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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">scero</journal-id>
<journal-title-group>
<journal-title>Siglo Cero Revista Espa&#x00F1;ola sobre Discapacidad Intelectual</journal-title>
<abbrev-journal-title abbrev-type="publisher">scero</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">0210-1696</issn>
<issn pub-type="epub">2530-0350</issn>
<publisher>
<publisher-name>Universidad de Salamanca</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">scero.32418</article-id>
<article-id pub-id-type="doi">10.14201/scero.32418</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Art&#x00ED;culos y experiencias</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Experiences of Access to Justice for Adults with Intellectual Disability in Chile: Barriers and Facilitators</article-title>
<trans-title-group>
<trans-title xml:lang="es">Experiencias en el acceso a la justicia de personas adultas con discapacidad intelectual en Chile: barreras y facilitadores</trans-title></trans-title-group>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8021-525X</contrib-id>
<name>
<surname>&#x00C1;lvarez-Aguado</surname>
<given-names>Izaskun</given-names>
</name>
<email>ialvareza@udla.cl</email>
<xref ref-type="aff" rid="aff1"/>
<xref ref-type="corresp" rid="c1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3333-4798</contrib-id>
<name>
<surname>Vega C&#x00F3;rdova</surname>
<given-names>Vanessa</given-names>
</name>
<email>vanessa.vega@pucv.cl</email>
<xref ref-type="aff" rid="aff2"/>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5567-5513</contrib-id>
<name>
<surname>Rosell&#x00F3;-Pe&#x00F1;aloza</surname>
<given-names>Miguel</given-names>
</name>
<email>mrosello@udla.cl</email>
<xref ref-type="aff" rid="aff1"/>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7487-0154</contrib-id>
<name>
<surname>Gonz&#x00E1;lez-Carrasco</surname>
<given-names>F&#x00E9;lix</given-names>
</name>
<email>felix.gonzalez@pucv.cl</email>
<xref ref-type="aff" rid="aff2"/>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6674-2168</contrib-id>
<name>
<surname>Mu&#x00F1;oz La Rivera</surname>
<given-names>Felipe</given-names>
</name>
<email>felipe.munoz@pucv.cl</email>
<xref ref-type="aff" rid="aff2"/>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1484-4477</contrib-id>
<name>
<surname>Farhang</surname>
<given-names>Maryam</given-names>
</name>
<email>mfarhang@udla.cl</email>
<xref ref-type="aff" rid="aff1"/>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0311-1761</contrib-id>
<name>
<surname>Espinosa Parra</surname>
<given-names>Felipe</given-names>
</name>
<email>felipe.espinosa.p@mail.pucv.cl</email>
<xref ref-type="aff" rid="aff3"/>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1484-4477</contrib-id>
<name>
<surname>Spencer</surname>
<given-names>Herbert</given-names>
</name>
<email>hspencer@ead.cl</email>
<xref ref-type="aff" rid="aff3"/>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6074-4448</contrib-id>
<name>
<surname>Campa&#x00F1;a Vilo</surname>
<given-names>Karla</given-names>
</name>
<email>karla.campana@uautonoma.cl</email>
<xref ref-type="aff" rid="aff4"/>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5836-9607</contrib-id>
<name>
<surname>&#x00C1;lvarez Aguado</surname>
<given-names>Leyre</given-names>
</name>
<email>leyre.alvarez.aguado@navarra.es</email>
<xref ref-type="aff" rid="aff5"/>
</contrib>
<aff id="aff1">
<institution content-type="original">Universidad de Las Am&#x00E9;ricas and Millennium Institute for Care Research. Chile</institution>
<institution content-type="orgname">Universidad de Las Am&#x00E9;ricas and Millennium Institute for Care Research</institution>
<country country="CL">Chile</country>
</aff>
<aff id="aff2">
<institution content-type="original">Pontificia Universidad Cat&#x00F3;lica de Valpara&#x00ED;so and Millennium Institute for Care Research. Chile</institution>
<institution content-type="orgname">Pontificia Universidad Cat&#x00F3;lica de Valpara&#x00ED;so and Millennium Institute for Care Research</institution>
<country country="CL">Chile</country>
</aff>
<aff id="aff3">
<institution content-type="original">Pontificia Universidad Cat&#x00F3;lica de Valpara&#x00ED;so. Chile</institution>
<institution content-type="orgname">Pontificia Universidad Cat&#x00F3;lica de Valpara&#x00ED;so</institution>
<country country="CL">Chile</country>
</aff>
<aff id="aff4">
<institution content-type="original">Universidad Aut&#x00F3;noma de Chile</institution>
<institution content-type="orgname">Universidad Aut&#x00F3;noma de Chile</institution>
<country>&#x00A0;</country>
</aff>
<aff id="aff5">
<institution content-type="original">Servicio Navarro de Salud-Osasunbidea. Espa&#x00F1;a</institution>
<institution content-type="orgname">Servicio Navarro de Salud-Osasunbidea</institution>
<country country="ES">Espa&#x00F1;a</country>
</aff>
</contrib-group>
<author-notes>
<corresp id="c1"><label>1</label> Autora de correspondencia.</corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub">
<day>05</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2025</year>
</pub-date>
<volume>56</volume>
<issue>4</issue>
<issue-id pub-id-type="doi">10.14201/scero2025564</issue-id>
<fpage>197</fpage>
<lpage>221</lpage>
<history>
<date date-type="received">
<day>15</day>
<month>01</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>07</day>
<month>07</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2025 Autores/Authors</copyright-statement>
<copyright-year>2025</copyright-year>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc-sa/4.0/" xml:lang="en">
<license-p>Este obra est&#x00E1; bajo una licencia de Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0).</license-p>
</license>
</permissions>
<abstract>
<title>A<sc>bstract</sc>:</title>
<p>This study explores the experiences of adults with intellectual disability in accessing justice within the Chilean judicial system, highlighting the barriers and facilitators from their perspectives. Using a qualitative methodology, the research involved in-depth interviews with 40 participants aged 25 to 55, all with a formal diagnosis of intellectual disability and recent interactions with the judicial system. The findings reveal significant structural, procedural, and attitudinal barriers, including complex legal language, paternalistic treatment, and the lack of adapted communication protocols. Participants reported feeling excluded, misunderstood, and disempowered, with many unable to navigate the system independently. The study also identified key facilitators, such as the potential role of personalized support, accessible legal documents, and the adaptation of visual and technological tools to aid comprehension. The results underscore the need for systemic reforms, including inclusive training for judicial personnel and the implementation of reasonable accommodations to guarantee equal access to justice. These findings contribute to the global dialogue on judicial inclusivity and provide actionable recommendations for policy and practice in Chile, aligned with the Convention on the Rights of Persons with Disabilities.</p>
</abstract>
<trans-abstract xml:lang="es">
<title>R<sc>esumen</sc>:</title>
<p>Este estudio explora las experiencias de personas adultas con discapacidad intelectual en su acceso a la justicia dentro del sistema judicial chileno, destacando las barreras y los facilitadores desde sus propias perspectivas. Utilizando una metodolog&#x00ED;a cualitativa, la investigaci&#x00F3;n incluy&#x00F3; entrevistas en profundidad con 40 participantes de entre 25 y 55 a&#x00F1;os, todos con diagn&#x00F3;stico formal de discapacidad intelectual y con experiencias recientes en el sistema judicial. Los hallazgos revelan barreras significativas de tipo estructural, procedimental y actitudinal, incluyendo el uso de un lenguaje jur&#x00ED;dico complejo, un trato paternalista y la ausencia de protocolos de comunicaci&#x00F3;n adaptados. Los participantes reportaron sentirse excluidos, incomprendidos y carentes de poder, siendo muchos incapaces de desenvolverse de manera aut&#x00F3;noma dentro del sistema. El estudio tambi&#x00E9;n identific&#x00F3; facilitadores clave, como el rol potencial del apoyo personalizado, la disponibilidad de documentos legales accesibles y la adaptaci&#x00F3;n de herramientas visuales y tecnol&#x00F3;gicas para facilitar la comprensi&#x00F3;n. Los resultados subrayan la necesidad de reformas sist&#x00E9;micas, incluyendo la formaci&#x00F3;n inclusiva para el personal judicial y la implementaci&#x00F3;n de ajustes razonables que garanticen el acceso igualitario a la justicia. Estos hallazgos contribuyen al di&#x00E1;logo global sobre la inclusi&#x00F3;n en la justicia y ofrecen recomendaciones concretas para pol&#x00ED;ticas y pr&#x00E1;cticas en Chile, en consonancia con la Convenci&#x00F3;n sobre los Derechos de las Personas con Discapacidad.</p>
</trans-abstract>
<kwd-group xml:lang="en">
<title>K<sc>eywords</sc>:</title>
<kwd>Adults</kwd>
<kwd>access to justice</kwd>
<kwd>communications barriers</kwd>
<kwd>intellectual disability</kwd>
</kwd-group>
<kwd-group xml:lang="es">
<title>P<sc>alabras clave</sc>:</title>
<kwd>Acceso a la justicia</kwd>
<kwd>barreras comunicativas</kwd>
<kwd>discapacidad intelectual</kwd>
<kwd>personas adultas</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>
<institution-wrap>
<institution>ANID FONDECYT INICIACI&#x00D3;N</institution>
</institution-wrap>
</funding-source>
<award-id>11230525</award-id>
</award-group>
<funding-statement>This work was supported by the ANID FONDECYT INICIACI&#x00D3;N under Grant 11230525.</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec id="sec-1-32418" sec-type="intro">
<label>1.</label>
<title>Introduction</title>
