Difference between revisions of "Disability/Sexuality/Theory of Change"

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!<big>Social Impact</big>
 
!<big>Social Impact</big>
 
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|-
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! style="background: #F08080;" |'''<big>Greater consciousness and acceptance of the varying sexual needs of persons with disabilities</big>'''
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! style="background: #F08080;" |'''<big>Greater public consciousness of the varying sexual needs of persons with disabilities</big>'''
 
! style="background: #F08080;" |<big>→</big>
 
! style="background: #F08080;" |<big>→</big>
−
! style="background: #F08080;" |'''<big>Legitimate access to assistance pertaining to sexuality</big>'''
+
! style="background: #F08080;" |
 
! style="background: #F08080;" |<big>→</big>
 
! style="background: #F08080;" |<big>→</big>
−
! rowspan="3" style="background: #F08080;" |<big>Disabled people experience sexual quality of life</big>
+
! rowspan="4" style="background: #F08080;" |<big>Disabled people experience sexual quality of life on an equitable basis with others in society</big>
−
! rowspan="3" style="background: #F08080;" |<big>→</big>
+
! rowspan="4" style="background: #F08080;" |<big>→</big>
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! rowspan="3" style="background: #FFF8DC;" |
+
! rowspan="4" style="background: #FFF8DC;" |
 
|-
 
|-
−
! style="background: #CEE0F2" |'''<big>Protection against sexual harrassment</big>'''
+
!<big>Persons with disabilities have knowledge on appropriate sexual behaviour</big>
 +
!<big>→</big>
 +
!
 +
!
 +
|-
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! style="background: #CEE0F2" |<big>Persons with disabilities have p'''rotection against sexual harassment and crime'''</big>
 
! style="background: #CEE0F2;" |<big>→</big>
 
! style="background: #CEE0F2;" |<big>→</big>
−
! rowspan="2" style="background: #CEE0F2;" |
+
!
 
! rowspan="2" style="background: #CEE0F2;" |'''<big>→</big>'''
 
! rowspan="2" style="background: #CEE0F2;" |'''<big>→</big>'''
 
|-
 
|-
 
! style="background: #CEE0F2;" |
 
! style="background: #CEE0F2;" |
−
! style="background: #CEE0F2;" |<big>→</big>
+
! style="background: #CEE0F2;" |
 +
!'''<big>Disabled people can access medical assistance to resolve sexual problems</big>'''
 +
|}
 +
 
 +
=== '''Greater public consciousness of the varying sexual needs of persons with disabilities''' ===
 +
{| class="wikitable"
 +
|-
 +
| style="width: 33.3%;" |'''<big>Resources</big>'''
 +
| style="width: 33.3%;" |'''<big>Gaps</big>'''
 +
| style="width: 33.3%;" |'''<big>Ideas</big>'''
 +
|-
 +
|
 +
|
 +
|
 +
|-
 +
|
 +
|
 +
|
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|-
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|
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|
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|
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|-
 +
|
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|
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|
 
|}
 
|}
−
 
+
 
 +
=== '''Persons with disabilities have knowledge on appropriate sexual behaviour''' ===
 
{| class="wikitable"
 
{| class="wikitable"
 
|-
 
|-
−
| style="width: 33.3%;" |'''<big>Programmes</big>'''
+
| style="width: 33.3%;" |'''<big>Resources</big>'''
 
| style="width: 33.3%;" |'''<big>Gaps</big>'''
 
| style="width: 33.3%;" |'''<big>Gaps</big>'''
 
| style="width: 33.3%;" |'''<big>Ideas</big>'''
 
| style="width: 33.3%;" |'''<big>Ideas</big>'''
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|
 
