scholarly journals Improving the transition process to independent living for adolescents with profound intellectual disabilities. Experiences of parents and employees.

2020 ◽  
Author(s):  
Eirik Roos ◽  
Erik Sondenaa

Abstract Background The transition process from the family home to independent living for young adults with profound intellectual disability (PID) becomes delayed. Those families face challenges that exceed those of typical families such as higher objective and subjective burden, more frequent psychological distress and lower social support. The aim of this study was to explore the collaboration process between parents and employees and identify factors that improve the transition with less burden. Methods A descriptive qualitative study was undertaken with 18 persons (9 parents and 9 employees) interviewed individually and in groups. In accordance with the municipality`s guidelines, families with a child with PID should apply for housing, when the child turns 16. The purpose is to ensure interdisciplinary collaboration, information flow and coordinated services according to family’s needs. The main question in the interviews was ‘What was your experience with cooperation in the transition process, and what would you do to improve this process?’ The interviews were analysed with a thematic approach using systematic text condensation.Results The parents experienced a lack of general information about the ‘housing waiting list’, level of services, and the plan for time of moving from the family home, and how to choose where and whom to live with. Parents described an unsustainable burden of care during the waiting period, and a family crisis caused the allocation of an apartment in a group house. Employees shared challenges to meet families’ wishes, as there were too few group homes. They experienced good collaboration with families and said they offered respite care, due to reduce parents’ burden of care. Employees experienced that PID adolescents developed skills, mastery and degrees of independence after completing a residency at the Folk High School. Conclusions To improve the transition process from family home to independent living for young adults with PID, the informants highlighted some factors to reduce the burden of care on families: 1) Systematic follow-up program for families to observe their needs at an early stage; 2) More available group houses; 3) Information about the housing priorities of the services and; 4) Educational preparation programs for families.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eirik Roos ◽  
Erik Søndenaa

Abstract Background The transition process from the family home to independent living for young adults with profound intellectual disability (PID) becomes delayed. Those families face challenges that exceed those of typical families such as higher objective and subjective burden, more frequent psychological distress and lower social support. The aim of this study was to explore the collaboration process between parents and employees and identify factors that improve the transition with less burden. Methods A descriptive qualitative study was undertaken with 18 persons (9 parents and 9 employees) interviewed individually and in groups. In accordance with the municipality’s guidelines, families with a child with PID should apply for housing, when the child turns 16. The purpose is to ensure interdisciplinary collaboration, information flow and coordinated services according to family’s needs. The main question in the interviews was ‘What was your experience with cooperation in the transition process, and what would you do to improve this process?’ The interviews were analysed with a thematic approach using systematic text condensation. Results The parents experienced a lack of general information about the ‘housing waiting list’, level of services, and the plan for time of moving from the family home, and how to choose where and whom to live with. Parents described an unsustainable burden of care during the waiting period, and a family crisis caused the allocation of an apartment in a group house. Employees shared challenges to meet families’ wishes, as there were too few group homes. They experienced good collaboration with families and said they offered respite care, due to reduce parents’ burden of care. Employees experienced that PID adolescents developed skills, mastery and degrees of independence after completing a residency at the Folk High School. Conclusions To improve the transition process from family home to independent living for young adults with PID, the informants highlighted some factors to reduce the burden of care on families: 1) Systematic follow-up program for families to observe their needs at an early stage; 2) More available group houses; 3) Information about the housing priorities of the services and; 4) Educational preparation programs for families.


2020 ◽  
Author(s):  
Eirik Roos ◽  
Erik Sondenaa

Abstract Background The transition process from the family home to independent living for young adults with profound intellectual disability (PID) becomes delayed. Those families face challenges that exceed those of typical families such as higher objective and subjective burden, more frequent psychological distress and lower social support. The aim of this study was to explore the collaboration process between parents and employees and identify factors that improve the transition with less burden. Methods A descriptive qualitative study was undertaken with 18 persons (9 parents and 9 employees) interviewed individually and in groups. In accordance with the municipality`s guidelines, families with a child with PID should apply for housing, when the child turns 16. The purpose is to ensure interdisciplinary collaboration, information flow and coordinated services according to family’s needs. The main question in the interviews was ‘What was your experience with cooperation in the transition process, and what would you do to improve this process?’ The interviews were analysed with a thematic approach using systematic text-condensation. Results The parents experienced a lack of general information about the ‘housing waiting list’, level of services, and the plan for time of moving from the family home, and how to choose where and whom to live with. Parents described that they had an unsustainable burden of care during the waiting period, and a family crisis caused the allocation of an apartment in a group house. Employees shared challenges to meet families’ wishes, as there were too few group homes. They experienced good collaboration with families and said they offered respite care, due to reduce parents’ burden of care. Employees experienced that PID children developed skills, mastery and degrees of independence after completing a residency at the Folk High School. Conclusions To improve the transition process from family home to independent living for young adults with PID, the informants highlighted some factors to reduce the burden of care on families: 1) Systematic follow-up program for families to observe their needs at an early stage; 2) More available group houses; 3) Information about the housing priorities of the services and; 4) Educational preparation programs for families.


