Enhanced self-determination of adults with intellectual disability as an outcome of moving to community-based work or living environments
Enhanced self-determination of adults with intellectual disability as an outcome of moving to community-based work or living environments
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DOI：
10.1046/j.1365-2788.2001.00342.x
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发表时间：
2001-10-01
影响因子：
3.6
通讯作者：
Bolding, N
中科院分区：
文献类型：
--
作者：
Wehmeyer, ML;Bolding, N
近年来，自决概念在智力残疾领域得到了越来越多的国际关注和利用。这导致努力促进增强自决的技能，并努力改变成人服务的供资方式，以分配资源，加强消费者的控制和指导。在这两项工作中要考虑的一个重要组成部分是环境对自决的作用。本研究探讨了艾德患者在离开限制性较强的工作或生活环境之前和之后的自决、自主和生活选择。在从限制性更强的生活或工作环境转移到社区环境之前和之后，对ID成年人的自决进行了平均6个月的测量。配对样本t检验表明，在迁移到限制较少的环境后，在自决、自主运作和生活选择方面都发生了重大变化，每种情况下都朝着更适应的方向发展。目前的研究结果有助于新出现的证据表明，个人的自决与ID是有限的聚集生活或工作环境，限制了选择和决策的机会。另一种办法是，更加正常化的、以社区为基础的环境支持和加强自决。由于自决与积极的成人成果和提高生活质量有关，因此必须考虑如何使智障者能够在其社区生活和工作。
In recent years, the self-determination construct has received increased international visibility and utilization in the field of intellectual disability (ID). This has resulted in efforts to promote skills enhancing self-determination, and in efforts to change how adult services are funded to allocate resources to increase consumer control and direction. An important component to consider in both of these efforts is the role of the environment on self-determination, The present study examined the self-determination, autonomy and life choices of individuals with ED before and after they moved from a more restrictive work or living environment. The self-determination of adults with ID was measured for an average 6-months before and after a move from a more restrictive living or working environment to a community-based setting. Paired-sample t-tests indicated that there were significant changes, in each case in a more adaptive direction, in self-determination, autonomous functioning and life choices following a move to a less restrictive environment. The present findings contribute to emerging evidence that the self-determination of individuals with ID is limited by congregate living or work settings which limit opportunities for choice and decision-making. Alternatively, more normalized, community-based environments support and enhance self-determination. Because self-determination has been linked to positive adult outcomes and enhanced quality of life, it is important to consider ways to enable people with ID to live and work in their communities.