Helping People With Intellectual Disabilities Cope With Loss

man with Down syndrome and mother

Individuals with intellectual disabilities experience grief when they lose a loved one just like everyone else.

Common misconceptions

  • People with intellectual disabilities don’t understand or can’t comprehend death.
  • People with intellectual disabilities don’t show grief, therefore experience no grief.
  • Talking about it would be too upsetting for him/her.

We now understand

  • People with intellectual disabilities respond to bereavement and loss in essentially the same way as anyone else.
  • The effects of bereavement may be prolonged with people with intellectual disabilities experiencing more anxiety, depression, irritability, and other signs of distress.

Expressions of grief

  • Might be obvious such as sadness, crying, or depression.
  • Might be the expression of emotions through behaviors such as irritability, sleep problems, anxiety, or expressions of fear.

Assisting in the grieving process

  • Provide accurate and honest information
  • Provide support to process it
  • Enable maximum involvement in social and spiritual activities surrounding death
  • Keep connections with key supportive relationships
  • Maximize opportunities for expression of grief and condolences

Key strategies

  • Provide reassurance
    • that there is no blame
    • on the ways things will be different
  • Promote conversations about the loved one
    • to honor the lost life
    • to remember the love they shared
    • to think about what the person who has died might want for the individual
  • Provide opportunities for the individual to make connections to the past, present and future:
    • Look at pictures and share memories
    • Make a book or a memory box about the person who died
    • Give them something that belonged to the person
    • Light a candle in honor of the person
    • Visit places they used to go together
    • Talk about how much the person who is gone would be happy about a present activity 

VKC Resources

Local and National Resources

A series of picture books by Sheila Hollins, Lester Sireling, and Elizabeth Webb and published by Silent Books Ltd, include ideas for having discussions:

  • When Mum Died
  • When Dad Died
  • When Someone Dies

The content of this tip sheet is based on a Vanderbilt Kennedy Disabilities, Religion, and Spirituality Program event that was co-sponsored by Alive Hospice. Content provided by Carol Rabideau.

Top photo by Getty Images/iStockphoto

[October 2010]