Natural supports: the impact on people with intellectual and developmental disabilities’ quality of life and service expenditures
- 11 January 2021
- journal article
- research article
- Published by Taylor & Francis Ltd in Journal of Family Social Work
- Vol. 24 (2), 118-135
- https://doi.org/10.1080/10522158.2020.1861158
Abstract
Natural supports are informal (unpaid) relationships that support people with intellectual and developmental disabilities (IDD) in their natural environments and communities. A wide range of people can serve as natural supports for people with IDD, such as family (both biological and chosen), friends, neighbors, community members, etc. Natural supports can positively impact people’s relationships, and community integration. The aim of this study was to examine the connection between natural supports for people with IDD, quality of life, and service expenditures. To do so, we analyzed secondary Personal Outcome Measures® quality of life data and service expenditure data (n = 251) using linear regression models. Our findings suggest people with IDD with natural supports have a better quality of life than people without natural supports. In addition, LTSS service expenditures were $20,000 lower on average for people with IDD with natural supports compared to people without natural supports, regardless of their demographics. As such, we believe natural supports have the potential to improve people with IDD’s lives, build their relationships, and help them integrate into their communities. However, there is danger in utilizing natural supports in lieu of formal services solely for cost-cutting, particularly in a service system that is already underfunded.Keywords
This publication has 21 references indexed in Scilit:
- The Influence of Residence Type on Personal OutcomesIntellectual and Developmental Disabilities, 2019
- The personal outcome measures ®Disability and Health Journal, 2018
- A National Analysis of Medicaid Home and Community Based Services Waivers for People With Intellectual and Developmental Disabilities: FY 2015Intellectual and Developmental Disabilities, 2017
- Friendships and Intimate Relationships among People with Intellectual Disabilities: A Thematic SynthesisJournal of Applied Research in Intellectual Disabilities, 2016
- ‘Wishing to go it alone’: the complicated interplay of independence, interdependence and agencyDisability & Society, 2015
- Age of Persons Supported and Factors Predicting Intended Staff Turnover: A Comparative StudyInclusion, 2014
- Work accommodations and natural supports for maintaining employment.Psychiatric Rehabilitation Journal, 2014
- The role of ‘natural supports’ in promoting independent living for people with disabilities; a review of existing literatureBritish Journal of Learning Disabilities, 2013
- The influence of supports strategies, environmental factors, and client characteristics on quality of life-related personal outcomesResearch in Developmental Disabilities, 2012
- Locating Self-advocacy in Models of Disability: Understanding disability in the support of self-advocates with learning difficultiesDisability & Society, 1997