Service Delivery

Housing and Long-Term Services and Supports for People With Intellectual or Developmental Disabilities From Racially and Culturally Minoritized Communities.

Larson et al. (2024) · Intellectual and developmental disabilities 2024
★ The Verdict

Racial disparities in IDD housing are real and measurable—start auditing your own referral chain today.

✓ Read this if BCBAs who make residential or day-program referrals for adults with IDD.
✗ Skip if Practitioners who only serve privately funded clients with no Medicaid involvement.

01Research in Context

01

What this study did

McQuaid et al. (2024) pulled together every paper they could find on housing and long-term supports for people with intellectual or developmental disabilities.

They focused on people from Black, Latino, Asian, and other racially minoritized groups.

The review was presented as a conference strand summary, so it reads like a field report rather than a single experiment.

02

What they found

The team found clear evidence of disparities. Minoritized people with IDD get fewer housing choices and lower-quality long-term services.

The authors say we need new research tools and better staff training to close these gaps.

03

How this fits with other research

Magaña et al. (2012) extends this story to pediatric health care. They show Black and Latino children with autism receive markedly lower-quality medical care than White children.

Slayter (2010) adds another layer: adults with IDD on Medicaid access drug treatment at far lower rates. Together, these studies form a chain—health care, substance treatment, and now housing all show the same racial pattern.

Hassin-Herman et al. (1992) seems to contradict the gloom. Their data say small community homes produce better outcomes than large facilities. The key difference is race. The 1992 study did not break results down by racial group, so it missed the access gap A et al. now expose. Better quality exists, but it is not equally shared.

04

Why it matters

You may already track clinical progress, but are you tracking who gets the best homes? Use intake forms to record race and language, then audit wait-list times and placement quality. If you see gaps, flag them during team meetings and push for policy fixes. Small data moves now can prevent lifelong service inequities later.

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Add race and primary language fields to your referral tracking sheet and review the last ten placements for evenness.

02At a glance

Intervention
not applicable
Design
narrative review
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

This article describes research on the places people with intellectual and developmental disabilities (IDD) live and disparities in housing and long-term services and supports (LTSS) outcomes for people with IDD from racially and culturally minoritized groups. It also summarizes the conclusions and recommendations of the Housing and Long-Term Services and Supports strand of the 2022 State of the Science Conference on the Intersection of Diversity, Equity and Inclusion and Supports and Services for People with IDD, identifies limitations of the available research and recommends strategies to improve research, knowledge translation, and practices.

Intellectual and developmental disabilities, 2024 · doi:10.1352/1934-9556-62.3.200