Boston: Despite a policy focus on expanding access to care for adults with developmental disabilities, this vulnerable population continues to have significant dental disease. In the October 2014 issue of The Journal of the American Dental Association, researchers from Tufts University School of Medicine and Tufts University School of Dental Medicine report on the first large-scale survey to investigate factors influencing at-home oral care provided by caregivers to adults with developmental disabilities. The study findings suggest that, in addition to addressing access to care, policy initiatives must improve support for caregivers.