Service Delivery

Residential transitions among adults with intellectual disability across 20 years.

Woodman et al. (2014) · American journal on intellectual and developmental disabilities 2014
★ The Verdict

Stronger daily-living skills and a quiet early move history keep adults with ID in one home for decades.

✓ Read this if BCBAs writing adult transition or waiver plans.
✗ Skip if Clinicians who only serve early-childhood cases.

01Research in Context

01

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.

02

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.

03

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.

04

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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Pull the most recent adaptive-behavior scores—if daily-living is low and the person has moved in the last year, schedule extra skill-building before the next placement search.

02At a glance

Intervention
not applicable
Design
other
Sample size
378
Population
intellectual disability, down syndrome
Finding
not reported

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