents are caring for children with developmental disabilities. To systematically examine the effectiveness of a support group intervention for such grandparents, we recruited 97 grandparents through three agencies in New York City and assigned them to treatment and wait list control conditions. Significant reductions in symptoms of depression and increases in sense of empowerment and caregiving mastery were found for the treatment group. Similar effects were found for the control subjects when they later received the intervention.
Historically, there has been higher and earlier mortality among people with intellectual disability as compared to the general population, but there have also been methodological problems and differences in the available studies. Data... more
Historically, there has been higher and earlier mortality among people with intellectual disability as compared to the general population, but there have also been methodological problems and differences in the available studies. Data were drawn from the 2012 National Intellectual Disability Database and the Census in Ireland. A standardized mortality ratio (SMR) was calculated, as well as average age at death. Ratios and differences were further examined for the influence of age, gender and level of intellectual disability. Mortality in persons with intellectual disability was four times higher and they were, on average, dying 19 years earlier than peers in the general population. Women with intellectual disability were living longer than males with intellectual disability, but differences in survival as compared to the general population were greater for these women. There was little change in average age at death over 10 years, and death was earlier the more severe the level of i...
Monitoring population trends including mortality within subgroups such as people with intellectual and developmental disabilities and between countries provides crucial information about the population's health and insights into... more
Monitoring population trends including mortality within subgroups such as people with intellectual and developmental disabilities and between countries provides crucial information about the population's health and insights into underlying health concerns and the need for and effectiveness of public health efforts. Data from both US state intellectual and developmental disabilities service system administrative data sets and de-identified state Medicaid claims were used to calculate average age at death and crude mortality rates. Average age at death for people in state intellectual and developmental disabilities systems was 50.4-58.7 years and 61.2-63.0 years in Medicaid data, with a crude adult mortality rate of 15.2 per thousand. Age at death remains lower and mortality rates higher for people with intellectual and developmental disabilities. Improved case finding (e.g. medical claims) could provide more complete mortality patterns for the population with intellectual and dev...
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Background The Irish Longitudinal Study on Ageing (TILDA) found that older people who were most socially integrated had the highest QOL measures, while the least integrated had the lowest QOL. The Intellectual Disability Supplement to... more
Background The Irish Longitudinal Study on Ageing (TILDA) found that older people who were most socially integrated had the highest QOL measures, while the least integrated had the lowest QOL. The Intellectual Disability Supplement to TILDA (IDS-TILDA) found that older people with ID had very different social networks than the general population, putting them at increased risk of social exclusion. Methods This study examined the composition of social networks for older people with ID in Ireland, and compared those networks to those of the general population. Data was drawn from wave 2 of IDS-TILDA (n=708), and comparisons were with wave 2 data from TILDA. The influence of gender, age, level of ID and type of residence was also considered. Results Less than 1% of older people with ID reported having a spouse/partner, with similarly low numbers having children of their own, a sharp contrast with general older population reports. Less than a third (32%) of IDS-TILDA participants report...
Introduction: Increased participation in 'the community' has long been accepted as a route for providing people with intellectual disabilities (PWID) a better life but there have been concerns that many PWID placed in the... more
Introduction: Increased participation in 'the community' has long been accepted as a route for providing people with intellectual disabilities (PWID) a better life but there have been concerns that many PWID placed in the community still live isolated lives. This paper examines the experiences of community for PWID in Ireland. Methods: Ethics for a large longitudinal study on ageing among people with an intellectual disability was sought and granted from both the University and service providers. Data was collected from a representative sample of 753 PWID aged 40 and over, randomly selected from Ireland's National Intellectual Disability Database. The first wave of the study included a series of questions for PWID on aspects of their community living experience and the linkage between community living and their experience of quality of life. Results: People interviewed lived in community settings (semi-independently, in community group homes or with families). Although l...
Background Increased participation in 'the community' has long been accepted as a route for providing people with intellectual disabilities (PWID) with a better life but there have been concerns that many PWID placed in the... more
Background Increased participation in 'the community' has long been accepted as a route for providing people with intellectual disabilities (PWID) with a better life but there have been concerns that many PWID placed in the community still live isolated lives. More recently, emerging evidence internationally identified that people with ID were often being physically integrated within their communities and wider society without becoming fully included members of those communities (Chowdurry & Benson, 2011; Kozma, et al., 2009; Verdonschot et al., 2009;). Recent evidence looking at outcomes for people with ID moving from institutional to community settings identify generally positive outcomes whilst acknowledging the continued low inclusion within wider non-disabled society (Chowdurry & Benson, 2011). Current policy developments and service provision in Ireland and elsewhere remain committed to the movement of people with ID from institutional, congregated settings to communit...
Background Monitoring population trends including mortality within subgroups such as people with intellectual and developmental disabilities and between countries provides crucial information about the population's health and insights... more
Background Monitoring population trends including mortality within subgroups such as people with intellectual and developmental disabilities and between countries provides crucial information about the population's health and insights into underlying health concerns and the need for and effectiveness of public health efforts.Methods Data from both US state intellectual and developmental disabilities service system administrative data sets and de-identified state Medicaid claims were used to calculate average age at death and crude mortality rates.ResultsAverage age at death for people in state intellectual and developmental disabilities systems was 50.4–58.7 years and 61.2–63.0 years in Medicaid data, with a crude adult mortality rate of 15.2 per thousand.Conclusions Age at death remains lower and mortality rates higher for people with intellectual and developmental disabilities. Improved case finding (e.g. medical claims) could provide more complete mortality patterns for the p...
The literature on influences of community versus congregated settings raises questions about how social inclusion can be optimised for people with intellectual disability. This study examines social contacts for older people with... more
The literature on influences of community versus congregated settings raises questions about how social inclusion can be optimised for people with intellectual disability. This study examines social contacts for older people with intellectual disability in Ireland, examining differences in social connection for adults with intellectual disability and other adults. Data were drawn from the IDS-TILDA study in Ireland. A nationally representative sample (n = 753) included adults aged 40 years and older, with additional comparison with general population participants. Predictors of social contacts were explored. Residence, level of intellectual disability and age were significant factors determining social contact. People in institutional residences, older respondents and those with severe/profound intellectual disability had the lowest levels of contact; older adults with intellectual disability had much lower rates than general population counterparts. Community-dwelling people with intellectual disability have greater social contact than those living in institutions, but levels are below those for other adults in Ireland.

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