- Children with SDD have an increased need for social support and special services, especially due to their physical restrictions.
- These children have increased personnel support at school.
-  Deficits in the quality of service provided by the school can negatively impact the child's quality of life.

Cedarville University

- Higher adaptive skills 
  - Associated with an improved QOL
- Increased age
  - Associated with a lower QOL
- Parent health and psychological functioning

Factors Related to Quality of Life of Children with Severe Developmental Disabilities (SDD)

Ncube, B. L., Perry, A., and Weiss, J. A. (2018) The quality of life of children with severe developmental disabilities. Journal of Intellectual Disability Research, 62: 237–244. doi: 10.1111/jir.12460.

The quality of life of children with severe developmental disabilities

Multiple domains can impact the child's QOL 
This Includes: 
- Physical Pain and Discomfort
- Self Confidence
- Limiting Independence
- Limiting Inclusion

How Concurrent Complex Physical & Health Concerns Affect QOL of children with SDD

How School Impacts the QOL of Children with SDD

Bertelli, M. O., Bianco, A., Rossi, A., Mancini, M., La Malfa, G., & Brown, I. (2019). Impact of severe intellectual disability on proxy instrumental assessment of quality of life. Journal of Intellectual & Developmental Disability, 44(3), 272–281. https://doi.org/10.3109/13668250.2017.1350835

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