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Clifford Simplican S, Shivers C, Chen J, Leader G. “With a Touch of a Button”: Staff perceptions on integrating technology in an Irish service provider for people with intellectual disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2017; 31:e130-e139. [DOI: 10.1111/jar.12350] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/04/2017] [Indexed: 11/27/2022]
Affiliation(s)
| | | | - June Chen
- Special Education; East China Normal University; Shanghai China
| | - Geraldine Leader
- Department of Psychology; National University of Ireland; Galway Ireland
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van Asselt-Goverts AE, Embregts PJCM, Hendriks AHC. Evaluation of a Social Network Intervention for People with Mild to Borderline Intellectual Disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2016; 31:e229-e243. [PMID: 28000354 DOI: 10.1111/jar.12318] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Little is known about the effectiveness of interventions aimed at enhancing the social networks of people with intellectual disabilities. This study explores the results of such an intervention. How did the clients with mild to borderline intellectual disabilities and their support workers evaluate the intervention? What did they learn from it? Were there any changes in network characteristics, satisfaction and wishes in relation to networks, participation, loneliness, self-determination or self-esteem? METHOD The evaluation of the intervention was explored from several perspectives (i.e. five clients, their six support workers and three trainers), using mixed methods (i.e. interviews and questionnaires). RESULTS The intervention was positively evaluated by both clients and support workers. Moreover, the analysis revealed the vulnerability of clients and their networks but also the benefits experienced from the intervention, such as decreased loneliness, enhanced social networks, increased awareness, competence, autonomy and increased participation. CONCLUSION The indicative level of evidence for the effectiveness of this intervention justifies a larger series of case studies or a larger control trial study.
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Affiliation(s)
- A E van Asselt-Goverts
- Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - P J C M Embregts
- Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.,Dichterbij Innovation and Science, Gennep, The Netherlands
| | - A H C Hendriks
- Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.,Dichterbij Innovation and Science, Gennep, The Netherlands.,Faculty of Social Sciences, School of Pedagogical and Educational Science, Radboud University, Nijmegen, The Netherlands
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54
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Shpigelman CN. Leveraging Social Capital of Individuals with Intellectual Disabilities through Participation on Facebook. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2016; 31:e79-e91. [DOI: 10.1111/jar.12321] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2016] [Indexed: 11/26/2022]
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55
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Fulford C, Cobigo V. Friendships and Intimate Relationships among People with Intellectual Disabilities: A Thematic Synthesis. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2016; 31:e18-e35. [DOI: 10.1111/jar.12312] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/03/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Casey Fulford
- School of Psychology; University of Ottawa; Ottawa ON Canada
| | - Virginie Cobigo
- School of Psychology; University of Ottawa; Ottawa ON Canada
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56
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Schneider C, Hattie B. Exploring the social lives of young adults with disabilities. ALTER-EUROPEAN JOURNAL OF DISABILITY RESEARCH 2016. [DOI: 10.1016/j.alter.2016.02.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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57
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Kuiper JS, Zuidersma M, Zuidema SU, Burgerhof JG, Stolk RP, Oude Voshaar RC, Smidt N. Social relationships and cognitive decline: a systematic review and meta-analysis of longitudinal cohort studies. Int J Epidemiol 2016; 45:1169-1206. [PMID: 27272181 DOI: 10.1093/ije/dyw089] [Citation(s) in RCA: 88] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/30/2016] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Although poor social relationships are assumed to contribute to cognitive decline, meta-analytic approaches have not been applied. Individual study results are mixed and difficult to interpret due to heterogeneity in measures of social relationships. We conducted a systematic review and meta-analysis to investigate the relation between poor social relationships and cognitive decline. METHODS MEDLINE, Embase and PsycINFO were searched for longitudinal cohort studies examining various aspects of social relationships and cognitive decline in the general population. Odds ratios (ORs) with 95% confidence intervals (CIs) were pooled using random effects meta-analysis. Sources of heterogeneity were explored and likelihood of publication bias was assessed. We stratified analyses according to three aspects of social relationships: structural, functional and a combination of these. RESULTS We identified 43 articles. Poor social relationships predicted cognitive decline; for structural (19 studies): pooled OR: 1.08 (95% CI: 1.05-1.11); functional (8 studies): pooled OR: 1.15 (95% CI: 1.00-1.32); and combined measures (7 studies): pooled OR: 1.12 (95% CI: 1.01-1.24). Meta-regression and subgroup analyses showed that the heterogeneity could be explained by the type of social relationship measurement and methodological quality of included studies. CONCLUSIONS Despite heterogeneity in study design and measures, our meta-analyses show that multiple aspects of social relationships are associated with cognitive decline. As evidence for publication bias was found, the association might be overestimated and should therefore be interpreted with caution. Future studies are needed to better define the mechanisms underlying these associations. Potential causality of this prognostic association should be examined in future randomized controlled studies.
