The application of the Olmstead decision on housing and eldercare

This article reviews the Supreme Court's interpretation of Title II of the Americans with Disabilities Act (ADA) and discusses its application for the frail older person. The parallels and differences between the societal ideas about, and the development of, community-based housing programs for younger populations of people with disabilities and for aging populations will be examined. This article explains how frail older people may be included in the ADA's definition of persons with disabilities. It then explains the Supreme Court's interpretation of discrimination in Olmstead v. L.C. ex rel Zimring (1999). Lastly, it examines the implications of the Olmstead decision for long-term care as it relates to housing for older people.     

Differences in Well‐being among People with Disabilities in Paid Employment: Level of Restriction,Gender and Labour Market Context

This study investigates the variability in well‐being of people with disabilities in paid employment in two different labour market contexts: the beginning (1998) and end (2009) of a period of growth in non‐standard hours and work intensification. It focuses on the well‐being constraints that arise from three influences: a person's disability, a person's gender, and the labour market context. Hypotheses are developed using the social model of disability and social identity theory. Hierarchical moderator regression is employed to examine two national samples of nearly 4,000 people with disabilities in paid employment. Individuals who are most limited by their disabilities, particularly women, reported lower well‐being in 2009 than in 1998. Welfare‐to‐work policies affecting these disadvantaged groups are discussed in relation to the labour market and national regulatory environments.     

Absent Role of the State: Analysis of Social Support to Older People with Disabilities in Rural China

China is experiencing rapid population ageing and already has 44 million older people with disabilities aged over 59 years. Yet social support of these older people with disabilities is undeveloped and not well researched. This article contributes by using a disability rights framework (right to life and protection, economic security and social support) to analyze local cases in rural China. It finds that, although the family is still the main provider of economic and care support to rural older people with disabilities, the absence of a state role in welfare provision has negative impacts on the well‐being of older and younger generations in rural families.     

Social Group Work for Young Offenders with Learning Disabilities

ABSTRACT

Despite the high incidence of learning disabilities among young offenders, research suggests that young offenders with learning disabilities do not receive interventions that address their learning disabilities. Group treatment approaches for young offenders typically utilize a cognitive-behavioral orientation. Cognitive behavioral techniques have been found to be effective with the young offender population by targeting their faulty thinking. However, cognitive behavioral treatment is less effective with youth who have academic delays. Individuals with learning disabilities may have difficulties with the cognitive tasks used in cognitive behavioral treatment. This paper describes a treatment group, with illustrations, adapted for young offenders with learning disabilities, combining cognitive-behavioral and mutual-aid principles.     

Satisfaction with Personal Assistance Services of People with Disabilities in Korea

An essential component for achieving independence in a community setting for people with disabilities is the ability to perform personal care activities with or without assistance. This paper aims to evaluate the level of satisfaction of people who used personal assistance services (PAS) during 2007 in Korea. People's satisfaction was high when they were able to use all of the assigned hours and when they had been assigned enough hours to meet their needs. Therefore, policymakers must try to increase service hours for people with disabilities so that they have enough help from attendants. The more the opinions of people with disabilities were considered in shaping the plan of care, the higher the satisfaction score. To increase the satisfaction, service users' involvement with the program has to be incorporated into the program as much as possible.     

Building Care Management Competence in Services for People with Learning Disabilities

Correspondence to Paul Cambridge, Tizard Centre, The University of Kent at Canterbury, Canterbury, Kent CT2 7LZ, UK. Summary This paper examines care management arrangements in servicesfor people with learning disabilities. Its perspective is informedby research on the long-term outcomes and costs of care in thecommunity for people with learning disabilities (Cambridge etal., 1994) and by earlier experimental approaches to care managementin Britain. Building on arguments developed by the author ina position paper in 1992 (Cambridge, 1992), the focus here shiftsto the performance of mainstream care management in servicesfor people with learning disabilities, with an identificationand review of critical dimensions for reviewing competence.Lessons from earlier experimental and demonstration approachesare used to inform the analysis and to construct pointers forcommissioners or providers who are looking to assess the effectivenessof care management arrangements in learning disability withintheir own service systems.     

Use of Group Counseling to Support Aging-Related Losses in Older Adults with Intellectual Disabilities

Abstract

With the noted increase in life expectancy of persons with intellectual disabilities (ID), there is a need to provide more physical and psychological preparation for aging and support for these individuals in their middle-age and aging periods of life. It is known that age-related losses result in major stressors and that these can produce changes in the way that older adults think, feel or act. Therefore, having methods and tools to help individuals with ID prepare for and adjust to their losses is important. To address this, the Neve Natoa Residential Center in Israel initiated a group intervention program to test whether a group counseling method could be used to help prepare adults for changes associated with aging. Nine adults (5 males and 4 females) between the ages of 39 and 56 (mean = 49) participated in the program pilot. After ten sessions, an evaluation indicated a positive change of attitudes, improvement of self-esteem, and less extreme behavioral reactions in the period after the intervention. Given the positive results, it is recommended that further studies involving group in tervention techniques with adults with ID be undertaken.     

