Service Delivery

Mental health of primary family caregivers with children with intellectual disability who receive a home care programme.

Shu et al. (2002) · Journal of intellectual disability research : JIDR 2002
★ The Verdict

Home-based support services can meaningfully improve the mental health of caregivers of children with intellectual disability.

✓ Read this if BCBAs running home or early-intervention programs for families of children with ID.
✗ Skip if Clinicians who only see adult clients or work in center-only models.

01Research in Context

01

What this study did

B-Oliver et al. (2002) followed caregivers of children with intellectual disability who got a home care program.

After nine months the team checked the parents’ mental health to see if the service helped.

02

What they found

Parents felt better. Their mental health scores improved while the home care team was in place.

03

How this fits with other research

Brown et al. (2011) extends the idea. They showed full-time day or residential services can lift the whole family’s quality of life, not just mood.

Reid et al. (2005) seems to disagree. They found no mental-health gap between moms whose adult children lived at home or in the community. The key difference is child age. Home help helps when kids are young; placement choice matters less once they are grown.

Zeng et al. (2025) updates the picture. They tracked moms for fifteen years and saw stress stay high, peaking in the toddler years. This supports giving home care early and keeping it going.

04

Why it matters

You can’t serve the child without serving the caregiver. Nine months of home visits, nursing help, or respite lifted parent mood in this study. Pair that with later findings and you have a clear plan: start supports early, watch stress across time, and add couple-level help if partner tension is high. If you run early-intervention or home programs, build caregiver mental-health checks into the schedule. One quick screen each quarter can guide extra services before stress becomes chronic.

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Add a five-question caregiver stress sheet to your intake packet and revisit it every three months.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
46
Population
intellectual disability
Finding
positive

03Original abstract

BACKGROUND: The aims of the present study were to describe the change in mental health over time in a group of family caregivers with a child with intellectual disability (ID) and to explore the effect of a home care service on the psychological well-being of the caregiver. METHODS: The authors identified children with ID who received home care services in the southern part of Taiwan. A total of 46 primary family caregivers (age range = 21-65 years) were recruited for the present study. The study design was a quasi-experimental follow-up analysis. The children with ID and their families regularly received home-based care. The 12-item version of the Chinese Health Questionnaire (CHQ) was used to evaluate the subjects' mental health at three time points: (1) baseline, (2) 3 months and (3) 9 months. The validity and reliability of the CHQ have been tested in Taiwan. The Generalized Estimating Equation was used to conduct longitudinal data analyses. RESULTS: The authors found that the family caregivers showed a significant improvement in their mental health by month 9. CONCLUSIONS: The preliminary findings of this study accredit the effect of home care services and suggest that home care services are necessary for family caregivers.

Journal of intellectual disability research : JIDR, 2002 · doi:10.1046/j.1365-2788.2002.00370.x