Medical Conditions and Healthcare Utilization among Adults with Intellectual Disabilities Living in Group Homes in New York City
Bibliographic record
Abstract
Abstract The shift in living situations for adults with intellectual and other developmental disabilities (ID/DD) from family homes to group homes has raised questions about their healthcare needs and access to appropriate healthcare services. This study was undertaken to describe the disability characteristics and medical conditions in a sample of adults living in group homes in order to better understand the relationship of these variables with patterns of healthcare utilization. We examined the demographic and disability characteristics, medical conditions, and healthcare utilization of a group of individuals with ID/DD, living in 2‐ to 14‐bed group homes operated by a large provider, who were accessing their healthcare services from a single medical practice. The data showed that this sample represented a diverse and complex group in terms of functioning, behavioral and medical conditions, presentation of high rates of challenging behaviors, rate of obesity/overweight, and utilization of health care and psychiatric services. The authors concluded that there needs to be a reexamination of the healthcare needs of individuals living in community settings, particularly with regard to the integration of healthcare and psychiatric services.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".