UCD Centre for Disability Studies, UCD School of Psychology, University College Dublin, Dublin, Ireland.
J Intellect Disabil. 2023 Jun;27(2):291-314. doi: 10.1177/17446295221085479. Epub 2022 Apr 21.
Deinstitutionalisation has increased the likelihood of adults with intellectual disabilities residing in neighbourhoods either in staff-supported accommodation or in their family home. However, it raises the question of whether national policies on disability have translated into practice actions by service providers that result in positive social inclusion outcomes for individuals. This study examined the practice initiatives supporting social inclusion in neighbourhoods in specialist state-funded service providers for adults with intellectual disabilities. Using a mixed methods design, CEOs/service leaders of 40 organisations completed an online survey. Follow-up interviews were completed with a randomised sample. Shifting towards new service models and strategic links with mainstream organisations were most often mentioned as furthering social inclusion goals. A wide range of service initiatives were reported, with positive outcomes alongside a range of challenges. Service providers play an important role in providing individualised supports that foster local engagement. However, the service context is complex and service leaders have reported many challenges that may impede progress on social inclusion.
去机构化增加了智障成年人居住在有工作人员支持的住所或家庭住宅附近的可能性。然而，这引发了一个问题，即关于残疾的国家政策是否已经转化为服务提供者的实践行动，从而为个人带来积极的社会包容成果。本研究考察了支持智障成年人专业国家资助服务提供者社区内社会包容的实践举措。研究采用混合方法设计，40 家组织的首席执行官/服务负责人完成了在线调查。对随机抽样进行了跟进访谈。向新的服务模式转变和与主流组织建立战略联系，这两种情况经常被提及，认为它们有助于实现社会包容目标。报告了广泛的服务举措，除了一系列挑战之外，还取得了积极的成果。服务提供者在提供促进当地参与的个性化支持方面发挥了重要作用。然而，服务环境很复杂，服务负责人报告了许多可能阻碍社会包容进展的挑战。