2020 ◽  
Author(s):  
Eirik Roos ◽  
Erik Sondenaa

Abstract BackgroundThe transition process from the family home to independent living for young adults with profound intellectual disability (PID) becomes delayed. Those families face challenges that exceed those of typical families such as higher objective and subjective burden, more frequent psychological distress and lower social support. The aim of this study was to explore the collaboration process between parents and employees and identify factors that improve the transition with less burden.MethodsA descriptive qualitative study was undertaken with 18 persons (9 parents and 9 employees) interviewed individually and in groups. In accordance with the municipality`s guidelines, families with profound intellectual disability (PID) child should apply for housing, when the child turns 16. The purpose is to ensure interdisciplinary collaboration, information flow and coordinated services according to family’s needs. The main question in the interviews was ‘What was your experience with cooperation in the transition process, and what would you do to improve this process?’ The interviews were analysed with a thematic approach using systematic text condensation.ResultsThe parents experienced a lack of general information about the ‘housing waiting list’, level of services, and the plan for time of moving from the family home, and how to choose where and whom to live with. Parents described that they had an unsustainable burden of care during the waiting period, and a family crisis caused the allocation of an apartment in a group house. Employees shared challenges to meet families’ wishes, as there were too few group homes. They experienced good collaboration with families and said they offered respite care, due to reduce parents’ burden of care. Employees experienced that PID children developed skills, mastery and degrees of independence after completing a residency at the Folk High School.ConclusionsTo improve the transition process from family home to independent living for young adults with PID, the informants highlighted some factors to reduce the burden of care to families: 1) Systematic follow-up program for families to observe their needs at an early stage 2) More available group houses 3) Information about the housing-priorities of the services and 4) Educational preparing programs to families.


2020 ◽  
Author(s):  
Eirik Roos ◽  
Erik Sondenaa

Abstract Background The transition process from the family home to independent living for young adults with intellectual disability (ID) becomes delayed. Those families face challenges that exceed those of typical families such as higher objective and subjective burden, more frequent psychological distress and lower social support. The aim of this study was to explore the collaboration process between parents and employees and identify factors that improve the transition with less burden. Methods A descriptive qualitative study was undertaken with 18 persons (9 parents and 9 employees) interviewed individually and in groups. In accordance with the municipality`s guidelines, families with profound intellectual disability (PID) child should apply for housing, when the child turns 16. The purpose is to ensure interdisciplinary collaboration, information flow and coordinated services according to family’s needs. The main question in the interviews was ‘What was your experience with cooperation in the transition process, and what would you do to improve this process?’ The interviews were analysed with a thematic approach using systematic text condensation. Results The parents experienced a lack of general information about the ‘housing waiting list’, level of services, the plan for time of moving from the family home, and how to choose where and whom to live with. Parents described that they had an unsustainable burden of care during the waiting period, and a family crisis caused the allocation of an apartment in a group house. Employees shared challenges to meet families’ wishes, as there were too few group homes. They experienced good cooperation with families and said they offered respite care, due to reduce parents’ burden of care. Employees experienced that PID children developed skills, mastery and degrees of independence after completing a residency at the Folk High School. Conclusions To improve the collaboration process to reduce the burden of care to families, the informants highlighted the following imported factors:


2008 ◽  
Vol 14 (2) ◽  
pp. 33-49 ◽  
Author(s):  
Tegan Piggford ◽  
Maria Raciti ◽  
Debra Harker ◽  
Michael Harker

Like other Western countries, Australia too reports record numbers of overweight and obese individuals with young Australian adults in a particularly high-risk position. It is suspected that the transition from dependent living in the family home to independent living during young adulthood influences food choice. As such, this study sought to investigate if attitudes toward healthy eating varied by the place of residence (dependent or independent) of these young adults. Using a self-administered questionnaire, quantitative data from 310 Australians between the ages of 18 to 24 years found that young adults who lived independently displayed a significantly more positive attitude toward healthy eating than those who remained in the family home. Furthermore, we found that a significant, positive relationship between attitude toward healthy eating and the number of recommended serves consumed in both independent and dependent living arrangements. Being an unexplored area, these findings are novel and provide valuable insights for the implementation of an inducement process for planned social change as well as informing the education and motivation elements of intervention strategies.


