Journal of Policy and Practice in Intellectual Disabilities最新文献

{"title":"Remote monitoring support services for people with intellectual and developmental disabilities","authors":"Carli Friedman","doi":"10.1111/jppi.12463","DOIUrl":"10.1111/jppi.12463","url":null,"abstract":"<p>While remote monitoring supports have many benefits and the use of remote supports for people with intellectual and developmental disabilities (IDD) is increasing, they are a relatively new technology for IDD service provision and yet to be widely available. However, during the COVID-19 pandemic, there was a rapid uptake in technology in Home and Community-Based Services (HCBS) for people with IDD, including the expansion of telehealth and remote supports. The aim of this study was to examine if, and, how, remote monitoring support services were provided to people with IDD in HCBS across the United States in fiscal year (FY) 2021. To do so, we analyzed Medicaid HCBS 1915(c) waivers for people with IDD. In FY 2021, 10 states (22.22%) provided remote support services to people with IDD through 19 HCBS waivers (17.76%); they provided a total of 36 different remote monitoring services. A total of $22.4 million was allocated for remote support services for 3039 people with IDD. We found states often provided remote support services to people with IDD in HCBS to promote independence, health, and welfare, and reduce and/or replace services. States implemented a number of rules and requirements to help keep people with IDD safe while remote support services were being used, including informed consent, encryption, emergency backup plans, and the prohibition of use in private spaces. Further attention to remote supports in HCBS is necessary to ensure that people with IDD who want to utilize these services are able to do so.</p>","PeriodicalId":47236,"journal":{"name":"Journal of Policy and Practice in Intellectual Disabilities","volume":"20 3","pages":"298-307"},"PeriodicalIF":1.7,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49592044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Policy on sexual abuse: A survey study amongst managers of care facilities for individuals with intellectual disability in the Netherlands","authors":"Manon J. Smit,&nbsp;Mia Scheffers,&nbsp;Claudia Emck,&nbsp;Jooske T. van Busschbach,&nbsp;Lara Engelsman,&nbsp;Peter J. Beek","doi":"10.1111/jppi.12462","DOIUrl":"10.1111/jppi.12462","url":null,"abstract":"<p>Individuals with intellectual disability living in a care facility are at high risk of sexual abuse. Formal policies on sexual abuse within these care facilities and their effective implementation are a prerequisite to reducing the risk of sexual abuse in this group. The present study aimed to determine the state of affairs in this regard in the Netherlands and identify areas of improvement regarding both policy formulation and implementation. An online survey was sent to the management boards of 129 Dutch care facilities for individuals with intellectual disability. Sixty-nine managers completed the survey on behalf of their care facility. Descriptive statistics were used to characterize the state of affairs regarding policies on sexual abuse. Areas of improvement reported by the managers were examined qualitatively by thematic analysis. Most care facilities complied with the national legal requirements on sexual abuse, which include the availability of a protocol on sexual abuse and mandatory reporting. It varied across the care facilities to what extent the protocols on sexual abuse are brought to the staff's attention and used in practice. About half of them provided no staff training on the protocol on sexual abuse, while nearly one-third of the care facilities provided no organizational protective factors on sexual abuse, such as a special-task official on sexual abuse, sexuality or sexual abuse department, or cooperation with the vice squad. Most areas of improvement reported by the managers pertained to the need for staff training and the improvement of practical use of policies and protocols on sexual abuse. In conclusion, the availability of policies and protocols on sexual abuse in care facilities for individuals with intellectual disability does not guarantee a caring culture in which these policies and protocols are implemented effectively, and in which sexual abuse is prevented and detected in a timely way.</p>","PeriodicalId":47236,"journal":{"name":"Journal of Policy and Practice in Intellectual Disabilities","volume":"20 3","pages":"289-297"},"PeriodicalIF":1.7,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jppi.12462","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45263985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-determination and quality of life of people with intellectual and developmental disabilities: Past, present, and future of close research paths","authors":"Cristina Mumbardó-Adam,&nbsp;Eva Vicente,&nbsp;Giulia Balboni","doi":"10.1111/jppi.12460","DOIUrl":"10.1111/jppi.12460","url":null,"abstract":"<p>In recent decades, research in the field of intellectual and developmental disabilities has targeted self-determination and quality of life constructs. Quality of life has been extensively studied within various theoretical frameworks. It has been used to guide the provision of appropriate support in daily life. In addition, a vast body of scientific literature has focused on the theoretical and practical underpinnings of self-determination as a construct in itself. To understand how self-determination is an essential supporting concept in the quality of life paradigm, this brief report unravels the complementary but unique role that each construct (quality of life and self-determination) embodies. Furthermore, we discuss the role of self-determination in the scientific literature and in the quality of life of people with intellectual and developmental disabilities, reflecting on how both lines of research can converge and be aligned from a common approach. The aim is to drive attention to areas of future research development that strengthen understanding of quality of life and the self-determination construct.