David Kienholz’s room is a shrine to heavy-equipment brochures and toy tractors. Most days, he carries around a phonebook-sized catalogue whose cover reads “Caterpillar Performance Handbook.” The handbook is an annual compilation of farm equipment and engine parts, which Kienholz spends his free time memorizing.

In the common room of a community home in Missoula, Montana, Kienholz traces the black-and-white images of tractors with his index finger. “When it comes to book learning, it’s just over my head,” he says, his brow furrowed. He stares intently at the captions underneath the pictures. “I’ve been practicing, though.”

Kienholz, 40, was born with mild mental retardation. He’s one of roughly 8 million people in the United States with an intellectual disability (ID)—a spectrum term that encompasses a range of conditions, including severe autism, fetal alcohol syndrome, and Down syndrome, in addition to mental retardation. The staff at the community home has to double-check that he does his chores and hover closely as he brushes his teeth.

His arms are mapped with scabs he picks open during bouts of anxiety. He oscillates between glee and angst with the capriciousness of an 11-year-old. He is also a registered sex offender.

Kienholz lives with six other men who are both intellectually disabled and included on a national list of people convicted of sexual misconduct. Their crimes range from watching child pornography to masturbating in public to sexually assaulting a four-year-old relative.

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