Recently, a great deal of attention has been paid to the health needs of individuals with developmental disabilities and the significant difficulties they face in accessing appropriate health care services (Nehring, 2005; Parish, Moss, & Richman, in press). Significantly less attention has been paid to interventions intended to help adults with developmental disabilities obtain needed health care (Kastner & Walsh, 2006; Lennox et al., 2004).

We reviewed the research literature and used our review to develop a model to help adults with developmental disabilities access primary health care in their communities. The model was designed for adults with developmental disabilities who have severe communication difficulties, who are unable to advocate for their own health care needs, and whose health care is paid for by Medicaid. Unfortunately, we were unable to fully implement and evaluate the model because of...

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