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Abstract
Receiving Personal Assistance Services (PAS) for sexual activity is becoming of increasing importance to the disability community and to mental health professionals. PAS are defined comprehensively as well as how these services may relate specifically to sexual positioning for masturbation and partner sexually related activity. Conceptual and practical issues are explored within the framework of both disability and sexuality and guidelines for consumers and clinicians working with people with disabilities are offered. Specific issues discussed include defining the nature of PAS for sexual expression, identifying assistants who are open to facilitating sexual pleasure for people with disabilities, how to broach this topic with potential providers, safety and abuse concerns, and legal implications.
