Service Delivery

Perspectives on health care of adults with developmental disabilities.

Parish et al. (2008) · Intellectual and developmental disabilities 2008
★ The Verdict

Adults with developmental disabilities feel healthy yet still miss vital dental, cancer, and reproductive services.

✓ Read this if BCBAs serving adults with DD in day or residential programs.
✗ Skip if Clinicians who only treat typically developing clients.

01Research in Context

01

What this study did

Matson et al. (2008) ran focus groups with adults who have developmental disabilities.

They asked how these adults feel about their health care.

02

What they found

Most adults said they feel healthy overall.

Yet many missed dental cleanings, cancer tests, and reproductive care.

03

How this fits with other research

Ummer-Christian et al. (2018) and Pimentel Júnior et al. (2024) show the same dental gap in kids and autistic clients.

Turk et al. (2010) later found nurses also report missed cancer screenings for the same adults.

Together these papers build a life-span picture: dental and cancer services stay hard to get even as people age.

04

Why it matters

If you serve adults with DD, do not trust a clean bill of health at face value. Ask about last dental visit, Pap test, or colon kit. Add a goal for caregiver advocacy training so families know how to book these visits and request simple accommodations like longer visits or picture schedules.

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Add a checklist question: When was your last dentist visit?

02At a glance

Intervention
not applicable
Design
qualitative
Population
developmental delay
Finding
not reported

03Original abstract

A focus group study was conducted with individuals with developmental disabilities to understand their perspectives on their health status, health promotion behaviors, and health care services they receive. The majority of participants reported good to excellent health, and all had some form of medical insurance. However, participants reported notable gaps in dental and reproductive health care and age-specific cancer screening. Some adults had good access to medical care, particularly those with a family member or friend who served as their health advocate. Some adults had a sound understanding of their health and health care needs. Program and policy implications are discussed and recommendations are presented to ensure adequate health care for adults with disabilities, including health advocacy training for caregivers.

Intellectual and developmental disabilities, 2008 · doi:10.1352/2008.46:411-426