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| | <big>Click on each outcome in the Theory of Change to explore services, gaps and ideas.</big> | | <big>Click on each outcome in the Theory of Change to explore services, gaps and ideas.</big> |
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| − | !'''<big>[[Disability/Sexuality/Theory of Change#Disabled people can access medical assistance to resolve sexual problems|Disabled people can access medical assistance to resolve sexual problems]]</big>''' | + | !'''<big>[[Disability/Sexuality/Theory of Change#Disabled people can access medical assistance to resolve sexual problems|Disabled people can access assistance to resolve sexual problems]]</big>''' |
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| − | === '''Greater public consciousness of the varying sexual needs of persons with disabilities''' ===
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| − | | style="width: 33.3%;" |'''<big>Resources</big>'''
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| − | | style="width: 33.3%;" |'''<big>Gaps</big>'''
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| − | | style="width: 33.3%;" |'''<big>Ideas</big>'''
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| − | |Educational courses
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| − | * '''AWWA''' offers two workshops for caregivers of persons with disability regarding understanding and supporting their sexual development. Courses are: [https://www.awwa.org.sg/events/supporting-sexual-development-of-adolescents-with-special-needs/ Supporting Sexual Development of Adolescents with Special Needs] and [https://www.awwa.org.sg/events/understanding-sexuality-development-in-persons-with-disabilities-pwds/ Understanding Sexuality Development in Persons with Disabilities]
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| − | * [https://e-services.ncss.gov.sg/Training/Course/Detail/ad34c5b5-e168-e611-8112-000c296ee03a '''SSI course: Managing Sexuality Issues of Adults with Intellectual Disabilities''']
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| − | |"Trainings may not be sufficiently frequent."
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| − | "Possibility of insufficient marketing and thus limited reach of the education programme."
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| − | "Difficult to justify funding if there is no interest and difficult to generate interest with limited funding."
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| − | |'''[https://www.straitstimes.com/singapore/education/sexuality-education-guide-for-sped-schools Creation of sexuality education curriculum]'''
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| − | In 2015, the Ministry of Education (MOE) has awarded a $24,000 tender to a company to develop a guide to help Sped schools design programmes in personal safety and relationships.
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| − | |Students in public special education (Sped) schools lack guidance in sexuality education and relationships.
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| − | Lack of information if the guide is being used today
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| − | Thorough examination of the available literature resulted in the conclusion that formal, individualized, and specific sexual education for individuals with intellectual disabilities is lacking.
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| − | === '''Persons with disabilities have knowledge on appropriate sexual behaviour''' ===
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| − | | style="width: 33.3%;" |'''<big>Resources</big>'''
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| − | | style="width: 33.3%;" |'''<big>Gaps</big>'''
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| − | | style="width: 33.3%;" |'''<big>Ideas</big>'''
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| − | |Sexuality education in Special Education (SPED) Schools, some examples:
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| − | * [https://www.pathlight.org.sg/programmes/curriculum-framework Pathlight School]
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| − | * [http://www.mettaschool.edu.sg/ Metta School], in its Basic and Career Programmes
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| − | * [http://www.minds.org.sg/MVHG/Programmes.html MINDS]
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| − | |Not all Sped schools teach sexuality education, unlike mainstream schools which have an MOE-approved approach for it. Some school teachers may not know how to manage sexuality-related incidents in Sped students.<ref>https://www.straitstimes.com/singapore/education/sexuality-education-guide-for-sped-schools</ref>
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| − | === '''Persons with disabilities have protection against sexual harassment and crime''' ===
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| − | | style="width: 33.3%;" |'''<big>Resources</big>'''
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| − | | style="width: 33.3%;" |'''<big>Gaps</big>'''
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| − | | style="width: 33.3%;" |'''<big>Ideas</big>'''
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| − | |'''[https://www.straitstimes.com/singapore/experts-laud-move-to-protect-victims Potential upcoming legal revisions]'''
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| − | Singapore laws may be undergoing a revision that includes new provisions to protect vulnerable persons.
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| − | “Two provisions spelt out punishments for bystanders who know of but fail to take steps to prevent the neglect or abuse of three types of victims: maids, young children and the mentally or physically infirm.”
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| − | |The law alone may not be enough, especially if poorly enforced or if circumstances surrounding abuse are more complex.
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| − | “Child protection specialists and foreign worker activists were also concerned about how the law might be enforced.
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| − | Ms Serene Yeo, director of Big Love Child Protection Specialist Centre, noted that there are many limiting factors that prevent a person from reporting abuse, particularly in family settings. "What if they relied on (the abuser) for financial support, or what if the wife is on a dependant's pass? It's more complicated than just putting the law in place that will prevent abuse."<ref>https://www.straitstimes.com/singapore/experts-laud-move-to-protect-victims</ref>
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| − | === '''Disabled people can access medical assistance to resolve sexual problems''' ===
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| − | | style="width: 33.3%;" |'''<big>Resources</big>'''
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| − | | style="width: 33.3%;" |'''<big>Gaps</big>'''
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| − | | style="width: 33.3%;" |'''<big>Ideas</big>'''
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| − | |'''[https://www.todayonline.com/daily-focus/sex-after-disabling-injury-yes-its-possible Tan Tock Seng Hospital's Complex Erectile Dysfunction Clinic]'''
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| − | * One in 30 cases seen are patients with disabilities due mainly to spinal cord injuries.
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| − | |'''[https://www.todayonline.com/daily-focus/sex-after-disabling-injury-yes-its-possible Tan Tock Seng Hospital’s Sexual Wellness Service]'''
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| − | * Provides support for sexual concerns including after disabling injuries
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| − | |While some support is now available for people with disabilities, there is still some way to go in Singapore, when it comes to frank discussion about sex. The majority of healthcare professionals are ill-equipped to address the sensitive topic. Many individuals may also be reluctant to seek professional help due to the nature of the topic.<ref>https://www.todayonline.com/daily-focus/sex-after-disabling-injury-yes-its-possible</ref>
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| − | Limited number of trained sexual therapists for the disabled<ref>https://www.ttsh.com.sg/about-us/newsroom/news/article.aspx?id=3783</ref>
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| − | |Would likely require more sweeping cultural changes to encourage open conversation and reduced stigmatisation of sex and our need for intimacy. Additionally, medical services would likely require a change in paradigm to acknowledge that patients are often concerned with more than just physical recovery but also psycho-social-sexual recovery.The healthcare system is currently still very medicalised. Most healthcare professionals [https://www.todayonline.com/daily-focus/sex-after-disabling-injury-yes-its-possible do not proactively ask patients] if they have any sexual concerns.
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| | <references /> | | <references /> |