This paper reports on the transition pathways to adult status of 35 yo
ung adults with Down's syndrome over a six-year period (1987-93). Desp
ite educational, social and employment legislation aimed at ensuring g
reater integration into the community, qualitative and quantitative an
alyses of 'quality of life' outcomes in this group produced a disappoi
nting picture of a narrow range of leisure opportunities, negligible p
lacement in employment, and continuing dependency on parental caregive
rs in adulthood. Two case studies illustrate how, in the absence of an
y improvement in opportunities for real integration into the community
and in provision of resources to support meeting the special needs of
those with learning difficulties, a marginalised group may be being c
reated.