title: Avoiding institutional outcomes for older adults living with disability: the use of community-based aged care supports.
abstract: BACKGROUND
  Most people with a disability want to remain living in their own home as they age. Without additional support, people with a disability may not be able to avoid moving into residential aged care, attending day programs, or becoming isolated from participation in the wider community. This study examined whether participants perceived access to community-based aged care supports assisted with avoiding receiving more institutional models of service as they age.
  
  
  METHODS
  Qualitative research processes were used to explore the perceptions of 60 individuals with a disability aged 50 years and over, in relation to ageing and the value of community-based aged care.
  
  
  RESULTS
  Findings indicated that participants receiving community-based aged care supports reported benefits including opportunities to develop relationships, maintain daily living skills and participate in community activities.
  
  
  CONCLUSIONS
  Due to a lack of confidence in the availability of access to mainstream community-based aged care services, many participants felt vulnerable or unsure about their future and ability to remain living in their own home. Several participants commented that this meant that an undesired early relocation into residential aged care or congregate disability services appeared inevitable.
authors.affiliation: Disability and Community Rehabilitation, Flinders University, Adelaide, SA, Australia. Caroline.Ellison@flinders.edu.au
authors.forename: Caroline
authors.initials: C
authors.lastname: Ellison
authors.forename: Amy
authors.initials: A
authors.lastname: White
authors.forename: Libby
authors.initials: L
authors.lastname: Chapman
mesh_terms: D000203:Activities of Daily Living; D000375:Aging; D003153:Community Health Services / Q000379:methods*; D003156:Community Mental Health Services / Q000379:methods; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D016352:Group Homes; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007326:Institutionalization; D008607:Intellectual Disability / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D012944:Social Support; D013021:South Australia