Abstract
Ageing people with learning disabilities (PWLD) often transition to supported living arrangements earlier than those without an LD, which can benefit their support needs, but may affect their relationships and sense of inclusion. Given that PWLD are more likely to experience trauma and adverse life experiences, this might be particularly difficult to navigate, and often family members and carers play an integral role in people with LD's (PWLD) social networks and the facilitation or gatekeeping of further relationships. Part A of this portfolio presents a systematic review of the effectiveness of interventions designed to improve outcomes of social inclusion for PWLD living in supported living. Five main types of intervention emerged:; Active support, supported employment or retirement, activity or recreation based, befriending and staff based. One study related to social skills training.
Conclusions were difficult given mixed findings, heterogeneity of outcome measures and methodological issues across included studies. Further research is needed to replicate or clarify current findings, and to investigate new interventions to support the social inclusion of PWLD. Part B of this portfolio presents an empirical paper that explored the traumatic potential of relational experiences of ageing PWLD (40+) living in forms of supported accommodation through interviews with PWLD themselves alongside a chosen family member or carer. This study utilised interpretative phenomenological analysis (IPA) which was adapted for separately conducted related pairs interviews. The pervasive nature of relational difficulties, absences of desired intimate relationships together with the emotional and wider impact these difficulties have on participants' lives, suggest that relational experiences do have a potentially traumatic impact. Further research is needed to better understand the traumatic potential of relational experiences for PWLD, with an aim to better develop trauma informed care practices in supported living accommodation.