Inclusion ◽  
2017 ◽  
Vol 5 (4) ◽  
pp. 279-292 ◽  
Author(s):  
Meghan M. Burke ◽  
Chung eun Lee ◽  
Moon Y. Chung ◽  
Kristina Rios ◽  
Catherine K. Arnold ◽  
...  

Abstract With recent policy changes and case-law decisions, there are more opportunities for adults with intellectual and developmental disabilities (IDD) to live independently in inclusive settings. It is necessary to identify malleable correlates of community living options to develop interventions to increase inclusive, independent living. To this end, 546 parents and siblings of adults with IDD responded to a national survey. According to parent and sibling report, adults with IDD were more likely to live outside of the family home when the family engaged in future planning, the individual had more informal supports and more functional abilities and had parents with fewer caregiving abilities. Among the 187 adults with IDD who lived outside of the family home, individuals with more problem behaviors and fewer functional abilities were more likely to live in larger group homes (versus independently with or without supports). Further, when the family engaged in more future planning activities, adults with disabilities were more likely to live in a group home (versus independently). When parents had fewer caregiving abilities, adults with disabilities were more likely to live in bigger group homes (versus independently). Implications for policymakers, practitioners, and research are discussed.


2019 ◽  
Vol 9 (9) ◽  
pp. 73
Author(s):  
Marcos Hirata Soares ◽  
Adriano Luiz da Costa Farinasso ◽  
Fernanda Pâmela Machado ◽  
Layla Karina Ferrari Ramos ◽  
Cristiane De Souza Gonçalves

Background and objective: The need to measure treatment outcomes in mental health services from the perspective of users and family members has been highlighted in the literature as a fundamental aspect to improve the care provided. The objective of this study was to measure the treatment outcome provided by a Brazilian Psychosocial Care Center from the perspective of outpatients and their family members.Methods: A correlational study was performed with 84 outpatients and 40 family members, between 2015 and 2016, interviewing them using the Satisfaction (SATIS-BR), Perception of Change (PCS), Independent Living Skills (ILSS) and Family Burden (FBIS-BR) scales.Results: There was a high index of satisfaction with the mental health service, with a mean of 4.23 for the users interviewed and 4.36 for the family members. The perception of change presented a mean of 2.58 for the patients and 2.19 for the family members. The independent living ability presented a mean of 2.52.Conclusions: The high indices of satisfaction suggest successes, as well as points to be improved in the mental health policy implemented in the municipality. However, reintegration into the labor market was presented as an aspect with a need for investments through health and labor policies, since it was related to the subjective burden.


1974 ◽  
Vol 68 (10) ◽  
pp. 454-469
Author(s):  
Mary Morrison

The blind young adult has been given an education and prepared for the job market but he has not been taught the skills necessary for independent living. Parents often assume the blind son or daughter will always live with the family and fear that injury will occur if the blind youth attempts to perform a household task himself. These young people are often not even oriented to areas (such as the kitchen) of their own homes. Areas of personal management discussed include signature writing, shopping, money management, cooking, and using a calendar.


2020 ◽  
pp. 43-69
Author(s):  
Mariola Bieńko

In the period of young adulthood, i.e., between ages 18–20 and 30–35, the coupling of the duties, goals, and ambitions connected with various life activities takes place, these being in education, participation in the labour market, self-supporting a household, starting a family, becoming a parent, and active participation in the social life. The social and cultural as well as economic changes that are occurring nowadays affect the course of family life as well as the stages of individual development. One of these stages refers to a young adult leaving the family home. However, it is more and more often the case that this moment gets deferred. Research conducted by sociologists and demographers in the recent years shows that the growing share of young people in industrialised countries choose to live with their parents in spite of their adult age. The increase in young adults staying in the family home in the recent years has led to the term ‘nesters’ being coined for them, while the effect of their bond with their guardians being stretched in time is now referred to as the ‘crowded nest’ or ‘cluttered nest’. This article offers an insight into one of the components of the process of reaching adulthood, namely leaving parental home. The qualitative study (carried out in 2012 and 2013) combines statistical analyses and personal interviews; its results are based on 42 interviews with women and men aged between 27 and 38 who live with their parents in Warsaw, Poland. This interview-based analysis focuses on demonstrating the process of nesting of young adults and the interviewed persons’ perception of this behaviour.


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