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Affiliation(s)
- Jisca S Kuiper
- Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Marij Zuidersma
- Department of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Sytse U Zuidema
- Department of General Practice, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Johannes Gm Burgerhof
- Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Ronald P Stolk
- Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Richard C Oude Voshaar
- Department of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Nynke Smidt
- Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands .,Department of Geriatrics, University Medical Center Groningen, Groningen, The Netherlands
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Maber-Aleksandrowicz S, Avent C, Hassiotis A. A Systematic Review of Animal-Assisted Therapy on Psychosocial Outcomes in People with Intellectual Disability. RESEARCH IN DEVELOPMENTAL DISABILITIES 2016; 49-50:322-338. [PMID: 26773215 DOI: 10.1016/j.ridd.2015.12.005] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2015] [Revised: 11/27/2015] [Accepted: 12/08/2015] [Indexed: 06/05/2023]
Abstract
The aim of the study was to review the literature on animal assisted therapy (AAT) in people with intellectual disabilities (ID) measuring psychosocial outcomes (behavioural, social, cognitive and emotional). Quantitative studies were found through a systematic search that identified studies using AAT in people with ID and measuring psychosocial outcomes (behavioural, cognitive, emotional and social). The quality of studies was assessed using a standardised tool and rated as strong, moderate or weak. Only published articles from peer-reviewed journals were included. No language or age restrictions were applied. Over half of the included studies were identified outside standard database searches (e.g. hand searching reference lists from included articles, references from AAT websites and using Google Scholar and a Grey Literature Database). Ten studies were included in the final review; two were rated as moderate quality and eight were rated as weak quality. Overall there was a positive improvement reported from studies for all psychosocial outcomes (with some cognitive, behavioural, social, emotional components reaching statistical significance p ≤ 0.01). Despite having no age restrictions, the included studies had participants that were mainly children and adolescents, in particular favouring male participants, which may limit generalisation. More rigorous methodology is required to improve the quality of future studies including in the main multicentre randomised designs and improved reporting according to CONSORT criteria. Further research should expand to include adults with ID and specific disorders such as challenging behaviour or mental illness.
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Affiliation(s)
- Sarah Maber-Aleksandrowicz
- Kingston Community Team for People with Learning Disabilities, Hollyfield House, 22 Hollyfield Road, Surbiton KT5 9AL, UK.
| | - Cerian Avent
- Access Child and Youth Mental Health, Building 19, Springfield Hospital, 61 Glenburnie Road, London SW17 7DJ, UK.
| | - Angela Hassiotis
- Division of Psychiatry, Charles Bell House, 67-73 Riding House Street, London W1W 7EY, UK.
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Hole R, Robinson CA, Stainton T, Lige S, Crawford C. Home Sharing and People With Intellectual Disabilities: A Qualitative Exploration. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2015. [DOI: 10.1111/jppi.12138] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | | | - Tim Stainton
- University of British Columbia; Vancouver BC Canada
| | - Sara Lige
- University of British Columbia; Kelowna BC Canada
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Bogenschutz M, Amado A, Smith C, Carter E, Copeland M, Dattilo J, Gaventa B, Hall S, McManus M, Quraishi S, Romer L, Walker P. National Research Goals for Social Inclusion of People With IDD. ACTA ACUST UNITED AC 2015. [DOI: 10.1352/2326-6988-3.4.211] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Abstract
Social inclusion for people with intellectual and developmental disabilities (IDD) is an issue of emerging importance in research, policy, and practice. Though strides have been made to improve community living, inclusive education, and improved employment opportunities for many individuals with IDD, social inclusion has been slower to evolve. A diverse group of stakeholders met at the National Goals 2015 Conference to develop the following set of goals designed to promote better social inclusion in the next 10 years: (a) develop measures for social inclusion, (b) examine how personal and community contexts shape inclusion, (c) embed measures of inclusion in research about other life domains, (d) build capacity for social inclusion, (e) identify best practices for promoting inclusion from the community perspective, and (f) understand life course trajectories that impact inclusion. The goals are discussed in more detail in this article.
