A view from utilitarianism such as a large institution evaluating budgetary concerns may decide for example to cut services for “low functioning” autistics to allow for a better cost/benefit ratio for their institution.
The terminology is broad and vague and is not patient centered.
I was diagnosed with cerebral palsy when I was a baby and had some “obvious poor quality of life expectations” stuff stuck on me.
Thankfully I had my mom and this place, under a different name and location, was available for me from ages 2-4 years of age for full time physical and occupational therapy.
I was luckily able to enter standard Kindergarten.
Around 1993-4, from age 21-23 I volunteered full time there as a helper. I worked a lot with kids with cerebral palsy, autism, downs syndrome, and whatever else. The school was from 3-21 years of age, like it is now.
I set up their computers and taught a few kids to type a little. Some kids came and went, others were there for the whole time.
I’m sure they had their own terminology in the administrative offices for the kids. I wasn’t privy to all that stuff.