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Home environment design theories and models related to the participation and wellbeing of people with intellectual disabilities.

Access to housing for people with intellectual disabilities is often constrained by lack of choice, control, and can be inappropriate or unsafe. To enable people to remain at home and participate in their occupations, a collation and review of theories and models supporting good home environment design offers a view from which practice could be advanced.

Audrey Yong has completed a scoping review to map the literature on theories and models on home environmental designing, which can have influence on the occupational performance and participation of people with intellectual disabilities. The theories and models found were analysed using the lens of the Person-Environment-Occupation-Performance (PEOP) model, which is a model commonly used in occupational therapy practice.

Four themes supporting the understanding of environmental home design that can influence participation and wellbeing were found. These were: offering safety and comfort; providing control and choice to manage stress; offering skill acquisition for continued learning and interest; and the person-environment interaction for function and participation. The themes were discussed in relation to participation in occupation and wellbeing for people with intellectual disabilities, and will contribute to the knowledge-base for practitioners and stakeholders.


Yong ASL, Haines D, Henry Joseph L (2023). Home environment design theories and models related to the occupational performance, participation and well-being of people with intellectual disabilities: A scoping review. British Journal of Occupational Therapy. 0(0). doi:10.1177/03080226231183291

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