Family based social capital of adults with mild intellectual disabilities supported in 24-hour residential settings compared to outreach settings

IF 2.5 4区 医学 Q2 HEALTH POLICY & SERVICES
Sanne A. H. Giesbers, Tess Tournier, Alexander H. C. Hendriks, Kathleen van Loon, Vicky Quinet, Richard P. Hastings, Andrew Jahoda, Petri J. C. M. Embregts
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Abstract

To enhance social inclusion of people with (mild) intellectual disabilities, policy tends to focus on increasing their informal supportive networks. Family members, mostly parents, are often the main providers of informal support to people with mild intellectual disabilities. Previous research has shown the utility of social capital as a theoretical framework to examine support in the family relationships of people with mild intellectual disabilities, and has shown that several features of the family-based social capital of people with mild intellectual disabilities are dependent on support and living arrangements. However, existing research on support and living arrangements does not take the key features of family-based social capital (i.e., bonding and bridging social capital, reciprocity) into account. Therefore, the aim of the current study is to examine the family-based social capital of people with mild intellectual disabilities supported in 24-h residential settings (n = 29) versus outreach support settings (n = 45). All participants were individually interviewed about their family support relationships using the Family Network Method-Intellectual Disability (FNM-ID). Data were analyzed quantitatively using social network analyses and group comparisons. No significant differences between the two subgroups were found in the social network measures: the two subgroups did not differ in their experience of bonding and bridging social capital, nor in terms of the experienced reciprocity in their family relationships. However, a few differences in the composition of the family network were found. While people with mild intellectual disabilities in outreach support settings were more likely to include children in their significant family network and to provide support to parents, participants in 24-h care settings were more likely to report extended family as significant family network members.

24 小时寄宿环境与外展环境下轻度智障成人的家庭社会资本比较
为增强(轻度)智障人士的社会融入,政策往往侧重于增加他们的非正式支持网络。家庭成员,主要是父母,往往是轻度智障人士非正式支持的主要提供者。以往的研究表明,社会资本作为一个理论框架,在研究轻度智障者家庭关系中的支持时非常有用,并表明轻度智障者以家庭为基础的社会资本的若干特征取决于支持和生活安排。然而,现有关于支持和生活安排的研究并未考虑到以家庭为基础的社会资本的主要特征(即粘合和桥接社会资本、互惠)。因此,本研究旨在考察在 24 小时住宿环境(n = 29)和外展支持环境(n = 45)中接受支持的轻度智障人士的家庭社会资本。研究人员采用智力障碍家庭网络法(FNM-ID),对所有参与者的家庭支持关系进行了个别访谈。通过社会网络分析和分组比较对数据进行了定量分析。在社会网络测量方面,两个亚组之间没有发现明显的差异:两个亚组在社会资本的纽带和桥梁经验方面没有差异,在家庭关系的互惠经验方面也没有差异。然而,在家庭网络的构成方面却发现了一些差异。外展支持环境中的轻度智障人士更有可能将子女纳入其重要的家庭网络,并为父母提供支持,而 24 小时护理环境中的参与者则更有可能将大家庭作为重要的家庭网络成员。
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来源期刊
CiteScore
4.10
自引率
5.90%
发文量
38
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