A model clinic approach to the reproductive health concerns of the mentally handicapped
Elkins, T.E.; Gafford, L.S.; Wilks, C.S.; Muram, D.; Golden, G.
Obstetrics and Gynecology 68(2): 185-188
1986
ISSN/ISBN: 0029-7844 PMID: 3737034 Document Number: 273986
An interdisciplinary model clinic for the consideration of reproductive health and sexuality concerns in a noninstitutionalized, mentally handicapped population is presented. Common concerns of this population group and their management are discussed. A program for menstrual hygiene control was developed using a combination of hormonal medication and home-based behavior modification training. Group sexuality counseling was provided for both patients and their families to enhance the avoidance of sexual abuse, the understanding of sexual development, and intrafamily communication. An ethics committee, composed of persons within the community, offered advice in questions of contraception and/or sterilization.