University of Ulster, Jordanstown, Newtownabbey, N. Ireland.
J Intellect Disabil Res. 2010 Feb;54(2):135-43. doi: 10.1111/j.1365-2788.2009.01224.x. Epub 2009 Oct 28.
The social exclusion of persons with intellectual disability is more marked in congregated than in individualised supported accommodation. Goal setting was used as a means of increasing individuals' choices and engaging support staff in personalised planning. Method People living in four different housing and support options were invited to identify up to three 'social inclusion' goals they wanted to achieve in the coming months. Nine months later, a review was undertaken to see if their goals had been attained and also to identify what had helped or hindered individuals in doing this. The goal selection was then repeated and reviewed again after a further 9 months. Results The most commonly chosen goals were around social activities with other people and over half the participants were reported to have attained at least one of their goals within 9 months, particularly those in supported living arrangements that had greater hours of individual staff support. In the second 9-month period, fewer people chose goals, although the same proportion as before were successful. The main reason given for goal attainment was the information and support provided by staff. Conclusions Goal setting seems a suitable way of promoting social inclusion as it can be tailored to the needs and aspirations of individuals, although extra efforts may be needed to implement and sustain it with staff across all accommodation options.
智力残疾者的社会排斥在集中式而非个体化支持性住宿中更为明显。目标设定被用作增加个人选择和使支持人员参与个性化规划的手段。
邀请居住在四种不同住房和支持选择的人确定他们在未来几个月内想要实现的最多三个“社会包容”目标。九个月后,进行了一次审查,以了解他们的目标是否已经实现,并确定哪些因素有助于或阻碍了个人实现这一目标。然后再次重复目标选择,并在另外 9 个月后再次进行审查。
最常选择的目标是与他人的社交活动,超过一半的参与者在 9 个月内实现了至少一个目标,特别是那些支持生活安排的参与者,他们有更多的个人工作人员支持时间。在第二个 9 个月期间,选择目标的人较少,但成功的比例与之前相同。目标实现的主要原因是工作人员提供的信息和支持。
目标设定似乎是促进社会包容的一种合适方式,因为它可以根据个人的需求和愿望进行定制,尽管可能需要额外的努力来在所有住宿选择中实施和维持它与工作人员的关系。