Sexual well-being has long been an area of societal exclusion for disabled people. This exclusion includes control over bodies and relationships, access to representations and public spaces, and autonomy regarding identity choices, lifestyles, and experiences. Innovative and anti-ableist approaches are needed to support sexual well-being among young disabled people. This phenomenological study aimed to explore how social workers can support journeys to achieve sexual well-being from the perspectives of young disabled people. A total of 24 semi-structured interviews were carried out with individuals between the ages of 17 and 24 in Ontario, Canada, who identify themselves as disabled and have had prior interactions with a social worker. The participants had a range of disabilities, including developmental, physical, and mental health. The majority of participants reported having more than one disability. Participants reflected on practice approaches they appreciated when social workers supported them with areas related sexual well-being. More so, they envisioned and recommended various aspects to improve the care and support from social workers. Their suggestions for social workers included increased time and space to develop a therapeutic relationship, unlearning ableism and practicing sex-positivity, accounting for the diverse lived experiences of disabled people, increasing disability representation in social work, and providing and brokering accessible and holistic practice approaches services. This study highlights the importance of holistic and comprehensive social work practice, including sex-positive approaches and multidisciplinary care.

长期以来，性健康一直是社会对残疾人的排斥领域。这种排斥包括对身体和关系的控制、对代表和公共空间的访问，以及关于身份选择、生活方式和体验的自主权。需要创新和反能力主义的方法来支持年轻残疾人的性健康。这项现象学研究旨在从年轻残疾人的角度探讨社会工作者如何支持实现性健康的旅程。在加拿大安大略省，对 17 至 24 岁的个人进行了 24 次半结构化访谈，这些人认为自己是残疾人，并且之前曾与社会工作者有过互动。参与者有一系列残疾，包括发育、身体和心理健康。大多数参与者报告患有不止一种残疾。参与者反思了当社会工作者在与性健康相关的领域支持他们时，他们欣赏的实践方法。更重要的是，他们设想并建议了各个方面来改善社工的护理和支持。他们对社会工作者的建议包括增加发展治疗关系的时间和空间、摒弃学习能力主义和实践性积极性、考虑残疾人的不同生活经历、增加社会工作中的残疾代表，以及提供和代理无障碍和整体实践方法服务。本研究强调了整体和全面的社会工作实践的重要性，包括性别积极方法和多学科护理。