Fagpersonells forståelse av økt registrert tvangsbruk overfor personer med utviklingshemming

Norwegian legislation concerning restraint measures in the care and treatment to people with intellectual disability (ID) has been established since 1999. This study examined the social workers’ explanations for the increased number of people with ID being legally restrained since 1999. This article discussed both staff and the supervisors perspectives of the increase. Although an increasingly number of people with ID are treated by restraint measures, respondents (n = 206) report that care services has evolved in a positive direction. The strong increase is explained by a higher ethical awareness and changes in legal rules along the way. When asked about the future development, most respondents expect a continuing growth in the number of people with ID treated with the use of restraint measures

Resilience and professional quality of life in staff working with people with intellectual disabilities and offending behavior in community based and institutional settings

Staff in forensic services for people with intellectual disabilities (ID) are expected to deal with a wide range of emotional challenges when providing care. The potential impact of this demanding work has not been systematically explored previously. This article explores the professional quality of life (QoL) and the resilience (hardiness) of the staff in this setting. The Professional QoL questionnaire and the Disposional Resilience Scale were completed by staff (n=85, 80% response rate) in the Norwegian forensic service for ID offenders. Responses from staff working in institutional settings were compared to those from staff in local community services. Staff in the local community services had higher resilience scores compared to the staff in the institutional setting, (t=2.19; P<0.05). However in the other QoL and resilience domains there were no differences between the staff in the two settings. The greater sense of resilient control among community staff may be a function of both the number of service users they work with and the institutional demands they face. Even though these participants worked with relatively high risk clients, they did not report significantly impaired quality of life compared to other occupations

The Voices of Young Sexual Offenders in Norway : A Qualitative Study

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Minimising Restrictive Interventions for People with an Intellectual Disability: Documentary Analysis of Decisions to Reduce Coercion in Norway

A quantitative cross-sectional design was used to systematically examine data derived from the municipality’s coercive decision documents. The study included coercive decisions for people with intellectual disabilities (IDs) (n = 120) from central Norway over a period of one year (2020). The decisions were separated between not altered and altered to less intrusive types. The use of restraint measures can be relevant to prevent harm in some caring to people with IDs and severe behaviour problems. This article has reviewed municipalities’ coercive decisions, identifying the characteristics of cases in which coercive measures were altered to less intrusive practices. Less intrusive coercive measures were correlated to the service’s awareness of what triggers the challenging behaviour, that coercive decisions have an extended description of the person’s life situation, and the person’s opportunity to participate in formalised self-determination. The conclusion of this study shows higher user involvement, which has led to changes in the form of less intrusive measures for the person who is subjected to coercion

A qualitative study of how people with severe mental illness experience living in sheltered housing with a private fully equipped apartment

BACKGROUND: There are a number of supported housing options for people with severe mental illness (SMI), but limited knowledge about residents’ experiences. The aim of this study was to explore how people with SMI experienced sheltered housing consisting of both a private fully equipped apartment and a shared accommodation room for socializing. METHODS: Fourteen people with SMI living in sheltered housing apartments participated in a qualitative study with semi-structured face to face individual or group interviews. RESULTS: Residents’ access to the service providers in the sheltered housing, who were seen as both “ordinary people” and skilled to observe symptom changes at an early stage, were major factors for the perception of security. In addition, residents highlighted the possibility of living in a fully equipped apartment, and having access to a shared accommodation room to connect with other residents. Having a fully equipped apartment including their own equipment such as a washing machine was said to help reduce conflicts. Short tenancy agreements made some informants feel insecure. It was also essential to have meaningful daily activities outside the residence to avoid re-hospitalization. CONCLUSIONS: The positive experience was connected to having a fully private equipped apartment including shared accommodation room. The service providers should be aware of the dilemma with in-house support, to make residents feel secure versus increased dependency on service providers. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-016-0888-4) contains supplementary material, which is available to authorized users

Criminal Responsibility and Challenges in the Criminal Justice System for People with Intellectual Disability in Norway

The purpose of this article is to present and discuss Norwegian legislation concerning intellectual disability and criminal responsibility. Current legislation has an internationally unique feature, in that the rules governing criminal responsibility are based on what is known as the medical principle. This implies that criminal responsibility is determined by the defendant’s mental health status at the time of the crime. Norwegian criminal law does not require any causal or correlational relationship between the mental condition and the crime, as do most other jurisdictions. A brief description of historical perspectives and the Norwegian criminal justice system with regard to offenders with intellectual disabilities is also included

Habilitering for voksne i spesialisthelsetjenesten: Utvikling og utprøving av brukerundersøkelse

Habilitation specialist health-services: measure of processes of care for adultsHabilitation specialist service for adults in Sør-Trøndelag has developed and implemented a model for user perceptions over the last five years. As users of the service consist of diverted parts, the work has aimed at obtaining complement responses from the different parts in their experience of this specialist services. The purpose of this article has been to present thedevelopment of a user survey and some findings after testing. Key information was collected for 328 active patient cases over a limited period. From these cases views from patients, relatives and municipal care have been collected. Besides obtaining feedback from users, the survey provides a basis for compiling user groups and studying different types of users based on key information

Use of health and dental care services in adults with intellectual disability in relation to age and intellectual disability levels

Background - This study investigates the use of health and dental care services in adults with intellectual disability in the last 12 months according to Norwegian recommendations and in relation to age and intellectual disability levels. Method - A cross-sectional community-based survey including 214 participants (56% men). POMONA health indicators were used for data collection. Results - Health checks and contact with general practitioners in the last year increased with age but were less frequent in those with more severe intellectual disability. Hospital admissions were age independent. Less than one-fifth of women had undergone cancer screening, with small variations according to intellectual disability severity levels. Few had an individual plan. More than one-third experienced poor dental health despite frequent controls. Conclusions - The use of health checks was lower than recommended, especially in individuals with more severe intellectual disability. Service access and individual plan use need to be enhanced, and dental care services should be improved

Factors associated with non-completion of and scores on physical capability tests in health surveys: The North Health in Intellectual Disability Study

Background - This study investigated the completion rates, scores and factors associated with non-completion and low scores on physical capability tests in a health survey administered to adults with intellectual disabilities. Method - Assessment comprised body mass index (BMI), the Short Physical Performance Battery (SPPB), the timed up-and-go (TUG) test, the one-legged stance (OLS) test; and gross motor, communication and behavioural functioning tests. Results - The completion rates among 93 participants (aged 17–78) were 46% for the SPPB, 42% for the TUG, and 31% for the OLS. More severe intellectual disability (OR = 3.12, p  Conclusions - Including physical capability tests in health surveys among adults with intellectual disabilities is important to monitor functional status and guide prevention strategies