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[Relocation decisions to nursing homes for older persons with intellectual disability]
Friedrich Dieckmann1, Bianca Rodekohr2, Christin Mätze2
1Institut für Teilhabeforschung, Katholische Hochschule NRW, Abt. Münster, Piusallee 89, 48147, Münster, Deutschland. f.dieckmann@katho-nrw.de.
Background And Objective:
A relevant number of older persons with intellectual disability (ID) moves from residential settings in the disability sector to nursing homes. The study analyzes from the perspective of self-determination, which factors lead to moves to nursing homes and to what extent older persons with ID and their relatives participate in decision-making.
Material And Methods:
Quantitative telephone interviews and surveys were conducted in general and specialized nursing homes in Westphalia-Lippe. In three specialized nursing homes, qualitative interviews focused on relocation decisions from different perspectives.
Results:
Decisions to move were induced on one hand by the insufficient fit and adaptation of the support to the needs of older residents in settings of the disability sector. On the other hand, organizational interests of the nursing homes influenced the decisions. The counselling of residents and their relatives and the participation in decision making were inadequate.
Conclusion:
Efforts should be taken to strengthen self-determined relocation decisions of older persons with ID. The specific function of specialized nursing homes for aged persons with ID has to be clarified.
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