Elkins T E, Gafford L S, Wilks C S, Muram D, Golden G
Obstet Gynecol. 1986 Aug;68(2):185-8.
An interdisciplinary model clinic for the consideration of reproductive health and sexuality concerns in a noninstitutionalized, mentally handicapped population is presented. Common concerns of this population group and their management are discussed. A program for menstrual hygiene control was developed using a combination of hormonal medication and home-based behavior modification training. Group sexuality counseling was provided for both patients and their families to enhance the avoidance of sexual abuse, the understanding of sexual development, and intrafamily communication. An ethics committee, composed of persons within the community, offered advice in questions of contraception and/or sterilization.
本文介绍了一个跨学科示范诊所，该诊所针对非机构化的智障人群的生殖健康和性健康问题进行诊治。文中讨论了该人群的常见问题及其处理方法。制定了一项月经卫生控制计划，采用激素药物治疗与家庭行为矫正训练相结合的方式。为患者及其家属提供了团体性咨询，以增强对性虐待的防范、对性发育的理解以及家庭内部的沟通。一个由社区成员组成的伦理委员会就避孕和/或绝育问题提供建议。
