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J Intellect Disabil. 2019 Mar;23(1):97-116. doi: 10.1177/1744629517726209. Epub 2017 Aug 29.

Gap analysis of service needs for adults with neurodevelopmental disorders.

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Florida International University, USA.


In Florida, the Agency for Persons with Disabilities provides waivers for adults with the following types of disabilities: intellectual disability, autism spectrum disorder, cerebral palsy, spina bifida, Down syndrome, and Prader-Willi syndrome. This review examined the peer-reviewed literature to indicate and assess the common needs for individuals with intellectual and developmental disabilities. Current models of service delivery, the efficacy of these services, and remaining gaps in the need fulfillment of individuals within the six diagnostic categorizations of interest were examined. Severity level within each diagnostic category was plotted on a matrix according to whether the needs of individuals were minimal, moderate, severe, or universal. The study found that sexual health education, socialization, and adult-focused medical care are universal needs among the six conditions. The study indicates that health-care professionals must work toward addressing the many unmet needs in comprehensive life span care services for adult individuals with neurodevelopmental disorders.


Prader–Willi syndrome; autism spectrum disorders; cerebral palsy; developmental disability; down syndrome; intellectual disability; spina bifida

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