Disable children’s parents cut to make care plans

The necessity of care plans for disabled children.

Meghan Burke - professor of special education
Fewer than half of parents of children with disabilities develop plans to ensure that their child’s needs will be met in the event of the parent’s or other caregiver’s death, University of Illinois special education professor Meghan Burke found in a recent nationwide survey. Photo by L. Brian Stauffer

A web-based national study about the planning of parents for their disabled children’s care put perplexed results. It says less than half of parents of children with intellectual and developmental disabilities make prolonged plans about who will take over their child’s care if the parent or other relative providing care dies or becomes incapacitated.

In this study, more than 380 parents, primarily mothers, of individuals with disabilities participated. The parents who answered to the survey ranged in age from 40 to 83, and their offspring with disabilities were ages 3 to 68.

Parents in the study were asked whether they had completed 11 queries related to planning for their child’s prolonged necessities, like finding a devisee to the present family caregiver, researching residential programs or establishing a special-needs trust.

More than 12 percent of the parents who participated responded that they had taken none of these actions to confirm that their child’s necessities would be met if the presently responsible caregiver died or was otherwise unable to continue assisting the adult or minor child with disabilities.

The study’s lead author, Meghan Burke, a professor of special education at the University of Illinois said, because people with disabilities are living longer, they are increasingly outliving their parents, and planning for their future care should begin as early as possible.

Burk added adults with intellectual or developmental disabilities are significantly more likely to be placed in institutional settings if care plans are not in place when the parent providing care dies or becomes too old or too ill to continue.

Further stated, “It affects everyone in the family when you don’t have plans in place.”

“You are more likely to face a crisis situation where the person has to move out of the family home, be uprooted and have their routines disrupted. A sibling, most likely, will have to jump in and pick up the reins caring for the person with disabilities – while, at the same time, both siblings are having to face their parent’s mortality.”

Investigation mentioned that more than 77 percent of the individuals with disabilities lived with their parents or with another relative, while 17 percent lived independently with support and 6 percent lived in group homes.

Some parents indicated that their planning efforts were thwarted by interpersonal conflicts like dissidents with the other parent about what should happen, or by family members’ disapproval to discuss alternative arrangements.

According to study more than 7 percent of the parents, the topic was too “emotionally loaded” or stressful for family members to talk about.

Burke said while more than half of the parents had involved in three planning activities, such as locating an attorney and discussing future care plans with the child or other family members, their actions were aspirational rather than conclusive.

Lastly, the definitive actions comprise making residential arrangements or writing a letter of intent to guide future caregivers or legal guardians in making decisions about the types of care the person with disabilities ought to receive.

Financial constraints were exceptional barriers to succession planning for more than 46 percent of families. However, according to more than 61 percent of parents in the study, was the dearth of residential, employment and recreational services that suited their child’s particular necessities and potentialities.

Burke stated, “In Illinois alone, there are more than 20,000 people with disabilities on waiting lists for services.”

“Nationally, 75 percent of people with intellectual and developmental disabilities don’t have access to formal services. It may be that many families think why to plan for services when there are no services currently available to them.”

A large number of parents, more than 39 percent of those in the survey, investigated their greatest impediment was simply acquiring information on advancing a care plan for their child with disabilities.

Unlike systemic problems such as a lack of services, access to information is a problem that’s relatively simple and inexpensive to fix, Burke said.

“Importantly, training programs on developing long-term care plans for people with disabilities exist beforehand that could be adapted to distinct languages and provided to families over the web, Burke said.

She said, “We can make some really positive changes here without spending a lot of money to do it.”

Catherine K. Arnold, the director of community education, disability and human development, and Aleksa Owen, a visiting research specialist, both at the U. of I. at Chicago, were co-authors of the study.

The study has been accepted for publication in the April edition of the journal Intellectual and Developmental Disabilities.