Centre for Disability Research, Lancaster University, Bailrigg, UK.
J Appl Res Intellect Disabil. 2019 Jul;32(4):932-941. doi: 10.1111/jar.12586. Epub 2019 Apr 5.
The move to community support for all people with intellectual disabilities is an aspiration with international significance. In this article, we draw on rich accounts from women with intellectual disabilities detained under the Mental Health Act (E&W) 1983 and staff at an National Health Service secure setting in England to explore how "moving on" is defined and perceived.
The study reports on an ethnographic study using the field-notes and the 26 semi-structured interviews with detained women and staff on three wards.
We first explore staff conceptions of moving on, which include behavioural change and utilizing coping strategies. Then, we discuss the areas of analysis that women discussed: taking back responsibility, success in arranged relationships, acceptance of regime and resistance to progression.
The concepts of moving on were not determined by the women but by the service. We recommend further research which explores women's own rehabilitation requirements.
将社区支持推广到所有智障人士，这是一个具有国际意义的愿望。在本文中，我们借鉴了英国《1983 年精神健康法案》下被拘留的智障妇女和英格兰国民保健署安全机构工作人员的丰富资料，探讨了“向前迈进”是如何被定义和感知的。
本研究报告了一项采用人种学方法的研究，使用现场笔记和对三个病房的 26 名被拘留妇女和工作人员的半结构化访谈。
我们首先探讨了工作人员对向前迈进的概念，包括行为改变和利用应对策略。然后，我们讨论了妇女讨论的分析领域：承担责任、安排关系的成功、接受制度和对进步的抵制。
向前迈进的概念不是由妇女决定的，而是由服务决定的。我们建议进行进一步的研究，探讨妇女自己的康复需求。
