J Appl Res Intellect Disabil. 2020;00:1–13. wileyonlinelibrary.com/journal/jar | 1
Published for the British Institute of Learning Disabilities
© 2020 John Wiley & Sons Ltd
1 | INTRODUCTION
This paper sets out a systematic review of empirically evaluated
intervention studies and structured models/ frameworks of future
care planning for adults with intellectual disability by family carers.
The failure to adequately plan for when they are older is one
of the key barriers to successful ageing for people with an intellec-
tual disability (McCallion & Nickle, 2008). Given that the majority
of families intend to provide lifelong support at home for loved
ones with intellectual disabilities and that people with intellectual
disabilities themselves largely wish to remain in the family home
(McConkey, McConaghie, Barr, & Roberts, 2006), it is essential
that families engage in future care planning "if crisis situations are
to be avoided, particularly the double shock… of losing their home at
a time when they are also bereaved" (Gorfin & McGlaughlin, 2004).
Furthermore, the need for general engagement in future plan-
ning is exacerbated by macro-level factors of ageing populations
and post-institutionalization policy and service contexts which
will likely lead to more people with intellectual disabilities age-
ing in a family care environment in the future. At the same time,
increased life expectancy for people with intellectual disabilities
(Bigby, 2008; Burke, McCallion, & McCarron, 2014; Coppus, 2013;
De Winter, Bastiaanse, Hilgenkamp, Evenhuis, & Echteld, 2012;
McCallion, Hasting, & McCarron, 2014) has further emphasized
the dual issues of supporting the capacity of ageing parents to
continue caring while preparing older adults with intellectual
Received: 26 June 2019
|
Revised: 24 February 2020
|
Accepted: 28 March 2020
DOI: 10.1111/jar.12742
ORIGINAL ARTICLE
Approaches to and outcomes of future planning for family
carers of adults with an intellectual disability: A systematic
review
Damien Brennan
1
| Darren McCausland
2
| Mary Ann O’Donovan
3
|
Jessica Eustace-Cook
4
| Philip McCallion
5
| Mary McCarron
6
This paper is part of a research initiative “A participatory action research pilot study to enhance long term care planning for older people with an intellectual disability in Ireland and their
families” funded by the Irish Research Council Research.
1
School of Nursing and Midwifery, Trinity
College, The University of Dublin, Dublin,
Ireland
2
Trinity Centre for Ageing and Intellectual
Disability, Trinity College, The University of
Dublin, Dublin, Ireland
3
Intellectual Disability and Inclusion, School
of Education, Trinity College, The University
of Dublin, Dublin, Ireland
4
Librarian (Library), Trinity College, The
University of Dublin, Dublin, Ireland
5
Temple School of Social Work, College
of Public Health, Temple University,
Philadelphia, PA, USA
6
Ageing & Intellectual Disability, School of
Nursing & Midwifery, Trinity College, The
University of Dublin, Dublin, Ireland
Correspondence
Damien Brennan, School of Nursing and
Midwifery, Trinity College, The University of
Dublin, Dublin, Ireland.
Email: dbrennan@tcd.ie
Funding information
Irish Research Council
Background: People with intellectual disabilities are living longer, with family homes
and family caregivers increasingly identified as a key support to this ageing popula-
tion of people with intellectual disabilities.
Method: This systematic review sets out existing evidence from empirically evalu-
ated intervention studies of future care planning for adults with intellectual disability
by family carers.
Results: This systematic review identified a scarcity of systematic approaches to
future care planning for adults with intellectual disabilities and their family carers.
However, evidence from the review suggests positive outcomes for families once
they engage in a future planning process.
Conclusions: Contemporary social policy orientation, which emphasizes reliance on
families to provide care, along with an ageing population of people with intellectual
disabilities, and diminishing caring capacity within family networks, suggests an ur-
gent need for a more expansive research base that evaluates approaches to support-
ing adults with intellectual disabilities and their family carers to plan for their futures.
KEYWORDS
ageing with intellectual disability, family carers, future planning