R - SEXUAL HEALTH & RELATIONSHIPS
Clinicians should ensure that discussions regarding sexuality and reproductive health occur with individuals with SCI in acute, rehabilitation, and community settings as sexuality and reproductive health is one of the highest priorities for individuals with SCI. (Adapted from CSCM 2010, p.304; Level C)
Clinicians should use the Permission, Limited Information, Specific Suggestions, and Intensive Therapy (PLISSIT) as a model for framing sexual health discussions. (Adapted from CSCM 2010, p.305; Level C)
Clinicians should engage in open, non-judgmental conversations about sexuality based on an individual’s readiness/interest early on in care and throughout their lifespan. Maintaining privacy, respect and professional boundaries while taking into consideration the individual's life context and sexual expression regardless of gender preference and orientation is recommended. (Adapted from CSCM 2010, p.305; Level C)
All health professionals interacting with individuals with SCI should have access to resources/education, a basic knowledge of sexual health issues after SCI, and specialists knowledgeable on sexual health. (Adapted from CSCM 2010, p.305; Level C)
SCI rehabilitation centres should support the education and training for a local sexual health mentor who can support their colleagues to allow for the development of a sexual health support network throughout the country. (Adapted from CSCM 2010, p.305; Level C)