Service Delivery

Cross-national comparisons of ageing mothers of adults with intellectual disabilities.

Seltzer et al. (1995) · Journal of intellectual disability research : JIDR 1995
★ The Verdict

Country rules and culture shape an ageing mother’s stress more than how long she has cared for her adult child with ID.

✓ Read this if BCBAs who coordinate adult services or counsel families on long-term planning.
✗ Skip if Clinicians only running short early-intervention sessions with toddlers.

01Research in Context

01

What this study did

The team mailed surveys to ageing mothers of adults with intellectual disability in three places: Ireland, Northern Ireland, and the United States.

They asked about daily care burdens, future plans, and emotional well-being.

The goal was to see if lifelong caregiving feels the same everywhere or if country rules and culture change the experience.

02

What they found

Mothers did not report the same stress levels or hopes in each country.

Culture, pension rules, and service systems shaped their answers more than the simple fact that their adult child still needed care.

In short, place mattered more than length of caregiving.

03

How this fits with other research

Gur et al. (2020) later asked the same kinds of questions inside Israel. Jewish and Arab caregivers lived under one government but used different services and felt different strains. Their work extends the 1995 idea: culture shapes caregiving even within one nation.

DeLeon et al. (2003) sketched a life-course map before the 1995 survey happened. That paper said, "Think of caregiving as stages, not one flat job." The survey data filled that map with real numbers from three countries.

Ku et al. (2022) looked at parents of younger children with disabilities in the U.S. and South Korea. They also found country beats diagnosis: American parents backed physical activity more than Korean parents. The pattern repeats across age groups.

04

Why it matters

When you meet a family, ask where they are from and what their local system offers. Do not assume years of care equal burnout. A mother with strong day services and pension support may feel safer than one with fewer years but no help. Tailor your resource list to the family’s cultural and policy context, not just the diagnosis.

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Add two questions to your caregiver intake: "What formal supports does your country provide?" and "What cultural expectations shape your family decisions?" Then match referrals to those answers.

02At a glance

Intervention
not applicable
Design
survey
Population
intellectual disability
Finding
not reported

03Original abstract

Ageing (55+ years) mothers of adults with intellectual disabilities in the Republic of Ireland, Northern Ireland and the United States were compared with respect to three general issues. Firstly, to what extent do the adults in these three countries differ in their level of reliance on their mothers? Secondly, do the mothers differ in the extent to which they have made plans for the future care of their son or daughter with intellectual disabilities? Thirdly, do the mothers differ in physical, social and psychological well-being? These cross-national comparisons were undertaken to examine the extent to which lifelong caregiving has either a common influence on mothers across national boundaries, or, alternatively, whether the cultural context exerts a unique influence on mothers in each country. Findings supported the latter explanation, even when background characteristics were statistically controlled.

Journal of intellectual disability research : JIDR, 1995 · doi:10.1111/j.1365-2788.1995.tb00545.x