Paulien van Doorn Nicole van Zelst September 2019

Paulien van Doorn & Nicole van Zelst September 2019

Talking about sexuality/sexual health With people with ID

Program • Why? • What is sex education? • Method Talking about sex • Practise • Why not? • Other materials, methods • Questions 3

Quote It is impossible not to give sex education. 4

Sex education Proactive guidance towards healthy emotional and sexual development Living ahead, being a role model Accidental information Structural information lunetzorg. nl

Practise • Try with your 2 nabers to formulate the sentence you could use in a (first) contact to invite your client to talk about sexuality with you. lunetzorg. nl

What does ID mean for a caretaker who gives sex education? • Insight into discrepancies in the level of development, determine approach, treatment and methodology • Great diversity in treatment questions • Protocol handling treats the exception rather than the rule; customized treatment • Involve the system as much as possible • Create translation; the more specific the better • Having knowledge of autism but also other comorbidity is essential lunetzorg. nl

Talking about sex Method to support people with a intellectual disability with their sexual development. Anja Janssen GZ-psycholoog – orthopedagoog lunetzorg. nl Paulien van Doorn B social work l VO l Seksuoloog NVVS

Christine and Nicole, the movie 9

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Primary target group YOU!!!! Parents Teachers Professionals Medical workers lunetzorg. nl

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People with ID do have: • • • Sexual desire Need for intimacy and attachment A large part is sexually active Very little experience Lack of knowledge and skill • (Lifetime) support required lunetzorg. nl

Goals • Promoting in a proactive way, sexual health, instead of only act after suspicion of sexual abuse • Proactive guidance towards a form of sexually and emotionally pleasant, safe and desired behavior lunetzorg. nl

Autism friendly • • • lunetzorg. nl Different forms of communication that are single Whole bodies in the drawings Logical structure Small steps, analysis of tasks, skills and behavior Repeats themes

• • lunetzorg. nl 1. Sexual selfportret, who am I? 2. Basics 3. Puberty 4. Sex with yourself 5. Sex with a partner 6. Sexual selfportret, who am I now? 7. Sexdictionary 8. Stickers

• Instruction book for client counselor Is a guide for going through Talking about sex for the client in the appropriate way • Workbook for client Becomes a personal folder with information, form and behavior about sex this person's own life lunetzorg. nl

Before starting • • • lunetzorg. nl Cognitive level Emotional level Social level Fysical development Life story Other problemes

• This takes time!! • Policy of the organization is a condition and starting point • Consult in advance with behavioral expert, sexologist, team, client, family • Know your own frame of reference, history, limits • An open attitude where the client can be central is needed lunetzorg. nl

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Practise • This is you!! • Foto lunetzorg. nl

Reasons NOT to talk about sex • Perspective client • Perspective parents • Perspective caretaker • Perspective organisation 23

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Tomorrow? • Questions • Cases • Discussion 25