142nd APHA Annual Meeting and Exposition

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A comparison of health and behavioral outcomes of individuals with intellectual/developmental disabilities (IDD) who moved to a Community Integrated Living Arrangement or remained at a State Operated Developmental Center

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 12:30 PM - 12:50 PM

Vijay Vasudevan, PhD, MPH , Department on Disability and Human Development, Institute on Disability and Human Development, Chicago, IL
Natasha Spassiani, MS , Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Mary Kay Rizzolo, PhD , Department on Disability and Human Development, Institute on Disability and Human Development, Chicago, IL
Tamar Heller, PhD , Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Amie Lulinski, PhD , Department on Disability and Human Development, Institute on Disability and Human Development, Chicago, IL
As part of the Olmstead ruling, individuals with IDD are to be housed in community settings rather than institutions. Placement of people with IDD within community settings has shown to have a positive impact on the individual’s daily living skills. The purpose of this study was to evaluate behavioral and health outcomes of individuals with IDD one year after moving out of a state operated developmental center (SODC) and compare their outcomes against people who have not moved out of SODCs.

Age-equivalent activities of daily living behavior and health data were collected from individuals who moved from a SODC and individuals who remained at SODCs. Paired t-tests were conducted to evaluate changes for individuals who moved from an SODC.  Analyses were conducted to compare outcomes for people who moved versus stayed at an SODC. Guardian perspectives of those who moved were gathered via mail surveys.

The guardian surveys revealed overall satisfaction with their relative’s current situation (92%). The mean IQ of individuals with IDD was 26.8.  There were significant decreases in age-equivalent motor skills (T=2.15, p<0.05) and ADL support level (T=3.41, p<0.01). Analysis of variance found significant differences in motor skills, social, personal living, community living, and maladaptive behavior by where the individuals moved to (F>2.58, p<0.05). ER use was higher amongst those who moved to the community (χ2 = 14.56, p<0.001).

These results reveal the importance of community level supports for individuals with IDD such as preventative and psychological health care providers. Future studies should use additional behavioral outcomes.

Learning Areas:

Program planning
Public health administration or related administration
Social and behavioral sciences

Learning Objectives:
Discuss the role deinstitutionalization has on the behavior and health of people with IDD. Compare the services that are available to individuals with IDD who are institutionalized versus those who moved.

Keyword(s): Disabilities, Community Health Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a PhD in Disability Studies and am a Postdoctoral Fellow on this study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4219.0: Intellectual And Developmental Disabilities Through The Lifespan