EXPLORING MENTAL HEALTH PROFESSIONALS’ EXPERIENCE IN INTERACTING WITH ADULTS WITH INTELLECTUAL DISABILITY IN MACAU

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.