Toward a Holistic View of Health and Health Promotion in Social Work with People with Disabilities

Abstract

The individual medically oriented model of disability suggests that people with disabilities seldom achieve health and wellness because of their impairments and disabilities. This paper provides an alternative to the tendency in social work to focus on the medicalization of disability without a due consideration of the social context. It draws insights from the social model that asserts disability is a form of social restriction encountered by people with disabilities and that social barriers of disability must be removed through collective action. Also, this model posits that people with disabilities can be healthy if the barriers preventing good health are removed. However, medical aspects of a person with a disability should not be forsaken entirely. Therefore, this article proposes a holistic view that converges insights of the individual and social models toward a better understanding of health issues for people with disabilities. It shows the implications for social work that follow from the convergence.     

Through Adversity Comes Strength: Volunteering and Self-Esteem Among People with Physical Disabilities

The goal of the present study was to examine differences in self-esteem between volunteers with physical disabilities and their counterparts who do not volunteer. Another goal was to examine the contribution of the characteristics of the volunteering experience (motives for volunteering, satisfaction with the rewards of volunteering, and the quality of relationships with beneficiaries) to explain self-esteem among volunteers with physical disabilities. The research sample included 160 Israeli participants with different physical disabilities. Of these, 95 volunteered and 65 did not volunteer. Participants who volunteered had higher self-esteem than those who did not. The findings highlight the compensatory role of volunteering for people with disabilities: The contribution of volunteering to enhancing self-esteem was mainly evident among participants with poor socioeconomic resources (low education, low economic status, and unemployed). Egoistic and altruistic motives for volunteering as well as satisfaction with the rewards of volunteering contributed to explaining self-esteem.     

Queers and Crips: Parallel Identity Development Processes for Persons with Nonvisible Disabilities and Lesbian, Gay, and Bisexual Persons

Traditional models of identity development are inadequate when applied to lesbian, gay, and bisexual (LGB) persons and persons with disabilities. The identity development and life experiences of persons with disabilities and LGB persons are similar in many respects including being raised/socialized by persons who are not a part of that group, and being educated to conform to the standards of behavior and appearance of the dominant culture. This article describes and critiques four models of identity development as applied to LGB persons and persons with nonvisible disabilities: stage/linear, issues/milestone experiences, social constructionist, and interactional. The authors propose an interactional identity development model for persons with disabilities and LGB persons that incorporates the significance of bio-psycho-social-cultural contexts, the influence of multiple identities, the fluidity of identity formation, and the importance of language.     

Community Integration of Older People with Developmental Disabilities in Hong Kong

ABSTRACT

To understand the community integration of adults with developmental disabilities in Hong Kong, a comprehensive measure includes four dimensions, pertaining to social activity, social services, interpersonal behavior, and people involved in social interaction. Applying this measure to 692 adults (aged 15–62), the territory-wide study finds that these adults lack company for out-of-home activities and community activities despite their higher knowledge, assertiveness, social interaction, and feeling accepted in the community. With the strengthening of many conditions (including knowledge and community support) for community integration, the adults tend to have greater need for empowerment to enhance their active participation in community activities.     

Strategies to Foster the Career Development of People with Disabilities

Abstract

This paper addresses career development strategy within the context of social work practice in rehabilitation and disability. The author outlines the career development needs of people with disabilities and identifies contemporary ways of thinking about career development. Four specific career development tactics are discussed involving the provision of vicarious experiences, identification and appreciation of performance accomplishments, verbal persuasion to support appropriate risk-taking, and emotional arousal that facilitates the expression of feelings and the motivation to act. These tactics are promising avenues for strengthening vocational and career self-efficacy with the aim of helping people with disabilities to augment their career maturity and increase their personal flexibility.     

城乡分割视野下残疾人的就业现状、成因 及其差异效应

城乡残疾人的就业,事关全面建成小康社会目标的实现,厘清城乡残疾人就业率系统差异是重要前提。基于第五轮"中国居民收入调查"数据,采用Probit模型分析显示已婚、自评健康良好、未参与最低生活保障、具备党员身份的男性残疾人比其他残疾人群体就业状况更好。但农村残疾人潜在工作经验就业回报的效应强于对城镇残疾人的作用;城镇残疾人群的教育和最低生活保障就业效应存在显著的性别差异,但在农村残疾人群上述变量的性别差异效应不显著。因此,应积极制定差异化的城乡人力资本政策,加强对城乡残疾居民就业的政治引导和社会支持,健全城乡残疾人全面康复服务保障,完善城乡残疾人最低生活保障制度。     

An Exploratory Study on Attitudes Toward Persons with Disabilities Among U.S. and Japanese Social Work Students

ABSTRACT

This exploratory study was conducted to understand and compare attitudes among social work students in the United States and Japan toward people with disabilities. The Modified Issues in Disabilities Scale (MIDS), designed to measure attitudes toward people with physical disabilities, was implemented on convenient samples of 92 U.S. and 73 Japanese social work students. The findings suggest that social work students in both countries hold moderately positive attitudes. Other similarities as well as differences among the sampled students from the two countries, and their implications to social work education, will be discussed in this paper.     