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Affiliation(s)
- Matthew Bogenschutz
- Matthew Bogenschutz, Virginia Commonwealth University, School of Social Work
| | - Angela Amado
- Angela Amado, University of Minnesota, Research and Training Center on Community Living
| | - Cindy Smith
- Cindy Smith, National Association of Councils on Developmental Disabilities
| | | | | | | | - Bill Gaventa
- Bill Gaventa, Summer Institute on Theology and Disability
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Do social networks differ? Comparison of the social networks of people with intellectual disabilities, people with autism spectrum disorders and other people living in the community. J Autism Dev Disord 2015; 45:1191-203. [PMID: 25326258 PMCID: PMC4544488 DOI: 10.1007/s10803-014-2279-3] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
The aim of this study was to determine the similarities and differences in social network characteristics, satisfaction and wishes with respect to the social network between people with mild or borderline intellectual disabilities (ID), people with autism spectrum disorders (ASD) and a reference group. Data were gathered from 105 young adults living independently in the community. The social networks of people with ID and ASD are more restricted than those of the reference group. Compared with the other groups, people with ASD are less often satisfied with their networks. Each group has its own characteristics, issues and wishes with respect to their social network. Practical measures to enable professionals to adapt to these issues are discussed.
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63
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Alesi M, Pepi A. Physical Activity Engagement in Young People with Down Syndrome: Investigating Parental Beliefs. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2015; 30:71-83. [DOI: 10.1111/jar.12220] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Marianna Alesi
- Dipartimento di Scienze Psicologiche; Pedagogiche e della Formazione; Università degli Studi di Palermo; Palermo Italy
| | - Annamaria Pepi
- Dipartimento di Scienze Psicologiche; Pedagogiche e della Formazione; Università degli Studi di Palermo; Palermo Italy
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Crawford C, Burns J, Fernie BA. Psychosocial impact of involvement in the Special Olympics. RESEARCH IN DEVELOPMENTAL DISABILITIES 2015; 45-46:93-102. [PMID: 26275609 DOI: 10.1016/j.ridd.2015.07.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2014] [Revised: 05/13/2015] [Accepted: 07/13/2015] [Indexed: 06/04/2023]
Abstract
Existing evidence suggests that people with intellectual disabilities are vulnerable to low self-esteem leading to additional psychosocial issues such as social exclusion and stress. Previous research into the involvement of Special Olympics (SO) of people with intellectual disabilities has indicted positive psychosocial outcomes. Involvement in sport is known generally to have psychological and social benefits. This study aimed to compare the psychosocial impact of involvement in sport through the SO to no or limited sports involvement, for a sample of people with intellectual disabilities. A cross sectional design was employed comparing three groups, SO, Mencap Sports, and Mencap No Sports on the variables: Self-esteem, quality of life, stress levels and social networks. One hundred and one participants were recruited either through the SO or Mencap. Data were collected through the completion of validated questionnaires by one to one interviews with the participants. Analysis revealed that self-esteem, quality of life, and stress were all significantly associated with SO involvement. Logistic regression analysis was used to explore whether scores on these variables were able to predict group membership. Self-esteem was found to be a significant predictor of group membership, those in the SO having the highest self-esteem. The findings provide further evidence of a positive association between sport involvement and increased psychological wellbeing, especially for those involved in the SO. The implications of these findings for practice and future research into the relationship between sport and psychological wellbeing within the learning disabled population are considered.
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Affiliation(s)
- Clare Crawford
- Salomons Centre for Applied Psychology, Canterbury Christ Church University, Salomons Campus at Tunbridge Wells, Broomhill Road, Southborough, Tunbridge Wells, Kent TN3 0TF, UK
| | - Jan Burns
- Salomons Centre for Applied Psychology, Canterbury Christ Church University, Salomons Campus at Tunbridge Wells, Broomhill Road, Southborough, Tunbridge Wells, Kent TN3 0TF, UK.
| | - Bruce A Fernie
- King's College London, Institute of Psychiatry, Department of Psychology, London, UK; CASCAID, South London & Maudsley NHS Foundation Trust, London, UK
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65
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White K, Mackenzie L. Strategies used by older women with intellectual disability to create and maintain their social networks: An exploratory qualitative study. Br J Occup Ther 2015. [DOI: 10.1177/0308022615586419] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction Social networks are important to health and wellbeing, and enhancing social networks are key occupations for older people. This is relevant for older people with intellectual disability, particularly older women, who face challenges in building social networks, and their social networks are vulnerable to loss as they age. This study aimed to investigate how older women with intellectual disability create and maintain their social networks. Method This exploratory qualitative study involved conducting in-depth interviews with five women with mild to moderate intellectual disability (as defined by their service organisation) aged over 50 years and living in the community, using the Support Interview Guide, that has previously been used with younger adults with intellectual disability. Participants could communicate in spoken English. Data were coded line by line and analysed using a thematic analysis. Results Participants created social networks independently and through others. Strategies used included communicating, sharing activities, celebrating special occasions, organising activities, supporting each other, having a routine, being out and about and using formal assistance. Barriers and facilitators were also identified. Conclusion As older women with intellectual disability age, occupational therapists and support organisations need to focus on assisting this group to build and maintain their social networks.
