At whose risk? Priorities and conflicts for policy development in HIV and intellectual disability

This paper identifies considerations for HIV policy in services for people with intellectual disabilities and suggests standards for best practice. Evidence from research, policy development and training is examined to inform arguments about the nature, location and management of HN risk with service and user case studies used to illustrate argument. Priorities for policy are offered and conflicts between the rights and responsibilities of individuals are explored, with discussion centred on the re-homosexualisation of HIV. The paper also identifies key related considerations such as legal and moral questions, policy principles and the need for coordination. The structure of the paper provides a framework for action and pointers are provided for closing the implementation gap between policy and practice.