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.     

Students' Attitudes to the Inclusion of People with Disabilities in the Community

This study measures and compares the attitudes of students studying different subjects to the inclusion of people with mental retardation and mental illness in the community. The Community Living Attitude Scale (comprising the four subscales of Empowerment, Exclusion, Sheltering, and Similarity) was administered to a random sample of 149 Israeli college freshmen and women (social work: n = 43: law: n = 24; natural science: n = 42; and social science: n = 40). Overall, the students endorse Empowerment and perceive the Similarity of persons with disabilities to themselves more than they agree with the Exclusion attitude of segregating persons with disabilities from community life. Social work students showed more positive inclusion attitudes to people with disabilities than other students. Students were more likely to endorse Exclusion for people with mental illness than for people with mental retardation.     

西方残障身份发展理论述评及本土化思考

积极的残障身份认同对残障者本身具有重要意义,残障身份发展是残障者实现身份认同的路径,理解残障身份发展的过程也可以让残疾人工作者更好地为残障者提供教育、康复等相关服务。本文通过梳理较为典型的西方残障身份发展理论,结合国内残障身份相关研究及本土社会文化背景展开讨论。文章认为,在西方残障身份发展理论框架下,残障者形成积极身份认同的关键在于认同并融入一套在残障社区内共享的残障文化,而在我国社会文化背景下,目前并没有一套成体系的残障文化,残障者也难以体会残障的文化身份感,国内残障者的身份认同缺少本土残障文化依靠。     

Parental reactions to developmental disabilities in Chinese American families

Families of Chinese American children with mental retardation and developmental disabilities were interviewed regarding their attitudes and coping experiences. Chinese American parents, like other American parents, reacted to the crisis with intense feelings and needs. The parents revealed a lack of knowledge and understanding of the diagnosis. Chinese belief systems about health and illness were present in the parents' concepts of causation and treatment.Hunter College School of Social Work.     

The Impact of Sight Loss in Social Work Practice

Abstract

This article intends to familiarize the social worker with the various definitions of blindness and sight loss, common obstacles faced by persons with sight loss, general therapeutic issues, when and how to use self-disclosure of a disability, and the ways in which the social worker can use his or her disability, specifically sight-loss, as an instrumental therapeutic tool with clients. Case examples will be provided to illustrate effective interventions and the various ways in which a disability may impact a client or clients. In addition, a brief discussion of various theoretical approaches to understanding disabilities is outlined.     

The impact of sight loss in social work practice

This article intends to familiarize the social worker with the various definitions of blindness and sight loss, common obstacles faced by persons with sight loss, general therapeutic issues, when and how to use self-disclosure of a disability, and the ways in which the social worker can use his or her disability, specifically sight-loss, as an instrumental therapeutic tool with clients. Case examples will be provided to illustrate effective interventions and the various ways in which a disability may impact a client or clients. In addition, a brief discussion of various theoretical approaches to understanding disabilities is outlined.     

Studying Responses to Disability in South Asian Histories: approaches personal, prakrital and pragmatical

Approaches and pitfalls are described in the nascent field of Asian disability historiography, focusing on mental retardation (learning difficulties) and blindness (visual impairments) in India, Pakistan and Bangladesh. More substantial evidence has surfaced for study of responses to disability and disabled persons than for understanding historical concepts of disability. Critiques are considered of Orientalist information-gathering, of over-dependence on institutional sources, and of methodologies crossing disciplinary boundaries. With due attention to the range of hermeneutic variations, some recognition and understanding is possible of social and individual responses to disability and disabled people in South Asian history.     

Children with developmental disabilities in the child welfare system: a national survey

A survey of state agencies responsible for developmental disabilities/mental retardation and child welfare investigated the coordination of services for children with developmental disabilities. Recommendations are offered with regard to further research and model program development.     

Embracing the new disability rights paradigm: the importance of the Convention on the Rights of Persons with Disabilities

In 2008 the United Nations Convention on the Rights of Persons with Disabilities (CRPD) commenced operation. The CRPD has created a dynamic new disability rights paradigm that empowers disability people’s organizations and creates a new paradigm for disability scholars. This paper analyses the impact of the CRPD and provides practical guidance as to how this convention can be used to drive change. Prior to this convention, persons with disabilities were protected by a range of general human rights conventions. Despite receiving nominal protection under general human rights conventions, persons with disabilities have had many of their human rights denied to them. The CRPD goes further than merely re-stating rights. It creates a new rights discourse, empowers civil society and renders human rights more obtainable for person with disabilities than any time in history.     

Paradoxes, locations and the need for social coherence: a qualitative study of living with a learning difficulty

Policy rhetoric over recent decades has promoted social inclusion of the more vulnerable sectors of society, such as people with learning difficulties. This study aimed to describe the experiences of people who live with learning difficulties in order to inform local service development. Thirty-five people with a learning difficulty and/or a family member were interviewed. A model of social coherence was developed that moves beyond the self-limiting debates about social inclusion and exclusion. It is underpinned by a sense of location for the person with a disability in relation to services and carers, family and community, dependency and risk, temporality and space, events, control and society. Key recommendations are for services to know the individual and his/her family; to be responsive to individual needs; to enhance the capacity of families and communities to support people with difficulty in learning; and to help these people to feel more valued.     

A Contextual Analysis of Caregivers of Children With Disabilities

When a child is born with a disability, the caregiver's life is altered. With the numerous challenges caring for a child with disability brings, caregivers may feel devastated. These challenges often result in increased stress on the caregiver, which, in many cases, places the child at risk for maltreatment. The purpose of this study is to explore issues a caregiver faces when caring for his or her child. In this contextual analysis, seven caregivers of children with moderate-to-severe disabilities completed a questionnaire, were interviewed individually, and assisted the researcher in constructing an ecomap of their current living environment. Content from the interviews was analyzed and several themes developed from the data. Implications for clinical practice and future research ideas are discussed.     