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Affiliation(s)
- Katharine White
- Occupational Therapist, Department of Ageing, Disability and Home Care, Burwood, New South Wales, Australia
| | - Lynette Mackenzie
- Associate Professor, The University of Sydney, Lidcombe, New South Wales, Australia
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Flynn S, Hulbert-Williams N, Hulbert-Williams L, Bramwell R. Psychosocial experiences of chronic illness in individuals with an intellectual disability: A systematic review of the literature. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2015; 19:178-194. [PMID: 25567097 DOI: 10.1177/1744629514565680] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/21/2014] [Indexed: 06/04/2023]
Abstract
BACKGROUND Increased life expectancy has led to an increase in diagnoses of chronic illness in people with an intellectual disability; despite this increase, research about the psychological impact is rare. This review explored the psychosocial experiences of chronic illness in adults with an intellectual disability, revealing potential predictors and moderators of these experiences. METHODS Online databases were systematically searched to identify relevant literature, using predefined inclusion criteria. Of the 25,058 titles initially identified, 4 were included, that is, those collecting data on people with an intellectual disability and diagnosed with cancer (n = 2), chronic pain (n = 1) and diabetes (n = 1). RESULTS Narrative synthesis of the data identified six themes, namely, (1) delayed diagnosis, (2) information, communication and understanding, (3) negative psychological consequences, (4) negative physical consequences, (5) social perception and (6) social support. CONCLUSIONS There are unmet needs within this population, including a lack of assistance in understanding their illness. A substantial gap in the literature should be addressed through further empirical work.
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67
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van Asselt-Goverts AE, Embregts PJCM, Hendriks AHC. Social networks of people with mild intellectual disabilities: characteristics, satisfaction, wishes and quality of life. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2015; 59:450-461. [PMID: 25040897 DOI: 10.1111/jir.12143] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/04/2014] [Indexed: 06/03/2023]
Abstract
BACKGROUND A supportive social network is crucial for facilitating social inclusion, which can, in turn, contribute to the quality of life (QOL) for people with intellectual disabilities (ID). In this study, we investigate how people with mild ID perceive their social networks and which network characteristics relate to satisfaction with the network and perceived QOL. METHOD Data were gathered from 33 young adults with a mild to borderline ID using structured questionnaires: the MSNA to map the social network, the IDQOL-16 to assess QOL, and a questionnaire to determine satisfaction and wishes with regard to the social network. RESULTS The majority of the participants (73.1%) were satisfied with their social networks. Improvement in the area of strengthening existing ties (e.g. more frequent contact, better contact) was desired as opposed to expansion of the network. Affection--especially towards family and professionals--was most strongly related to perceived QOL. It appears to be essential that relatives live in the same town, can frequently meet up and provide both emotional and practical support. CONCLUSIONS The significance of family and the importance of high-quality interpersonal relationships between professional and client in the lives of young adults with ID cannot be overestimated. Although measures of satisfaction and wishes can have limitations, in actual practice it is considered useful to assess the opinions of clients with respect to their social networks. Interventions can then be tailored to the needs and wishes of the persons themselves.
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Affiliation(s)
- A E van Asselt-Goverts
- Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands; Tranzo, Tilburg University, Tilburg, The Netherlands
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68
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Simplican SC, Leader G, Kosciulek J, Leahy M. Defining social inclusion of people with intellectual and developmental disabilities: an ecological model of social networks and community participation. RESEARCH IN DEVELOPMENTAL DISABILITIES 2015; 38:18-29. [PMID: 25543997 DOI: 10.1016/j.ridd.2014.10.008] [Citation(s) in RCA: 129] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Accepted: 10/02/2014] [Indexed: 06/04/2023]
Abstract
Social inclusion is an important goal for people with intellectual and developmental disabilities, families, service providers, and policymakers; however, the concept of social inclusion remains unclear, largely due to multiple and conflicting definitions in research and policy. We define social inclusion as the interaction between two major life domains: interpersonal relationships and community participation. We then propose an ecological model of social inclusion that includes individual, interpersonal, organizational, community, and socio-political factors. We identify four areas of research that our ecological model of social inclusion can move forward: (1) organizational implementation of social inclusion; (2) social inclusion of people with intellectual and developmental disabilities living with their families, (3) social inclusion of people along a broader spectrum of disability, and (4) the potential role of self-advocacy organizations in promoting social inclusion.
