Service Delivery

Social inclusion and community participation of individuals with intellectual/developmental disabilities.

Amado et al. (2013) · Intellectual and developmental disabilities 2013
★ The Verdict

Inclusion research over-represents agency clients; stretch your assessments to self-advocates and community attitudes.

✓ Read this if BCBAs writing community-participation goals for adults with IDD.
✗ Skip if Clinicians who work only with young children in home-based ABA.

01Research in Context

01

What this study did

Amado et al. (2013) read every paper they could find on social inclusion for people with intellectual or developmental disabilities.

They did not run a new experiment. They simply mapped what had and had not been studied.

Their big worry: most research tracks only people who use paid day or residential programs.

02

What they found

The review found huge blind spots. We know little about self-advocates who live in their own homes.

We also know little about what neighbors, store clerks, or faith groups think about inclusion.

In short, the literature describes services, not real community life.

03

How this fits with other research

Matson et al. (2009) showed that transport and public acceptance are the main environmental barriers. Novak et al. agree and add that we barely measure those attitudes.

Slater et al. (2020) later proved Novak right by surveying thousands of citizens. Higher education and prior contact predicted warmer support for inclusion.

van der Miesen et al. (2024) delivered hard numbers: 78 % of UK health studies still lock out adults with ID. This extends Novak’s gap into medical research.

Rosencrans et al. (2021) offers the fix. Partner with primary-care clinics and clubs to reach the 59 % of adults with IDD who use no services.

04

Why it matters

If you write goals for community participation, check where your data come from. Most studies sample agency clients, so their barriers may not fit self-advocates who already live independently. Use Rosencrans et al. (2021) tactics—tap libraries, churches, and general-practice waiting rooms—to hear the silent majority. Then target the attitude and transport barriers flagged by Matson et al. (2009) and Slater et al. (2020).

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Add one question about public transport and one about neighbor attitudes to your next community-participation assessment.

02At a glance

Intervention
not applicable
Design
narrative review
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

As more individuals with intellectual/developmental disabilities are physically included in community life, in schools, neighborhoods, jobs, recreation, and congregations, the challenge of going beyond physical inclusion to true social inclusion becomes more apparent. This article summarizes the status of the research about community participation and social inclusion, summarizes some debates and points of contention, notes emerging research issues, and highlights needed areas of research. It is clear that most research on these topics has been conducted with individuals who are in paid formal services, and there are great needs for understanding the community participation of individuals who live on their own or with their families, as well as researching social inclusion by focusing on the attitudes and experiences of community members themselves, not just individuals with disabilities and paid providers.

Intellectual and developmental disabilities, 2013 · doi:10.1352/1934-9556-51.5.360