This issue of AJMR is the second of the two-part series focused on aging and developmental disabilities. In the first, published in March 2004 and edited by Marsha Mailick Seltzer, the authors addressed developmental trajectories based on syndromes and environmental interventions. This follow-up issue is focused on implications of the aging process on the family and on health and social service system supports. The seven papers include a rich variety of perspectives and methodologies, providing an international perspective and both quantitative and qualitative approaches. The studies span several countries, including the United States, Australia, Israel, and Ireland. The methodologies range from cross-sectional studies in which age groups are compared, longitudinal studies of interventions, best practice and needs assessment surveys of organizations to life history narratives.

Throughout the world families are the major providers of care for adults with developmental disabilities. Although out-of-home residential supports increase with age, most persons with...

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