<p>Intellectual disability is characterized by significant limitations in intellectual functioning and adaptive behavior, which affect essential conceptual, social, and practical skills for daily life. These limitations arise before the age of 22 and require ongoing support to promote the development and autonomy of those affected (<xref ref-type="bibr" rid="ref-21-32418">Schalock <italic>et al</italic>., 2021</xref>). These specific needs pose particular challenges in fundamental areas such as access to justice, a human right essential for the protection and effective exercise of other rights. However, individuals with intellectual disability often face structural, procedural, and attitudinal barriers that hinder their full participation in judicial systems (<xref ref-type="bibr" rid="ref-23-32418">Teira and Sotillo, 2024</xref>). In Chile, despite legislative advances and initiatives aimed at fostering inclusion, significant obstacles remain that limit the full exercise of this right (<xref ref-type="bibr" rid="ref-14-32418">Molina, 2023</xref>).</p>
<p>The Convention on the Rights of Persons with Disabilities (CRPD) (<xref ref-type="bibr" rid="ref-24-32418">UN, 2006</xref>), ratified by Chile in 2008, establishes in Article 13 the obligation of States Parties to ensure that persons with disabilities have access to justice on an equal basis with others. This mandate requires procedural adjustments and the provision of appropriate support to facilitate effective participation at all stages of the judicial process. However, the implementation of these provisions in Chile has been limited, revealing a gap between the international normative framework and practical realities.</p>
<p>One of the main obstacles for people with intellectual disability in Chile is the lack of full recognition of their legal capacity (<xref ref-type="bibr" rid="ref-11-32418">Marchant, 2023</xref>). Chilean legislation continues to uphold figures such as guardianship, which restricts the autonomy of individuals with intellectual disability by designating a third party to make decisions on their behalf (<xref ref-type="bibr" rid="ref-19-32418">Rodr&#x00ED;guez-Alfaro, 2022</xref>). This practice contravenes Article 12 of the CRPD, which recognizes the legal capacity of all persons with disabilities on an equal basis with others and calls for the provision of necessary supports for the exercise of such capacity. The persistence of these legal structures not only limits the autonomy of individuals with intellectual disability but also reinforces stigmas and prejudices that perpetuate their social exclusion.</p>
<p>The attitudes and perceptions of judicial operators also constitute a significant barrier. The lack of training and awareness regarding the needs and rights of individuals with intellectual disability can lead to discriminatory practices and the underestimation of their abilities (<xref ref-type="bibr" rid="ref-9-32418">Hern&#x00E1;ndez de la Pe&#x00F1;a, 2023</xref>). It is fundamental that judges, prosecutors, lawyers, and other judicial personnel receive adequate training to address cases involving individuals with intellectual disability inclusively and respectfully. The absence of such training perpetuates negative stereotypes and contributes to the revictimization of this group within judicial contexts (<xref ref-type="bibr" rid="ref-13-32418">Miranda-P&#x00E9;rez <italic>et al</italic>., 2022</xref>).</p>
<p>In addition to legal barriers, procedural challenges complicate access to justice. The complexity of legal language, the lack of accessible materials, and the absence of reasonable adjustments in judicial procedures prevent individuals with intellectual disability from understanding and actively participating in legal processes (<xref ref-type="bibr" rid="ref-6-32418">Ferrero, 2021</xref>). A study conducted in Chile revealed that nearly 40 % of respondents with intellectual disability had never independently carried out legal or administrative procedures, and only 15.07 % reported receiving institutional support for such tasks (<xref ref-type="bibr" rid="ref-17-32418">Poblete <italic>et al</italic>., 2022</xref>). These findings highlight a lack of effective measures to ensure the accessibility of judicial and administrative procedures.</p>
<p>The exclusion of individuals with intellectual disability from judicial systems is also well-documented internationally. In the European Union, the report <italic>A cada lado</italic> (<xref ref-type="bibr" rid="ref-3-32418">Araoz <italic>et al</italic>., 2020</xref>) revealed that only 31 % of judicial procedures adequately considered the needs of individuals with intellectual disability, demonstrating a severe lack of reasonable adjustments during legal processes. Similarly, in the United Kingdom has shown that individuals with disabilities face disproportionately high rates of exclusion in judicial proceedings due to persistent structural and attitudinal barriers (<xref ref-type="bibr" rid="ref-7-32418">Gormley and Watson, 2021</xref>). These findings underscore the urgent need for inclusive strategies that guarantee the active and effective participation of persons with disabilities in judicial systems.</p>
<p>Globally, innovative strategies have been developed to ensure access to justice for individuals with intellectual disability. For example, in Costa Rica, Law No. 9379 of 2016 abolished guardianship, replacing it with safeguards that respect the will and preferences of individuals. In Spain, the General Council of the Judiciary has developed guides on best practices for attending to individuals with disabilities in judicial settings, including recommendations on clear language use and procedural adaptations, along with issuing court rulings in easy-to-read formats (<xref ref-type="bibr" rid="ref-5-32418">Fern&#x00E1;ndez and Rada, 2021</xref>). Similarly, the European Union&#x2019;s ENABLE project has developed guides and training to ensure inclusive processes, particularly in criminal justice settings (<xref ref-type="bibr" rid="ref-15-32418">P&#x00E9;rez and Bermejo, 2024</xref>). In Australia and the United Kingdom, reasonable adjustments such as accessible materials and training for judicial operators have been implemented (<xref ref-type="bibr" rid="ref-12-32418">McCarthy <italic>et al</italic>., 2021</xref>; <xref ref-type="bibr" rid="ref-16-32418">Plater <italic>et al</italic>., 2021</xref>). In Canada, programs offering free legal support and educational resources empower individuals with intellectual disability to exercise their rights within judicial systems (<xref ref-type="bibr" rid="ref-26-32418">White <italic>et al</italic>., 2021</xref>).</p>
<p>These international experiences provide valuable strategies that can be adapted to the Chilean context. Nevertheless, Chile has also made efforts in this regard. For example, Law No. 20.422, which establishes norms for equal opportunities and social inclusion for persons with disabilities, recognizes their right to access justice on an equal basis with others. However, the practical application of this law has been insufficient to eliminate existing barriers. Additionally, the recent publication of the <italic>Protocol for Access to Justice for Persons with Disabilities</italic> (<xref ref-type="bibr" rid="ref-1-32418">Academia Judicial de Chile, 2022</xref>) represents progress in promoting best practices, although its effective implementation remains in process. In fact, recent studies in Chilean context indicate that the role of representation and support in judicial processes is often assumed by family members or guardians, raising questions about the degree of autonomy and self-determination these individuals can exercise in their own cases (<xref ref-type="bibr" rid="ref-2-32418">&#x00C1;lvarez-Aguado <italic>et al</italic>., 2024</xref>; <xref ref-type="bibr" rid="ref-25-32418">Vega <italic>et al</italic>., 2024</xref>). This reliance on third parties not only limits their ability to assert their rights independently but may also result in decisions that do not fully reflect their personal interests or needs.</p>
<p>These findings underscore the importance of developing specific mechanisms that promote direct participation and informed decision-making, respecting the autonomy and dignity of individuals with intellectual disability. It is imperative that Chile adopts a human rights-based approach and the social model of disability to guarantee effective access to justice for individuals with intellectual disability. This requires not only legal reforms that fully recognize their legal capacity but also the implementation of reasonable adjustments in judicial procedures, the provision of adequate supports, and ongoing training for judicial operators. Only through comprehensive and sustained commitment can individuals with intellectual disability in Chile fully exercise their right to access justice, in line with international human rights standards.</p>
<p>This study, therefore, aims to explore and understand the experiences of adults with intellectual disability in accessing justice in Chile, focusing on perceived barriers and facilitators from their own perspectives. Through a qualitative interpretive approach, the study seeks to capture the depth of these experiences and reveal factors that condition their participation in the Chilean judicial system. The findings of this study will not only contribute to the design of inclusive judicial policies and practices but also offer specific recommendations for developing accessible materials, training programmes, and support strategies, thereby promoting the full exercise of rights for this population in conditions of equality and respect for their autonomy.</p>
</sec>
<sec id="sec-2-32418" sec-type="methods">
<label>2.</label>
<title>Method</title>
<p>The study uses a qualitative interpretive design within a constructivist paradigm to explore the experiences of adults with intellectual disability in the Chilean judicial system. This approach emphasizes participants&#x2019; subjective perspectives, using semi-structured interviews to identify barriers and facilitators in accessing justice and advocating for systemic inclusivity aligned with human rights standards.</p>
<sec id="sec-3-32418">
<label>2.1.</label>
<title>Participants</title>
