Residential transitions among adults with intellectual disability across 20 years.
Stronger daily-living skills and a quiet early move history keep adults with ID in one home for decades.
01Research in Context
What this study did
Leung et al. (2014) followed adults with intellectual disability for 10–20 years. They counted every residential move and looked for patterns.
The team asked: who keeps moving and who stays put? They checked adaptive skills, Down syndrome status, and early family moves.
What they found
Moves were all over the map. Some adults moved many times; others never moved.
Better daily-living skills and fewer early family moves predicted stable homes. Down syndrome alone did not predict moves.
How this fits with other research
Leung et al. (2011) asked adults where they want to live. They wanted small, familiar places near friends. C et al. show that people with stronger skills are the ones who actually keep those stable homes.
Laxton et al. (2026) add a health twist. Adults in community homes sit almost eight hours a day. C et al. help you spot who is likely to stay in those homes long enough to benefit from a movement program.
Tichá et al. (2012) found that smaller homes give more daily choices. C et al. show that the same skilled people who stay put are probably the ones who can use that choice.
Bauman et al. (1996) saw ADL skills drop after age 60 in facility settings. C et al. imply that when skills fade, another move may be coming—plan early.
Why it matters
Use adaptive-behavior scores and move history to flag risk. If an adult has weak skills and already moved twice, start extra supports now. Push for housing near friends and with aging-in-place options so the next home can be the last one.
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02At a glance
03Original abstract
The present study addresses critical gaps in the literature by examining residential transitions among 303 adults with intellectual disability (ID) over 10 years (Part 1) and 75 adults with Down syndrome over 20 years (Part 2). All adults lived at home at the start of the study, but many moved to a variety of settings. Several characteristics of the adults with ID differed across settings, most notably adaptive behavior and the number of residential transitions, whereas characteristics such as age, type of disability, and behavior problems were less predictive of residential placements. The number of moves over the course of the study varied widely, with critical links to earlier family dynamics, social relationships, and health and adaptive behavior.
American journal on intellectual and developmental disabilities, 2014 · doi:10.1111/j.1540-5834.2006.00404.x