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Literature Review on Provision of Appropriate and Accessible ...

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PAGE 21<br />

• To describe the challenges <strong>and</strong> oppressi<strong>on</strong>s encountered<br />

by women with intellectual disabilities experiencing crisis<br />

pregnancy, as well as revealing the ways in which women <strong>and</strong><br />

their families/carers have resp<strong>on</strong>ded to these challenges.<br />

• To identify nati<strong>on</strong>al <strong>and</strong> internati<strong>on</strong>al good practice models<br />

relating to crisis pregnancy counselling <strong>and</strong> supports for women<br />

with intellectual disabilities. This will include identificati<strong>on</strong> <strong>of</strong>:<br />

- existing policy <strong>and</strong> practice guidelines <strong>on</strong> this topic in other<br />

jurisdicti<strong>on</strong>s <strong>and</strong> their relevance/applicability to the Irish<br />

c<strong>on</strong>text<br />

- legislati<strong>on</strong>, structures <strong>and</strong> support mechanisms for women<br />

with intellectual disabilities in relati<strong>on</strong> to pregnancy<br />

- guidelines for counselling for women with intellectual<br />

disabilities<br />

- existing supports for people with intellectual disabilities<br />

as parents, <strong>and</strong> involvement <strong>of</strong> family members<br />

where programmes/services target them.<br />

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

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

Experiencing Crisis Pregnancy<br />

• To draw out recommendati<strong>on</strong>s from the literature review that<br />

will c<strong>on</strong>tribute to the development <strong>of</strong> guidelines for general<br />

practiti<strong>on</strong>ers <strong>and</strong> crisis pregnancy counsellors supporting<br />

women with an intellectual disability who are experiencing crisis<br />

pregnancy.<br />

1.3 Guiding principles underpinning review<br />

Crisis pregnancy is defined as ‘a pregnancy which is neither planned nor<br />

desired by the woman c<strong>on</strong>cerned <strong>and</strong> which represents a pers<strong>on</strong>al crisis<br />

for her’ (Crisis Pregnancy Agency, 2007).<br />

The Crisis Pregnancy Agency underst<strong>and</strong>s this definiti<strong>on</strong> to include the<br />

experience <strong>of</strong> those women for whom a planned or desired pregnancy<br />

develops into a crisis over time due to a change in circumstances. It is<br />

essential to stress that not every pregnancy experienced by a woman<br />

with an intellectual disability will be experienced as a crisis by her, while<br />

it may be perceived as a crisis by family members <strong>and</strong>/or carers.

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