Metrics details. How adults with disabilities perceive participation has received little attention. Our purpose was to formulate a grounded theory on participation, based on the subjective experience of adults with cognitive, physical, or psychiatric impairment s , and to identify barriers, facilitators, and support needs concerning participation in different areas of life.
Participation can be understood as a continuum that extends on a horizontal level from participation is restricted to participation takes place and a vertical level separative setting vs. In separative as well as in inclusive settings, diverse levels of participation are possible.
In the family of origin, there was a thin line between fulfilling relations that enhance participation and conflictual relations and overprotective parenting that limit participation. In intimate relationships, opportunities for participation were limited overall. Many interviewees were single.
Social environment and family of origin e. Participation can be understood as a continuum. Participation restrictions exist in separative as well as in inclusive-oriented settings, also in the areas of family of origin and intimate relationships. Participation barriers must be torn down in separative as well as in inclusion-oriented settings.
Trajectories to inclusive settings should be facilitated. Families with children with impairment s should be supported from early on to create the best possible participation possibilities for the adult person with impairment s and to support the family of origin itself.