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Affiliation(s)
- Stacy Clifford Simplican
- MSU-DOCTRID (Michigan State University - Daughters of Charity - Technology, Research Into Disability) Research Institute, Hegarty Fellow Program, Michigan State University, USA; Department of Counseling, Educational Psychology and Special Education, Michigan State University, USA
| | - Geraldine Leader
- Department of Psychology, National University of Ireland, Galway, Ireland.
| | - John Kosciulek
- MSU-DOCTRID (Michigan State University - Daughters of Charity - Technology, Research Into Disability) Research Institute, Hegarty Fellow Program, Michigan State University, USA; Department of Counseling, Educational Psychology and Special Education, Michigan State University, USA
| | - Michael Leahy
- MSU-DOCTRID (Michigan State University - Daughters of Charity - Technology, Research Into Disability) Research Institute, Hegarty Fellow Program, Michigan State University, USA; Department of Counseling, Educational Psychology and Special Education, Michigan State University, USA
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69
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Mithen J, Aitken Z, Ziersch A, Kavanagh AM. Inequalities in social capital and health between people with and without disabilities. Soc Sci Med 2014; 126:26-35. [PMID: 25500164 DOI: 10.1016/j.socscimed.2014.12.009] [Citation(s) in RCA: 80] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The poor mental and physical health of people with disabilities has been well documented and there is evidence to suggest that inequalities in health between people with and without disabilities may be at least partly explained by the socioeconomic disadvantage (e.g. low education, unemployment) experienced by people with disabilities. Although there are fewer studies documenting inequalities in social capital, the evidence suggests that people with disabilities are also disadvantaged in this regard. We drew on Bourdieu's conceptualisation of social capital as the resources that flow to individuals from their membership of social networks. Using data from the General Social Survey 2010 of 15,028 adults living in private dwellings across non-remote areas of Australia, we measured social capital across three domains: informal networks (contact with family and friends); formal networks (group membership and contacts in influential organisations) and social support (financial, practical and emotional). We compared levels of social capital and self-rated health for people with and without disabilities and for people with different types of impairments (sensory and speech, physical, psychological and intellectual). Further, we assessed whether differences in levels of social capital contributed to inequalities in health between people with and without disabilities. We found that people with disabilities were worse off than people without disabilities in regard to informal and formal networks, social support and self-rated health status, and that inequalities were greatest for people with intellectual and psychological impairments. Differences in social capital did not explain the association between disability and health. These findings underscore the importance of developing social policies which promote the inclusion of people with disabilities, according to the varying needs of people with different impairments types. Given the changing policy environment, ongoing monitoring of the living circumstances of people with disabilities, including disaggregation of data by impairment type, is critical.
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Affiliation(s)
- Johanna Mithen
- Gender and Women's Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, VIC 3010, Australia
| | - Zoe Aitken
- Gender and Women's Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, VIC 3010, Australia
| | - Anne Ziersch
- Southgate Institute for Health, Society and Equity, Flinders University, Adelaide, SA 5001, Australia
| | - Anne M Kavanagh
- Gender and Women's Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, VIC 3010, Australia.
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70
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Wigham S, Taylor JL, Hatton C. A prospective study of the relationship between adverse life events and trauma in adults with mild to moderate intellectual disabilities. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2014; 58:1131-1140. [PMID: 24372838 DOI: 10.1111/jir.12107] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/15/2013] [Indexed: 06/03/2023]
Abstract
BACKGROUND Research has demonstrated a relationship between the experience of life events and psychopathology in people with intellectual disabilities (ID), however few studies have established causal links and to date no prospective studies have utilised a measure of trauma that has been developed specifically for this population group. METHOD This 6-month prospective study examined longitudinal relationships between adverse life events and trauma in 99 adults with mild to moderate ID. RESULTS Life events during the previous 6 months were significantly predictive of levels of trauma as measured by the self-report Lancaster and Northgate trauma scales (LANTS), and the informant LANTS behavioural changes, frequency and severity sub-scales. This prospective causal relationship was demonstrated while controlling for any prior life events or pre-existing trauma, though the relationship was not moderated by social support. CONCLUSIONS Evidence of a causal relationship between adverse life events and trauma symptoms is important for treatment planning and funding allocation.
