In 1967, 29.1% of adults with IDD in the U.S. lived in large state-run institutions, while most others resided with family. By 2021, only 0.7% lived in such facilities, with an additional 0.8% in other large settings. 48% of adults with IDD received services through state IDD agencies, and 3.3% of those receiving services lived in institutions or similar large settings. Research indicates better quality of life in community homes. We have made progress, but more support is needed for transitioning individuals from institutions to community settings, including increased funding and more direct support workers.
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