Current services and outcomes of formerly institutionalised and never-institutionalised US adults with intellectual and developmental disabilities: A propensity score matching analysis.
J Appl Res Intellect Disabil
; 36(4): 859-870, 2023 Jul.
Article
em En
| MEDLINE
| ID: mdl-37051716
ABSTRACT
BACKGROUND:
Deinstitutionalization research shows better services and outcomes relative to institutional life but has not compared formerly institutionalised and never-institutionalised service users.METHODS:
We used propensity score matching (PSM) to match formerly institutionalised and never-institutionalised participants on six personal characteristics. Data came from the 2018 to 2019 National Core Indicators In-Person Survey. We excluded current institution residents, and states with 25% + of missing data on former institutionalisation.RESULTS:
Overall, 15.5% of participants in the 29-state full sample had lived in an institution for 1 year or more. Findings from the PSM sample showed that former-institution residents were more likely to use congregate living arrangements and less likely to live with family. They experienced more loneliness, less support-related choice, and had a consistent pattern of disability service-focused social connections.CONCLUSIONS:
Many former institution residents remain disadvantaged relative to matched peers. There is a need to identify factors to enhance services and outcomes following deinstitutionalization.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Deficiências do Desenvolvimento
/
Desinstitucionalização
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Pontuação de Propensão
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Integração Comunitária
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Apoio Comunitário
/
Deficiência Intelectual
Tipo de estudo:
Prognostic_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Appl Res Intellect Disabil
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos