Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

The Institutionalization of People with Intellectual Disabilities: A Never-Ending Story

Version 1 : Received: 6 May 2024 / Approved: 8 May 2024 / Online: 8 May 2024 (10:34:18 CEST)

How to cite: McConkey, R. The Institutionalization of People with Intellectual Disabilities: A Never-Ending Story. Preprints 2024, 2024050453. https://doi.org/10.20944/preprints202405.0453.v1 McConkey, R. The Institutionalization of People with Intellectual Disabilities: A Never-Ending Story. Preprints 2024, 2024050453. https://doi.org/10.20944/preprints202405.0453.v1

Abstract

The institutionalization of people with intellectual disabilities has been a common international response across cultures and generations that persists to this day. This chapter recounts its inheritance and manifestation in modern service provision. An institutional mind-set persists among clinicians and managers despite policies that emphasise the rights of persons with intellectual disability and anti-discriminatory practice. Alternative provision is rooted in person-centred practice; with a growing body of evidence for the improved quality of life that results from it. A reflective activity encourages readers to examine a recent case when they were associated with an institutional placement and what alternatives might have been sought. Yet alliances with other professionals, self-advocates and family carers will be needed to effect real and lasting changes in our service cultures and even then, the long shadows of institutional care may still persist.

Keywords

Intellectual disability; institutions;  medical model; rights; person-centred; quality of life

Subject

Public Health and Healthcare, Public Health and Health Services

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