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Chapter 46 - Aging in adults with intellectual disabilities and severe and persistent mental illness

from Section IV - Principles of care for the elderly

Published online by Cambridge University Press:  05 June 2016

By
Jan S. Greenberg ,
Marsha R. Mailick  and
Eun Ha Namkung
Edited by
Jan Busby-Whitehead ,
Christine Arenson ,
Samuel C. Durso ,
Daniel Swagerty ,
Laura Mosqueda ,
Maria Fiatarone Singh  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

Although they are distinct populations, older persons with intellectual disabilities (ID) and older persons with severe and persistent mental illness (SPMI) share a variety of characteristics that affect their clinical needs and, hence, their interactions with community-based health care practitioners. Physical comorbidity is the rule for older persons with intellectual disabilities and serious and persistent mental illnesses. Several promising evidence-based programs such as health education, health screenings, and healthy lifestyle changes through exercise and nutrition have been demonstrated to improve the quality of life of older adults with disabilities and reduce the long-term medical burden of care. Health promotion should be a cornerstone of care for older patients with disabilities. The family provides a safety net of support for older adults with disabilities, as significant numbers of older adults with ID and SPMI live with their families. Even when they live apart, family members provide high levels of support. These families face significant challenge as the caregivers themselves age, and long-term caregiving takes a toll on their health and well-being.
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 640 - 650
Publisher: Cambridge University Press
Print publication year: 2016

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