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    An ecological approach to seeking and utilising the views of young people with intellectual disabilities in transition planning

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    Publication date
    2013
    Author
    Small, Neil A.
    Raghavan, R.
    Pawson, Nicole
    Keyword
    Adolescent
    ; Adult
    ; Cohort studies
    ; England
    ; Female
    ; Follow-up studies
    ; Humans
    ; Intellectual disability
    ; Interview
    ; Male
    ; Patient care planning
    ; Patient-centred care
    ; Public health
    ; Qualitative research
    ; Transition to adult care
    ; Young adult
    ; Ecological approach
    ; Ethnicity
    ; Intellectual disability
    ; Person-centred planning
    ; Transition planning
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    Peer-Reviewed
    Yes
    
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    Abstract
    Transition planning using a person-centred approach has, in the main, failed to shape service provision. We offer an alternative based on an ecological understanding of human development linked to public health approaches that prioritise whole system planning. A total of 43 young people with intellectual disabilities, in Bradford, England, who were approaching transition from school or college were recruited to a qualitative study. Their ethnic breakdown was as follows: 16 white British, 24 Pakistani, 2 Bangladeshi and 1 Black African. Each young person was interviewed twice, at recruitment and a year later, to observe any changes in their social networks during transition. Interviews were undertaken with a semi-structured interview schedule and with the pictorial approach of Talking Mats. Both the networks the young people live within, and their sense of what the future might hold for them, are described and linked to Bronfenbrenner's ecological model of human development. The importance of the family and school is emphasised, as is the absence of engagement in leisure activities and work. Transition planning needs to start with mapping the systems individuals live within, areas of strength should be supported and parts of the system, which are not fit for purpose for these young people, should be prioritised for interventions.
    URI
    http://hdl.handle.net/10454/9796
    Version
    No full-text available in the repository
    Citation
    Small N, Raghavan R and Pawson N (2013) An ecological approach to seeking and utilising the views of young people with intellectual disabilities in transition planning. Journal of Intellectual Disabilities. 17(4): 283-300.
    Link to publisher’s version
    http://dx.doi.org/10.1177/1744629513500779
    Type
    Article
    Collections
    Health Studies Publications

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