<p>The sample for this study consists of 40 adults with intellectual disability, selected through purposive sampling. The participants ranged in age from 25 to 55 years old (M = 40.3; SD = 8.5), a range that allows for the exploration of recent experiences in the judicial system across different stages of adulthood. This age span was chosen to ensure diversity in adult life trajectories and types of judicial involvement, thereby enriching the depth and variety of perspectives captured in the study. Most of the participants are male, unemployed, have a moderate intellectual disability, and their experience in the judicial system is mainly as defendants.</p>
<p>The inclusion criteria for selecting participants were as follows: a) Age: Participants between 25 and 55 years old were selected, an age range that allows for the exploration of recent experiences in the judicial system at different stages of adulthood; b) Diagnosis of intellectual disability: All participants had a formal diagnosis of intellectual disability, confirmed by health professionals following DSM-5 criteria; c) Experience in the judicial system: Participants had been involved in a judicial process in the last five years, whether as claimants, witnesses, or defendants, ensuring that their experiences were recent and relevant to the analysis; d) Verbal comprehension and expression ability: Participants were required to have an adequate level of comprehension and verbal expression to participate in in-depth interviews, thus allowing them to share their experiences directly. To operationalize this criterion, initial comprehension screening was conducted during the orientation interviews carried out by the research team and collaborating institutions. These interviews included simple verification strategies, such as asking participants to paraphrase key parts of the informed consent and to answer basic contextual questions (e.g., place, time, or topic of the interview). These checks ensured that participants possessed sufficient verbal comprehension and expression abilities to engage meaningfully in the interview and provide coherent, self-reported narratives; and (e) informed consent: informed consent was obtained from all participants, with support from family members or guardians where necessary, ensuring respect for their autonomy and adherence to the ethical principles of the study. The following table (<xref ref-type="table" rid="tabw-1-32418">Table 1</xref>) provides detailed sociodemographic data of the participants.</p>
<table-wrap id="tabw-1-32418">
<label>T<sc>able</sc> 1.</label>
<caption><title>Socio-demographic data of the participants</title></caption>
<table id="tab-1-32418" frame="hsides" border="1" rules="all">
<col width="40%"/>
<col width="20%"/>
<col width="20%"/>
<col width="20%"/>
<thead>
<tr>
<th valign="top" align="left"><p><bold>Sociodemographic characteristics</bold></p></th>
<th valign="top" align="left"><p><bold>Category</bold></p></th>
<th valign="top" align="left"><p><bold>Frequency</bold></p></th>
<th valign="top" align="left"><p><bold>% of participants</bold></p></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="2"><p>Gender</p></td>
<td valign="top" align="left"><p>Male</p></td>
<td valign="top" align="left"><p>24</p></td>
<td valign="top" align="left"><p>60</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Female</p></td>
<td valign="top" align="left"><p>16</p></td>
<td valign="top" align="left"><p>40</p></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3"><p>Level of intelectual disability</p></td>
<td valign="top" align="left"><p>Mild</p></td>
<td valign="top" align="left"><p>12</p></td>
<td valign="top" align="left"><p>30</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Moderate</p></td>
<td valign="top" align="left"><p>18</p></td>
<td valign="top" align="left"><p>45</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Severe</p></td>
<td valign="top" align="left"><p>10</p></td>
<td valign="top" align="left"><p>25</p></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3"><p>Experience in the judicial system</p></td>
<td valign="top" align="left"><p>Claimants</p></td>
<td valign="top" align="left"><p>14</p></td>
<td valign="top" align="left"><p>35</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Witnesses</p></td>
<td valign="top" align="left"><p>11</p></td>
<td valign="top" align="left"><p>27.5</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Defendants</p></td>
<td valign="top" align="left"><p>15</p></td>
<td valign="top" align="left"><p>37.5</p></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3"><p>Educational level</p></td>
<td valign="top" align="left"><p>Primary education</p></td>
<td valign="top" align="left"><p>21</p></td>
<td valign="top" align="left"><p>52.5</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Secondary education</p></td>
<td valign="top" align="left"><p>11</p></td>
<td valign="top" align="left"><p>27.5</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>No education</p></td>
<td valign="top" align="left"><p>8</p></td>
<td valign="top" align="left"><p>20</p></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3"><p>Employment status</p></td>
<td valign="top" align="left"><p>Formal employment</p></td>
<td valign="top" align="left"><p>8</p></td>
<td valign="top" align="left"><p>20</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Supported employment</p></td>
<td valign="top" align="left"><p>12</p></td>
<td valign="top" align="left"><p>30</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Unemployed</p></td>
<td valign="top" align="left"><p>20</p></td>
<td valign="top" align="left"><p>50</p></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2"><p>Residence</p></td>
<td valign="top" align="left"><p>Urban</p></td>
<td valign="top" align="left"><p>30</p></td>
<td valign="top" align="left"><p>75</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Rural</p></td>
<td valign="top" align="left"><p>10</p></td>
<td valign="top" align="left"><p>25</p></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2"><p>Guardianship status</p></td>
<td valign="top" align="left"><p>Self-consent</p></td>
<td valign="top" align="left"><p>25</p></td>
<td valign="top" align="left"><p>62.5</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Legal guardian<xref ref-type="fn" rid="fn2"><sup>2</sup></xref></p></td>
<td valign="top" align="left"><p>15</p></td>
<td valign="top" align="left"><p>37.5</p></td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec-4-32418">
<label>2.2.</label>
<title>Instrument</title>
<p>The data collection instrument used was a semi-structured in-depth interview, composed of 15 questions in total (<xref ref-type="table" rid="tabw-2-32418">Table 2</xref>). This type of interview allows for a flexible structure, facilitating adaptation to the communicative needs of individuals with intellectual disability and enabling in-depth exploration of specific topics while providing participants the space to freely and genuinely express their experiences (<xref ref-type="bibr" rid="ref-10-32418">Magaldi and Berler, 2020</xref>). The semi-structured in-depth interview was designed to investigate three main thematic areas: a) Personal experiences within the judicial system: This area focuses on understanding the participants&#x2019; experiences within the judicial system and how they perceive the treatment received, the level of accessibility, and their understanding of the legal process; b) Specific barriers and challenges: This area explores the specific difficulties participants faced in their interaction with the judicial system, including communication barriers, accessibility of information, and possible stigmatizing attitudes; and c) Proposals for improving access to justice: This section aims to gather participants&#x2019; ideas and suggestions on how the judicial system could be adapted to be more inclusive and accessible for people with intellectual disability.</p>
<table-wrap id="tabw-2-32418">
<label>T<sc>able</sc> 2.</label>
<caption><title>Thematic areas and sample interview questions</title></caption>
<table id="tab-2-32418" frame="hsides" border="1" rules="all">
<col width="40%"/>
<col width="60%"/>
<thead>
<tr>
<th valign="top" align="left"><p><bold>Thematic areas</bold></p></th>
<th valign="top" align="left"><p><bold>Examples of questions</bold></p></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><p>Personal experiences in the judicial system</p></td>
<td valign="top" align="left"><list list-type="simple">
<list-item><label>-</label> <p>Can you tell me what it was like when you were in court or part of a justice case?</p></list-item>
<list-item><label>-</label> <p>How did the professionals, like judges, lawyers, or social workers, treat you?</p></list-item>
<list-item><label>-</label> <p>Did you feel you understood what was happening during the court process? Did they explain things clearly?</p></list-item>
</list></td>
</tr>
<tr>
<td valign="top" align="left"><p>Specific barriers and challenges</p></td>
<td valign="top" align="left"><list list-type="simple">
<list-item><label>-</label> <p>What was the hardest or most confusing part of your time in the justice system?</p></list-item>
<list-item><label>-</label> <p>Did anyone offer you help to understand what was going on? What kind of help would have been useful?</p></list-item>
<list-item><label>-</label> <p>Do you feel you were treated the same as others or differently? How did that feel for you?</p></list-item>
</list></td>
</tr>
<tr>
<td valign="top" align="left"><p>Proposals for improvement</p></td>
<td valign="top" align="left"><list list-type="simple">
<list-item><label>-</label> <p>What changes do you think could help others like you better understand what happens in court?</p></list-item>
<list-item><label>-</label> <p>What would you want judges or lawyers to know about the needs of people with intellectual disability?</p></list-item>
<list-item><label>-</label> <p>If you could change something about the justice system to make it easier to understand, what would that change be?</p></list-item>
</list></td>
</tr>
</tbody>
</table>
