Here are some tips for finding the right type of special needs caregiver for your adult child. As they reach adulthood, young people with disabilities also reach a . Fifty years ago, most people with even moderate special needs were institutionalized throughout their adult lives. Now, thanks in part to societal changes and decades of litigation, most people with special needs, including those with very severe special needs, live in some type of community setting. Adults with special needs have physical, developmental, learning or mental health challenges. Consider the adult's specific disability, functioning level and interests to tailor activities to do with them that boost their self-esteem, provide a sense of accomplishment and improve their quality of life.