Although respite care is intended to provide short-term and temporarily rel
ief for caregivers, it has unintentionally, become a long-term placement fo
r some individuals with developmental disability. In an effort to understan
d why some individuals remain in respite care on a long-term basis, we audi
ted the files of 10 adults with developmental disability who had been livin
g in three respite care units for 12-24 months. Several individual (e.g., c
hallenging behaviours, severe disability, lack of communication skills) and
family characteristics (e.g., single parent/carer status, poor health, and
non-English speaking background) appeared consistent across the sample. Th
e results suggest that there may, be benefit in systematic planning for res
pite care, especially vith older single-parent families who have adult chil
dren with high support needs, challenging behaviour, and severe communicati
on impairment.