</p>","PeriodicalId":47236,"journal":{"name":"Journal of Policy and Practice in Intellectual Disabilities","volume":"21 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jppi.12460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44210715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How I got here: Career influences on healthcare professionals who work with persons with intellectual and developmental disabilities","authors":"Hannah P. McCann,&nbsp;Sydnie E. Smith,&nbsp;Richard C. Urbano,&nbsp;Elisabeth M. Dykens,&nbsp;Robert M. Hodapp","doi":"10.1111/jppi.12459","DOIUrl":"10.1111/jppi.12459","url":null,"abstract":"<p>Although increasing the healthcare workforce serving those with intellectual and developmental disabilities (IDD) remains critical, we know little about how current healthcare workers began serving this population. Surveying 153 U.S.-based healthcare professionals who work with persons with IDD, this study examined the presence, influence, and nature of their disability-related experiences. The most common and influential experiences involved pre- and post-professional disability training. Less frequent, albeit influential, experiences included being a sibling or having other family members with disabilities and working at disability-related camps. First encounters with persons with IDD occurred during the child and adolescent (i.e., preprofessional) years for 38% of respondents, with slightly lower percentages occurring earlier (34%, involving family) or later (28%, during pre- or post-professional training). Those with family or child–adolescent first encounters more often also reported disability experiences in subsequent periods. Respondents spoke of the formative effects of hands-on disability training as well as of family and child–adolescent experiences, although some disability-related careers also featured an element of chance. Practical and policy implications are discussed.</p>","PeriodicalId":47236,"journal":{"name":"Journal of Policy and Practice in Intellectual Disabilities","volume":"20 3","pages":"249-259"},"PeriodicalIF":1.7,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48696296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spirituality, disability, and quality of life","authors":"Erik W. Carter","doi":"10.1111/jppi.12458","DOIUrl":"10.1111/jppi.12458","url":null,"abstract":"<p>Promoting the flourishing of people with intellectual and developmental disabilities (IDD) requires consideration of the same breadth of life domains that might matter to any other person. Like anyone else, many people with IDD (as well as their families) consider spirituality and religious participation to be central to their personal thriving. Yet, this dimension of their lives is often overlooked or ignored in the areas of assessment, planning, practice, and support. This article addresses the salience of spirituality and religion; their impact on QOL; the complexities of addressing these areas among people with IDD; the ways in which they can be conceptualized and assessed; and implications for policy and practice.</p>","PeriodicalId":47236,"journal":{"name":"Journal of Policy and Practice in Intellectual Disabilities","volume":"21 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jppi.12458","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45036843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development of a trauma informed care framework for residential services for adults with an intellectual disability: Implications for policy and practice","authors":"Paddy McNally,&nbsp;Laurence Taggart,&nbsp;Mark Shevlin","doi":"10.1111/jppi.12457","DOIUrl":"10.1111/jppi.12457","url":null,"abstract":"<p>Trauma informed care has become an evidenced based approach for inpatient and residential services for people in the general population who are likely to have been impacted by trauma. Given the increased vulnerability to psychological trauma for adults with an intellectual disability, it should follow that residential services for adults with an intellectual disability would also benefit from a trauma informed care approach. Two focus groups and individual interviews with seven adults with an intellectual disability and six workshops with seven service providers were conducted to co-produce a trauma informed care framework for residential services that was evidence-based and guided by established models (MRC, Developing and evaluating complex interventions, London: MRC &amp; NIHR, 2019; Wight et al., Journal of Epidemiology and Community Health, 70, 520–525, 2016). The framework was developed into four chapters: ‘Setting the context’; ‘Organisational change’; ‘Workforce development’; and ‘Trauma focussed services’. A logic model outlining the mechanisms of change was refined over the course of the co-production workshops. This is the first study to develop and co-produce a trauma informed care framework for residential and supported living accommodation for adults with an intellectual disability. The framework has implications for local policy and practice in its current cultural context. Future development is required to operationalise and test the framework and to explore its adaptability to international contexts.</p>","PeriodicalId":47236,"journal":{"name":"Journal of Policy and Practice in Intellectual Disabilities","volume":"20 3","pages":"232-248"},"PeriodicalIF":1.7,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jppi.12457","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45151350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing staff capacity to support children with intellectual disability receiving residential services: A realist evaluation of an improvement program","authors":"Pontus Wallin,&nbsp;Christina Petersson,&nbsp;Kristina Areskoug Josefsson,&nbsp;Annika Nordin","doi":"10.1111/jppi.12453","DOIUrl":"10.1111/jppi.12453","url":null,"abstract":"<p>Children with intellectual disability receiving residential support, according to the Swedish Disability Act, need substantial support to cope with everyday life. These children have cognitive and communicative limitations, entailing difficulties for staff in consulting the children regarding their support arrangements. In addition, due to lack of research there are knowledge gaps and uncertainties concerning how staff can provide the children's support. To deliver high qualitative support, research suggests that disability organisations should (1) continuously work with quality improvement, (2) adopt a multi-dimensional framework that explains human functioning and disability as a basis for understanding individual support needs, and (3) use person-centred approaches. Based on these principles, this study has applied a realist evaluation to identify enablers and barriers during the implementation of an improvement programme aimed at improving staff's ability to provide support to children living in special residences.