Maastricht University Governor Kremers Centre, Maastricht, Limburg, Netherlands.
Maastricht University Faculty of Psychology and Neuroscience, Maastrich, Limburg, Netherlands.
J Intellect Disabil Res. 2017 Dec;61(12):1117-1129. doi: 10.1111/jir.12428. Epub 2017 Oct 11.
Sexual rights and sexuality are important aspects of quality of life, also for people with intellectual disabilities (IDs). However, providing support in this area to people with ID poses some challenges. In this study, the content of individual support plan (ISP) documents was analysed to determine the extent to which sexuality and sexual rights are addressed in part of the ISP documents.
Content analysis was carried out on a sample of 187 ISP documents from seven different service provider organisations in the Netherlands. First, we conducted a lexical search using terms related to sexuality and sexual health. The retrieved segments were then analysed.
A total of 159 ISP documents (85%) of 60 men and 99 women contained some reference to aspects of sexuality. However, these references were mostly descriptive and offered little guidance in terms of providing support. Moreover, these notations mostly described negative or problematic aspects of sexuality. References to sexual education, treatment, intervention programs or support strategies were rarely found in the ISP documents.
Although sexuality is addressed in most ISP documents, there is little information available about the provision of professional support in this area that would give people the opportunity to exert sexual rights. As sexuality and exerting sexual rights are important for people with ID as well as for other people, it is recommended that issues surrounding proactive sex education, shared decision-making and the implementation of sexual healthcare plans are addressed in the ISP.
性权利和性行为是生活质量的重要方面，对于智障人士（ID）也是如此。然而，在这方面为 ID 人士提供支持存在一些挑战。在这项研究中，分析了个人支持计划（ISP）文件的内容，以确定 ISP 文件的一部分在多大程度上涉及到性行为和性权利。
对来自荷兰七个不同服务提供商组织的 187 份 ISP 文件样本进行了内容分析。首先，我们使用与性行为和性健康相关的术语进行了词汇搜索。然后对检索到的片段进行了分析。
共有 159 份 ISP 文件（60 名男性和 99 名女性中的 85%）提到了一些性行为方面的内容。然而，这些参考大多是描述性的，几乎没有提供在提供支持方面的指导。此外，这些说明主要描述了性行为的负面或问题方面。在 ISP 文件中很少提到性教育、治疗、干预计划或支持策略。
尽管大多数 ISP 文件都涉及性行为，但在这方面提供专业支持的信息很少，这使得人们无法行使性权利。由于性行为和行使性权利对 ID 人士以及其他人都很重要，因此建议在 ISP 中解决有关积极的性教育、共同决策和实施性保健计划的问题。
