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Literature Review on Provision of Appropriate and Accessible ...

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PAGE 35<br />

partner was the same age, <strong>and</strong> also had an intellectual disability,<br />

<strong>and</strong> the relati<strong>on</strong>ship was a protected <strong>on</strong>e (Esterle, Munoz Sastre<br />

<strong>and</strong> Mullett, 2008).<br />

• Research in Canada (Owen, Griffiths, Feldman, Sales <strong>and</strong><br />

Richards, 2000) dem<strong>on</strong>strated that people with intellectual<br />

disability themselves still seem to have c<strong>on</strong>servative attitudes<br />

towards sexual intercourse <strong>and</strong> homosexuality.<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 />

• Llewellyn & Brigden (1995), writing in the Australian c<strong>on</strong>text,<br />

found that if family members, service workers, <strong>and</strong> significant<br />

others express negative attitudes <strong>and</strong> discourage independence<br />

then the cooperati<strong>on</strong> <strong>and</strong> competency <strong>of</strong> parents with intellectual<br />

disability may be adversely affected. C<strong>on</strong>versely, they note that<br />

when there is an attitude <strong>of</strong> empowerment <strong>of</strong> the family, supports<br />

<strong>and</strong> services are generally well received.<br />

• Social service providers (n=216) in a Canadian study tended to<br />

have moderately liberal attitudes to the sexual lives <strong>of</strong> people<br />

with intellectual disability; staff <strong>of</strong> the outpatient treatment<br />

services revealed the most liberal <strong>and</strong> positive attitudes towards<br />

the sexuality <strong>of</strong> individuals with intellectual disability (Bazzo,<br />

Nota, Soresi, Ferrari <strong>and</strong> Minnes, 2006).<br />

• Studies in the UK <strong>and</strong> the US have shown that the attitudes<br />

held by medical pr<strong>of</strong>essi<strong>on</strong>als may influence the quality <strong>of</strong> care<br />

provided to people with intellectual disability (Barker & Howells,<br />

1990; Minihan, Dean <strong>and</strong> Ly<strong>on</strong>s, 1993).<br />

• Barriers to health care included communicati<strong>on</strong> difficulties<br />

<strong>and</strong> problems in obtaining patient histories. Other barriers<br />

included GPs’ lack <strong>of</strong> training <strong>and</strong> experience, c<strong>on</strong>sultati<strong>on</strong><br />

time c<strong>on</strong>straints, examinati<strong>on</strong> difficulties <strong>and</strong> c<strong>on</strong>tinuity <strong>of</strong> care<br />

(Lennox, Diggens <strong>and</strong> Ug<strong>on</strong>i, 1997). [9]<br />

9 526 GPs participated in a survey in Australia.

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