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促进智障和发育障碍青少年向成年期的过渡:主动发展和系统视角。

Improving transition to adulthood for adolescents with intellectual and developmental disabilities: Proactive developmental and systems perspective.

机构信息

Advanced practice nurse at Surrey Place Centre in Toronto, Ont, Adjunct Lecturer in the Lawrence S. Bloomberg Faculty of Nursing at the University of Toronto, and an MBA candidate.

Associate Clinical Professor in the Department of Psychiatry and Behavioural Neurosciences at McMaster University in Hamilton, Ont, and Chief Clinical Officer for Bethesda Community Services in Thorold, Ont.

出版信息

Can Fam Physician. 2018 Apr;64(Suppl 2):S37-S43.

Abstract

OBJECTIVE

To demonstrate how family physicians can contribute to a piece of the journey of improving quality-of-life outcomes for people with intellectual and developmental disabilities (IDD) when they undergo the transition from adolescence to adulthood.

SOURCES OF INFORMATION

The "Primary care of adults with intellectual and developmental disabilities. 2018 Canadian consensus guidelines" literature review and interdisciplinary input.

MAIN MESSAGE

Family physicians should be proactive in anticipating and supporting the transition of people with IDD from adolescence to adulthood. Interventions should be guided by a developmental perspective regarding the person with IDD and a life-cycle approach to supporting families. Family physicians also have a role in helping people with IDD and their families to navigate successfully through changing community-based support systems in their province, especially health care and social services systems. Therefore, family physicians should be aware of current services available in their regions.

CONCLUSION

Community and team-based family physicians can optimize the quality of life of people with IDD and their families by adopting a proactive developmental and systems approach to preparing youth with IDD for adulthood. In doing so, they exemplify the 4 principles of family medicine.

摘要

目的

当智障和发育障碍(IDD)患者从青少年过渡到成年时,展示家庭医生如何在提高他们的生活质量结果方面做出贡献。

信息来源

“智障和发育障碍成人的初级保健。2018 年加拿大共识指南”文献综述和跨学科意见。

主要信息

家庭医生应积极主动地预测并支持智障人士从青少年到成年的过渡。干预措施应遵循智障人士的发展观点和支持家庭的生命周期方法。家庭医生在帮助智障人士及其家庭成功适应其所在省份不断变化的基于社区的支持系统方面也发挥着作用,特别是医疗保健和社会服务系统。因此,家庭医生应该了解其所在地区现有的服务。

结论

以社区和团队为基础的家庭医生可以通过采用积极主动的发展和系统方法,为智障青年做好成年准备,从而优化智障人士及其家庭的生活质量。通过这样做,他们体现了家庭医学的 4 项原则。

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