Getting To(wards) Know(ing) Together: An Innovative Collaborative Approach in Residential Care for People with (Severe) Intellectual Disabilities and Behaviour That Challenges

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

People with moderate to severe intellectual disabilities (M/S ID) and behaviour that challenges are still almost exclusively encountered and understood within a highly specialized professional care system context. They are almost invisible in the societal mainstream, where a wider variety of perspectives on (everyday) manners, encounters, relationships and life applies. These (and other) exclusionary dynamics render everyday relations with residents with M/S ID whose behaviours challenge still largely dependent on the interpretative frameworks and actions of professionals. Professionals are trained and socialized within highly specialized professional care system contexts, despite a growing scientific and professional awareness that behaviour that challenges is a multifaceted and contextual phenomenon. In this paper, we report on a pioneering initiative (titled Project WAVE) which aimed to cultivate a fresh and comprehensive approach to behaviours that challenge within stagnant care practices. Our goal was to foster an innovative collaborative paradigm by facilitating an extensive and enduring exchange between "insiders"-professionals of specialized care system contexts-and "outsider-researchers"-individuals socialized through alternative avenues. We present our epistemological and methodological approach, the data collection process (a multiple case-informed community of practice), and the most important lessons learned.
Original languageEnglish
JournalInternational Journal of Environmental Research and Public Health
Volume22
Issue number9
DOIs
Publication statusPublished - 30 Aug 2025

Keywords

  • challenging behaviour
  • collaborative research
  • community of practice
  • complexity
  • highly specialized residential care
  • insider-outsider
  • intellectual disabilities
  • socialisation
  • stagnant care practices

Themes from the UHS research agenda

  • Health and welfare
  • People with disabilities
  • Justice and inclusion

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