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关系工作在促进居住在住宿机构中的轻度智力残疾和严重挑战性行为患者安全参与社区方面的作用。

The role of relational work in promoting safe community participation by people with mild intellectual disabilities and severe challenging behaviour living in residential facilities.

作者信息

Lokman Suzanne, Bal Roland, Didden Robert, Embregts Petri J C M

机构信息

Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands.

Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, the Netherlands.

出版信息

Res Dev Disabil. 2025 Mar;158:104946. doi: 10.1016/j.ridd.2025.104946. Epub 2025 Feb 17.

DOI:10.1016/j.ridd.2025.104946
PMID:39965331
Abstract

BACKGROUND

Promoting the level of community participation by people with mild intellectual disabilities who exhibit severe challenging behaviour is complex due to a variety of safety issues.

METHOD

This qualitative study explored what residential facilities for people with intellectual disabilities as well as their external stakeholders do to promote safe community participation, taking feelings of safety of service users and their environment into account. Interview and focus group data from professionals of residential facilities and stakeholders from the police and municipality were thematically analysed, resulting in the identification of two main themes.

RESULTS

The first theme concerns taking risks responsibly together, by identifying, weighing up, and managing risks, whilst the second pertains to residential facilities and stakeholders' ongoing efforts to change the perceptions and attitudes of the public and each other. Overall, the significance of relational work in promoting safe community participation was found.

CONCLUSIONS

Residential facilities and external stakeholders should invest in strengthening their relationship.

摘要

背景

由于存在各种安全问题,提高有严重挑战行为的轻度智力残疾者的社区参与水平是复杂的。

方法

这项定性研究探讨了智障人士的住宿设施及其外部利益相关者为促进安全的社区参与所做的工作,同时考虑到服务使用者及其环境的安全感。对来自住宿设施专业人员以及警方和市政当局利益相关者的访谈和焦点小组数据进行了主题分析,从而确定了两个主要主题。

结果

第一个主题涉及通过识别、权衡和管理风险来共同负责任地冒险,而第二个主题则涉及住宿设施和利益相关者为改变公众和彼此的看法及态度而持续做出的努力。总体而言,发现了关系工作在促进安全社区参与方面的重要性。

结论

住宿设施和外部利益相关者应投资加强他们之间的关系。

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