</table-wrap>
<p>To ensure the validity and reliability of the qualitative interview guide, an exhaustive validation process was carried out in three stages: expert review, pilot testing, and final adjustments, using appropriate qualitative analyses and the Content Validity Index (CVI) to assess the relevance of the questions.</p>
<list list-type="simple">
<list-item><label>a)</label> <p>Expert review: A panel of three experts in intellectual disability and inclusive justice evaluated the relevance and clarity of the interview guide questions. Each question was rated on a scale from 1 to 5 (1: &#x201C;not relevant&#x201D; to 5: &#x201C;very relevant&#x201D;) to determine its suitability, clarity, and sensitivity. The CVI was calculated for each question and for the entire instrument, obtaining an average CVI score of 0.87. This value reflects a high level of agreement among experts regarding the relevance and clarity of the questions (<xref ref-type="bibr" rid="ref-27-32418">Zamanzadeh <italic>et al.</italic>, 2015</xref>). Questions that scored below 3 were reviewed and rephrased to improve their clarity and suitability.</p></list-item>
<list-item><label>b)</label> <p>Pilot testing and thematic validation analysis: A pilot test was conducted with three individuals with intellectual disability representative of the target sample. In this stage, besides observing the participants&#x2019; understanding of the questions, a thematic analysis of the responses was conducted, identifying key areas for adjustment grouped into three main categories:</p>
<list list-type="simple">
<list-item><label>-</label> <p>Clarity and accessibility of language: Some questions included technical terms or complex wording, so they were simplified to improve understanding. For example, &#x201C;judicial process&#x201D; was changed to &#x201C;justice case&#x201D; for easier comprehension.</p></list-item>
<list-item><label>-</label> <p>Thematic relevance: The experts and pilot testing helped identify questions that could generate ambiguous responses or deviate from the study&#x2019;s objectives. Adjustments were made to strengthen the focus on the main thematic areas: personal experiences, specific barriers and challenges, and proposals for improvement.</p></list-item>
<list-item><label>-</label> <p>Depth of responses generated: Some original questions produced superficial answers. To encourage more detailed responses, the language of certain questions was adjusted. For example, the question &#x201C;Did they explain what was going to happen?&#x201D; was rephrased as &#x201C;Did you feel you understood what was happening during the court process? Did they explain things clearly?&#x201D; to promote more detailed answers.</p></list-item>
</list></list-item>
<list-item><label>c)</label> <p>Final adjustments and thematic consistency evaluation: After the adjustments suggested in the pilot test, the interview guide was reviewed for internal consistency and thematic clarity. This process ensured that the questions within each area (personal experiences, barriers, and proposals for improvement) were consistent and tailored to the participants&#x2019; characteristics.</p></list-item>
</list>
</sec>
<sec id="sec-5-32418">
<label>2.3.</label>
<title>Data collection</title>
<p>This study holds an ethical approval certificate (CEC_FE_2023006), guaranteeing adherence to ethical standards throughout the research process. To access the sample, strategic collaborations were established with five local entities specializing in the care of individuals with intellectual disability: two non-governmental organizations focused on advocacy and psychosocial support, a mental health and disability center within the public health system, an educational institution specializing in disability training, and a community-based legal support service. All entities were located in the Metropolitan Region and the Valpara&#x00ED;so Region (Chile). The selection of these entities was intentional, as each facilitated contact with individuals with intellectual disability and ensured diversity in terms of life experiences and levels of support.</p>
<p>These organizations identified individuals who met the inclusion criteria: adults aged 25 to 55, with a formal diagnosis of intellectual disability and recent experiences in the judicial system. After identification, the organizations made initial contact with potential participants, briefly explaining the study and its purpose. Then, an informative interview was organized between the research team and each individual, sometimes with the presence of family members or guardians, to detail the study objectives, data collection process, and participants&#x2019; rights. At this stage, informed consent was explained through a document adapted to easy language and easy reading, detailing each aspect of the study to ensure understanding of the ethical considerations. Participants were given the option to sign the consent form themselves or, if necessary, with the signature of a family member or guardian. This process was conducted exclusively by the principal investigator, ensuring that each participant fully understood their voluntary participation in the study.</p>
<p>The interviews were conducted in familiar and safe environments for the participants, such as their homes or community centers, with the aim of creating a comfortable and trusting atmosphere. Each session began with an introductory phase where the interviewer reiterated the study&#x2019;s objectives and reminded participants of their right to withdraw at any time. The protocol also included language adaptations and presentation adjustments for the questions, using illustrative examples when necessary to ensure understanding. Each interview lasted between 45 and 60 minutes, using a semi-structured guide that allowed the interviewer to explore key topics while adapting to the responses and pace of each participant. In some cases, pauses were made to accommodate the interviewees&#x2019; needs. Active listening and non-verbal communication techniques were used to foster open participation and reduce any anxiety or discomfort.</p>
<p>With the participants&#x2019; prior consent, the interviews were audio-recorded for later analysis. The recordings were transcribed verbatim to ensure fidelity to the original expressions and were thoroughly reviewed for accuracy. The transcriptions also incorporated relevant non-verbal details (such as gestures and intonations) recorded in field notes, enriching the interpretive analysis. During each interview, the interviewer took detailed field notes on contextual observations and participants&#x2019; emotional reactions, which were fundamental to capturing non-verbal dimensions of communication and providing an additional layer of understanding of the participants&#x2019; responses, thus enriching the subsequent analysis.</p>
<p>After each session, the interviewer reviewed the field notes and reflected on the development of the interview, documenting observations on potential biases and necessary adjustments in language or approach for future interviews. This process of reflection and adjustment enabled continuous adaptation, ensuring that the research team responded effectively to each participant&#x2019;s needs. Data collection was carried out over a period of three months, allowing enough time to build a trusting relationship with participants, adapt the process to their pace and needs, and obtain detailed and genuine responses about their experiences in accessing justice. This careful and respectful approach ensured thorough and ethical data collection, providing valuable and relevant information for the study&#x2019;s objective.</p>
<p>To ensure the reliability of the data collected &#x2014;particularly from participants with severe intellectual disability or no formal education&#x2014; several safeguards were implemented during the data collection process. All interviews were preceded by an initial comprehension check using adapted materials and plain-language explanations, ensuring that participants could engage meaningfully with the questions. Interviewers received training in inclusive communication techniques and were closely monitored for consistency and appropriateness of support strategies. In addition, field notes and non-verbal observations were used to triangulate verbal data, capturing emotional expressions, body language, and context that enriched the interpretative process. The trustworthiness of participants&#x2019; narratives was further reinforced by the consistency of their accounts across different interview moments and by the recurrence of key themes across participants with varying levels of support needs.</p>
</sec>
<sec id="sec-6-32418">
<label>2.4.</label>
<title>Data analysis</title>
<p>Data analysis was conducted using thematic analysis methodology (<xref ref-type="bibr" rid="ref-4-32418">Braun and Clarke, 2006</xref>), which is suitable for identifying patterns and recurring themes in participants&#x2019; narratives. The process of coding and thematic analysis was carried out by the principal investigator and two independent coders, both experienced in qualitative research and working with individuals with intellectual disability. This collaborative coding approach allowed for consensus coding procedures and inter-coder reliability analysis to ensure the consistency and validity of the results.</p>
<p>In the first phase of analysis, a thorough reading of the transcripts and field notes was conducted to familiarize with the data. This intensive reading enabled the identification of initial concepts and provided an overview of emerging themes. During this stage, preliminary notes were taken, and segments of interest were marked. The process then moved to initial coding, where NVivo software was used to organize and manage the data. Each transcript was segmented into meaningful fragments or units, which were assigned descriptive codes. These codes included labels such as &#x201C;communication difficulties,&#x201D; &#x201C;perception of unfair treatment,&#x201D; &#x201C;lack of support in court,&#x201D; &#x201C;necessary accommodations,&#x201D; and &#x201C;positive support experiences.&#x201D;</p>
