“…The caregiving provided to individuals with an ID is multifaceted and long term [ 22 ]. Research indicates that gender inequalities, old age, lack of companionship, and low socioeconomic status increase the risk of requiring long-term care [ 23 , 24 ]. Common challenges in long-term care include physical function, cognition, mental health, associated harms (e.g., accidents, abuse, and neglect), peer victimization (PV), implementation of acute care, mortality, and expenditures [ 25 , 26 ].…”