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Adult protection of people with intellectual disabilities: incidence, nature and responses
- Authors:
- BEADLE-BROWN Julie, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 23(6), November 2010, pp.573-584.
- Publisher:
- Wiley
This paper presents findings from the analysis of the 1,926 referrals relating to people with intellectual disabilities included description of the nature of abuse and the responses to the referrals. Findings indicated that about one-third of all adult protection referrals related to people with intellectual disability, remaining consistent over time. However, the number of referrals increased significantly. The majority of people lived in residential care or supported living and this was reflected in the nature of the referrals – people were more likely to have been abused in the care home and by staff or service users than those without an intellectual disability. The most common type of abuse was physical abuse. Sexual abuse was more prevalent in the intellectual disability sample. People with intellectual disability were more likely to have experienced follow-up action, usually through more monitoring. There was a different pattern of abuse seen in those placed out-of-area. The authors conclude that there is some indication that residential situation and in particular being placed in a residential placement out-of-area may be an important factor in predicting adult protection referrals.
Deinstitutionalisation and community living: position statement of the Comparative Policy and Practice Special Interest Research Group of the International Association for the Scientific Study of Intellectual Disabilities
- Authors:
- MANSELL Jim, BEADLE-BROWN Julie
- Journal article citation:
- Journal of Intellectual Disability Research, 54(2), February 2010, pp.104-112.
- Publisher:
- Wiley
The process of “deinstitutionalisation”; that is the abandonment of large residential institutions and their replacement by small scale services allowing people to live in the community, is well advanced in Scandinavia, the US, Canada, the UK and Australasia. Although here the debate is largely resolved, questions remain about whether newer kinds of supported accommodation replicate institutional features and themselves need reform. In other countries the debate has never really begun because those with intellectual disabilities are mostly cared for by their families. In a third group of countries the dominant form of care remains institutional and how to replace this is at the heart of the debate. The purpose of this position statement by the Comparative Policy and Practice Special Interest Research Group of the International Association for the Scientific Study of Intellectual Disabilities was to set out concisely the evidence for comparing institutional to community services and to draw out implications for policy makers. The UN Convention on the Rights of Persons with Disabilities obliges states to develop community living to replace institutional care. The authors suggest that in addressing this task, policy makers should be aware of the evidence that; community living offers the prospect of an improved lifestyle and quality of life over institutional care for people with intellectual disabilities, that this applies to old and new institutions alike whatever they are called; that community care is no more expensive than institutional care on the basis of comparative need and quality of care; and successful community living requires close attention to the way services are set up and run, especially the quality of staff support.