Social Support for Mothers of Children With Disabilities in China

ABSTRACT.

This article analyzes the gendered parenting experiences of mothers of children with disabilities in China. These mothers struggle to meet their children's needs, including daily care, financial security, and child development. In the context of China's social welfare development, are social services responding to their needs, so that mothers can share responsibility for the needs of their children with disabilities? The research analyzed qualitative data about 6 case-study children in rural and urban China. The data were derived from observation and interviews with their parents and other family and community members. The analysis revealed that the capacity of the mother, community, and local social services had an impact on the rights of the children and mothers. They experienced social discrimination, insufficient social support, and local failure to implement central policy social services and income support. These findings are consistent with international research about disability rights. They reinforce the importance of economic redistribution to enable local implementation of the national disability rights policies, rather than merely relying on ephemeral concepts of cultural change. Further research about the comparative impact of economic and social change in China on mothers and children with disabilities would extend these findings.     

Critical Components in Implementing Evidence‐based Practice: A Multiple Case Study of Individual Placement and Support for People with Psychiatric Disabilities

When developing Community Mental Health Services to support people with psychiatric disabilities, European countries are advocating evidence ‐based practice (EBP ). Individual Placement and Support (IPS ) is an evidence ‐based model designed to support people in acquiring and maintaining competitive employment. Implementation science is a growing research field, with a focus on components that impact the process of implementing EBP programmes. In this multiple case study, we have followed three IPS demonstration sites for two years, in order to describe and analyze barriers and facilitators for implementation, according to constructs described in the Consolidated Framework for Implementation Research (Damschroder et al. 2009 ). The results highlight the importance of strategic networking, as well as the need for planning and preparations carried out before the start of an EBP programme, since deficiencies related to these constructs are difficult to compensate for.      

Protecting the Right to Life of Children with Disabilities in China

ABSTRACT

Chinese social policy to support parents in caring for their children is vital to address the urgent social problem of abandoning the life of children with disabilities by not seeking medical treatment. The child rights approach was used to analyze the effectiveness of Chinese social policy to protect the right to life of these children. Primary and secondary empirical data from 3 case studies where parents decided whether to abandon their child were analyzed. Did the child protection mechanisms protect the right to life of these children, and when did parents decide to abandon their children? The findings were: a) When the children were born, their right to life was not unconditional; b) the decision was made privately by parents—no formal decision procedure was available, the role of professionals was minimal, and the state did not intervene; and c) parents considered the disadvantages to their children if they lived. The implication is that China has not yet established a system to support parents and protect the lives of young children with disabilities. Future research to inform child protection reform and disability support to children and families to prevent children becoming abandoned is urgently needed.     

Effects of Individualized Education Programs on Cognitive Outcomes for Children with Disabilities in Head Start Programs

ABSTRACT

This study investigated the impact of Head Start, disability status, and receipt of an Individualized Education Program (IEP) on early language, literacy, and mathematics skills for low-income children with language, cognitive, emotional/behavioral, sensory, and physical disabilities. Secondary analysis of data was performed on a sample of children with disabilities (N = 570) drawn from the Head Start Impact Study, a nationally representative study of approximately 5,000 children randomly assigned to Head Start or non–Head Start programs. Results of ordinary least squares regression analyses indicated that Head Start participation enhanced outcomes for children with multiple disabilities; language, literacy, and mathematics skills at age 5–6 years were higher for these children compared to non–Head Start attendees. Head Start children with disabilities were more likely to have an IEP, though IEP receipt was associated with lower language, literacy, and mathematics scores among all children. There is a need to ensure that Head Start, and programs similar to Head Start, are more widely available to provide comprehensive, quality early childhood programming to children with cumulative risk factors (low income, multiple disabilities). Future research should clarify why IEP receipt was associated with poorer cognitive outcomes.     

Remembering with and Without Awareness Through Poetry to Better Understand Aging and Disability

SUMMARY

Poetry has been described as a universal translator. I offer three poems that are evocative of my experience as a child with my grandfathers and their disabilities; and as an adult attempting to deal with the impending death of my father. My wish is that the first poem will reinforce the idea that connecting with one's own memories of aged and disabled family members might support our interactions with people who are aged and disabled in the here and now. I present the final two poems to encourage those working with family members of seriously ill aged people in a hospital setting to better understand the stress of decision-making and to consider devising short-term mutual aid groups to support them during a time for which no preparation exists.     

Mortality analysis of persons with disabilities in Argentina by age,sex and duration of benefit, 2015–16

This article describes the differential mortality of Argentina’s disability pension beneficiaries during the 2015–16 period, based on National Social Security Administration (Administración Nacional de la Seguridad Social – ANSES) payment records. It compares data for those with an assessed disability with overall population data, as well as with available international data (from Canada, Chile, Mexico, and the United States of America). In addition to breaking down mortality rates for people with disabilities by age and sex, it also factors in duration of benefit, establishing an inverse correlation between benefit duration and mortality.     

