They seldom have access to advocates through whom they can speak. People with severe intellectual disabilities living in rural areas often have low life expectancy, due to lack of care support and access even to the most basic services. Families can seldom meet the cost of visits to hospitals, let alone the additional expense required for equipment, assisting devices, and other necessities. The percentage of disabled people in a society increases dramatically with the onset of old age, and the increase of the population in Kosovo has caused an increase in the prevalence of disability in its society. Poor access to home-based health and social services, especially in rural communities, means that elderly people with disabilities often live in the back rooms of their children's homes.
Public transport is inaccessible, and barriers exist all around in buildings.
This means that services aimed at the elderly seldom reach those with disabilities. This causes isolation and depression. They lack security. Often, their houses have no sanitation in the form of bathrooms or toilets. Their houses have no water.