Pubmed du 26/07/20

dimanche 26 juillet 2020

1. Berridge S, Hutchinson N. Staff experience of the implementation of intensive interaction within their places of work with people with learning disabilities and/or autism. J Appl Res Intellect Disabil ;2020 (Jul 26)

BACKGROUND : Intensive interaction is an approach used to develop the communication and social inclusion of those who are pre-verbal. It is used in a variety of settings by healthcare and educational staff. METHOD : A systematic search was conducted to identify and review the literature which explores staff experiences of intensive interaction being implemented within their places of work. Thematic synthesis was utilized to synthesize the findings. RESULTS : Nine papers were included. Three higher-order themes were generated : "Personal Doubt, Discordance & Discomfort," "A Turning Point" and "Needing Implementation at All Levels." CONCLUSIONS : There were consistent findings across a range of settings. Findings suggest that intensive interaction is rewarding for staff and beneficial to those that they work with. Implementation was sometimes perceived to be challenging and this review attempts to highlight solutions with guidance of the literature. Limitations largely relate to heterogeneity of the papers and methodological limitations are discussed.

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2. Reid N, Kron A, Lamanna D, Wen S, Durbin A, Rajakulendran T, Lunsky Y, Roy S, DuBois D, Stergiopoulos V. Building Bridges to Housing for homeless adults with intellectual and developmental disabilities : outcomes of a cross-sector intervention. J Appl Res Intellect Disabil ;2020 (Jul 26)

BACKGROUND : Adults with intellectual and developmental disabilities (IDD) have high rates of homelessness. This observational study evaluates Bridges to Housing, a cross-sector intervention offering immediate access to housing and supports to this population in Toronto, Canada. METHODS : Twenty-six participants, enrolled between April 2016 and December 2017, were assessed at baseline, six and 12 months post-enrolment. Descriptive statistics and generalized linear modelling evaluated quality of life (QOL) and service needs outcomes. Twenty-one service users and providers participated in semi-structured interviews between August 2017 and June 2018 to elicit their experiences of the intervention, which were analysed thematically. RESULTS : Twelve months post-enrolment, 24 participants were successfully housed and reported increased QOL scores (F(2,43) = 13.73, p = <.001) and decreased perceived unmet service needs (Wald χ(2) (2) = 12.93, p = .002). Individual-, intervention- and system-level characteristics facilitated housing stability in this population. CONCLUSIONS : Cross-sector approaches can improve outcomes for homeless adults with IDD and may have an important role in supporting this marginalized population.

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