Literature Review on Provision of Appropriate and Accessible ...
Literature Review on Provision of Appropriate and Accessible ...
Literature Review on Provision of Appropriate and Accessible ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
PAGE 77<br />
perceive sexual activity as adding further complicati<strong>on</strong>s to an already<br />
complex life. Martin (2002) argues that an adult with learning disabilities<br />
should no l<strong>on</strong>ger need her parents’ permissi<strong>on</strong> to obtain c<strong>on</strong>tracepti<strong>on</strong>;<br />
however, if she is still living at home, she may have little opportunity to<br />
discuss these issues with a pr<strong>of</strong>essi<strong>on</strong>al.<br />
Key principles in providing support to women with intellectual disability<br />
in the area <strong>of</strong> c<strong>on</strong>tracepti<strong>on</strong> were identified in the literature as follows:<br />
• Decisi<strong>on</strong>s around the use <strong>of</strong> c<strong>on</strong>tracepti<strong>on</strong> should be based up<strong>on</strong><br />
the informed choice <strong>of</strong> the pers<strong>on</strong> with intellectual disability;<br />
any assistance they require should be given as part <strong>of</strong> the multidisciplinary<br />
approach (BILD, 2000)<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 />
• The rights <strong>of</strong> a pers<strong>on</strong> who has a disability to have freedom<br />
<strong>of</strong> choice should be supported <strong>and</strong> the least restrictive opti<strong>on</strong><br />
in relati<strong>on</strong> to the management <strong>of</strong> their menstruati<strong>on</strong> <strong>and</strong>/or<br />
c<strong>on</strong>tracepti<strong>on</strong> should be exercised (Office <strong>of</strong> the Public Guardian,<br />
2007).<br />
• C<strong>on</strong>traceptive treatment should not be decided <strong>on</strong> the basis <strong>of</strong> a<br />
woman’s disability al<strong>on</strong>e (Office <strong>of</strong> the Public Guardian, 2007).<br />
• While recognising that women with a disability have the right to<br />
be protected from sexual abuse <strong>and</strong> exploitati<strong>on</strong>, c<strong>on</strong>sent should<br />
not be given to c<strong>on</strong>tracepti<strong>on</strong> as the sole strategy to minimise<br />
the potential risk <strong>of</strong> harm in these situati<strong>on</strong>s (Office <strong>of</strong> the Public<br />
Guardian, 2007).<br />
• C<strong>on</strong>sent to a c<strong>on</strong>traceptive treatment in situati<strong>on</strong>s <strong>of</strong> potential<br />
abuse should <strong>on</strong>ly be given in cases where issues <strong>of</strong> the pers<strong>on</strong>’s<br />
freedom <strong>of</strong> acti<strong>on</strong> <strong>and</strong> exposure to risk have been c<strong>on</strong>sidered, <strong>and</strong><br />
it is necessary to protect the woman from unwanted pregnancy<br />
(Office <strong>of</strong> the Public Guardian, 2007).<br />
• Women with a disability should be supported to have access<br />
to appropriately trained family planning pr<strong>of</strong>essi<strong>on</strong>als for<br />
counselling regarding the need for, <strong>and</strong> method <strong>of</strong>, c<strong>on</strong>tracepti<strong>on</strong><br />
treatment prior to its use (Office <strong>of</strong> the Public Guardian, 2007);