Haßler Theresia, Thimm Antonia, Dieckmann Friedrich
Abt. Münster, Institut für Teilhabeforschung, Katholische Hochschule Nordrhein-Westfalen, Piusallee 89, 48147, Münster, Deutschland.
Z Gerontol Geriatr. 2019 May;52(3):235-240. doi: 10.1007/s00391-019-01535-1. Epub 2019 Mar 26.
Relocation from the familiar living environment is a particularly risky transition event for old people with intellectual disability (ID); however, a change of environment has the potential to maintain or improve a person's social participation and self-determination in old age. The research project MUTIG aimed to analyze the frequency and destination of moving home of old persons with ID (≥50 years) in Westphalia for the years 2014 and 2015.
The investigation was based on a secondary analysis of administrative data of all persons over 50 years who received any kind of social aid for integration from the Regional Association of Westphalia-Lippe. For each individual the address and support arrangements at the beginning and the end of the years 2014 and 2015 were compared.
Approximately 5% of older people with ID changed address per year. People who moved to nursing homes had previously primarily lived in larger institutions or larger community-based group homes. The number of older persons with ID moving into or out of supported living arrangements was approximately equal.
Older persons with ID should also be able to move to smaller supported settings and these settings should provide long-lasting living perspectives (aging in place). The pulling effect that nursing homes exert on residents in residential institutions or larger group homes is critically discussed.
对于智障老人而言，从熟悉的生活环境中搬迁是一个风险尤高的过渡事件；然而，环境的改变有可能在老年阶段维持或提升一个人的社会参与度和自主决定权。研究项目MUTIG旨在分析2014年和2015年威斯特法伦州50岁及以上智障老人的搬家频率和目的地。
该调查基于对威斯特法伦-利珀地区协会为所有50岁以上接受任何形式融合社会救助的人员的行政数据进行二次分析。对每个人2014年初和年末以及2015年初和年末的地址及支持安排进行了比较。
每年约5%的智障老人会更换住址。搬入养老院的人此前主要居住在大型机构或大型社区集体之家。搬进或搬出支持性居住安排的智障老人数量大致相等。
智障老人也应能够搬到较小的支持性住所，并且这些住所应提供长期的居住前景（就地养老）。文中对养老院对居住机构或大型集体之家居民的吸引作用进行了批判性讨论。