<p>Coding was both inductive and deductive: some codes emerged directly from the data, while others were based on predefined themes and the literature. To evaluate coder agreement, Cohen&#x2019;s Kappa coefficient was calculated on a sample of 20 % of the transcripts, yielding a value of 0.83, indicating a high level of agreement and ensuring the reliability of the coding process. After initial coding, the three coders reviewed and refined the codes to merge those that shared similar meanings and split others into subcategories. For instance, the code &#x201C;lack of support&#x201D; was divided into &#x201C;lack of support from lawyers&#x201D; and &#x201C;lack of support in court&#x201D; to capture specific variations in participants&#x2019; experiences. This phase included eliminating redundant codes and developing subcodes for greater precision in representing the data.</p>
<p>From the refined codes, themes and subthemes were grouped, capturing relevant patterns in the data. This thematic development phase allowed for the identification of broad categories such as &#x201C;Communication barriers,&#x201D; &#x201C;Stigmatization and differential treatment,&#x201D; and &#x201C;Need for judicial support.&#x201D; Within each theme, specific subthemes were identified; for example, under &#x201C;Communication barriers,&#x201D; subthemes such as &#x201C;use of complex terminology and technical language&#x201D; and &#x201C;lack of visual aids and adapted materials&#x201D; emerged. The three coders worked on constructing the themes, which helped reduce bias and ensured a consensual and robust interpretation. During this phase, complementary analyses were also performed, providing quantitative support to the qualitative analysis:</p>
<list list-type="simple">
<list-item><label>(a)</label> <p>Frequency of codes and themes: Using NVivo, the frequency of each code and its co-occurrence with other themes were quantified, allowing the identification of the most recurrent themes. For example, the theme &#x201C;Communication barriers&#x201D; appeared in 85 % of the interviews, while &#x201C;Need for judicial support&#x201D; was observed in 70 % of cases. These data provide quantitative context that helps gauge the prevalence of certain barriers among participants.</p></list-item>
<list-item><label>(b)</label> <p>Thematic distribution by demographic characteristics: Descriptive analysis was conducted to explore variations in theme occurrence based on demographic characteristics such as age and level of support received. The subtheme &#x201C;distrust in testimonies&#x201D; was more frequent among participants over 40 years old (89 %) compared to younger participants (67 %), suggesting differences in accessibility perception according to age.</p></list-item>
</list>
<p>After the identification and refinement of themes, interpretation was conducted based on the study&#x2019;s objectives. Representative quotes from participants were selected to support and illustrate each theme, maintaining the participants&#x2019; voices and allowing a direct connection to their experiences. Triangulation of results and additional validation with a second investigator contributed to the robustness and validity of the analysis. The process of coding and thematic analysis, complemented by statistical analyses, provided a deep and structured understanding of participants&#x2019; experiences, identifying specific barriers, experiences of stigmatization, and support needs within the judicial system.</p>
</sec></sec>
<sec id="sec-7-32418" sec-type="results">
<label>3.</label>
<title>Results</title>
<p>The data analysis revealed three central themes and thirteen subthemes in the experience of adults with intellectual disability accessing justice in Chile: a) Communication barriers; b) Stigmatization and differential treatment, and c) Need for judicial support. These themes highlight the structural and attitudinal barriers participants face, as well as their perceptions of the treatment they received and their recommendations for improving accessibility within the judicial system. <xref ref-type="table" rid="tabw-3-32418">Table 3</xref> reflects not only the number of mentions of each subtheme but also how many times they co-occurred with other subthemes, providing a detailed view of how themes are interwoven in the participants&#x2019; experiences.</p>
<table-wrap id="tabw-3-32418">
<label>T<sc>able</sc> 3.</label>
<caption><title>Main themes, subthemes, mentions, and co-occurrences derived from the interviews</title></caption>
<table id="tab-3-32418" frame="hsides" border="1" rules="all">
<col width="25%"/>
<col width="35%"/>
<col width="10%"/>
<col width="30%"/>
<thead>
<tr>
<th valign="top" align="left"><p><bold>Main theme</bold></p></th>
<th valign="top" align="left"><p><bold>Subtheme</bold></p></th>
<th valign="top" align="left"><p><bold>Total mentions</bold></p></th>
<th valign="top" align="left"><p><bold>Co-occurrences with other subthemes</bold></p></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="4"><p>Communication barriers</p></td>
<td valign="top" align="left"><p>Use of complex terminology and technical language</p></td>
<td valign="top" align="left"><p>18</p></td>
<td valign="top" align="left"><p>Formality and speed of court hearings (12), Lack of opportunities for questions (10)</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Lack of opportunities for questions</p></td>
<td valign="top" align="left"><p>15</p></td>
<td valign="top" align="left"><p>Complex terminology (10), Visual aids (8)</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Formality and speed of court hearings</p></td>
<td valign="top" align="left"><p>14</p></td>
<td valign="top" align="left"><p>Complex terminology (12), Lack of visual aids (6)</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Lack of visual aids and adapted materials</p></td>
<td valign="top" align="left"><p>10</p></td>
<td valign="top" align="left"><p>Opportunities for questions (8), Complex terminology (6)</p></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="4"><p>Stigmatization and differential treatment</p></td>
<td valign="top" align="left"><p>Paternalistic treatment and underestimation of abilities</p></td>
<td valign="top" align="left"><p>16</p></td>
<td valign="top" align="left"><p>Distrust in testimonies (11), Differential treatment (10)</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Distrust in testimonies</p></td>
<td valign="top" align="left"><p>14</p></td>
<td valign="top" align="left"><p>Paternalism (11), Lack of recognition of autonomy (9)</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Lack of recognition of autonomy</p></td>
<td valign="top" align="left"><p>12</p></td>
<td valign="top" align="left"><p>Differential treatment (8), Distrust in testimonies (9)</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Perception of discrimination and differential treatment</p></td>
<td valign="top" align="left"><p>10</p></td>
<td valign="top" align="left"><p>Paternalistic treatment (10), Lack of recognition (8)</p></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="5"><p>Need for judicial support</p></td>
<td valign="top" align="left"><p>Personalized accompaniment</p></td>
<td valign="top" align="left"><p>20</p></td>
<td valign="top" align="left"><p>Facilitators in communication (15), Documents in easy language (10)</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Facilitators in adapted communication</p></td>
<td valign="top" align="left"><p>15</p></td>
<td valign="top" align="left"><p>Accompaniment (15), Documents in easy language (12)</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Access to documents in easy language</p></td>
<td valign="top" align="left"><p>12</p></td>
<td valign="top" align="left"><p>Facilitators (12), Visual and technological aids (10)</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Visual and technological aids</p></td>
<td valign="top" align="left"><p>10</p></td>
<td valign="top" align="left"><p>Documents in easy language (10), Facilitators (8)</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Training for judicial professionals</p></td>
<td valign="top" align="left"><p>10</p></td>
<td valign="top" align="left"><p>Accompaniment (8), Facilitators in communication (6)</p></td>
</tr>
</tbody>
</table>
</table-wrap>
<sec id="sec-8-32418">
<label>3.1.</label>
<title>Communication barriers</title>
<p>Communication barriers were a recurring theme in participants&#x2019; experiences, with many pointing out how a lack of clarity and accessibility in language affected their understanding of the judicial process and their sense of inclusion. The following sub-themes delve into specific areas where communication was particularly challenging.</p>
<sec id="sec-9-32418">
<label>3.1.1.</label>
<title>Use of complex terminology and technical language</title>
<p>One of the main issues raised was the use of complex legal terminology and technical language that participants could not understand. Many described how legal vocabulary was inaccessible, which left them feeling confused and excluded. &#x201C;It felt like they were speaking another language. I didn&#x2019;t understand anything and didn&#x2019;t know who to ask,&#x201D; commented one participant (P10), illustrating how a lack of comprehension creates a significant barrier to their active participation. This technical language not only affects understanding but also creates a sense of distance and alienation within the process. Another participant expressed, &#x201C;I tried to listen carefully, but whenever they used difficult words, I got more lost. I wish they had explained it differently&#x201D; (P22). These statements reflect how complex terminology hampers participants&#x2019; integration into their own cases and highlight the need for more accessible language, allowing people with intellectual disability to understand decisions and actions within the judicial process.</p>