Mothers of Children With Physical Disabilities: Influence of Family Processes on Mothers' Depressive Symptomatology

This study examines how family processes, or specific behaviors and relationships within the family, influence the risk of depression in mothers of children with disabilities. Specifically, the collective influence of children's maladaptive behavior problems, father involvement, and coparental conflict on the risk of depression among 60 married mothers of children with physical disabilities is examined. Based on data from the National Survey of Families and Households, findings showed that these mothers perceived the child's behavioral problems as less influential when they were more satisfied with the father's parenting. Furthermore, coparental conflict appeared to mediate the influence of the child's behavior and her satisfaction with the father's involvement on the mother's risk of depression.     

Women with Disabilities and Experiences of Abuse

Abstract

A qualitative study of disabled and non-disabled professionals and survivors of abuse revealed a range of types of abuse endured by disabled women, some of which were unique to that population. Two major themes emerged from data analysis: vulnerable beginnings and complexity of abuse. Three sub-themes are encompassed within complexity of abuse: active abuse, abuse through image, and contextual abuse by social service/legislative systems. The authors present data essential to an informed assessment and analysis of abuse that considers the person-in-environment circumstances of women with disabilities. Implications for future research and the human behavior in the social environment curriculum are discussed.     

Refugee resettlement and the Convention on the Rights of Persons with Disabilities

The Convention on the Rights of Persons with Disabilities (CRPD) created pathways for people who are refugees with disabilities to resettle and build new lives. Resettlement country Australia, in response to its CRPD obligations, created greater access to the waiver of visa health requirements for humanitarian entrants. This article chronicles key documents demonstrating that the CRPD has been an effective instrument for improving access to resettlement for people with disabilities. The article also describes new challenges to Australia’s compliance with the CRPD as it fails to address multiple discrimination of people from refugee backgrounds with disabilities, an area of concern to the Committee on the Rights of Persons with Disabilities for which it has issued guidance. This article proposes creating a United Nations High Commissioner for Refugees Resettlement Submission Category for disability to improve resettlement programmes’ compliance with the CRPD.     

Personal Trouble or Public Issue? Towards a Model of Policy for People with Physical and Mental Disabilities

For many years, community solutions have been the favoured response to physical and mental disability, but theoretical frameworks to guide these policies have not developed alongside the rhetoric. This paper attempts to fill the gap with one possible sociological model. We begin by distinguishing the dominant individualistic or 'personal trouble' perspective from the more controversial social or 'public issue' approach which, whether it takes an interpretative or a structural form, acknowledges the role of society in causing disabilities and shaping economic and social strategies. A model of policy is then drawn up for each viewpoint, bearing in mind the implications for public expenditure, state intervention, family and community support, and service organisation. Finally, it is argued that since help in the individualistic mould cannot cope with disability, an alternative response is required, which tackles economic, social and political institutions or structures while at the same time recognising the resistance to change in an industrial society.     

Listening to Young People with Learning Disabilities Who Have Experienced,or Are at Risk of,Child Sexual Exploitation in the UK

This paper reports on a UK study which examined the identification of, and support for young people with learning disabilities who experience, or are at risk of, child sexual exploitation (CSE). CSE has received considerable attention in the UK, with evidence suggesting an increased risk for young people with learning disabilities. However, no study has specifically focused on this group, and their voices remain largely unheard. In‐depth interviews with 27 young people with learning disabilities were undertaken to explore how to meet their needs. This paper presents the young people's voices and identifies areas for improvements in policy and practice.     

Dating and Sexuality among Minority Adolescents with Disabilities: An Application of Sociocultural Theory

Adolescents with disabilities, American Indians, Hispanics, and African Americans are more likely to experience victimization and pregnancy as teens. This study explored ethnic and racial minority youth with disabilities’ dating and sexual experiences from the perspectives of social workers using Vygotsky’s sociocultural theory. Thirteen in-depth interviews were conducted with master’s degree–holding high school social work practitioners. Social workers described family beliefs and practices, socioeconomic status, special education, historical influences, and resiliency as aspects of adolescents’ lives that impacted their dating and sexuality. Social workers’ dialogue concerning family beliefs and attitudes toward abusive relationships were interpreted as internally oriented signs used by adolescents with disabilities to navigate their dating and sexuality. Socioeconomic status, family practices, and special education were interpreted as externally oriented meditational tools. Social workers reported that many adolescents experienced a history of violence, but that some adolescents adapted their cultural heritage by creating new values for themselves and engaged in healthier dating and sexual behaviors than their peers. Finally, although social workers were a source of support to adolescents with disabilities, they were also at times a portal for ethnocentric discourse.     

Correlates of Voting Participation of People with Intellectual and Developmental Disabilities

ABSTRACT

People with intellectual and developmental disabilities (IDD) vote less frequently than nondisabled people and people with other disabilities. This study explores what factors facilitate and hinder people with IDD’s voting participation. To do so, 1,341 people with IDD were surveyed using the Personal Outcome Measures®. Binary logistic regressions revealed significant relationships between voting participation, and support needs, residence types, guardianship statuses, and organizational supports. Along with the right supports, attention to barriers that might exist can ensure people with IDD are able to make use of their civil rights and participate in this crucial form of civic engagement.     

