Persons with intellectual and developmental disabilities are living longer, thereby creating unique challenges for the aging and disabilities networks. This qualitative multicase study explored the ways in which six community service organizations serving people with intellectual and developmental disabilities have adapted their facilities and programming in response to the growing cohort of older persons in their care. The study focused on the following adaptations: physical plant, financial models, workforce, medical care and programming. Twenty-two in-depth interviews were conducted with executive-level staff of the six participating organizations. Data was triangulated through examination of archival data, organizational documents, agency web sites, and publicly available financial records. A cross- case comparison assessed the extent to which organizational characteristics promoted or impeded an agency's ability to make the adaptations necessary to facilitate the aging in place of its older consumers. The following theories contributed to the underlying framework of the study: successful aging, resource dependence, and structural inertia. Study findings indicated that the physical, financial and bureaucratic barriers play a more significant role in impeding or facilitating an agency's ability to make the adaptations necessary than does an agency's affiliation, complexity or relative size. Discussed are the policy implications related to the growing number of older persons with intellectual and developmental disabilities as well as recommendations for future study.
Some files may require a special program or browser plug-in. More Information
|Advisor:||Smith, Michael J.|
|Commitee:||Dodd, Sarah J., Graziano, Roberta|
|School:||City University of New York|
|School Location:||United States -- New York|
|Source:||DAI-A 74/06(E), Dissertation Abstracts International|
|Subjects:||Gerontology, Social work, Organizational behavior|
|Keywords:||Aging in place, Developmental disabilities, Facility adaptation, Older adults, Physical plant barriers, Successful aging|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be