2020-2021 National Online Training Series
Presentation Title: “Something’s Different” –Concepts of Change in Adults with I/DD
Presenter: Julie A. Moran, DO, Geriatrician/Internist
A very common theme experienced by older adults with intellectual disability is that of change, i.e., patients who are experiencing changes as a function of growing older. Change could be experienced physically, cognitively, functionally, behaviorally, or in various combinations of all of these factors. A main learning goal during this presentation is to learn a framework of how to properly evaluate change in an aging adult with an intellectual disability, taking into account all potential contributing factors to the changes described.
After this presentation the learner will be able to:
- Describe a basic framework for assessing change in an adult with I/DD
- Explain the importance of ascertaining baseline abilities in the assessment of reported changes in adults with I/DD
- Provide examples of other factors that may contribute tochanges observed in adults with I/DD
Dr. Moran is a board-certified geriatrician/internist specializing in older adults with intellectual and developmental disability (I/DD). She is on staff at Tewksbury Hospital, where she serves as an attending physician and consultant for adults with I/DD and also runs a busy statewide outpatient consultation service for older adults with I/DD through the support of the Massachusetts Department of Developmental Services (DDS). Dr. Moran is a Clinical Lecturer of Medicine at Harvard Medical School and participates in the teaching andtraining of geriatric medicinefellows.
She is a 2001 graduate of the University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine. After completing her residency in Primary Care Internal Medicine at the University of Connecticut, she completed a two year fellowship in Geriatric Medicine at Harvard Medical School/Beth Israel DeaconessMedical Center in Boston, MA. Dr. Moranis a 2006 graduate of the Leadership Education in Neurodevelopmental and Related Disabilities (LEND) fellowship program at the Shriver Center/UMASS Medical School in Waltham, MA. Dr. Moran was on faculty in the Gerontology Division at BIDMC from 2006 to 2013, where she founded and ran the Aging and Developmental Disabilities Clinic at BIDMC SeniorHealth. From 2007 to 2010, she held a Geriatric Academic Career Award for her work in education and curriculum development in the field of aging and I/DD. In 2008 she was awarded the "Provider of the Year" award from Growthways, Inc., a community supports agency in Brockton, MA. In 2015 she was awarded the “Excellence in Service” award from Bridgewell, a community supports agency that serves the North Shore. In 2019 she was awarded the Allen Crocker M.D. Health Services Award from the Department of Developmental Services.
Dr. Moran has been involved in several statewide and national initiatives related to aging and I/DD and was the lead author a consensus guidelines paper on I/DD and dementia published in the Mayo Clinic Proceedings in 2013 and the publication “Aging and Down Syndrome” produced through the National Down Syndrome Society (NDSS) in 2013. She was lead author for a second publication through the NDSS focusing on caregiving for adults with Down syndrome and dementia in 2018. Dr. Moran has spoken extensively on a variety of topics related to older adults with I/DD.
Moran JA, Raffii MS, Keller SM, Singh BK, and Janicki MP. The National Task Group on Intellectual Disabilities and Dementia Practices Consensus Recommendations for the Evaluation and Management of Dementia in Adults with Intellectual DisabilitiesMayo Clin Proc. 2013 Aug;88(8):831-40.
Moran et al. 2013, Aging and Down Syndrome: A Health and Wellbeing Guidebook. [Book], National Down Syndrome Society.
Moran et al. 2018, Alzheimer’s disease and Down syndrome: A Practical Guide for Caregivers. [Book]. National Down Syndrome Society.