The dynamics of support over time in the intentional support networks of nine people with intellectual disability

This paper describes the dynamics of support observed in the networks of nine adults with intellectual disability, developed by families who had committed to achieving a ‘good life’ for this person. Network members, including the person with a disability, participated in this longitudinal ethnographic study. Three principles that underpinned their work were positive and respectful relationships, mentorship and providing opportunities and expectations. Participants worked actively with other network members to develop higher levels of autonomy and social participation.     

Disability stigmatization as a barrier to employment equity for legally-blind Canadians

Canada has expressed a strong commitment to the rights of its citizens against discrimination, including those with disabilities. A question remains whether Canadians with disabilities are able to practice these rights. Our mixed-methods study sheds light on the situation of one important sub-group of people with disabilities – those who are legally blind. Our survey results show that the labour-force participation rate for this population is very low compared with those without disabilities, and also lower than the rate for persons with other disabilities. Legally-blind working-age Canadians have significantly higher rates of unemployment and underemployment, and perceive major barriers to employment. In-person interviews reveal the negative impact of one major barrier – disability stigmatization – on accessing meaningful employment and other societal assets. We discuss the implications of these findings and suggest policy directions.     

The social model of disability: thirty years on

This year marks exactly 30 years since I published a book introducing the social model of disability onto an unsuspecting world and yet, despite the impact this model has had, all we now seem to do is talk about it. While all this chatter did not matter too much when the economy was booming, now it no longer booms it is proving disastrous for many disabled people whose benefits and services are being severely cut back or removed altogether. In the article I restate my view of what the social model was and what I see as its potential for improving the lives of disabled people. Finally I focus on the unfortunate criticisms of it and the disastrous implications these have had for disabled people.     

Technology Could Be Harmful Rather Than Beneficial: An Empirical Investigation of Caseworkers’ Perceptions Using a Knowledge Management Framework

ABSTRACT. The reasons for the ineffectiveness of some technology-mediated initiatives in human service organizations are not well understood. This study conceptualized a knowledge management system with the following features: a process orientation that focuses on how caseworkers integrate knowledge into decision making and a sociotechnical system perspective. A mediation research model was developed and was tested empirically using structural equation modeling with a sample of 4,554 caseworkers. Results supported the mediation effect of knowledge integration (KI) as an important factor in organizational effectiveness (OE). The technological domain had a small positive effect on KI and a direct negative effect on OE. The sociocultural and interorganizational domains appeared to be better predictors of KI and OE. Future recommendations include adopting a systematic approach in coordinating knowledge management practices based on a caseworker's KI ability.     

Conquering Depression and Anxiety Through Exercise,by Keith Johnsgard

No abstract available for this article.     

Economic Well-Being Among Older-Adult Households: Variation by Veteran and Disability Status

This analysis uses data from the Survey of Income and Program Participation (SIPP) to examine whether veteran and disability statuses are jointly associated with poverty and material hardship among households that include an older adult. Compared to households that do not include a person with a disability or veteran, disabled nonveteran households are more likely to be in poverty and to experience home hardship, medical hardship, and bill-paying hardship. Disabled veteran households are not significantly different in terms of poverty, but exhibit the highest odds of home hardship, medical hardship, bill-paying hardship, and food insufficiency. The implications for social work practice are discussed.     

Adult Day Care

Adult day care is a developing concept in the United States. Many consider it a viable alternative to institutionalization for older Americans who are incapacitated. When considering the predicted number of Americans age 80 and over to be 8 million by the year 2000, provisions must be developed to cope with this group and their specific needs. The English experience in adult day care represents a successful and cost effective program. A variety of models are functioning well. Model I and Model II Programs are currently in existence in the United States. Growth is slow but steady. The Subcommittee on Health and Long-Term Care of the House Select Committee on Aging, in 1980, recommended the establishment of a national policy on day care, with funds for planning, and a comprehensive restructuring of funds to better implement the day care concept. Recent legislation, in the form of the Economic Recovery Act, effective January I , 1982. and the 1981 Omnibus Budget Reconciliation Act, represents a beginning as far as economic incentives for day care are concerned. The political climate will undoubtedly effect the future of adult day care, and studies are urgently needed to document its cost effectiveness.     

The effects of physical and psychological health on life satisfaction among older adults with a physical disability in South Korea: focus on gender differences

This study aims to investigate whether (a) functional disabilities, self-rated health and depression influence life satisfaction among older adults with a physical disability, and (b) whether the effects of the predictors differ by gender. The study utilises 2008 Korea Welfare Panel Study data. The findings reveal that functional disabilities and depression are negatively associated with life satisfaction, whereas self-rated health is positively related with life satisfaction. In addition, the effects of functional disabilities and income on life satisfaction vary by gender. Implications for practice and policy are discussed.     

Advance Care Planning in the Delivery of Adult Protective Services

ABSTRACT

In ensuring the safety and protection of older adults from abuse and exploitation, adult protective services (APS) workers face a variety of situations involving serious illness and end-of-life conditions. Many older adults encountered in APS will present with one or more chronic conditions that may warrant discussion of advance care planning with clients and their families. This study surveyed APS workers (n = 508) in 21 states regarding encounters with end-of-life situations and the practice of future care planning. Results revealed that three-fourths of APS workers encounter clients with serious illnesses and about two-thirds do discuss planning in advance for care. More than one-half of the respondents indicated client incapacity and refusal to address future care needs as barriers to discussing planning in advance for care. Recommendations to enhance advance care planning among APS workers are discussed.     

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.