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Understanding Dutch Care for People with ID: History, Models, and Rights

Explore the evolution of care models for individuals with intellectual disabilities in the Netherlands, focusing on quality of life, rights, and sexual health care. Learn about Lunet zorg's vision and organizational structure. Discover insights into sexual health and normal sexual development in this informative session.

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Understanding Dutch Care for People with ID: History, Models, and Rights

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  1. Paulien van Doorn & Nicole van Zelst. September 2019

  2. Paulien van Doorn & Nicole van Zelst 2

  3. Program fortoday • Getting to knoweachother • Dutch care for People with ID • Lunet zorg: a goodpractice • Sexual health care in the Netherlands • What is seks? • Seks and ID/ASS • Dutch research • Let’s talk aboutsex! 3

  4. Before we start 4

  5. Getting to knoweachother 5

  6. Care forpeoplewith ID in theNetherlands • Netherlands 17,3 million (CBS, sept 2019) • 140.000 peoplewith ID (IQ < 70) • 2,2 miljoen mentallyretarded (IQ 70-85) • 200.000 peoplewith ASS (30% ASS and ID) • 2036 living facilities 6

  7. History of care forpeoplewith IDIn theNetherlands • Medical model (1950-1960) • Development model (1960-1970) • Interaction model (1970-1980) • Customized care (1980-1990) • IndividualizationandQuality (1990-2000) • New healthcaremodels (from 2000) • Support model • Emancipation model • Citizenship model • Quality of life • Personal future planning 7

  8. VGN (associationdisabled care Netherlands) • Help to life the live peoplewithidprefer. • Full citizenship/ rights • Support for professionals, clientsandrelatives • Socialposition • Collective agreement, legislation, qualityframework, financing Positions: • Promoteemancipationandparticipation • Accessible care foracceptablecost • Attractiveworkplace 8

  9. Rights • Right to education, workand a place to life (independently) • Independentlyparticipate in society. • Acces to public transport, public buildings and public websites • UN convention juli 14e 2016 • Promote, protectandquarantee human rights of peoplewith a handicap • Government • Independent decision making, providingthat…. • Guardianship,mentorship,administration. 9

  10. Lunet zorg • South of the Netherlands • 2700 cliënts • 2650 professionals • 1100 volunteers • 100 locations “Workingtogetherfor a good life” 10

  11. Vision Lunet zorg “a good life” • What is a good life foryourclients in Tsjech? • Are thosewritten down somewhere? 11

  12. Comptentiesfor a good life • Client oriented • Collaborate • Driven • Self development • Innovative 12

  13. Organisationstructure • Supervisory board • Board of directors • Primary proces • 4 multidisciplinary teams (specialized care, behaviouralproblems, senior/somatic, childerenandoutpatientcare) • MDT: AVG, behaviouraltherapist, ppm, speech therapist, consultant austism, fysical en occupationaltherapist. • Otherpractitioners (spirital/mental care, PMT, seks therapy, playtherapy, SI, EMDR, basic medical team) • Support services • Commission (ethics, Bopz, expertteam parenthood) • Employee participation council • Relatives council • clientcouncil 13

  14. Sexual health Lunet zorg • 2 Sexologist • Visionand policy • Therapy • Education professionals • Epert/adviceat sexualviolence 14

  15. Forms of living 15

  16. Working 16

  17. Leisure 17

  18. Questions? Discussion 18

  19. Dutch lessons of love https://youtu.be/Yz59The52xU 19

  20. Sexual health care in theNetherlands • Beleid (wettelijke en beleidskader seksuele gezondheid) • Sexologist & sexual health consultant • NVVS • Rutgers 20

  21. Sex/sexuality? 21

  22. Why do we have seks?! Research (USA) 237 reasons I want to show myaffection I feltaroused I want to forgetmyproblems I was bored I want to feel passion in myrelationship I want to pleasemy partner. Its a part of therelationship Iamscaredthatmy partner will break therelationship To go to sleep easy 22

  23. Normalsexual development 23

  24. Sexual response cycle 24

  25. Biopsychosocial model 25

  26. Sexuality in peoplewith ID Body developsacoording to calenderage BUT Cognitive development Emotionalfunctioning Socialfunctioning 26

  27. Sexuality in peoplewith ASS 27

  28. Dutch research • People with ID have lessknowledge of sexuality • No connectionbetweenknowledgeandexperience • The information thatpeople get is mostlyfrom tv and internet. • Girls get more informatie then boys, but mostlyaboutmenstruationandpreventingpregnancy • Professionals are mostlywomen, theytend to be more restrictive • Womenwith ID have more negativeexperiencewith seks andlesssolosex • Man have more solo sex, oftencompulsively… • Man have more same seks contacts 28

  29. Love is around • Game 29

  30. Questions? Discussion 30

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