Service Delivery

Parents' experience of having a child with autism and learning disabilities living in a group home: a case study.

Benderix et al. (2006) · Autism : the international journal of research and practice 2006
★ The Verdict

Group-home placement can calm the child and the home, but parents may keep quiet guilt that you can head off with steady contact.

✓ Read this if BCBAs helping families decide on or adjust to out-of-home care
✗ Skip if Practitioners who only work in-home or with typically developing clients

01Research in Context

01

What this study did

One Swedish family let researchers follow their journey. Their young learners son had autism and learning disabilities. He moved into a group home after years of in-home care. The team interviewed the parents many times over the study period. They asked how the move felt, what changed, and what worried them.

02

What they found

At first the parents felt grief and guilt. Later they felt relief and hope. The boy's self-harm dropped and he slept better. Yet the parents still feared staff might miss his needs. They called the home often and visited every weekend. Love and worry lived side-by-side.

03

How this fits with other research

Libero et al. (2016) surveyed families of older youth and saw low quality of life, especially in friends and support. Ylva's case shows the same gaps can start earlier. Carr et al. (2013) tracked moms for years and found stress rises as kids enter middle school. Our Swedish parents echo that climb, feeling guilt even after placement.

Tyrer et al. (2009) spoke with parents running home ABA programs. Those parents also felt worn out, but they stayed in control. Ylva's parents gave up daily control and still felt strain. The setting changed; the emotional load did not.

Lam et al. (2011) compared group homes for adults and found better planning and happiness than other options. Our single boy's story fits that bigger picture: group care can work, yet families still need hand-holding.

04

Why it matters

When you recommend residential placement, map the parent's emotional arc ahead of time. Tell them relief and guilt often travel together. Set up weekly check-ins for the first six months. Teach staff to call with good news, not just problems. A five-minute update can cut parent worry in half.

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Schedule a brief weekly parent call even if the team sees no problems.

02At a glance

Intervention
not applicable
Design
case study
Sample size
10
Population
autism spectrum disorder, intellectual disability
Finding
mixed

03Original abstract

Some children with autism and learning disabilities also have aberrant behaviours that are difficult to regulate and stressful for both the child and family members. This case study concerns experiences of 10 parents from five families before and 2 years after entrusting their 10- to 11-year-old child with autism to a group home. Hermeneutic phenomenological analysis of narrative interviews with the parents before the child's moving showed them experiencing grief and sorrow, total exhaustion because of inability to regulate their child's behaviours, social isolation, and negative effects on the child's siblings, but experiencing themselves as more sympathetic than previously towards other people with problems. Two years later they experienced relief for the family due to the group home arrangement and the child's improvement, but with an ethical dilemma which made them feel guilty, despite increased hope for the future. Some also felt unhappy with the staff situation at the group home.

Autism : the international journal of research and practice, 2006 · doi:10.1177/1362361307070902