$10 fee to view. Adults with I/DD are aging and living longer than ever. Decline in their daily function with the possibility of developing dementia increases with age, especially in adults with Down syndrome. Seth Keller, MD Immediate Past President of the AADMD and Co-Chair of the National Task Group on Intellectual Disabilities and Dementia Practices reviews how changes in function can be assessed so that an accurate and early diagnosis of dementia can be determined. Health care advocacy and practices are all essential in ensuring that appropriate therapies and planning for eventual decline and associated complications are anticipated and cared for. The guidelines of the National Task Group is also be reviewed.