Oppositional Consciousness: Its Manifestation and Development. The Case of People with Disabilities*

While resource mobilization theory has advanced our understanding of social movements, two questions require further explanation: (1) How do people come to define their situation as unjust and subject to change through collective action? (2) How is such an “oppositional consciousness” empirically studied? From field research among people with disabilities, I suggest that oppositional consciousness is manifested through the collective actions, symbols, and cultural artifacts constructed by a group. I propose that strong interpersonal ties among group members may not be necessary for an oppositional consciousness to develop. To understand how a dominated group develops an oppositional consciousness, rather than analyzing the strength of its members' social ties, we must examine the context and the nature of these ties: (1) the institutions in which their social interactions typically occur; (2) the socialization process they experience within these institutions; and (3) members' contact with the oppositional ideologies of other dominated groups.     

Stigma Management Through Participation in Sport and Physical Activity: Experiences of Male College Students with Physical Disabilities

Individuals with physical disabilities are oftenstigmatized because their bodies are assumed to varyfrom norms of physical competence and bodily appearance.Possession of a discrediting attribute may impair social interactions and result in thedevaluation of an individual. The purpose of this paperis to explore how involvement in sport and physicalactivity may be one strategy to manage the stigma of a disabled body. Data were collected throughin-depth interviews with 24 male college students withphysical disabilities. Findings indicate thatrespondents believe this context helps them exceedexpectations associated with their disability throughdemonstration of physical skill, a fit healthy body, amuscular body, and a liberated body. Sport and physicalactivity may be effective in compensating for a spoiled identity as participation in this setting isunexpected and emphasizes an alternative representationof a disabled body.     

Welfare Reform and Its Impact on the Employment Prospects of Individuals with Psychiatric Disabilities

ABSTRACT

Welfare policy in Australia has undergone a marked shift in direction since the election of the Liberal Coalition (Conservative) Government in 1996. This paper examines welfare policy and, in particular, the disability support pension, in the light of the vocational needs of those with psychiatric disabilities who seek to gain employment. Empirical data is presented concerning a case study of 65 clients participating in a vocational program. These participants had all been diagnosed with psychiatric disabilities, and were assisted to obtain open employment. The paper demonstrates that welfare policy, in conjunction with the recently privatized employment services network, not only fails to address the barriers faced by individuals with psychiatric disabilities, but undermines their efforts to gain employment and recover from the illness.     

Attitudes Toward Gay Men and Lesbians and Their Relationship with Gender Role Beliefs in a Sample of Chilean University Students

ABSTRACT. This paper analyzes the relation between gender role beliefs and prejudice toward gay men and lesbians in Chile. Participants were Chilean university students (N = 283). Results indicate that men are more prejudiced than women and religious people are more prejudiced than non-religious people. On the other hand, gender role beliefs mediate sex differences in prejudice. The participants' more traditional gender role beliefs hold more negative attitudes toward gay men and lesbians. Men are more prejudiced than women, particularly in their attitudes toward gay men. In addition, sex differences in attitudes toward lesbians and gay men are mediated by gender role beliefs.     

Expectations of Greek Parents about Employment Opportunities for their Child with Learning Disabilities: Implications for Social Workers

A survey was carried out in Heraklion, Crete, to determine the expectations on employment of all parents who had a child with learning disabilities (LDs) between the age of 14 and 45 years, living with them and having participated in some educational or vocational programme for at least 1 year. From the 310 families, which fulfilled the criteria for admission in the current study, 176 families participated. The research method chosen was a structured interview. The results demonstrated that parents expected their LD child not to work or to work in a sheltered workshop whereas, ideally, most parents wanted some form of competitive employment for their children. The findings suggest that social workers and other professionals should inform parents more positively about the potential abilities of their children and emphasise the importance of a job for all parties involved.     

People with disability and new disaster communications: access and the social media mash-up

This article explores how a lack of access to increasingly complex and overlapping digital communications platforms in times of disaster for people with disabilities has the potential to make already life-threatening situations considerably more dangerous. As we are increasingly coming to rely on a social media mash-up of digital platforms to assist in communications during disaster situations, the issue of accessibility for people with disabilities is as dire as if it was high ground during a tsunami or transport during a typhoon. The contemporary social media environment is characterised by a complex and overlapping network of complementary platforms, populated by user-generated content, where people communicate and exchange ideas. In this environment, YouTube videos are posted to Facebook and embedded in blogs, and Twitter is used to link to these other sites and is itself embedded in other platforms. These networks are increasingly supplementing and supplanting more traditional communication platforms, such as the television and radio, particularly in times of disaster. The concern of this paper is that the elements from which this mash-up of communications channels is made are not always accessible to people with disabilities. This evolving network of social media-based communication exposes the limits of existing Internet-based universal design.