Care for older people with intellectual disabilities in Slovenia

The increasing life expectancy and population ageing are two processes that present a challenge to modern society. This master thesis has focused on the theme of ageing in people with intellectual disabilities, which is a relatively new field of research in Slovenia and has not yet received much attention. Firstly, the general theoretical platform of old age and ageing has been established, because ageing in people with intellectual disabilities progresses in a similar way as in the majority population. Possible care options for the elderly have been described, as well as services or programmes where in Slovenia the institutional option prevails. The issues pertaining to older people with intellectual disabilities are often linked to the divide between accommodating people with intellectual disabilities and accommodating the elderly. The thesis presents a detailed analysis of the elements of the ageing process in people with intellectual disabilities, such as: definition, population size, distinguishable features and special needs, concepts for successful ageing, and services and programmes available in Slovenia and abroad. In order to research the caretaking of ageing people with intellectual disabilities in Slovenia questionnaires were sent to occupational activity centres, training, occupation and care centres, nursing homes, and dedicated social protection institutions. In the empirical part the quantitative research method has been applied. The aim of this master thesis was to determine the population size and distinguishable features of people with intellectual disabilities over 55 years of age who are included in occupational activity centres, training, occupation and care centres, nursing homes, and dedicated social protection institutions. The analysis focused on how much the services are tailored to the target group, as well as the potential existence of dedicated programmes for elderly people with intellectual disabilities. The primary focus was on the need for the support and reform of the existing system as seen by the respondents. The findings show that institutions deal with increasing needs of elderly people with intellectual disabilities, who, due to their condition, need more help and support. Institutions use various strategies and adaptations within the limitations of their programme, staff, and financial resources. In providing quality care for the elderly with intellectual disabilities, institutions face many challenges. This results in their desire for greater support from the state authorities. The respondents put forward many substantiated proposals for improving and developing care for the target population in Slovenia in terms of systemic and legislative arrangements, as well as concrete ideas for the development of services and adaptation of programmes, provided that adequate personnel, living, and financial conditions are met