Published online by Cambridge University Press: 19 May 2010
The present generation of older persons with developmental disabilities are survivors. They are also often referred to as pioneers. In effect though, they are persons who have no role models as they and others close to them anticipate the challenges of their later years of life.
INTRODUCTION
For the first time in our nation's history, a significant number of older adults with developmental disabilities (DD) are living in community settings and turning to community-based physicians for care, but information to guide physicians is limited. According to the U.S. Centers for Disease Control and Prevention (CDC):
Developmental disabilities are a diverse group of severe chronic conditions that are due to mental and/or physical impairments. People with developmental disabilities have problems with major life activities such as language, mobility, learning, self-help, and independent living. Developmental disabilities begin anytime during development up to 22 years of age and usually last throughout a person's lifetime.
The CDC statement reflects the federal statutory definition of DD as codified in Public Law 106–402, The Developmental Disabilities Assistance and Bill of Rights Act of 2000. The federal definition notes that most individuals with DD will require special services, supports, and other forms of assistance throughout their lives. Mental retardation, now generally referred to as intellectual disability (ID), autism spectrum disorders, cerebral palsy, hearing loss, and vision impairment are among the most common DD.
In previous generations, only a small proportion of individuals with DD survived into older adulthood and they generally lived in large state institutions where physicians who were removed from mainstream health care systems managed their care.
To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.