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[Carry over: practical experience of persons with severe motor and intellectual disabilities].

Tomo clinic is a special clinic for the handicapped. We have supported a day care center and a group home for persons with severe motor and intellectual disabilities (SMID) for over ten years. It seems that physical well-being declines dramatically in persons with SMID over 20-years old. We need special cooperation with the general hospital not only for the treatment of adult diseases including esophageal cancer, but also to backup the social activities of our clinic, because we support daily lives of persons with SMID and their families who want to live together in their own communities for as long as possible. The author reported the daily medical care activities in the day care center and the group home.

Adolescent↗

Health needs of adults with intellectual disability relevant for the family physician.

People with developmental disability, mental retardation, or intellectual disability are living longer and becoming prone to age-related health problems and diseases of old age much like the general population. This worldwide trend is also seen in Israel, where today 39.8% of persons with intellectual disability in residential care are 40 years old and above. There is a need for service and staff providers to receive training; a need for more research and better service for this aging population. This review presents health concerns for older persons with different levels of intellectual disability, health concerns in persons with Down syndrome, and persons with epileptic seizures and cerebral palsy in relation to general practice and family medicine. The review is concluded with recommendations on health and aging in adults with intellectual disabilities and the call for formalized training in the topic for specialists in family medicine.

Adult↗