</p>","PeriodicalId":47236,"journal":{"name":"Journal of Policy and Practice in Intellectual Disabilities","volume":"20 3","pages":"260-272"},"PeriodicalIF":1.7,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jppi.12453","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44322615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parents helping a child with disability learn at home during COVID-19: Experiences from Slovenia and Canada","authors":"Majda Schmidt,&nbsp;Mateja Šilc,&nbsp;Ivan Brown","doi":"10.1111/jppi.12456","DOIUrl":"10.1111/jppi.12456","url":null,"abstract":"<p>The COVID-19 pandemic caused much disruption in many global sectors, including education where schools were closed in most countries and children had to learn remotely from home. This was particularly challenging for children with special learning needs and disabilities, often already somewhat marginalized, as they were more likely to be left behind and less able to adapt easily to remote online learning. This study inquired into the experiences of 67 parents from Slovenia and 15 parents from Canada who helped their children with special learning needs or disabilities learn remotely. Parents in both countries identified several specific advantages and disadvantages to learning remotely from home. The Slovenian children spent more hours per day at their lessons and attended more lessons than the Canadian children. Both samples of parents received some support from their schools, although the Slovenia parents perceived these as more satisfactory. This study provides a unique opportunity to study the effects of remote learning during a prolonged crisis situation, and it provides valuable lessons for how both families and school personnel can work to improve the potential educational experiences of students who are required to learn remotely. A 12-point framework for planning for future emergencies is provided.</p>","PeriodicalId":47236,"journal":{"name":"Journal of Policy and Practice in Intellectual Disabilities","volume":"20 2","pages":"216-227"},"PeriodicalIF":1.7,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jppi.12456","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49211096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family support IDD interventions in culturally diverse and underserved communities","authors":"Sarah Dababnah,&nbsp;Sandy Magaña","doi":"10.1111/jppi.12454","DOIUrl":"10.1111/jppi.12454","url":null,"abstract":"","PeriodicalId":47236,"journal":{"name":"Journal of Policy and Practice in Intellectual Disabilities","volume":"20 1","pages":"4-6"},"PeriodicalIF":1.7,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44193272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health care for people with intellectual disability in Spain","authors":"L. E. Gómez,&nbsp;M. L. Morán,&nbsp;P. Solís,&nbsp;P. Pérez-Curiel,&nbsp;A. Monsalve,&nbsp;P. Navas","doi":"10.1111/jppi.12455","DOIUrl":"10.1111/jppi.12455","url":null,"abstract":"<p>We describe the healthcare system for people with intellectual disability (ID) in Spain. First, we provide general population statistics before focusing on the most recent prevalence data related to people with disability in general, and with ID in particular. We also discuss how health care is organized. Most of the Spanish population is covered by the public healthcare system, which is structured into primary care (first-level health services; easily accessible and capable of tackling the most common ailments) and specialized care (second-level health services; comprising the most complex and costly diagnostic and therapeutic resources). We then explain Spain's primary legislation that promotes the rights of people with disabilities, highlighting the importance of the United Nations Convention on the Rights of Persons with Disabilities (CRPD), which is enshrined in the Spanish General Law on the Rights of People with Disabilities and their Social Inclusion (Royal Legislative Decree 1/2013). Second, we describe the organization of Spanish disability support and health services, whose regulation is highly complex given that the autonomous regions set their own rules about coverage, services, and financing. Third, we present some recent studies that allow a better understanding of health care for people with ID in Spain, including a summary of the ongoing #Rights4MeToo project. We report specific data on the right to habilitation/rehabilitation. People with ID and professionals providing them with supports agreed that the most problematic aspects of health care for people with ID were the lack of: coordination across services, user-friendly information to maintain or improve their health, psychological treatments, preventive medical check-ups, and knowledge about disability among health professionals. There is a need to give people with ID priority access to services, reduce waiting times, increase the length of medical appointments, and create protocols and prevention campaigns targeting them.</p>","PeriodicalId":47236,"journal":{"name":"Journal of Policy and Practice in Intellectual Disabilities","volume":"21 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jppi.12455","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46569264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}