Transcript Licensing Trends”

Demystifying Sexuality
Promoting Rights and Education for People
with Disabilities
STAR Services
1295 Bandana Blvd. North
Suite 135
St. Paul, MN 55108
651-644-3140 (phone)
651-641-0346 (fax)
www.stasvcs.com
Learn, Grow, Excel!
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Objectives
1. History and present views on sexuality
2. Stereotypes
3. Rights
4. Guiding Principles for staff
5. Information - Teaching
6. Protection from sexual abuse
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
History of Sexuality
 Prior to 1700


No concept of Intellectual/Developmental Disabilities
Families and monasteries provided care
 1800s


First residential facility (Switzerland)
“Improving the stock of humanity” – controlled selective breeding
 1900 -1924

The Threat of the Feeble Minded by Henry Goddard
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
History of Sexuality
 1925 -1962
U.S. Supreme Court Buck v. Bell – forced sterilizations
 President John F. Kennedy - deinstitutionalization

 1963 -1979

U.S. Supreme Court Connor v. Donaldson
 Only

institutionalized if threat to self
Civil Rights of Institutionalized Persons Act
 1980 -1989

George H. Bush - ADA
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
History to Present Day
 1990 - 1999
New Jersey’s Glen Ridge (rape) case
 Olmstead Act – Live in community

 2000 - Present
Advocacy
 SexAbility
 Conference

 Vermont’s
“Celebrating Sexuality”
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Stereotypes
 Attitudinal
Asexual
 Sex Education
 Masturbation
 Sexual Orientation
 Birth control
 Sex
 Pregnancy
 Marriage

© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
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Guiding Principles for Staff
 The Golden Rule
 Respect/Privacy
 Honesty
 Dignity
 Supportive
 Language
 Be “Askable”
 Listen…Listen…Listen
 Knowledge is power!
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
When in doubt, get support!
 Speak with the person’s team
 Speak with applicable professionals
 You don’t have to make decisions all by
yourself
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
As a Caregiver
 Establishing and maintaining boundaries:
 Dressing
 Toileting/bathing
 Assisting
with walking
 Applying or adjusting wheelchair straps
 Staff dress code
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Sexuality Creed for Staff
 Do not:
 Have
sexual relationships with those you serve
 Judge
or put down the individual
 Avoid
the subject
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Sexuality Creed for Staff
Do:
 Act
 Be
as a positive role model
a non-judgmental teacher
 Respect
 Talk
the rights of the individual
over concerns; Be “askable”
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
S.T.A.R.S. A Social Skills Training Guide for Teaching Assertiveness,
Relationship Skills, and Sexual Awareness
by Susan M. Heighway, RN, MS, and Susan Kidd Webster, MSSW
 Understanding Relationships
 Self-image,
outside relationships
 Social interaction
 Approaching,
responding, conversing Sexual
Awareness
 Body
awareness, public vs. private, feelings/actions
 Assertiveness
 Empowerment, saying “No,” reporting abuse
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Understanding
Relationships
I am proud of myself when…
Is it okay to hug your mother?
Is it okay to kiss the store
clerk?
Sexual
Awareness
Social
Interaction
How well
should you
know
someone before
you touch
each other in a
sexual way?
Your friend feels
bad
What could you
say or do?
Assertiveness
Your job coach touches you in a
way
you do not like
What do you do?
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Sexuality Topics
Masturbation
Relationships
Sexual Orientation
Marriage
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
“The Dignity of Risk”
 Risk
taking
 Emotional
Support
 Guidance
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Sex
 Sexual Activity
 STIs / Condoms
 Birth control
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Sex and Physical Disabilities
18
 Adaptive Equipment
 Positioning
 Masturbation
“The Outsiders”- UK
19
Sexual Abuse
 Prevalence
 Signs of Sexual Abuse
Torn, stained, or bloody undergarments
 Pain or genital itching
 Bruises, swelling, or bleeding of genitals
 STIs or pregnancy
 Withdrawals from or avoiding preferred activities
 Unusual, possibly child-like behavior
 Protection of intimate body parts

© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Protection from Abuse
 False Reports
 When to act - Policy
 Suspected
or known maltreatment
 Visual proof of physical harm
 One or both people are not able to give consent
 The rights of others are jeopardized
 Normal routines are severely disrupted
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Chris Burke
Charles "Corky" Thacher
Life Goes On
1989 - 1993
Andrea Fay Friedman
“Amanda”
Life Goes On
1992 - 1993
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
Relationship Key Points
 Educate
 Assertiveness
 Personal Empowerment
 Feeling “more” rather than “less”
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.
?
Questions?
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.