|
 
|
 
|
 +
|}
 +
 +
=== '''Persons with disabilities have protection against sexual harassment and crime''' ===
 +
{| class="wikitable"
 +
|-
 +
| style="width: 33.3%;" |'''<big>Resources</big>'''
 +
| style="width: 33.3%;" |'''<big>Gaps</big>'''
 +
| style="width: 33.3%;" |'''<big>Ideas</big>'''
 +
|-
 +
|'''[https://www.straitstimes.com/singapore/experts-laud-move-to-protect-victims Potential upcoming legal revisions]'''
 +
 +
Singapore laws may be undergoing a revision that includes new provisions to protect vulnerable persons.
 +
 +
“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.”
 +
|The law alone may not be enough, especially if poorly enforced or if circumstances surrounding abuse are more complex.
 +
 +
“Child protection specialists and foreign worker activists were also concerned about how the law might be enforced.
 +
 +
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>
 +
|
 +
|}
 +
 +
=== '''Disabled people can access medical assistance to resolve sexual problems''' ===
 +
 +
{| class="wikitable"
 +
|-
 +
| style="width: 33.3%;" |'''<big>Resources</big>'''
 +
| style="width: 33.3%;" |'''<big>Gaps</big>'''
 +
| style="width: 33.3%;" |'''<big>Ideas</big>'''
 +
|-
 +
|'''[https://www.todayonline.com/daily-focus/sex-after-disabling-injury-yes-its-possible Tan Tock Seng Hospital's Complex Erectile Dysfunction Clinic]'''
 +
* One in 30 cases seen are patients with disabilities due mainly to spinal cord injuries.
 +
|
 +
|
 +
|-
 +
|'''[https://www.todayonline.com/daily-focus/sex-after-disabling-injury-yes-its-possible Tan Tock Seng Hospital’s Sexual Wellness Service]'''
 +
* Provides support for sexual concerns including after disabling injuries
 +
|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>
 +
 +
Limited number of trained sexual therapists for the disabled<ref>https://www.ttsh.com.sg/about-us/newsroom/news/article.aspx?id=3783</ref>
 +
|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.
 
|}
 
|}

Revision as of 07:52, 13 March 2020

Click on each outcome in the Theory of Change to explore services, gaps and ideas.

To change anything in this page, feel free to contribute directly or to propose revisions and amendments in the Discussion page.

Theory of Change

Short-Term Outcomes(skills, knowledge, attitudes) Mid-Term Outcomes(behaviours) Long-Term Outcomes(impact) Social Impact
Greater public consciousness of the varying sexual needs of persons with disabilities → → Disabled people experience sexual quality of life on an equitable basis with others in society →
Persons with disabilities have knowledge on appropriate sexual behaviour →
Persons with disabilities have protection against sexual harassment and crime → →
Disabled people can access medical assistance to resolve sexual problems

Greater public consciousness of the varying sexual needs of persons with disabilities

Resources Gaps Ideas

Persons with disabilities have knowledge on appropriate sexual behaviour

Resources Gaps Ideas

Persons with disabilities have protection against sexual harassment and crime

Resources Gaps Ideas
Potential upcoming legal revisions

Singapore laws may be undergoing a revision that includes new provisions to protect vulnerable persons.

“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.”

The law alone may not be enough, especially if poorly enforced or if circumstances surrounding abuse are more complex.

“Child protection specialists and foreign worker activists were also concerned about how the law might be enforced.

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."[1]

Disabled people can access medical assistance to resolve sexual problems

Resources Gaps Ideas
Tan Tock Seng Hospital's Complex Erectile Dysfunction Clinic
  • One in 30 cases seen are patients with disabilities due mainly to spinal cord injuries.
Tan Tock Seng Hospital’s Sexual Wellness Service
  • Provides support for sexual concerns including after disabling injuries
 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.[2]

Limited number of trained sexual therapists for the disabled[3]

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 do not proactively ask patients if they have any sexual concerns.
  1. ↑ https://www.straitstimes.com/singapore/experts-laud-move-to-protect-victims
  2. ↑ https://www.todayonline.com/daily-focus/sex-after-disabling-injury-yes-its-possible
  3. ↑ https://www.ttsh.com.sg/about-us/newsroom/news/article.aspx?id=3783
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