Social workers’ perceptions of intimate relationships of people with intellectual disabilities in residential settings

Abstract

Summary People with intellectual disabilities still struggle to enjoy intimate and sexual relationships. Social workers have a potentially key role in realizing the intimate and sexual rights of people with intellectual disabilities, particularly in residential settings. However, we still know relatively little about the meaning social workers attribute to such relationships. The present study addresses this lacuna by examining the perceptions and practices of 15 Israeli social workers in residential settings. Findings Drawing on thematic analysis of semi-structured interviews, two key themes are identified: (1) Intimate relationships as a human need, and (2) Intimacy with a question mark. Combined, these themes depict an ambivalent position toward residents’ intimate and sexual relationships. Applications The study's findings highlight the need to incorporate intimacy and sexuality within social work education, with a particular focus on people with intellectual disabilities and positive aspects of intimacy and sexuality. From a policy perspective, the findings urge state and professional authorities to develop national guidelines on realizing intimate rights.

The Experiences of Young People with Intellectual Disability, Parents and Professionals in Relationships and Sexuality Education Programmes: Findings from a Qualitative Study

“…The second relates to the importance of recognising and responding to the needs of adults and older adults with intellectual disability. To date, there has been limited attention given to RSE programmes that are reflective of the needs and aspirations of this cohort, and this is an area requiring policy attention and development [ 36 ].…”

“…RSE programme development, delivery and evaluation should be central to the education of practitioners. This is necessary and important as the findings from this study and the wider research literature highlight that practitioners often lack knowledge, skills and confidence around RSE [ 36 , 39 ]. Therefore, it is important to provide training at an undergraduate preparation level for teachers, social workers, nurses and others, integrating core content across the curriculum.…”

“…This can start with the concepts of friendships and relationships, moving on to consider sexuality as young people with intellectual disability grow, mature and move into adulthood. At a postgraduate level, there is the opportunity to further develop this education [ 36 ].…”