Service Delivery

Parents' perceptions of postschool years for young adults with developmental disabilities.

Bianco et al. (2009) · Intellectual and developmental disabilities 2009
★ The Verdict

Parents still run the post-school service system—your plans should lighten their load, not add to it.

✓ Read this if BCBAs writing transition plans for teens with developmental disabilities.
✗ Skip if Clinicians who only serve early-childhood cases.

01Research in Context

01

What this study did

Bianco et al. (2009) talked with parents of young adults who had developmental disabilities.

The young adults had just left school.

Parents told stories about what they do every day to keep their son or daughter safe and busy.

02

What they found

Parents said they wear four hats at once.

They fight for services, teach daily skills, watch for danger, and push agencies to change rules.

These jobs overlap all day, every day, with little outside help.

03

How this fits with other research

Sosnowy et al. (2018) asked both parents and autistic youth the same question.

They found the same heavy load on parents, but youth added their own goals like making friends or gaming clubs.

The picture is bigger than parents alone.

Whaling et al. (2025) talked to caregivers sixteen years later.

Barriers are still high, money is still tight, and parents still run the show.

The role has not shifted to paid staff or better systems.

Gauthier-Boudreault et al. (2017) looked at adults with profound ID.

Those parents reported even starker gaps in diapers, transport, and respite.

The lighter the disability, the more parents focus on jobs and college; the deeper the disability, the more they hunt for basic care.

04

Why it matters

If you write transition plans, list the unpaid jobs parents already do.

Build goals that reduce that load, not add to it.

Add objectives for caregiver training, respite vouchers, and sibling support.

When you measure success, count parent stress and free time, not just client skills.

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Add one goal that gives the parent a break—respite voucher, sibling training, or paid caregiver hand-off.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
9
Population
developmental delay
Finding
not reported

03Original abstract

This qualitative study investigated parents' perceptions of the various roles they played in their adult children's lives during the post-high school years. Individual face-to-face interviews were conducted with 9 families of young adults with developmental disabilities. Findings indicated that families perceived the complexity of their roles as balancing between advocating for their adult children's needs while promoting independence and self-determination. The roles parents assumed as their children entered into adult life were those of collaborators, decision makers, and program evaluators, role models, trainers, mentors and instructors, and systems change agents. Parents often felt they were the safety net for their children and the back-up plan for service agencies. Parents' quotes illustrated the complexity of the roles they played as their young adult children with developmental disabilities entered adulthood.

Intellectual and developmental disabilities, 2009 · doi:10.1352/1934-9556-47.3.186