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Affiliation(s)
- S Wigham
- Institute of Health and Society, Sir James Spence Institute, Newcastle University, Newcastle, UK
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71
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Kamstra A, van der Putten AAJ, Vlaskamp C. The Structure of Informal Social Networks of Persons with Profound Intellectual and Multiple Disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2014; 28:249-56. [DOI: 10.1111/jar.12134] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/01/2014] [Indexed: 11/30/2022]
Affiliation(s)
- A. Kamstra
- Department of Special Needs Education and Child Care; University of Groningen; Groningen The Netherlands
- 's Heeren Loo; Amersfoort The Netherlands
| | - A. A. J. van der Putten
- Department of Special Needs Education and Child Care; University of Groningen; Groningen The Netherlands
- 's Heeren Loo; Amersfoort The Netherlands
| | - C. Vlaskamp
- Department of Special Needs Education and Child Care; University of Groningen; Groningen The Netherlands
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72
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Gilmore L, Cuskelly M. Vulnerability to Loneliness in People with Intellectual Disability: An Explanatory Model. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2014. [DOI: 10.1111/jppi.12089] [Citation(s) in RCA: 106] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Affiliation(s)
- Linda Gilmore
- Queensland University of Technology; Brisbane Qld Australia
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Kamstra A, van der Putten AAJ, Post WJ, Vlaskamp C. Informal Social Networks of People with Profound Intellectual and Multiple Disabilities: Relationship with Age, Communicative Abilities and Current Living Arrangements. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2014; 28:159-64. [DOI: 10.1111/jar.12115] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2014] [Indexed: 11/28/2022]
Affiliation(s)
- A. Kamstra
- Department of Special Needs Education and Child Care; University of Groningen; Groningen the Netherlands
- 's Heeren Loo; Amersfoort the Netherlands
| | - A. A. J. van der Putten
- Department of Special Needs Education and Child Care; University of Groningen; Groningen the Netherlands
- 's Heeren Loo; Amersfoort the Netherlands
| | - W. J. Post
- Department of Special Needs Education and Child Care; University of Groningen; Groningen the Netherlands
| | - C. Vlaskamp
- Department of Special Needs Education and Child Care; University of Groningen; Groningen the Netherlands
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74
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Carmeli E, Imam B. Health promotion and disease prevention strategies in older adults with intellectual and developmental disabilities. Front Public Health 2014; 2:31. [PMID: 24783190 PMCID: PMC3995041 DOI: 10.3389/fpubh.2014.00031] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2014] [Accepted: 03/28/2014] [Indexed: 02/04/2023] Open
Abstract
The rapid growth in the number of individuals living with intellectual and developmental disabilities (IDD) along with their increased longevity present challenges to those concerned about health and well-being of this unique population. While much is known about health promotion and disease prevention in the general geriatric population, far less is known about those in older adults with IDD. Effective and efficient health promotion and disease prevention strategies need to be developed and implemented for improving the health and quality of life of older adults living with IDD. This is considered to be challenging given the continued shrinkage in the overall health care and welfare system services due to the cut in the governmental budget in some of the western countries. The ideal health promotion and disease prevention strategies for older adults with IDD should be tailored to the individuals' health risks, address primary and secondary disease prevention, and prevent avoidable impairments that cause premature institutionalization. Domains of intervention should include cognitive, mental and physical health, accommodations, workplace considerations, assistive technology, recreational activities, and nutrition.
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Affiliation(s)
- Eli Carmeli
- Department of Physical Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa , Haifa , Israel
| | - Bita Imam
- Rehabilitation Research Lab, GF Strong Rehab Centre, University of British Columbia , Vancouver, BC , Canada
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75
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Scott M, Foley KR, Bourke J, Leonard H, Girdler S. “I have a good life”: the meaning of well-being from the perspective of young adults with Down syndrome. Disabil Rehabil 2013; 36:1290-8. [DOI: 10.3109/09638288.2013.854843] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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76
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McConkey R, Dowling S, Hassan D, Menke S. Promoting social inclusion through Unified Sports for youth with intellectual disabilities: a five-nation study. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2013; 57:923-35. [PMID: 22672339 DOI: 10.1111/j.1365-2788.2012.01587.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
BACKGROUND Although the promotion of social inclusion through sports has received increased attention with other disadvantaged groups, this is not the case for children and adults with intellectual disability who experience marked social isolation. The study evaluated the outcomes from one sports programme with particular reference to the processes that were perceived to enhance social inclusion. METHOD The Youth Unified Sports programme of Special Olympics combines players with intellectual disabilities (called athletes) and those without intellectual disabilities (called partners) of similar skill level in the same sports teams for training and competition. Alongside the development of sporting skills, the programme offers athletes a platform to socialise with peers and to take part in the life of their community. Unified football and basketball teams from five countries--Germany, Hungary, Poland, Serbia and Ukraine--participated. Individual and group interviews were held with athletes, partners, coaches, parents and community leaders: totalling around 40 informants per country. RESULTS Qualitative data analysis identified four thematic processes that were perceived by informants across all countries and the two sports to facilitate social inclusion of athletes. These were: (1) the personal development of athletes and partners; (2) the creation of inclusive and equal bonds; (3) the promotion of positive perceptions of athletes; and (4) building alliances within local communities. CONCLUSIONS Unified Sports does provide a vehicle for promoting the social inclusion of people with intellectual disabilities that is theoretically credible in terms of social capital scholarship and which contains lessons for advancing social inclusion in other contexts. Nonetheless, certain limitations are identified that require further consideration to enhance athletes' social inclusion in the wider community.
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Affiliation(s)
- R McConkey
- Institute of Nursing Research, University of Ulster, Newtownabbey, UK.
