Intellectual Disabilities, Autism, and Aging
Hauser, M. J., Kohn, R., Lerner, M. D., Stein, M., Lory, B., & Bursztajn, H. J. (2017). Intellectual Disabilities, Autism, and Aging. Oxford University Press. https://doi.org/10.1093/med/9780199374656.003.0031 · Journal or book title : Oxford University Press eBooks
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Abstract
The number of individuals with intellectual disability and/or autism spectrum disorder who are 65 or older is growing because of increased longevity and a proportionally larger number of individuals being diagnosed across the lifespan. Many of these individuals live with caregivers who are aging and thus eventually need out-of-home placement. Individuals with Down syndrome may also need out-of-home placement as they have an exceedingly high risk of neurocognitive disorder with age. This chapter provides the epidemiology of older adults with intellectual disability and/or autism spectrum disorder and discusses the changes in criteria for these in DSM-5. The chapter also discusses the challenges these individuals and the forensic psychiatrist may face in the judicial system. Individuals may not understand their rights and may be prone to confess or be coerced. They may also lack of full comprehension, making it difficult for them to assist in their defense and describe details of offense. The overlap of geriatric psychiatry and intellectual disability and/or autism spectrum disorder and the law is an area ripe for further research.
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