Service Delivery

Exploring the Perspectives of Parents and Siblings Toward Future Planning for Individuals With Intellectual and Developmental Disabilities.

Lee et al. (2019) · Intellectual and developmental disabilities 2019
★ The Verdict

Adults with IDD and their families need structured support to plan caregiving transitions—especially sibling involvement and open communication.

✓ Read this if BCBAs who attend ISP meetings or run adult day programs.
✗ Skip if Clinicians who only serve early-childhood cases.

01Research in Context

01

What this study did

Lee et al. (2019) sat down with families who have an adult with intellectual or developmental disabilities.

They asked parents and brothers or sisters to talk about who will care for the adult later in life.

The team recorded the talks and looked for common worries and roadblocks.

02

What they found

Families feel stuck. They do not know how to start planning for future caregiving.

Parents worry services will vanish. Siblings are unsure if they can take over.

Paperwork, long waits, and staff turnover make the fear worse.

03

How this fits with other research

Crossman et al. (2018) showed that parent-youth teams do better when they set goals together. Eun’s study widens the lens: after the youth years, the same team still needs a map, but now the system offers even less help.

Jarrold et al. (1994) tried a class that taught adults with ID about retirement. The class filled knowledge gaps but did not calm fears. Eun’s findings echo the gap: information alone is not enough; families also need steady relationships and clear next steps.

McDonald (2012) let adults with IDD speak for themselves. They asked to be treated as partners, not cases. Eun’s families want the same respect from agencies, yet they rarely get it.

04

Why it matters

You can open the conversation early. Invite siblings to the next ISP meeting. Ask the adult with IDD what living situation feels safe. Write one next step on a shared calendar. Small moves today prevent a crisis when parents can no longer provide care.

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→ Action — try this Monday

Schedule a 15-minute sibling check-in during the next team meeting to list one future caregiving task they feel ready to try.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
20
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

Parents often provide the bulk of caregiving supports for their adult offspring with intellectual and developmental disabilities (IDD). Given the longer lives of people with IDD, however, such caregiving roles may transition to siblings. Thus, it is critical to conduct future planning among family members (e.g., parents, siblings) to prepare for the transition of caregiving roles. To this end, we interviewed 10 parent-sibling dyads (N = 20) of people with IDD about long-term planning. Both parents and siblings reported family-related and systemic barriers to developing future plans. Siblings (unlike parents) reported wanting more communication among family members about planning. Implications for future research and practice are discussed.

Intellectual and developmental disabilities, 2019 · doi:10.1352/1934-9556-57.3.198