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van Asselt-Goverts AE, Embregts PJCM, Hendriks AHC, Frielink N. Experiences of Support Staff with Expanding and Strengthening Social Networks of People with Mild Intellectual Disabilities. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2013. [DOI: 10.1002/casp.2156] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- A. E. van Asselt-Goverts
- HAN University of Applied Sciences; Faculty of Health and Social Studies; Nijmegen The Netherlands
- Tilburg University; Tranzo; Tilburg The Netherlands
| | - P. J. C. M. Embregts
- HAN University of Applied Sciences; Faculty of Health and Social Studies; Nijmegen The Netherlands
- Tilburg University; Tranzo; Tilburg The Netherlands
- Dichterbij Kennisn@; Ottersum The Netherlands
- Tilburg University; Medical & Clinical Psychology; Tilburg The Netherlands
| | - A. H. C. Hendriks
- HAN University of Applied Sciences; Faculty of Health and Social Studies; Nijmegen The Netherlands
- Dichterbij Kennisn@; Ottersum The Netherlands
- Radboud University; Faculty of Social Sciences, School of Educational Sciences; Nijmegen The Netherlands
| | - N. Frielink
- Tilburg University; Tranzo; Tilburg The Netherlands
- Dichterbij Kennisn@; Ottersum The Netherlands
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78
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Brehmer-Rinderer B, Weber G. Gesundheitsförderung von Menschen mit intellektueller Behinderung. ACTA ACUST UNITED AC 2013. [DOI: 10.1026/0943-8149/a000097] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zahlreiche Publikationen belegen, dass die Gesundheit von Menschen mit intellektueller Behinderung (IB) für Krankheiten und Störungen anfälliger ist als die der Allgemeinbevölkerung. Zudem sind bestimmte Risikoverhaltensweisen (z. B. schlechte Ernährung und wenig Bewegung) häufiger bei dieser Personengruppe zu finden. Trotz der sensibleren Gesundheitssituation steht die gesundheitspsychologische Forschung für Menschen mit IB noch am Anfang. Für diesen Überblicksartikel wurde Fachliteratur über Menschen mit IB nach gesundheitspsychologischen Konzeptionen durchsucht und bestehende Forschungsarbeiten analysiert. Des Weiteren wurden rezente Gesundheitsmodelle sowie Kontinuitäts- und Stadienmodelle für die Allgemeinbevölkerung und ihre einzelnen Bestandteile hinsichtlich ihrer Übertragbarkeit auf diese spezielle Population untersucht. Eine Generalisierung von Gesundheitsmodellen der Allgemeinbevölkerung auf die Gruppe von Menschen mit IB erscheint aus verschiedenen Gründen problematisch. So erweist sich z. B. die Erfassung einzelner Bestandteile durch ihre Abstraktheit als zu komplex für Menschen mit IB. Dieses und ähnliche Forschungshindernisse werden in diesem Artikel besprochen. Diese genaue Analyse hilft jedoch notwendige Kriterien für die Entwicklung eines theoretischen Gesundheitsmodells speziell für Menschen mit IB zu erstellen. Schlussendlich werden relevante Modellbausteine für Menschen mit IB, die auf den präsentierten Forschungsergebnissen aufbauen, vorgestellt und diskutiert. Schließlich werden zukünftige Forschungsfragen erörtert.
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79
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van Asselt-Goverts AE, Embregts PJCM, Hendriks AHC. Structural and functional characteristics of the social networks of people with mild intellectual disabilities. RESEARCH IN DEVELOPMENTAL DISABILITIES 2013; 34:1280-1288. [PMID: 23417133 DOI: 10.1016/j.ridd.2013.01.012] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2012] [Revised: 01/18/2013] [Accepted: 01/18/2013] [Indexed: 06/01/2023]
Abstract
In the research on people with intellectual disabilities and their social networks, the functional characteristics of their networks have been examined less often than the structural characteristics. Research on the structural characteristics of their networks is also usually restricted to the size and composition of the networks, moreover, with little attention to such characteristics as the variety, accessibility, length and origin of the relationships or the frequency and initiation of the contacts. A comprehensive examination of both the structural and functional characteristics of the social networks of 33 people with intellectual disabilities was therefore undertaken. The social networks of the individuals who all lived in the community varied from 4 to 28 members (mean 14.21); 42.65% of the network members were family members, 32.84% acquaintances and 24.51% professionals. Remarkable is the high frequency of contact with network members; the finding that the participants considered themselves to be the main initiator of contact more often than the other members of their networks as the main initiators; the high scores assigned to neighbours and professionals for functional characteristics; and the relatively low scores assigned to network members for the connection characteristic of the social networks. The important role of professionals in the social networks of people with mild intellectual disabilities and practical implications to facilitate their social inclusion are discussed.
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Affiliation(s)
- A E van Asselt-Goverts
- HAN University of Applied Sciences, Faculty of Health and Social Studies, Nijmegen, The Netherlands.
