title: [Managing self determination and sexual violence in homes for young adults with mental handicap--report from an ongoing German model project].
abstract: This report is based upon a model project financially assisted by a grant from the German Federal Ministry for Families, Senior Citizens, Women and Youth, starting in 1999 and ending at the end of 2003. In cooperation with two disability care residential institutions, a conceptual approach and method to the questions of sexual self-determination and sexualized violence is being developed. Through qualitative methods of research e.g. focus groups, professional helpers of all hierarchies of the institution, including management, and the residents themselves, all had the chance to contribute their own opinions and experiences to the research topic. Specifically, to ensure their voice was heard, the people with mental retardation had an important impact on the questionnaire themselves. All aspects of sexuality were discussed--with notable difficulty arising in particular over the subject of sexual violence. It turned out that nonverbal communication and the interaction between the group members in the residents group were most indicative of their concerns. The staff at the nursing and living areas discussed the following topics: distance and closeness in the interaction between staff and residents, standards, reflections of their own professional attitudes, questions of legality as well as the tense topic of individual needs and tasks of the group. How those questioned described their solutions and ways of coping, and the impressions of the researchers forms the starting point for the compiled work. The initial ideas for the topics and the design of the concept are now laid out.
authors.affiliation: Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- u. Jugendalters, Charité, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin. helgard.thomas@charite.de
authors.forename: Helgard
authors.initials: H
authors.lastname: Thomas
authors.forename: Silke
authors.initials: S
authors.lastname: Wawrok
authors.forename: Susanne
authors.initials: S
authors.lastname: Klein
authors.forename: Karin
authors.initials: K
authors.lastname: Jeschke
authors.forename: Wiebke
authors.initials: W
authors.lastname: Martinsohn-Schittkowski
authors.forename: Ulrike
authors.initials: U
authors.lastname: Sühlfleisch
authors.forename: Udo
authors.initials: U
authors.lastname: Wölkerling
authors.forename: Ute
authors.initials: U
authors.lastname: Ziegenhain
authors.forename: Margot
authors.initials: M
authors.lastname: Völger
authors.forename: Jörg M
authors.initials: JM
authors.lastname: Fegert
authors.forename: Ulrike
authors.initials: U
authors.lastname: Lehmkuhl
mesh_terms: D000293:Adolescent; D000328:Adult; D003479:Curriculum; D005260:Female; D005858:Germany; D016352:Group Homes / Q000331:legislation & jurisprudence; D006801:Humans; D008297:Male; D010344:Patient Advocacy / Q000331:legislation & jurisprudence; D026684:Personal Autonomy; D019989:Persons with Intellectual Disabilities / Q000331:legislation & jurisprudence / Q000523:psychology / Q000534:rehabilitation*; D011369:Professional-Patient Relations; D012736:Sex Education; D012742:Sex Offenses / Q000331:legislation & jurisprudence / Q000517:prevention & control* / Q000523:psychology; D014754:Violence / Q000331:legislation & jurisprudence / Q000517:prevention & control* / Q000523:psychology