David H P, Smith J D, Friedman E
Am J Public Health. 1976 Nov;66(11):1053-7. doi: 10.2105/ajph.66.11.1053.
The National Children's Center, Inc., and Planned Parenthood of Metropolitan Washington joined in organizing a special family planning service for persons handicapped with mental retardation. The limited utilization, despite considerable community recruitment efforts, and the few problems encountered with patients served suggest that handicapped individuals can be seen at lower cost and at greater efficiency in regularly scheduled clinics, provided staff are attuned to their special needs. Informal interviews with residential center and clinic staff, with parents, and with clients confirm the need for (a) strengthening in-service training in sex education and contraception to prepare potential clients for more effective use of family planning services; (b) counseling with parents who place a high priority on training for independent community living but are reluctant to face the sexuality of their dependent offspring; and (c) increasing community awareness of the legitimate needs and rights of hard-to-reach handicapped persons in preventing unwanted pregnancies.
国家儿童中心和华盛顿特区计划生育组织共同为智障人士组织了一项特殊的计划生育服务。尽管进行了大量社区招募工作，但利用率有限，且服务患者时遇到的问题较少，这表明只要工作人员了解智障人士的特殊需求，在定期诊所就能以更低成本、更高效率为他们提供服务。对寄宿中心和诊所工作人员、家长及服务对象进行的非正式访谈证实了以下需求：(a) 加强性教育和避孕方面的在职培训，使潜在服务对象能更有效地利用计划生育服务；(b) 为那些高度重视独立社区生活培训但不愿面对其依赖子女性行为的家长提供咨询；(c) 提高社区对难以接触到的智障人士在预防意外怀孕方面的合理需求和权利的认识。