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80
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Tuffrey-Wijne I, Giatras N, Butler G, Cresswell A. People with intellectual disabilities who are affected by a relative or friend with cancer: A qualitative study exploring experiences and support needs. Eur J Oncol Nurs 2012; 16:512-9. [DOI: 10.1016/j.ejon.2012.01.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2011] [Revised: 12/02/2011] [Accepted: 01/15/2012] [Indexed: 11/27/2022]
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Caldwell K, Harris SP, Renko M. The potential of social entrepreneurship: conceptual tools for applying citizenship theory to policy and practice. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2012; 50:505-518. [PMID: 23256692 DOI: 10.1352/1934-9556-50.06.505] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Contemporary policy encourages self-employment and entrepreneurship as a vehicle for empowerment and self-sufficiency among people with disabilities. However, such encouragement raises important citizenship questions concerning the participation of people with intellectual and developmental disabilities (IDD). As an innovative strategy for addressing pressing social and economic problems, "social entrepreneurship" has become a phrase that is gaining momentum in the IDD community--one that carries with it a very distinct history. Although social entrepreneurship holds the potential to be an empowering source of job creation and social innovation, it also has the potential to be used to further disenfranchise this marginalized population. It is crucial that in moving forward society takes care not to perpetuate existing models of oppression, particularly in regard to the social and economic participation of people with IDD. The conceptual tools addressed in this article can inform the way that researchers, policymakers, and practitioners approach complex issues, such as social entrepreneurship, to improve communication among disciplines while retaining an integral focus on rights and social justice by framing this issue within citizenship theory.
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Affiliation(s)
- Kate Caldwell
- Department of Disability and Human Development, University of Illinois at Chicago, 1640 West Roosevelt Road (MC626), Chicago, IL 60608, USA.
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82
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Fesko SL, Hall AC, Quinlan J, Jockell C. Active aging for individuals with intellectual disability: meaningful community participation through employment, retirement, service, and volunteerism. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2012; 117:497-508. [PMID: 23167488 DOI: 10.1352/1944-7558-117-6.497] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
As individuals with intellectual and developmental disabilities become more engaged in community employment, it will be critical to consider how their employment experience changes as they age. Similar to other seniors, individuals will need to consider whether they want to maintain their employment, reduce their work commitment, or retire completely. If they do choose to retire, what activities will they choose to engage in, and what service or supports might be necessary? This article considers the issues faced by all aging workers in regard to retirement planning and active aging as well as specific strategies for individuals with intellectual and developmental disabilities to remain active and engaged. Recommendations for service options, policy consideration, and future research are also discussed.
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83
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The politics of recovery in mental health: A left libertarian policy analysis. SOCIAL THEORY & HEALTH 2012. [DOI: 10.1057/sth.2012.1] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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84
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Perkins EA, LaMartin KM. The Internet as Social Support for Older Carers of Adults With Intellectual Disabilities. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2012. [DOI: 10.1111/j.1741-1130.2012.00330.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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85
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The S Words: Sexuality, Sensuality, Sexual Expression and People with Intellectual Disability. SEXUALITY AND DISABILITY 2012. [DOI: 10.1007/s11195-011-9250-4] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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86
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Badia M, Orgaz BM, Verdugo MA, Ullán AM, Martínez MM. Personal factors and perceived barriers to participation in leisure activities for young and adults with developmental disabilities. RESEARCH IN DEVELOPMENTAL DISABILITIES 2011; 32:2055-2063. [PMID: 21985988 DOI: 10.1016/j.ridd.2011.08.007] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2011] [Revised: 08/03/2011] [Accepted: 08/09/2011] [Indexed: 05/28/2023]
Abstract
Participation in leisure activities has been identified as a factor that favors inclusion in the community and it also contributes to a better quality of life. This study analyzed the influence of certain personal characteristics and environmental factors in the participation in leisure activities of youngsters and adults with developmental disabilities. A cross-sectional design was used with a convenience sample of 237 people, aged 17-65, living in the community. The participants completed the Spanish version of the Leisure Assessment Inventory, and information about the personal and disability-related factors was obtained through a questionnaire. Multiple regression analyses were conducted to determine the personal factors, disability-related factors, and perceived barriers to leisure participation. The results show that participation in leisure activities is determined more by personal factors and perceived barriers than by disability-related factors.
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Affiliation(s)
- Marta Badia
- University of Salamanca, INICO, Institute on Community Integration, Avda de la Merced 109-131, 37005 Salamanca, Spain.
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87
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Who’s Missing? Awareness of Lesbian, Gay, Bisexual and Transgender People with Intellectual Disability. SEXUALITY AND DISABILITY 2010. [DOI: 10.1007/s11195-010-9175-3] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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88
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