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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.
7
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
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Sex
Sexual Activity
STIs / Condoms
Birth control
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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
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Relationship Key Points
Educate
Assertiveness
Personal Empowerment
Feeling “more” rather than “less”
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?
Questions?
© STAR Services 2013. All rights reserved. No portion of this document may be reproduced, copied or otherwise used for training purposes.