Special Education Chapter 12 Chapter 12 George Most Likely Receiving Day Habilitation Services

CHAPTER 12

ADULT YEARS

Chapter Outline

I. Residential and Community Living

A. Institutions

C. Family & Independent Living

II. Employment and Occupation

A. Education and Training

III. Interpersonal Relationships

A. Friendship

B. Dating, Marriage, and Sexuality

IV. Aging with Mental Retardation

A. Trends and Demographics

V. Community Involvement

A. Community Acceptance

` 1. Social Security Disability Insurance Program

2. Supplemental Social Security Income Program

D. Risks and Vulnerabilities

VI. Quality of Life

A. Self-Determination

B. Person-centered Planning

VII. Summary

Key Terms

community residential setting

day habilitation

foster home

group home

home and community based services

intermediate care facility for the mentally retarded

Chapter Objectives

Upon completion of this chapter the student will be able to:

1. describe various types of residential arrangements available to people with mental

retardation.

2. identify important considerations in the employability of people with mental retardation.

3. explain the ways in which interpersonal relationships and community involvement can be

affected by mental retardation.

Suggested Activities

1. Ask a person-centered planning leader to conduct an abbreviated person-centered

planning session for the class.

2. Invite a recreational therapist into the classroom to present leisure/recreational issues and

considerations when working with adults who are mentally retarded.

3. Invite an advocate for individuals with mental retardation to discuss the rights of adults

living in residential and community settings.

Evaluation Questions

Multiple Choice

1. Today ______ of people with intellectual disabilities reside in traditional homes outside

the service delivery system.

A. 85 %

B. 75 %

C. 65 %

D. 55 %

2. The most restrictive type of setting for individuals with intellectual disabilities is the

A. community home

B. group home

C. institutional life

D. foster home

3. ______ are state supported facilities designed to accommodate sixteen or more live-in

residents at any one time.

A. community homes

B. group homes

C. public residential facilities (PRFs)

D. community residential settings (CRS)

4. Large group facilities offering medical, nursing, and personal care to individuals with

and without intellectual disabilities are called

A. group homes

B. nursing homes

C. community homes

D. retirement homes

5. Usually ______ care is provided to elderly persons or to people with medically fragile

conditions.

A. group home

B. nursing home

C. home-based

D. supervised

6. According to data, there has been a (n) ______ drop in residency in institutional

settings from the year 1967 to 2000.

A. 81 %

B. 70 %

C. 63 %

D. 43 %

7. In 2002, only ______ of all PRF residents were 21 years of age or younger, compared

to 49 % in 1965.

A. 30 %

B. 20 %

C. 15.5 %

D. 4.5 %

8. More than half of today’s PRF residents are between the ages of ______ years old.

A. 65-80

B. 40-62

C. 35-40

D. 25-35

9. Both new admissions and readmission to PRFs tend to have higher levels of

A. health problems

B. supports

C. cognitive functioning

D. emotional maturity

10. ______ are located in a traditional residential neighborhood and have 15 or fewer

residents.

A. community residential setting (CRS)

B. public residential facilities (PRFs)

C. private homes

D. all of the above

11. Facilities that serve as a residential hybrid between the large PRFs and the small

family-type homes are

A. nursing homes

B. ICF/MRs

C. community homes

D. CRS

12. Kyunghee lives in a supervised apartment with her roommate Linda. This

arrangement is most appropriately called

A. ICF/MR placement

B. CRS

C. community home placement

D. supported living setting

13. Traditional family homes that are licensed by the state to provide care for a person

who cannot live in their own family home are called

A. adoptive homes

B. foster homes

C. group homes

D. community homes

14. The most common community living arrangement available to adults with mental

retardation and developmental disabilities are

A. foster homes

B. adoptive homes

C. group homes

D. community homes

15. Inez is a female with an intellectual disability who lives in a house in a residential

neighborhood with eight other women. She and her house-mates receive assistance

from two live-in counselors. Inez lives in a

A. foster home

B. halfway house

C. group home

D. community home

16. Henry is a sixty-one year-old man who lives at home with his sister. Henry is able to

receive nursing care for hypertension and behavioral intervention for problems with

anger. Henry is most likely receiving

A. home and community -based services (HCBS)

B. community service systems

C. nursing care

D. ICF/.MR services

17. Nia would like to buy a home, but she is an individual with an intellectual disability.

Who should Nia contact to help her with this feat?

A. HCBS

B. community service systems

C. ICF/MR services

D. HOYO

18. Which of the following programs provide daytime activities for individuals who

require continuous supervision?

A. day habilitation programs

B. HOYO

C. community outreach

D. sheltered workshops

19. Which of the following are designed to meet the needs of adults who do not yet have

the skills for the workplace?