Using Community-Based Participatory Research Strategies in Age-Friendly Communities to Solve Mobility Challenges

ABSTRACT

The number of older adults is steadily increasing in the United States and across the globe. Aging is linked to an increased risk of disability. Disabilities that limit one or more major life activities such as seeing, hearing, walking, and motor skills impact a person’s ability to drive a car. Low utilization of alternative transportation by older adults and people with disabilities may put them at risk for social isolation. Social isolation is associated with a variety of negative health outcomes. While communities are challenged to create available, acceptable, accessible, adaptable and affordable mobility options, there are widely held, inaccurate biases around older adults’ abilities to contribute to the development and improvement of alternative transportation options. Gerontological social workers are well-positioned to address this bias. This paper presents a case study of a large metropolitan county in the Midwest where community-based participatory research (CBPR) strategies were used to engage older residents to support the development of alternative transportation options supporting the tenets of environmental justice.     

Two Approaches to Seeing People with Disabilities

This study tests the possibility that attitudes to people with disabilities can be divided into two types: attitudes at the societal level and attitudes at the personal level. This distinction was made with the aim of clarifying ambiguities from previous research. One test of the proposed distinction rests on the assumption that personal contact with people with disabilities will influence attitudes at the personal level but not at the societal level. Sixty subjects were assigned to either a control group or intervention groups which experienced interventions involving a person with a disability. The attitudes of all subjects were measured one month before and at the time of the intervention. Data on prior contact were also collected. The results, which supported the two level approach, are discussed in terms of their implications for improving attitudes to people with disabilities.     

Successful yet insufficient: German policies for higher employment rates among older age groups

In recent years among the OECD countries, Germany has witnessed the largest increase in the employment rates of older people. This increase, and general German employment rates, are associated with both supply side measures in the fields of pensions and unemployment policies and employment promotion policies. Yet, supply side measures and Germany's shift from conservative towards liberal policy goals and policies in the case of older workers have resulted in economic inequality. These policies could be complemented by pro‐employability measures in order to become fully effective. This article describes recent policy reforms in the main policy fields of retirement, unemployment, and employment promotion, considers their effects on employment and inequality, and offers reform suggestions to raise further older worker employment rates without increasing inequality.     

The measurement and implication of the older people’s social function in the community: a Shanghai experience

Abstract

The study employed a quantitative approach to measure the social function of the older people. From a questionnaire survey in a Shanghai community, we found that participants’ party affiliation, education, age group, functional capacity (IADL) and occupational status were the major factors affecting older people’s social function. The older people participated more actively, tended to trust others more and enjoyed better social function in the community. These findings lead to implications for social work practices and policymaking procedures on active ageing.     

Measuring Support Provisions for People Living With Disabilities in South Asia: An Accessibility Index

ABSTRACT

The terms “empowerment,” “rights,” and “inclusiveness” are now commonly used in public policy, but little emphasis is placed on “accessibility” issues in the integration of disabled people. This article proposes a composite index to measure economic support provisions, such as employment, vocational training, microfinance, and safety nets. The index was tested in a case study (N= 245) of two districts in Pakistan. Results support a “cost/benefit”-based philosophy, rather than the “means–ends” goal, where the disabled poor are viewed as unproductive and risky payers, instead of giving them an opportunity to exercise their potential. Change for the disadvantaged poor can be brought about with the mandatory use of this index in local annual audits. Future research might examine the impact of the index and standardize it for global use.     

Resilience among older caregivers in rural Namibia: The role of financial status,social support and health

Background: Namibia has one of the highest human immunodeficiency virus (HIV) prevalence rates and one of the highest rates of orphanhood in the world, and older caregivers provide much of the care to Namibians living with HIV and acquired immune deficiency syndrome (AIDS) (UNAIDS, 2014). In this study, the authors explore how financial status, social support, and health were related to the resilience of caregivers caring for people affected by HIV and AIDS in rural northern Namibia, Africa. Method: Data were collected through a structured interview from (N = 147) caregivers from the Zambezi region. Results: Findings from this study show that employment and physical health were significantly associated with increased resilience in older caregivers. Discussion: Our findings point to the need for employment assistance and health services to improve the resilience of caregivers caring for people living with HIV and AIDS. We conclude that there is a need for more vigorous concerted efforts from public and private sector practitioners and policy makers to create more sustained formal employment opportunities and intervention programs aimed at improving the overall health of older HIV caregivers, especially those residing in rural HIV endemic communities in developing countries.     

Exploratory Study on Challenges Faced by Ageing Persons with Physical Disabilities

With a longer life expectancy, adults with lifelong physical disabilities face a double challenge of experiencing physical ravages brought on by normal ageing in addition to a deterioration of their pre-existing disabilities. This exploratory study seeks to uncover whether older adults with lifelong physical disabilities are buffered with sufficient financial, familial, social, and spiritual resources to deal with this double challenge. More dialogue should be initiated to prepare vulnerable older adults with lifelong physical disabilities for their old age before they are swept away by the tsunami of unexpected problems resulting in them needing more social support in their old age.