Future Care Planning for Ageing Adults With Intellectual Disabilities: Family Caregiver Perspectives in Thailand

Abstract

Background: Thailand faces rapid demographic ageing and limited formal support for persons with intellectual disabilities. As this population lives longer, ageing family caregivers must prepare for future care. Methods: Semi-structured interviews were conducted with nine caregivers of adults with intellectual disabilities in four Thai provinces. The adults with intellectual disabilities were aged over 40 years. Data were analysed using Braun and Clarke's thematic analysis. Results: The analysis identified key themes reflecting reliance on family-based care, present-focused coping, financial insecurity, limited planning knowledge, caregiver self-care and the need for respite support. Conclusions: Most families lacked clear future care plans due to limited services, financial constraints and cultural values. While a present-focused mindset provided comfort, it often delayed planning. The findings highlight the need for stronger financial support, employment opportunities, planning resources and respite services.