Sexualidades diversas: guía de criterios orientativos para el abordaje de conductas afectivo-sexuales en personas con discapacidad intelectual / Diverse sexualities: guide of orientative criteria for the approach of affective-sexual behaviors in people with intellectual disabilities

Desde la óptica de la atención centrada en la persona, la normalización y de la integración como principios básicos desde los que se plantea la atención y el apoyo a las personas con discapacidad intelectual es necesario trabajar el tema de la sexualidad y relaciones interpersonales, como un elemento básico de los derechos de las personas. Por este motivo en las jornadas realizadas se ha impartido un taller de sexualidad en las personas con discapacidad basándonos en la Guía de los criterios orientativos para el abordaje de las conductas afectivo-sexuales de las personas con discapacidad intelectual, de la Fundación Purísima Concepción, con el objetivo de conocer la herramienta, hacer una experiencia práctica de su uso y generar una reflexión conjunta entre los profesionales de la institución (AU)

From the perspective of person-centered care, normalization and integration as basic principles from which care and support for people with intellectual disabilities are proposed, it is necessary to work on the issue of sexuality and interpersonal relationships, as a basic element of human rights. For this reason, in the sessions held, a workshop on sexuality was given to people with disabilities based on the Guide of the indicative criteria for addressing the affective-sexual behaviors of people with intellectual disabilities, of the Purísima Concepción Foundation, with the objective of knowing the tool, making a practical experience of its use and generating a joint reflection among the professionals of the institution

Validity and reliability of the Spanish version of the diagnostic assessment for the severely handicapped (DASH-II).

BACKGROUND AND OBJECTIVES: The DASH-II scale is a specific instrument for measuring psychopathological symptoms in people with severe and profound intellectual disability (ID). The aim of the study is the validation of the Spanish version, evaluating its reliability and validity. At the same time we examine the prevalence of mental disorders in our sample. MATERIAL AND METHODS: Two reviewers independently passed the Spanish version of the DASH-II (DASH-II-S) to 83 users to establish inter-rater reliability. To assess inter-rater reliability or test-retest reliability, fifty participants were reassessed by the same rater within 7 days. RESULTS: DASH-II-S showed good internal consistency (Cronbach's α=0.879) and good reliability, both intra and inter-rater reliability. The prevalence of psychopathology in the sample is 94%, and the use of psychotropic drugs is also high, with 61.4% receiving one or more antipsychotics. CONCLUSIONS: DASH-II-S is a valid and reliable instrument that can be used for the assessment of psychopathology in people with ID. The translated version retains the psychometric properties of the original English version. Moreover, the high prevalence of mental disorders in this population may explain the widespread use of psychotropic drugs, but it forces us to continuous reassessment and justification.