Sexual Abuse Prevention: A Training Program for Developmental Disabilities Service Providers

Persons with developmental disabilities are at an increased risk for becoming victims of sexual abuse. Research has revealed that the largest group of identified perpetrators of sexual abuse is developmental disability service providers. The purpose of the present study was to develop, implement, and evaluate the effectiveness of a sexual abuse prevention training program. Participants were administered a survey assessing knowledge and attitudes before and after the training workshop. Small improvements in knowledge and attitudes about sexual abuse and the sexuality of persons with developmental disabilities were found; however, ge-neral attitudes about individuals with developmental disabilities did not change. Suggestions for future directions in this area are provided.     

Joint commission evaluation of behavioral health care organizations

The joint Commission on Accreditation of Healthcare Organizations has accredited behavioral health care organizations since 1957. Accredited behavioral health care organizations include organizations providing services to persons with psychiatric disorders, substance abuse disorders, or developmental disabilities/mental retardation; or, provide social services to other related populations. In the late 1980s, the Joint Commission initiated the redesign of accreditation to include performance measurement. Performance measurement initiatives include the IMSystem, Requests for Indicators, National Library of Healthcare Indicators, and a national Council on Performance Measurement. These initiatives are steps toward the integration of performance measurement data into the accreditation process.     

The National Protection and Advocacy System

Abstract

Many in the profession of social work are unfamiliar with the national system of protection and advocacy services that were set in place by Congress. The system provides advocacy and legal representation to protect the civil rights of all persons with disabilities, with a particular emphasis on persons with developmental disabilities and persons with mental illness. The article describes this system of resources, its method of operation, and shows its compatibility with the purpose and mission of social work.     

‘Angry,when things don’t go my own way’: what it means to be gay with learning disabilities

This article presents six poems constructed by George, a gay man with learning disabilities, who took part in an arts-based project for men with learning disabilities. The poetry reflects upon George’s feelings relating to his sexual desires, his longing for a loving relationship and his frustration and anger at not having control over his life. Like other people who are gay with learning disabilities, George regularly encountered stigma because of his disability and Lesbian, Gay, Bisexual, Transgender and Queer status, limiting the development of meaningful relationships, and increasing the resentment and anger George felt about life. Thus, barriers remain for people with learning disabilities who are gay. With this in mind, the aim of presenting the poems in this article is to develop further understandings of what it means to be a gay person with learning disabilities using poetry in an arts-based project.     

Knowledge,Tasks and Strategies for Teaching About Persons with Disabilities

Abstract

Persons with disabilities are a distinct and insular minority group within the United States. Given the fact that social workers offer critical social services to this group, it is important for social work programs to offer meaningful curriculum content on persons with disabilities. This article presents key issues that social work educators should find useful for teaching about persons with disabilities. Specifically, a discussion is offered on the disability civil rights movement, the culture of disability, models for defining disability, knowledge areas on disability issues, teaching tasks and strategies for focusing on persons with disabilities.     

Disability management and psychosocial rehabilitation: considerations for integration

Disability management strategies have been successful in preventing or accommodating physical disabilities in the workplace. Similar success has not been realized in the realm of psychological/mental health related disabilities. Integration of the principles and strategies of psychosocial rehabilitation and disability management programs can assist employers to control costs related to psychological/mental health disabilities and protect individual workers employability.     

Introduction

Abstract

The author shares some practice experience and personal reflection on her introduction to working with people with disabilities. Recognizing that the construct of “disability” is in the eye of the beholder, she shares an outline for one approach to an introductory course in working with people with physical, cognitive and developmental, and psychiatric disabilities. Common themes in practice and service delivery are discussed, as well as the unique role social workers can play in interagency collaboration.     

Challenges Faced by Women with Disabilities Under TANF

SUMMARY

A number of studies report the multiple problems facing women during the welfare reform transition. Within this group is a large number of single mothers struggling with both poverty and chronic health problems or disabilities. Those with these additional challenges might be expected to experience less success in moving out of poverty than those without these health challenges. In this study, we examine the progress of 178 women around the state of Wisconsin who were interviewed repeatedly about their experiences with welfare reform and poverty between 1997 and 2000, when the Wisconsin Works (W-2) program was being implemented. The incidence of health problems is related to level of education, and the type of disability has major impacts on expected outcome. Those with less education are more likely to suffer from health problems, especially mental health issues, depression and post-traumatic stress, which seem to be the most debilitating. These women also had difficulty accessing non-work support, such as Supplement Security Income (SSI), a federal assistance program for disabled persons with little or no income, or assistance from the Department of Vocational Rehabilitation (DVR), a federal and state program of assistance to promote the employment abilities of adults with disabilities.     

Variables that affect teachers' attitudes towards disability and inclusive education in Mumbai, India

Teacher attitude is one of the most important variables in the education of children with disabilities. Attitudes of general educators in the city of Mumbai, India, toward disabilities and inclusion of students with disabilities into regular schools were studied through the usage of two attitude scales. The study investigated whether variable background characteristics such as age, gender, income level, education levels, years of teaching experience, acquaintance with a person with a disability, having a family member with a disability, frequency of contact and closeness to a person with disability affect the attitudes of teachers towards people with disabilities and towards inclusion of students with disabilities into regular schools. The analyses revealed that while some of the variables of interest did affect teachers' attitudes towards disabilities, the only variable that affected teachers' attitudes towards inclusion was prior acquaintance with a person with a disability.