Virginia’s move to close large institutions for people with development disabilities is long overdue [“Va. to transform care of developmentally disabled,” front page, Jan. 27]. Social-service professionals have known for years that smaller, community-based settings provide the best environment for care and are also more efficient financially. These smaller “homes” also allow us to tailor care to residents’ needs.
For instance, the developmentally disabled clients I serve are also elderly and bring with them age-related health-care and mobility issues, in addition to their lifelong disabilities. This is the first generation of people with developmental disabilities living until old age, and large institutions are not geared toward their needs.




















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