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Literature Review on Provision of Appropriate and Accessible ...

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PAGE 139<br />

4.3.1 Comp<strong>on</strong>ents <strong>of</strong> sex educati<strong>on</strong> programmes for people with<br />

intellectual disability<br />

According to Whitehouse <strong>and</strong> McCabe (1997), although sex educati<strong>on</strong><br />

curricula for people with intellectual disability exist (for example,<br />

Blanchett <strong>and</strong> Wolfe, 2002), more research is needed to establish the<br />

effectiveness <strong>of</strong> these programs bey<strong>on</strong>d transmissi<strong>on</strong> <strong>of</strong> knowledge, to<br />

include global aspects <strong>of</strong> sexual health practices <strong>and</strong> abuse preventi<strong>on</strong>.<br />

While there is c<strong>on</strong>flicting evidence as to whether <strong>and</strong> how far sex<br />

educati<strong>on</strong> can protect people from abuse, McCarthy (1999) c<strong>on</strong>tends<br />

that it is still important that people with learning disabilities have access<br />

to it so that they can learn to differentiate between acceptable <strong>and</strong><br />

unacceptable behaviour.<br />

Support to People with an Intellectual Disability who are<br />

<strong>Accessible</strong><br />

<strong>and</strong> <strong>Appropriate</strong> <strong>of</strong> Provisi<strong>on</strong> <strong>on</strong> <str<strong>on</strong>g>Review</str<strong>on</strong>g> <str<strong>on</strong>g>Literature</str<strong>on</strong>g><br />

Experiencing Crisis Pregnancy<br />

Steele & Cato (1989) note that providing appropriate sex educati<strong>on</strong><br />

to women with intellectual disability may help them become more<br />

pr<strong>of</strong>icient at appropriate decisi<strong>on</strong>-making <strong>and</strong> help protect them from<br />

sexual abuse. Dots<strong>on</strong> et al. (2003) suggest that sex educati<strong>on</strong> inputs<br />

could include the following topics: friendship, intimacy, masturbati<strong>on</strong>,<br />

n<strong>on</strong>-c<strong>on</strong>venti<strong>on</strong>al <strong>and</strong> safe sex practices, co-habitati<strong>on</strong>, sexual sideeffects<br />

<strong>of</strong> medicati<strong>on</strong>, sexual exploitati<strong>on</strong>, social <strong>and</strong> protective skills<br />

<strong>and</strong> assertiveness training. Meanwhile, McGaw (1997) asserts that there<br />

is a pressing need to ensure that women with learning disabilities are<br />

given informati<strong>on</strong> about family roles, parenting resp<strong>on</strong>sibilities <strong>and</strong> child<br />

development in clear, simple terms. This should preferably happen<br />

during adolescence.<br />

In relati<strong>on</strong> to informati<strong>on</strong> about sexuality <strong>and</strong> relati<strong>on</strong>ships, Family<br />

Planning, New South Wales recommended that:<br />

• Informati<strong>on</strong> needs to be provided over the l<strong>on</strong>g term, at a simple<br />

level, <strong>and</strong> with <strong>on</strong>e-to-<strong>on</strong>e follow up. People need opportunities<br />

to practise what they learn so they can generalise their skills.<br />

C<strong>on</strong>cepts <strong>and</strong> skills need to be incorporated into the pers<strong>on</strong>’s<br />

everyday life in their usual envir<strong>on</strong>ments.<br />

• For people to have c<strong>on</strong>trol over their lives they require access to<br />

accurate informati<strong>on</strong> at the time when it is needed <strong>and</strong> presented<br />

in a way that is meaningful to them.

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