A. day habilitation programs

B. supported employment

C. community outreach

D. sheltered workshops

20. George is an individual with mild intellectual disabilities who just obtained a job in a local

movie theater. He has a job coach to assist him with learning the new tasks of the job, such

as safe food handing and operating the cash register. George is most likely receiving

A. day habilitation services

B. supported employment

C. community outreach

D. workshop training

21. Rabasca (1999) reported that as many as 70% of persons with severe cognitive and

physical disabilities are

A. unemployed

B. employed

C. receiving supports

D. institutionalized

22. According to data, as recently as the 1930s life expectancy was nineteen years. In

1993 it was estimated at

A. 72 years

B. 66 years

C. 54 years

D. 40 years

23. One of every three persons with intellectual disabilities in the United States has

expressed a need for ______, but is unable to acquire it.

A. love

B. friendship

C. recreation

D. employment

24. In _______ the person should be enabled to express his or her own goals and

outcome assessment should be based upon the movement made toward attaining

these goals.

A. quality of life

B. self-determination

C. goal orientation

D. person-centered planning

25. What program offers monthly cash benefits to persons and the dependents of persons

sixty-five years of age and younger who were previously insured and who left the

workforce because of a disability?

A. Social Security Disability Insurance Program (SSDI)

B. Supplemental Social Security Income (SSI)

C. Medicare

D. Medicaid

26. Ethel is sixty-eight years old and in hospice care. She left the workforce at age 50

due to health. Ethel would most likely receive health insurance coverage through

A. private insurance

B. Medicaid

C. Medicare

D. SSI

27. Mental retardation increases the risk for all types of

A. criminal activities

B. abuse

C. sexual behaviors

D. all of the above

28. The degree to which a person feels in control of his or her life, and is happy with the

way life is going is called

A. quality of life

B. locus of control

C. contentment

D. self-determination

29. Brad is a thirty-six year-old man with mild intellectual disabilities who would like to

make decisions for his future, such as where he should live and work. This is called

A. person-centered planning

B. quality of life

C. self-determination

D. all of the above

30. Mr. Lee has assisted Cecily, an individual with intellectual disabilities in obtaining

employment at a restaurant, as well as finding transportation to and from work. In

addition, he has introduced her to her best friend. Mr. Lee is most likely Cecily’s

A. advocate

B. counselor

C. attorney

D. supervisor

True or False

Directions: If the statement is true, simply mark True. If the statement is false, mark

False and rewrite the statement so that it is true.

1. Today’s institutional residents are more likely to have severe forms of intellectual

disabilities or to have significant functional impairments or concurrent sensory,

neurological, or psychiatric conditions.

a. True

b. False

________________________________________________________________________

2. Persons with intellectual disabilities have fewer friends than persons without intellectual

disabilities.

a. True

b. False

________________________________________________________________________

3. Recreational services are readily available and often acquired by persons with intellectual

disabilities who want them.

a. True

b. False

________________________________________________________________________

4. The majority of adults with intellectual disabilities live in regular homes outside the

realm of any residential service system.

a. True

b. False

________________________________________________________________________

5. People with intellectual disabilities are not appropriate for a college or university setting.

a. True

b. False

________________________________________________________________________

6. For individuals with intellectual disabilities, sex education has often centered around

body part identification and personal hygiene.

a. True

b. False

________________________________________________________________________

7. There are findings that people with intellectual disabilities are at an increased risk for

pregnancy and sexually transmitted diseases.

a. True

b. False

________________________________________________________________________

8. Individuals with intellectual disabilities have organized themselves into an advocacy

group called People First.

a. True

b. False

________________________________________________________________________

9. People with intellectual disabilities are experimenting with drugs at a higher rate than

those without intellectual disabilities.

a. True

b. False

________________________________________________________________________

10. Supported employment provides services to individuals with intellectual disabilities as

well as other disabilities.

a. True

b. False

________________________________________________________________________

Discussion

1. Discuss the difference between Social Security Disability Income (SSDI) and

Supplemental Social Security Income (SSI) programs.

2. Discuss the difference between Medicare and Medicaid.

3. Discuss the various types of advocacy services used for individuals with intellectual

disabilities.

4. Discuss the various types of residential arrangements available to people with intellectual

disabilities.

5. Discuss the major changes that have occurred in the residential living patterns of adults

with intellectual disabilities.

6. Discuss how the graying of America is affecting individuals with intellectual disabilities

and their caregivers.

7. Discuss factors that contribute to a person’s likelihood for success in community

residential environments.

8. Corinne is a thirty-year-old female with mild intellectual disabilities and Down

syndrome. She currently lives with her parents. Although Corinne is capable of doing

things for herself, her mother usually takes charge in every aspect of her life. Corinne

has verbalized to her mother that she would like to move into supervised apartments and

join the workforce. Identify risks to self-determination and quality of life for Corinne in

her current life situation.

Answer Sheet

Multiple Choice True or False