This has led to an increased number of people with learning disability (LD) and aging-related health problems such as dementia, which has resulted in changes in social and service delivery needs. Service needs for this population are further increased because of continued deinstitutionalization of people with LD, resulting in increased community presence of people with high physical and mental morbidities.
Certain subgroups of people with LD have specific increased age-related risks, such as those with Down syndrome, who have genetically based increased risk for dementia (Janicki et al., 1999). Others , such as, those with Cerebral Palsy have been noted to have a high risk of physical aging related deterioration, particularly relating to mobility (Strauss et. al., 2004), sometimes starting in young adulthood. (Jahnsen, 2004)
The existing demographic pattern of increased longevity in people with LD points to a continued future increase in the proportion of older adults with LD, but does not adequately address the more significant changes in the prevalence of associated physical, mental and behavioral problems, as well as functional deficits in these cohorts, which will have an impact on their ne ...Show more