Personal assistance for people with intellectual impairments: experiences and dilemmas

The article gives an account of how personal assistance is adapted to people with intellectual impairments in Norway and the experiences with the arrangement for this target group. Most space, however, is given to a discussion of the challenges and dilemmas of including people with intellectual impairments in the target group for personal assistance, since other people than the user as a rule fill the role as manager of the service. Special attention is paid to the parents' role since they often act as managers on behalf of their sons/daughters. Furthermore, the assistants' role is discussed and the importance of how they meet the users. Finally, there is a discussion of the consequences the extension of personal assistance to intellectually impaired users might have both for personal assistance as a service and for the ordinary care services.