</sec>
<sec id="sec-10-32418">
<label>3.1.2.</label>
<title>Lack of opportunities to ask questions and obtain clarification</title>
<p>Alongside difficult terminology, participants highlighted a lack of opportunities to ask for clarification. This limitation prevented them from resolving doubts and understanding what was happening. One participant explained, &#x201C;I tried to ask, but no one explained properly; it seemed like everyone was in a hurry&#x201D; (P27). This sense of being rushed, along with professionals&#x2019; unwillingness to clarify, led to frustration and a greater disconnection from the process. The inability to ask questions and receive comprehensible answers reinforced participants&#x2019; feelings of exclusion and restricted their autonomy in the courtroom. Another participant remarked, &#x201C;I was afraid to ask because I thought I might be annoying, so I just stayed silent&#x201D; (P13). This testimony underscores the importance of providing an open space for questions and clarifications, tailored to the communicative needs of people with intellectual disability.</p>
</sec>
<sec id="sec-11-32418">
<label>3.1.3.</label>
<title>Formal nature and speed of court hearings</title>
<p>The formality and speed of the judicial process also proved to be significant barriers. Many participants expressed uncertainty about when they could speak or how they should behave in court. The lack of clear guidance and the fast pace of hearings made it difficult for them to participate effectively. &#x201C;I didn&#x2019;t know when to speak or when to keep quiet. I felt that if I said something, I&#x2019;d get told off&#x201D; (P3), recounted one participant, reflecting the insecurity and fear prompted by the formal structure of hearings. Additionally, the rapid pace of judicial interactions posed an obstacle to processing information in time and understanding what was being discussed. As one participant noted, &#x201C;It&#x2019;s not just what they say, but how they say it. Everything happens so fast that I don&#x2019;t have time to process it&#x201D; (P5). This type of experience highlights the need to adapt judicial procedures, allowing adequate response times and communication that is understandable for people with different abilities.</p>
</sec>
<sec id="sec-12-32418">
<label>3.1.4.</label>
<title>Lack of visual aids and adapted materials</title>
<p>An additional aspect noted was the lack of visual aids or accessible materials to help participants better understand the judicial process. Several participants mentioned that it would have been helpful to have simplified documents or visuals explaining the steps in the judicial process in a more comprehensible way. One participant said, &#x201C;If I had something to read or look at, maybe I&#x2019;d have understood what was going on better&#x201D; (P20). The absence of these aids left participants without additional resources to follow the process and understand what was expected of them. This lack of adapted materials highlights the importance of providing accessible documentation and visual tools to facilitate understanding of the judicial process and encourage active participation among people with intellectual disability.</p>
</sec></sec>
<sec id="sec-13-32418">
<label>3.2.</label>
<title>Stigmatisation and differential treatment</title>
<p>The experience of condescending and stigmatising treatment by some judicial professionals was a critical and recurring barrier mentioned by participants. Most felt they were treated differently, perceiving that their ability to understand and make decisions was underestimated. This led to feelings of inferiority and a lack of recognition of their autonomy. The following sub-themes explore how these attitudes impacted their perception of the judicial system.</p>
<sec id="sec-14-32418">
<label>3.2.1.</label>
<title>Paternalistic treatment and underestimation of capabilities</title>
<p>Many participants noted that they were treated in a paternalistic way, as though they were incapable of understanding or actively participating in the judicial process. This kind of treatment made them feel infantilised and belittled. One participant said, &#x201C;They looked at me like I was a child, as if I couldn&#x2019;t understand anything they were saying&#x201D; (P19). This perception of being underestimated affected their confidence in the judicial system and limited their participation, as judicial professionals often didn&#x2019;t give them the opportunity to express their opinions or assert their rights. One participant mentioned that even their defence lawyer showed a condescending attitude: &#x201C;The lawyer said it was better for me just to listen, as if I didn&#x2019;t have the right to give my opinion on my own case&#x201D; (P22). This illustrates how paternalistic treatment from legal defenders limits the autonomy of people with intellectual disability and contributes to an experience of exclusion within the judicial system. The professionals&#x2019; attitude of &#x201C;knowing best&#x201D; reinforces the perception that participants&#x2019; opinions and decisions are not valued, directly impacting their capacity to make informed decisions.</p>
</sec>
<sec id="sec-15-32418">
<label>3.2.2.</label>
<title>Distrust of the truthfulness and credibility of testimonies</title>
<p>Distrust towards the truthfulness of their testimonies was another significant barrier. Participants reported that, on many occasions, they felt their words and accounts were not taken seriously or even questioned. &#x201C;I felt they didn&#x2019;t believe me, like they thought I didn&#x2019;t know what I was talking about or wasn&#x2019;t telling the truth&#x201D; (P7), noted one participant, reflecting how this lack of credibility affects their self-esteem and position within the judicial process. This distrust creates an asymmetrical relationship where the testimony of a person with intellectual disability is less valued, placing them at a disadvantage compared to other judicial actors. Another participant mentioned, &#x201C;When I tried to explain what happened, I could see how they looked at me with doubt, as if they didn&#x2019;t believe it&#x201D; (P15). These experiences generate a feeling of helplessness and frustration, as participants feel their experiences are invalidated and that their testimony lacks weight within the judicial process. This lack of credibility reflects an important attitudinal barrier that adds to the existing challenges in accessing justice.</p>
</sec>
<sec id="sec-16-32418">
<label>3.2.3.</label>
<title>Lack of recognition of autonomy and the right to decide</title>
<p>Participants also described situations where they were denied the opportunity to make their own decisions or actively participate in processes involving them. Some judicial professionals made decisions on their behalf or assumed they could not understand the implications of certain legal aspects, which undermined their sense of autonomy. One participant explained, &#x201C;They didn&#x2019;t let me decide; someone else was always speaking for me, as if I didn&#x2019;t know what was best for me&#x201D; (P9). These experiences reinforced participants&#x2019; sense of being passive objects rather than active agents in their own cases. Other testimonies echoed this sentiment, with one saying, &#x201C;I wanted to say what I thought, but they wouldn&#x2019;t let me, as if what I wanted didn&#x2019;t matter&#x201D; (P11). This feeling of disempowerment shows how the lack of recognition of their autonomy affects their perception of the judicial system as a space where their opinions are heard and respected. The inability to fully participate in decision-making limits their right to self-determination and contributes to an experience of exclusion and frustration.</p>
</sec>
<sec id="sec-17-32418">
<label>3.2.4.</label>
<title>Perception of discrimination and differential treatment</title>
<p>The perception of being treated differently or less favourably compared to other users of the judicial system was a constant theme among participants. Many expressed that judicial professionals assumed they required special treatment, but not in an inclusive sense &#x2013; rather from a position of inferiority. &#x201C;I felt they treated me differently, as if I couldn&#x2019;t understand things like others,&#x201D; commented one participant (P14). This perception of differential treatment not only generates a feeling of inferiority but also affects the dignity and respect they expect to receive in the judicial context. Another participant recalled, &#x201C;I saw how others had things explained to them properly, but with me, it was different. I felt they didn&#x2019;t trust I could understand&#x201D; (P8). These experiences of differential treatment and discrimination highlight the need to train judicial professionals in inclusive practices that ensure equal treatment for everyone, regardless of their condition.</p>
</sec></sec>
<sec id="sec-18-32418">
<label>3.3.</label>
<title>Need for judicial support</title>
<p>Most participants highlighted the importance of having specific, personalised support to understand the judicial process and adequately represent their interests. The following sub-themes detail areas where participants felt professional accompaniment would greatly facilitate their access to justice.</p>
<sec id="sec-19-32418">
<label>3.3.1.</label>
<title>Personalised accompaniment throughout the judicial process</title>
<p>One of the key points raised by participants was the need for continuous and personalised accompaniment throughout the judicial process. The absence of someone to guide them and explain each stage of the process caused insecurity and a sense of isolation. A participant expressed, &#x201C;It would have been good to have someone explain everything, someone who could speak in an easier way for me&#x201D; (P30). Another added, &#x201C;I felt alone and didn&#x2019;t know what to do. I needed someone by my side to help me understand&#x201D; (P18). This type of support would allow people with intellectual disability to face the judicial process with greater security and confidence, giving them the opportunity to understand each step and make informed decisions. Constant accompaniment is seen as a crucial tool to reduce anxiety and facilitate their active participation in the process.</p>
