Supported Decision-Making for People with Intellectual Disabilities
An Employee Perspective
Bibliographic Data
| ID | 24230596 |
|---|---|
| Authors | Sølvi Linde (0009-0000-0632-8451), Frode F Jacobsen (0000-0002-9395-2574), Toril Marie Terum (0000-0001-6654-8640), Arnt Egil Ydstebø (0000-0001-5681-6568), Oddvar Førland (0000-0003-4677-0548) |
| Year | 2026 |
| Volume | 28 |
| Issue | 1 |
| Pages | 352-366 |
| Publication date | 2026-08-12 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Scandinavian Journal of Disability Research (JOURNAL) |
| Journal identifiers | ISSN: 1501-7419 • E-ISSN: 1745-3011 |
| Publisher | Stockholm University Press (PUBLISHER • SE) |
| DOI | 10.16993/sjdr.1344 |
| OpenAlex | W7202278984 |
| Language | EN |
| References cited | 22 |
This article examines the understandings and experiences of municipal frontline employees regarding supported decision-making for individuals with intellectual disabilities. It analyses experience-sharing dialogues and focus group interviews with staff members working in group homes and day-care services in Norway. The data were transcribed verbatim and analysed thematically. The findings suggest that authentic supported decision-making may be constrained by staff members’ limited willingness to tolerate risk, as well as by their values, attitudes and interpretations of what constitutes professionally sound practice. The participants in the study agreed that time is a crucial factor, as clarifying individuals’ will and fostering decision-making skills are often time-intensive processes. Participants also emphasised the influence of relatives’ roles and attitudes in shaping opportunities and limitations for self-determination. In the absence of clear-cut solutions, staff must exercise professional judgement to balance competing values within tricky relational and structural contexts.
daycare centers · decision-making skills · employee attitudes · group homes · Intellectual disability · professional judgment · risk tolerance · Self-determination · supported decision-making · time constraints · Disability Education and Employment · Disability Rights and Representation · Healthcare innovation and challenges
What does participation mean? An insider perspective from people with disabilities
Realising ‘will, preferences and rights’
Everyday life of persons with intellectual disability living in residential settings
Risky Play and Children’s Well-Being, Involvement and Physical Activity
Staff experiences of participation in everyday life of older people with intellectual disability who live in group homes
Ensuring human rights for persons with intellectual disabilities
Service users' experiences and views of support for decision‐making
The Qualitative Research Interview
| Highly cited | No |
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