Full bibliography

This qualitative study explored the experiences of 15 Mental Health Professionals in Macau who interact with adults with intellectual disabilities (ID), aiming to understand how these interactions shape perceptions, relationships, and service practices. Using a phenomenological approach, semi-structured interviews were conducted with professionals from government-funded NGOs, including social workers, therapists, and healthcare providers. Data were analysed through thematic analysis, yielding seven key themes: (1) New perception of Service Users with ID (e.g., shifting from deficit-based to strength-based perceptions), (2) bidirectional personal transformations in professionals (e.g., increased patience, resilience, irritable), (3) Relationship Dynamics and Emotional Connections (e.g., familial, collegial, or mentor-like relationships), (4) A professional core service share by the perceived role (5) development of best practices emphasizing rapport and knee observations, (6) creation of safe worry-free spaces fostering mutual emotional support, (7) and Needs to be fulfilled in aging services, learning and community integration. Practical implications highlight the need for the addition of course structures related to people with intellectual disabilities in relevant occupational college courses, expanded staffing ratios, and policy reforms to address care gaps related to aging. By revealing the mutual influence of professional service-user relationships, where interactions foster staff growth and client empowerment, this study contributes to the global discussion on disability support, while providing actionable recommendations for Macau’s upcoming Ten-Year Rehabilitation Plan in 2026-2036. The findings hold value for policymakers, service providers, and educators seeking strategies to enhance workforce well-being and service quality in intellectual disability service.