Suchergebnisse

AbstractBackgroundPrevious systematic reviews of the relationships of people with intellectual disabilities have included consideration of intimate relationships. In this paper, we report a systematic review of papers describing friendship only.MethodA systematic qualitative meta‐synthesis of the research exploring experiences of friendship as reported by people with intellectual disabilities.ResultsSeven papers met the inclusion criteria for analysis. Three superordinate themes were identified. (1) Reciprocity, 'Someone who helps me, and I help them'. (2) The building blocks of friendships, 'I can tell her some secrets'. (3) Managing friendship difficulties, 'In real life it's much harder'.ConclusionPeople with intellectual disabilities value friendship and actively engage in reciprocal exchanges. We explore the strengths and limitations of current research, clinical implications, and directions for future research.

AbstractBackgroundStructured assessments have been shown to assist professionals to evaluate the risk of aggression in secure services for general offender populations and more recently among adults with intellectual disabilities. There is a need to develop intellectual disability sensitive measures for predicting risk of aggression in community samples, especially tools with a focus on dynamic variables.MethodsThe study prospectively followed 28 participants for up to 2 months to test whether the Current Risk of Violence (CuRV) and Short Dynamic Risk Scale (SDRS) were able to predict verbal and physical aggression in a community sample of adults with intellectual disability.ResultsCuRV and SDRS ratings significantly predicted verbal and physical aggression over a 2‐month period.ConclusionsThe current study supports the use of the CuRV with adults with intellectual disability living in community settings. The CuRV and SDRS are worthy of future development and evaluation in independent investigations.

BackgroundCreative use of legislation can produce positive change in the lives of people with intellectual disabilities. This may be 'bottom‐up' or 'top‐down' or at multiple levels and with multiple stakeholders.MethodUsing a human rights–based approach (HRBA), four initiatives to improve services for people with intellectual disabilities in theUKare described.ResultsThe first example explains the process of co‐producing aDVDand board game to enable people with intellectual disabilities to understand their human rights. The second example considers the impact of organizational culture in the process of embedding a pilot evaluation of practical, human rights–based risk assessment and management tools. A third pilot project examines how the guiding principles of Mental Health Act (MHA) (2007) for England and Wales can be operationalized using anHRBA. Finally, improving equitable access to health care through a 'top‐down' process of change involving the Green Light Toolkit is reported.ConclusionThe authors consider how to approach the process and where to focus in the system, to realize meaningful change.