</sec>
<sec id="sec-20-32418">
<label>3.3.2.</label>
<title>Facilitators or professionals supporting adapted communication</title>
<p>The presence of a facilitator trained in adapted communication was one of the most frequent suggestions among participants. This professional would play a fundamental role in interpreting and simplifying the information presented during judicial hearings, allowing participants to understand and respond appropriately. One interviewee commented, &#x201C;If there was someone there just to help us understand, it would be much easier for us to be in the trial and know what&#x2019;s going on&#x201D; (P24). The facilitator&#x2019;s role would not only involve translating technical language but also supporting decision-making, ensuring that people with intellectual disability understand the consequences of their choices within the judicial process. This proposal underscores the importance of specialised support that allows them to participate actively and exercise their rights on equal terms.</p>
</sec>
<sec id="sec-21-32418">
<label>3.3.3.</label>
<title>Access to legal documents in clear and accessible language</title>
<p>Another significant need raised was for legal documents and resolutions to be available in clear and accessible language. Participants noted that the complexity of legal texts often hinders their understanding, requiring them to rely on third parties to access information about their own cases. &#x201C;If the documents were in simpler words, I could read them and understand by myself,&#x201D; remarked a participant (P12). Another said, &#x201C;I always have to depend on someone to explain the papers to me. If they were clearer, I&#x2019;d be more independent&#x201D; (P6). The availability of documents in easy language not only aids comprehension but also promotes greater autonomy within the judicial process. Participants indicated that these types of materials would allow them to understand their rights and obligations directly, without intermediaries, contributing to a more inclusive experience that respects their autonomy.</p>
</sec>
<sec id="sec-22-32418">
<label>3.3.4.</label>
<title>Adaptation of visual and technological resources</title>
<p>Several participants suggested the incorporation of visual and technological resources as an additional strategy to facilitate their understanding of the judicial process. This type of visual support includes diagrams, infographics, and interactive applications explaining each step in the process in an accessible way. One participant noted, &#x201C;It would be good to have pictures or diagrams that explain what happens in court. That way, I could understand it better&#x201D; (P8). The use of adapted technology could also help participants prepare before hearings and remember important details after each session. These tools are seen as an innovative form of inclusion that would facilitate their participation in the judicial process, enabling people with intellectual disability to feel more informed and in control of their cases.</p>
</sec>
<sec id="sec-23-32418">
<label>3.3.5.</label>
<title>Training and awareness-raising for judicial professionals on specific supports</title>
<p>Participants also mentioned the importance of judicial professionals receiving training on inclusive practices and the provision of specific supports. This training would ensure that judges, lawyers, and other officials are better prepared to respond to the needs of people with intellectual disability, respecting their autonomy and facilitating their participation. &#x201C;If lawyers and judges knew how to help us understand, everything would be easier for us,&#x201D; explained one participant (P21). This training in awareness and inclusive practices would not only strengthen professionals&#x2019; capacity to work with people with disabilities but would also reduce the sense of inferiority and exclusion many participants expressed when interacting with the judicial system.</p>
<p>Derived from these support needs, several specific recommendations emerged to improve access for people with intellectual disability to the judicial system. These suggestions are described in <xref ref-type="table" rid="tabw-4-32418">Table 4</xref>, reflecting the priority participants assigned to each one.</p>
<table-wrap id="tabw-4-32418">
<label>T<sc>able</sc> 4.</label>
<caption><title>Recommendations to improve access for people whit intelectual disabilities to de judicial system</title></caption>
<table id="tab-4-32418" frame="hsides" border="1" rules="all">
<col width="35%"/>
<col width="35%"/>
<col width="15%"/>
<col width="15%"/>
<thead>
<tr>
<th valign="top" align="left"><p><bold>Recommendation</bold></p></th>
<th valign="top" align="left"><p><bold>Description</bold></p></th>
<th valign="top" align="left"><p><bold>Frequency</bold></p></th>
<th valign="top" align="left"><p><bold>% of Participants</bold></p></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><p>Assistance of a specialised facilitator</p></td>
<td valign="top" align="left"><p>Having a professional to facilitate understanding of the process</p></td>
<td valign="top" align="left"><p>30</p></td>
<td valign="top" align="left"><p>75 %</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Adaptation of language in judicial documents</p></td>
<td valign="top" align="left"><p>Simplifying language in documents and resolutions</p></td>
<td valign="top" align="left"><p>28</p></td>
<td valign="top" align="left"><p>70 %</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Training in inclusive treatment for judicial personnel</p></td>
<td valign="top" align="left"><p>Specific training in intellectual disability and cognitive accessibility</p></td>
<td valign="top" align="left"><p>27</p></td>
<td valign="top" align="left"><p>67.5 %</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Adapted communication protocols in courtrooms</p></td>
<td valign="top" align="left"><p>Clear, adapted instructions at each stage of the process</p></td>
<td valign="top" align="left"><p>25</p></td>
<td valign="top" align="left"><p>62.5 %</p></td>
</tr>
<tr>
<td valign="top" align="left"><p>Reduction of formalities in hearings to improve participation</p></td>
<td valign="top" align="left"><p>Simplifying procedures for greater understanding and comfort</p></td>
<td valign="top" align="left"><p>22</p></td>
<td valign="top" align="left"><p>55 %</p></td>
</tr>
</tbody>
</table>
</table-wrap>
</sec></sec></sec>
<sec id="sec-24-32418" sec-type="discussion">
<label>4.</label>
<title>Discussion</title>
<p>The aim of this study was to examine the experiences of adults with intellectual disability in their interaction with the judicial system in Chile, identifying both the barriers and facilitators perceived from their perspective. The results confirm the existence of several previously documented obstacles and reveal new findings that provide a more detailed and nuanced understanding of the specific challenges faced by this population in accessing justice.</p>
<p>One of the most relevant findings is the complexity of the language used in judicial procedures, which constitutes a significant barrier to understanding and active participation for people with intellectual disability. This finding reinforces existing literature that highlights legal language as an obstacle to equitable access to justice (<xref ref-type="bibr" rid="ref-12-32418">McCarthy <italic>et al</italic>., 2021</xref>; <xref ref-type="bibr" rid="ref-26-32418">White <italic>et al</italic>., 2021</xref>). However, this study delves deeper by emphasizing how the lack of linguistic adaptations not only hampers understanding of processes but also emotionally impacts participants, generating feelings of insecurity, frustration, and exclusion. This finding adds an emotional dimension that has not been widely explored in previous research, underlining the need for a more empathetic and tailored approach to judicial communication.</p>
<p>The formality and speed of judicial hearings emerge as another critical barrier. While previous studies have mentioned the need for a more accessible judicial environment (<xref ref-type="bibr" rid="ref-3-32418">Araoz <italic>et al</italic>., 2020</xref>; <xref ref-type="bibr" rid="ref-20-32418">Sarrett and Ucar, 2021</xref>), this study details how the lack of time for asking questions and receiving clarifications creates an experience of disorientation and disconnection. Participants expressed that the rapid pace of hearings prevents them from processing information properly, leaving them feeling powerless and marginalized. This finding aligns with international recommendations advocating for more inclusive judicial procedures that are adapted to the cognitive needs of people with disabilities.</p>
<p>Another significant finding is the perception of paternalistic treatment by judicial operators, which underestimates the abilities of people with intellectual disability. Existing literature has documented discriminatory attitudes in the judicial context (<xref ref-type="bibr" rid="ref-8-32418">Gulati <italic>et al</italic>., 2021</xref>; <xref ref-type="bibr" rid="ref-9-32418">Hern&#x00E1;ndez de la Pe&#x00F1;a, 2023</xref>), but this study offers a new perspective by showing how these attitudes not only limit the active participation of individuals in processes but also affect their self-perception and confidence in their decision-making abilities. Although legal representation in Chile is formally guaranteed to all defendants, our findings indicate that many participants experienced limited and inaccessible interactions with their public defenders. The problem lies not in the absence of legal counsel, but in the lack of inclusive and cognitively accessible support. This reflects a critical gap in the exercise of their rights and underscores the need to ensure that legal representation is not only present, but also responsive to the specific needs of this population. This finding highlights the importance of a cultural shift in the judicial system to recognize and respect the autonomy of people with intellectual disability.</p>
