Citation: Kinnunen, A.; Vesterinen,
A.; Kippola-Pääkkönen, A.; Karhula,
M. Partnership Working among
Families, Therapists and
Educationalists to Enhance
Collaboration Enabling Participation
of Children with Intellectual
Disabilities. Disabilities 2023, 3,
396–409. https://doi.org/10.3390/
disabilities3030026
Academic Editor: Reinie Cordier
Received: 14 June 2023
Revised: 27 July 2023
Accepted: 1 August 2023
Published: 4 August 2023
Copyright: © 2023 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
Article
Partnership Working among Families, Therapists and
Educationalists to Enhance Collaboration Enabling
Participation of Children with Intellectual Disabilities
Anu Kinnunen
1,2,
*, Annastiina Vesterinen
3
, Anu Kippola-Pääkkönen
1,2
and Maarit Karhula
3,4
1
Department of Future Health Services, Lapland University of Applied Sciences, 94600 Kemi, Finland;
anu.kippola-paakkonen@lapinamk.fi
2
Department of Participation and Functional Capacity, Lapland University of Applied Sciences,
94600 Kemi, Finland
3
Department of Sustainable Wellbeing, South-Eastern Finland University of Applied Sciences,
50100 Mikkeli, Finland; annastiina.vesterinen@xamk.fi (A.V.); maarit.karhula@kela.fi (M.K.)
4
Research Department, Social Insurance Institution of Finland, 00250 Helsinki, Finland
* Correspondence: anu.kinnunen@lapinamk.fi; Tel.: +358-4000-487-789
Abstract: Backround: The collaboration of families, therapists and educationalists has been found to be
an important factor in the successful rehabilitation of children with intellectual disabilities. Previous
studies have focused on the effects of therapies and the perspectives of parents on collaboration in
rehabilitiation. This study aims to describe the facilitators of, and barriers to, collaboration with adults
in enhancing the participation of children with intellectual disabilities in education environments.
Methods: In a qualitative study, the data were collected in 2021–2022 through individual interviews
with parents (n = 16), focus group interviews (n = 17) with education professionals and an online
survey tool with open-ended questions from therapists (n = 309). The data were analyzed using
thematic analysis. Results: Two overaching themes were identified: the prerequisites of collaboration
and the sharing of expertise in collaboration from the perspective of all the participants, which
included the factors facilitating and hindering collaboration. Conclusions: In optimizing the benefits
of collaboration, all these themes are essential to enhancing functioning and participation. There is
a need for the development of participatory practises to improve and intensify collaboration. The
development of collaboration and practises should be supported by the managers. Digital solutions
should be further explored in order to improve the partnership of adults and children.
Keywords: intellectual disabilities; collaboration; rehabilitation
1. Introduction
Children’s participation and experience of participation have been found to be impor-
tant for children’s and young people’s learning, well-being and quality of life [1,2]. The
United Nations Convention underlines the right of each person with disabilities to be a full
member of society. This is also often an intervention goal for children with disabilities [3].
The World Health Organization (WHO) further defines participation as involvement in
a life situation [4]. However, the definition of participation remains unclear. Imms et al.
(2017) described participation as consisting of two dimensions: attendance and engagement.
Attendance refers to “being there”, while engagement refers to involvement in an activ-
ity [2]. Legislation frameworks emphasize the importance of attendance—that is, being
there; engagement in activities is not emphasized and is often overlooked [5].
The participation of children with intellectual disabilities in daily activities creates
opportunities for learning and development. Previous studies have focused primarily
on the participation of children with intellectual disabilities (ID) in daily activities. How-
ever, there is still a need to discover barriers to and facilitators of their participation in
Disabilities 2023, 3, 396–409. https://doi.org/10.3390/disabilities3030026 https://www.mdpi.com/journal/disabilities