The expanding population of elderly parents who continue to care for their child with intellectual disabilities well into old age is a growing concern (Hubert & Hollins, 2000). The research aims to assess the needs of elderly parents as caregivers and the perceived needs of their child with intellectual disabilities. Semi structured interviews were undertaken with 10 caregivers aged 65 years and above. The interviews focused on identifying elderly caregivers’ needs and the perceived needs of their child. Care plans were developed, in which caregivers’ and clients’ needs were prioritized. Elderly caregivers expressed support needs in several areas; social interaction and emotional support were common themes. When discussing their child’s care plan, the need for their child to acquire Activities of Daily Living Skills and functional academics were some pertinent concerns. Other significant needs in their child’s care plan include transitional planning, residential support and early intervention of medical issues. Identifying the support needs of elderly caregivers, and developing appropriate care plans are important to provide the necessary support as they age. Emphasis was also given in training clients to be independent, with the goal that they can be a support to their elderly parents.