McConkey Roy, Bunting Brendan, Keogh Fiona, Garcia Iriarte Edurne
Ulster University, Ireland.
Genio Ltd., Ireland.
J Intellect Disabil. 2019 Jun;23(2):149-159. doi: 10.1177/1744629517716546. Epub 2017 Jun 26.
A natural experiment contrasted the social relationships of people with intellectual disabilities ( n = 110) before and after they moved from congregated settings to either personalized accommodation or group homes. Contrasts could also be drawn with individuals who had enduring mental health problems ( n = 46) and who experienced similar moves. Face-to-face interviews were conducted in each person's residence on two occasions approximately 24 months apart. Multivariate statistical analyses were used to determine significant effects. Greater proportions of people living in personalized settings scored higher on the five chosen indicators of social relationships than did persons living in grouped accommodation. However, multivariate statistical analyses identified that only one in five persons increased their social relationships as a result of changes in their accommodation, particularly persons with an intellectual disability and high support needs. These findings reinforce the extent of social isolation experienced by people with disabilities and mental health problems that changes in their accommodation only partially counter.
一项自然实验对比了110名智障人士在从集体生活环境搬到个性化住所或集体之家前后的社会关系。也可以与46名有持久心理健康问题且经历过类似搬迁的个体进行对比。分别在每个人的住所进行了两次面对面访谈，时间间隔约为24个月。采用多变量统计分析来确定显著影响。与居住在集体住所的人相比，居住在个性化环境中的人在五项选定的社会关系指标上得分更高。然而，多变量统计分析表明，只有五分之一的人因住所变化而改善了社会关系，特别是那些有智障且有高支持需求的人。这些发现强化了残疾人和有心理健康问题的人所经历的社会隔离程度，住所的改变只能部分地缓解这种隔离。
