Health issues of older people with intellectual disability in group homes

Journal article

Bowers, Barbara, Webber, Ruth and Bigby, Christine. (2014). Health issues of older people with intellectual disability in group homes. Journal of Intellectual and Developmental Disability. 39(3), pp. 261-269. https://doi.org/10.3109/13668250.2014.936083

Publication dates
Authors	Bowers, Barbara, Webber, Ruth and Bigby, Christine
Abstract	Background This paper explores how group home staff in Victoria, Australia, responded to residents with an intellectual disability (ID) as residents developed age-related health conditions. Method The analysis was based on a longitudinal study that followed 17 ageing group home residents over a 3-year period. Eighty-three interviews were conducted with 30 group home staff in 17 group homes. Dimensional analysis, a variant of grounded theory, guided data collection and analysis. Results Findings revealed that the organisations all had systems in place to address health issues. However, the results also suggest an inability of staff to differentiate between significant health conditions and normal age-related changes, thus contributing to delays in care for serious medical conditions. Conclusions Lack of knowledge about normal ageing and an absence of organisational policies influence timeliness of diagnosis and treatment for people with ID. Group home staff could be more effective advocates for older residents, leading to improvements in health outcomes, if they had basic knowledge about normal ageing and symptoms of common age-related illnesses and if group home agencies provided clearer guidance to their staff. The study has implications for staff education and organisational policy development for group homes.
Keywords	intellectual disability; ageing; group home; health
Year	2014
Journal	Journal of Intellectual and Developmental Disability
Journal citation	39 (3), pp. 261-269
Publisher	Routledge
ISSN	1366-8250
Digital Object Identifier (DOI)	https://doi.org/10.3109/13668250.2014.936083
PubMed ID	25750581
Scopus EID	2-s2.0-84905669961
PubMed Central ID	PMC4348046
Open access	Published as green open access
Page range	261-269
Funder	Australian Research Council (ARC)
	National Center for Advancing Translational Sciences (NCATS), National Institutes of Health
Research Group	School of Arts
Author's accepted manuscript	AM_Bowers_2014_Health_issues_of_older_people_with.pdf License CC BY-NC-ND 4.0 File Access Level Open
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	22 Jul 2014
ARC Funded Research	This output has been funded, wholly or partially, under the Australian Research Council Act 2001
Grant ID	UL1TR000427

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