Reform of law on sex and mental disability urged

The Irish Times - Monday, October 24, 2011
CAROL COULTER, Legal Affairs Editor
THE LAW on sexual offences relating to people with intellectual disabilities should be overhauled, so that those who are capable of consenting to sexual activity are not deprived of the opportunity for intimate relationships, according to the Law Reform Commission.
The commission will publish a consultation paper on the subject this evening, in which it makes a provisional recommendation for the repeal of the existing law on sexual offences involving people with an intellectual disability.
Section 5 of the Criminal Law (Sexual Offences) Act 1993 makes it an offence to have sexual intercourse with a person with an intellectual disability. The commission points out that it fails to protect people with intellectual disability from unwanted sexual contact generally, as it is limited to sexual intercourse, and it fails to allow for consensual sexual activity between two persons with intellectual disability.....

Healthcare professionals' experiences of the implementation of integrated care pathways.

Healthcare professionals' experiences of the implementation of integrated care pathways.:
Int J Health Care Qual Assur. 2011;24(5):334-47

Authors: Hogan C, Barry M, Burke M, Joyce P

Abstract
PURPOSE: The purpose of this paper is to report on a study that explores healthcare professionals' experiences of the implementation of integrated care pathways (ICPs).
DESIGN/METHODOLOGY/APPROACH: This study used a phenomenological research approach with a purposive sample of ten multi-disciplinary healthcare professionals across two acute hospitals in Ireland. Data were collected via semi-structured interviews and analysed using Colazzi's framework.
FINDINGS: The findings of the study are presented under four themes: buy-in from all disciplines, multidisciplinary communication, service-user involvement, and audit of ICPs. These themes emanated from the questions asked at interview.
RESEARCH LIMITATIONS/IMPLICATIONS: The limitations of the study include the small sample size and the use of two different interviewers across the sites. The inexperience of the interviewers is acknowledged as a limitation as the probing of some questions could have been improved. In addition the themes of the findings were predetermined by the use of the interview guide.
PRACTICAL IMPLICATIONS: Changes in existing institutional structures and cultures are required when introducing ICPs. It is necessary for senior management in organisations to lead by example. They also need to identify where support can be offered, such as in the provision of an ICP facilitator, education sessions in relation to ICPs and the development of strategies to improve multi-disciplinary buy-in and participation.
ORIGINALITY/VALUE: The findings of this study respond to a gap in the literature in Ireland on the experiences of healthcare professionals who have implemented ICPs. Key findings of the study are the perception that the doctor is pivotal in driving the implementation of ICPs, yet the doctor was not always interested in this responsibility.
PMID: 21916088 [PubMed - indexed for MEDLINE]

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Increase in negative press coverage of disability

Increase in negative press coverage of disability:

The amount of negative reporting of disability issues and people with disabilities in print media has increased significantly in the past 6 years, a study has found.

The report, ‘Bad News for Disabled People: how newspapers are reporting disability’, commissioned by disability equality organisation Inclusion London, compared print media articles from 2004/5 and 2010/11 and found a reduction in the proportion of articles that describe disabled people in sympathetic and deserving terms.

Additionally, researchers found that stories that document ‘real life’ experiences of living as a disabled person also decreased. People with mental health issues and other ‘hidden’ impairments are more likely to be presented as ‘undeserving’, they found.

Meanwhile, the number of articles focusing on disability benefit fraud increased from 2.8% in 2004/5 to 6.1% in 2010/11. Allied to this, a significant increase in the use of pejorative language to describe disabled people was found. The use of terms such as ‘scrounger’, ‘cheat’ and ‘skiver’ was found in 18% of articles in 2010/11 compared to 12% in 2004/5.

Professor Nick Watson of Strathclyde Centre for Disability at the University of Glasgow, which conducted the study alongside the University’s Glasgow Media Group, said: “This report provides a strong body of evidence to suggest there has been a significant change in the way that disability is being reported in much of the press in the UK today.

“Much of the coverage in the tabloid press is at best questionable and some of it is deeply offensive. The increased focus on benefit fraud, with outlandish claims that over 70% of people on disability benefits are frauds, is an example of this type of reporting.

“The increased pejorative coverage of disability may have a long-term effect and further work will be need to monitor this.

“In addition to the content analysis we also ran some focus groups to see what people thought about the way that the media is covering disability. When the focus groups were asked to describe a typical story in the newspapers on disability benefit fraud was the most popular theme mentioned. Participants in the focus groups all claimed that levels of fraud were very much higher than they are in reality, with some suggesting that up to 70% of claimants were fraudulent. They justified these claims by reference to articles they had read in newspapers.”

Anne Kane, policy manager at Inclusion London, said: “The findings of this research will strike a deep chord with disabled people who have to live with the daily reality of offensive, hate-filled and false media coverage – coverage that is becoming more offensive in rhythm with the savage impact of government spending cuts on disabled people.

“The disabled people questioned in the study said they felt threatened by the changes in the way disability is being (mis)reported and by the planned cuts to benefits – with these two assaults combining and reinforcing each other. This points to the action that needs to be taken: a stop to cuts that threaten more isolation and poverty and a stop to media coverage that stigmatises and breeds fear.”

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