Para ello, se analizaron los factores asociados a la calidad de vida en 105 personas con discapacidad intelectual (Professional Career Development Institute -PCDI-), procedentes de tres instituciones públicas de Lima-Perú. La calidad de vida es un aspecto central de la nueva conceptualización de la discapacidad intelectual, siendo necesario el estudio de variables ambientales. CONCLUSION: Implications of these findings for future research, policy, and practice are provided. RESULTS: Our findings provide further evidence against the use of segregated vocational services for individuals with IDD. In the second phase of our analysis, we provide a comparison of segregated and integrated vocational services in terms of individual outcomes. METHOD: Our review searched peer-reviewed literature from seven electronic databases and screened 589 peer-reviewed articles based on inclusion criteria established following PRISMA guidelines- resulting in a final sample of five studies. OBJECTIVE: The purpose of this systematic review was to examine whether recent research might provide further evidence of the role of segregated vocational services in contributing to or detracting from positive outcomes. This persistence of segregated vocational services has occurred despite substantial previous research recommendations and policy directives to encourage CIE. Although the findings of several included studies in our review show that these segregated vocational services are detrimental to the career advancement of individuals with IDD, there is also evidence that efforts to reform these service providers have been ineffective at changing outcomes for individuals.īACKGROUND: Although competitive integrated employment (CIE) has been established as a goal of employment policy and practice for individuals with intellectual and developmental disabilities (IDD), many still receive segregated vocational services for subminimum wage. While no statistical difference in self-reported satisfaction was observed between individuals spending their day in competitive employment services, sheltered workshops, and adult day care programs, individuals in competitive employment services reported higher quality of life measures regarding control of financial decisionmaking and more integrated community participation in non-work activities (restaurants, shopping, etc.) compared to other groups (Blick et al., 2016). Not only was participation in segregated services linked to these poorer outcomes, these studies also revealed differential impact on quality and life and independence of individuals with IDD (Blick et al., 2016 Inge et al., 2009).
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