<p>Furthermore, the research highlights the importance of personalized support and the potential role of facilitators in adapted communication. While the literature has pointed to the need for reasonable adjustments (<xref ref-type="bibr" rid="ref-7-32418">Gormley and Watson, 2021</xref>; <xref ref-type="bibr" rid="ref-17-32418">Poblete <italic>et al</italic>., 2022</xref>; <xref ref-type="bibr" rid="ref-23-32418">Teira and Sotillo, 2024</xref>), this study provides detailed insights into how the presence of a facilitator could transform the judicial experience for people with intellectual disability, enabling greater understanding and participation. This finding underscores the need for specific support strategies that go beyond general adaptations, focusing on the individual needs of each participant.</p>
<p>The lack of adapted visual and technological materials is another identified barrier. While in other international contexts, technological tools have started to be implemented to improve accessibility (<xref ref-type="bibr" rid="ref-18-32418">Prescott, 2017</xref>; <xref ref-type="bibr" rid="ref-22-32418">Tayumi Ishiy and Marcondes Ramos, 2023</xref>), this study provides specific evidence on how these tools could be applied in the Chilean context to address persistent communication barriers. The inclusion of visual and technological resources would not only facilitate understanding of judicial processes but also promote greater autonomy and empowerment among people with intellectual disability.</p>
<p>This study not only reaffirms the existence of known barriers to justice access for people with intellectual disability but also provides new findings that enrich the understanding of these experiences. The results emphasize the urgent need for structural and cultural changes in the Chilean judicial system, aligned with international human rights standards, to ensure equitable and respectful access to justice. This involves not only adapting judicial procedures but also transforming the attitudes and perceptions of judicial operators, fostering an inclusive environment that recognizes and respects the diversity and autonomy of all individuals.</p>
<sec id="sec-25-32418">
<label>4.1.</label>
<title>Study limitations</title>
<p>This research has several important limitations that should be considered when interpreting its findings. Firstly, the sample used is limited to a specific group of people in Chile, restricting the generalizability of the results to other national or international contexts. This means that the experiences described may not reflect the realities of people with intellectual disability in other judicial environments, which suggests the need for additional studies in different locations with more diverse samples. Furthermore, although the qualitative methodology allowed for an in-depth exploration of participants&#x2019; experiences, it does not allow for quantification of the identified barriers or statistical inferences. The inherent subjectivity of the qualitative approach may limit the perceived objectivity of the results, although it adds richness in detail and understanding of individual experiences. Finally, the study focuses exclusively on the perceptions and experiences of people with intellectual disability, without including the perspectives of judicial professionals, who could also provide valuable information for understanding barriers from within the system. Including these actors&#x2019; perspectives could offer a more balanced and comprehensive view of accessibility barriers within the judicial system.</p>
<p>Additionally, it is important to note that the research team did not independently verify the intellectual disability diagnoses of the participants, as this information was provided by the referring institutions based on existing clinical records. Likewise, no formal psycholinguistic assessments were conducted to evaluate participants&#x2019; language comprehension. Although initial comprehension checks were applied during recruitment &#x2014;using plain language explanations and adaptive communication strategies&#x2014; a standardized evaluation was not implemented. This may constitute a limitation in terms of fully assessing the range of communicative competencies present in the sample.</p>
</sec>
<sec id="sec-26-32418">
<label>4.2.</label>
<title>Study strengths</title>
<p>Despite these limitations, the study has several strengths that add value to its findings. Firstly, its specific focus on a vulnerable population gives voice to adults with intellectual disability, whose perspective is rarely addressed in studies on accessibility and human rights in the judicial system. This focus expands knowledge of the barriers and needs of this group, highlighting their right to fair and accessible treatment. Moreover, the contextual relevance of the study is significant, as it focuses on the Chilean judicial system, providing essential information that could guide future public policies in this country and potentially in other Latin American contexts facing similar challenges in judicial accessibility. Lastly, the qualitative methodology employed allowed for a detailed and in-depth analysis of participants&#x2019; experiences, facilitating the identification of concrete barriers and improvement opportunities that could have a real impact on the accessibility of the judicial system.</p>
</sec>
<sec id="sec-27-32418">
<label>4.3.</label>
<title>Practical implications and future research lines</title>
<p>This study underscores the urgent need to develop and implement cognitive accessibility policies within the Chilean judicial system. The identified barriers reflect a lack of system adaptation to the needs of people with intellectual disability, leading to an experience of exclusion and rights violations. As other countries progress in implementing inclusive measures in their judicial systems, Chile faces the challenge of adapting and adopting these best practices to improve justice for all its citizens. The implications of these findings extend beyond the judicial system; they open a broader discussion on how Chilean society and its institutions value and respect the rights of people with intellectual disability. Implementing accessibility measures would not only benefit these individuals in the judicial sphere but would also represent significant progress towards a more inclusive, just, and respectful society.</p>
<p>The results of this study suggest several lines for future research to deepen judicial accessibility for people with intellectual disability. Comparative studies across different judicial systems internationally, particularly in countries that have successfully implemented cognitive accessibility strategies, would be valuable. A comparative analysis could identify effective practices that could be adapted to the Chilean context and contribute to the development of a more inclusive judicial system. Another relevant research direction would be the evaluation of specific interventions, such as the use of judicial facilitators, the implementation of materials in easy language, and inclusive treatment training for judicial system professionals. Studying the short- and long-term impact of these interventions would provide a solid evidence base to justify their adoption and offer data-based recommendations applicable to public policy.</p>
<p>Another interesting line of research would be to explore how the experience of barriers and facilitators varies depending on participants&#x2019; roles within the judicial process &#x2014;such as claimants, witnesses, or defendants. Although this study did not stratify its analysis based on these categories, future research could examine whether specific needs or accessibility challenges differ according to the type of legal involvement. This role-based approach would allow for more tailored recommendations that better address the diverse ways in which people with intellectual disability interact with the justice system.</p>
<p>Including the perspectives of judges, lawyers, and other judicial professionals in future studies would allow for a broader understanding of the barriers and attitudes from the position of those interacting with people with intellectual disability. This inclusion could facilitate the design of more specific training programs that address both the needs of professionals and any biases that may affect their treatment of this group. Finally, longitudinal research that evaluates the impact of the barriers identified in this study on the quality of life and well-being of people with intellectual disability would be valuable. Long-term studies would help assess how barriers to accessing justice affect these individuals&#x2019; sense of autonomy and empowerment. Additionally, these longitudinal studies would allow for analysis of the sustained impact of any implemented intervention, providing a long-term view of progress towards a more accessible and equitable judicial system for people with intellectual disability.</p>
</sec></sec>
</body>
<back>
<fn-group>
<fn id="fn1" fn-type="financial-disclosure"><p><bold>5. Funding</bold></p>
<p>This work was supported by the ANID FONDECYT INICIACI&#x00D3;N under Grant 11230525.</p></fn>
<fn id="fn2" fn-type="other"><label>2</label> <p>Among the 37.5 % of participants with a legally designated guardian (n = 15), the majority &#x2014;80 % (n = 12)&#x2014; were under the guardianship of a family member, while the remaining 20 % (n = 3) had a guardian appointed by a public or private institution.</p></fn>
</fn-group>
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<label>6.</label>
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