Dignity of risk in the community: a review of and reflections on the literature

Marsh, Pauline; Kelly, Lisa

doi:10.1080/13698575.2018.1519115

Cited by 37 publications

(14 citation statements)

References 42 publications

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“…More recently, dignity of risk has been defined as “the principle of allowing an individual the dignity afforded by risk-taking, with subsequent enhancement of personal growth and quality of life” (Ibrahim & Davis, 2013, p. 189). Denying individuals with disabilities the dignity of risk removes their control, autonomy, and infringes on their human rights (Marsh & Kelly, 2018). It is important to note that dignity of risk extends well beyond students making decisions about their safety.…”

Section: A Conceptual Framework For Enabling Risk In Inclusive Postse...mentioning

confidence: 99%

A Conceptual Framework for Enabling Risk in Inclusive Postsecondary Education Programs

Rooney-Kron

Regester

Lidgus

et al. 2022

Inclusive Practices

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More students with intellectual and developmental disability (IDD) are attending post-secondary education than ever before. As more students with IDD enter college, inclusive post-secondary education programs (IPSE) will be required to make important decisions about the types of services and supports they provide. IPSE program staff should aim to provide supports and services that honor students’ dignity of risk and facilitate opportunities for students to take risks. The purpose of this article is to describe a conceptual framework IPSE program staff can use to assess the extent to which the supports and services they provide enable risk-taking opportunities for students in their program. The framework includes five steps: identify areas for growth, understand risks and rewards for students and stakeholders, evaluate natural supports and determine appropriate supplemental supports, identify and enable access to natural consequences, and reflect and plan for more authentic risk. An example of how to use the framework in the context of residential housing will be described.

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Section: A Conceptual Framework For Enabling Risk In Inclusive Postse...mentioning

confidence: 99%

A Conceptual Framework for Enabling Risk in Inclusive Postsecondary Education Programs

Rooney-Kron

Regester

Lidgus

et al. 2022

Inclusive Practices

View full text Add to dashboard Cite

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“…Empowering others by allowing them this opportunity is referred to as the “dignity of risk” ( 26 ). A recent review of the literature on application of this concept by providers of community-based supports for people living with a range of physical and mental challenges indicates substantial awareness of the value and benefits of risk taking ( 27 ). However, that review also indicated a tendency among providers for paternalism and hazard avoidance over providing support for positive risk-taking behavior.…”

Section: Can Supervisees Be Afforded the Dignity Of Risk?mentioning

confidence: 99%

“…This tendency toward risk-aversion is likely heightened in community corrections settings, where consequences are perceived to be grave ( 28 ). However, as Marsh and Kelly's findings point out, these perceptions are often inflated to the detriment of the individual being scrutinized ( 27 ):…”

Section: Can Supervisees Be Afforded the Dignity Of Risk?mentioning

confidence: 99%

Challenges to Employing Shared Decision Making With Adults Under Community Supervision Who Have a Mental Illness

Matejkowski

2021

Front. Psychiatry

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Adults under community corrections supervision and who have a mental illness (MI) are expected to comply with conditions of release which often include involvement with supportive social services. The rates of technical violation, arrest, and incarceration that result from failure to comply with these mandates are exceedingly high. Shared decision making among officer-supervisors and client-supervisees is a promising approach to promote engagement in community corrections services among supervisees who have MI. This paper reviews recent research on shared decision making and identifies three barriers to its implementation in this context: (1) a lack of role clarity, (2) a predilection for risk avoidance, and (3) stigma toward supervisees. Empirically supported recommendations are suggested to aid in overcoming these obstacles, facilitate shared decision making, and promote recovery among this population: (1) unification of supervisor rehabilitative and public safety roles, (2) maximizing opportunities for self-determination through low-stakes events and/or enhancement of supervisee strengths and capabilities, and (3) supervisor training in principles of mental health recovery.

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“…It is important to weigh up the benefits of activities outside the RACF with the risks, and ensuring that people with dementia have the right to choose whether they want to take some risk to engage in meaningful activities. 42…”

Section: Physiological Outcomesmentioning

confidence: 99%

Activities outside of the care setting for people with dementia: a systematic review

et al. 2020

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ObjectivesTo summarise the evidence from interventions investigating the effects of out of care setting activities on people with dementia living in residential aged care.DesignA systematic review.MethodsA systematic search of electronic databases (PubMed, PsycINFO, Scopus, Web of Science and the Cochrane Library) was performed to identify intervention trials published from journal inception to January 2020. Controlled trials, or quasi-experimental trials, which measured pre-intervention, post-intervention or during-intervention outcomes, where the participants were required to leave the care setting to participate in an intervention, were eligible for inclusion. Quality appraisal of the studies was performed following the Cochrane Collaboration’s Risk of Bias or Newcastle-Ottawa Scale tools.ResultsOf the 4155 articles screened, 11 articles met the inclusion criteria from 9 different studies. The number of participants in the studies ranged from 6 to 70 people living with dementia and lasted for 3 weeks up to 5 months. The interventions were aquatic exercise, wheelchair cycling, art gallery discussion groups, an intergenerational mentorship programme, horse riding, walking and outdoor gardening. Overall, the studies indicated preliminary evidence of psychological (n=7), physical (n=4) and physiological (n=1) benefits, and all interventions were feasible to conduct away from the aged care facilities. However, the low number of participants in the included studies (n=177), the absence of a control group in all but three studies, and potential for selection bias, limits the generalisability of the findings.ConclusionsActivities outside of the residential aged care setting have the potential to be effective at providing a range of benefits for people living with dementia. Higher quality studies are required to encourage care providers to implement these type of activities in dementia care settings.PROSPERO registration numberCRD42020166518.

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Dignity of risk in the community: a review of and reflections on the literature

Cited by 37 publications

References 42 publications

A Conceptual Framework for Enabling Risk in Inclusive Postsecondary Education Programs

A Conceptual Framework for Enabling Risk in Inclusive Postsecondary Education Programs

Challenges to Employing Shared Decision Making With Adults Under Community Supervision Who Have a Mental Illness

Activities outside of the care setting for people with dementia: a systematic review

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