Service Delivery

Respite Support From Adolescence to Adulthood in Families of People With Neurodevelopmental Disorders.

Tafolla et al. (2025) · Intellectual and developmental disabilities 2025
★ The Verdict

Youth who speak well lose respite hours fastest as they age, so keep it written into adult plans.

✓ Read this if BCBAs writing transition plans for teens with autism or ID.
✗ Skip if Clinicians serving only adults already placed in long-term residential care.

01Research in Context

01

What this study did

Tafolla et al. (2025) tracked respite support for families raising teens and young adults with neurodevelopmental disorders. They looked at who got respite, how often, and whether it stayed steady as the youth aged.

The team focused on caregivers of transition-age youth. They compared respite use between families whose son or daughter had lower verbal skills and those with stronger verbal skills.

02

What they found

Families of youth who spoke little or not at all received respite more often and kept it longer. Their respite did not drop off as the teen became an adult.

Household-member respite—help from relatives or friends living in the home—faded as the youth got older, no matter the verbal level.

03

How this fits with other research

van Schrojenstein Lantman-de Valk et al. (2006) first showed that service gaps widen during the teen years. Maira’s numbers now prove respite is one of those gap-prone services, especially for youth who speak well.

Gur et al. (2020) found caregiver stress and loneliness rise after high-school exit. Maira links that stress to a real drop in day-to-day help inside the home.

Samuel et al. (2024) showed peer support lifts quality of life for older caregivers. Together the three studies build a timeline: respite slips, stress grows, then peer programs help—if you can find one.

04

Why it matters

If you write transition plans, check verbal level when you list respite needs. Youth who speak well may look “low priority” on paper, yet their families lose help fastest. Add a line that keeps in-home respite on the plan even after age 18. One extra sentence can preserve hours of relief that parents count on.

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Open each teen’s plan, find the respite line, and add an 18-plus continuation note.

02At a glance

Intervention
not applicable
Design
other
Sample size
126
Population
mixed clinical
Finding
not reported

03Original abstract

Respite is a priority for caregivers of people with neurodevelopmental disabilities across the lifespan. The present study aimed to characterize respite availability and frequency of use among 126 caregivers of young people with neurodevelopmental disabilities (from ages 16-22) using an ongoing longitudinal sample. Results indicated that the availability of respite support was greater and more consistent over time for caregivers of those with lower verbal abilities compared to those with higher verbal abilities. On average, the frequency of respite use from household members declined over time, with overall higher frequency of use reported by caregivers of those with a lower verbal intelligence quotient (VIQ). Our findings indicate that respite remains an important resource for caregivers of young people with neurodevelopmental disabilities well into adulthood, particularly for those caring for higher needs individuals.

Intellectual and developmental disabilities, 2025 · doi:10.1352/1934-9556-63.5.414