This study examined whether there is a correlation between absenteeism in the workplace, problem behaviour of clients and the extent to which counsellors experience that they meet the client's...Show moreThis study examined whether there is a correlation between absenteeism in the workplace, problem behaviour of clients and the extent to which counsellors experience that they meet the client's support needs. The participants of the study consist of 138 people with intellectual disabilities and intensive care needs and care professionals. A contextual interview was used to map the opinion of counsellors about meeting the client's support needs. The questionnaire, Developmental Behaviour ChecklistAdults (DBCA), was completed for the degree of problem behaviour in clients. The data on absenteeism due to illness was requested from the healthcare institution via HRM. The collected data were analysed using a single and multiple regression analysis. The results show that absenteeism is related to both the experienced support needs of counsellors and the degree of behavioural problems of the client. The experienced support need of supervisors is a greater predictor of absenteeism due to illness. The conclusion is that when counsellors experience less meeting the support needs of the client, there is a higher absenteeism in the workplace. In addition, the degree of behavioural problems plays a role. The higher the degree of the behavioural problem, the more absenteeism there is. The degree of behavioural problems and the experienced support needs of counsellors do not appear to be related to each other.Show less
Background: Behavioural problems, such as aggressive behaviour, are common among people with intellectual disabilities (Deb & Bright, 2001; Janssen, Schuengel & Stolk, 2002). People with...Show moreBackground: Behavioural problems, such as aggressive behaviour, are common among people with intellectual disabilities (Deb & Bright, 2001; Janssen, Schuengel & Stolk, 2002). People with intellectual disabilities are also at higher risk of developing unsafe attachment with their caregivers, which can be one cause of their behavioural problems (Dekker-van der Sande & Janssen, 2009). The current research examined whether setting goals related to building a safe attachment with the care staff is effective for lessening behavioural problems in people with an intellectual disability with attachment problems. Method: The research group concerns clients (n= 25) with an intellectual disability with a care package 6 or 7, with attachment problems. The questionnaire DBC-A (Mohr et al., 2011) was used to examine behavioural problems. Attachment problems and goals were derived from the personal care plans. Results: The results show that almost no specific goals on enhancing safe attachment are accumulated. Interpersonal relationship can be viewed as an indirect measure of attachment. Research shows a significant decrease in disruptive behaviour, when there are goals focussed primarily on interpersonal relationships. There were no significant effects on the other subdomains of behavioural problems when goals related to interpersonal relationships were set. Conclusion and discussion: To conclude, there should be more awareness for the importance of setting goals aimed at creating safe attachment with care staff. Setting goals aimed at interpersonal relationships also leads to a decrease of disruptive behaviour.Show less
Aim: The aim of this thesis is to contribute to the orthopedagogical knowledge on Angelman Syndrome (AS) and Prader-Willi Syndrome (PWS), to create a useful framework for identifying support needs...Show moreAim: The aim of this thesis is to contribute to the orthopedagogical knowledge on Angelman Syndrome (AS) and Prader-Willi Syndrome (PWS), to create a useful framework for identifying support needs and to obtain more structure and uniformity in existing knowledge. This is done on the basis of two research questions: 1) What are the characteristics (genotype and phenotype) of the Angelman Syndrome and the Prader-Willi Syndrome? 2) Is it known from literature whether people with AS or PWS have an intensive need for care? Is a distinction noticeable between the group from the literature and the group of clients with AS, who all have an intensive care demand, in the SCORE research? Method: For the first research question, extensive literature research at meta level was performed. In addition, the literature has been analyzed on the basis of the domains of the AAIDD-model. A multiple case study was conducted for the second research question. Of the 225 clients, 2 were clients with AS and there were no clients with PWS. The results of the BSID-III, CI, VABS, DBC-A and the SMS have been analyzed. Results: People with AS have a profound intellectual disability. There is a severe disorder in every domain of the VABS. There is little to no participation in society. People with AS often have sleep disturbances, seizures, ataxia, and motor development delays. The living environment differs for each client. People with PWS have a mild intellectual disability with an average IQ between 60-70 but in addition also have severe medical and physical challenges. Conclusion: People with AS have an intensive need for care due to their low functioning level. More research is needed on the health care needs of people with PWS to conclude whether they have intensive care needs.Show less
