Unmet needs for home and community-based services among persons with disabilities in Massachusetts

Basaglia anticipated, more than 50 years ago, the paradigm shift from ‘illness’ to the ‘person’—a shift that the recovery movement proposes today, both from a theoretical and a practical point of view. Mental illness can be seen as an artefact, shaped by the institution, and can be defined as a double that conceals human experience. Deinstitutionalization is underlined as the main strategy to overturn the oppression of people with psychosocial disabilities in the asylum and beyond, to mobilize resources for their recovery and social integration, as well as to create services and supports in the community. The passage from needs to citizenship rights, the social dimension of recovery, and the issue of empowerment are mediated by the role of community-based services. The experience of Trieste, begun in 1971, can be seen as the ‘practically true’ invoked by Franco Basaglia. The legislation of 1978 was based on the recognition of human rights as conformed today by the Convention on the Rights of Persons with Disabilities (CRPD).

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Gender and Transportation Access among Community-Dwelling Seniors

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.3138/cja.26.2.149 ◽

2007 ◽

Vol 26 (2) ◽

pp. 149-158 ◽

Cited By ~ 10

Author(s):

Josette Dupuis ◽

Deborah R. Weiss ◽

Christina Wolfson

Keyword(s):

Unmet Needs ◽

Community Dwelling ◽

Social Effects ◽

Urban Setting ◽

Lower Income ◽

Community Based ◽

Multivariable Analyses ◽

Design And Methods ◽

Community Based Services ◽

Income Satisfaction

ABSTRACTPurpose: This study estimates the prevalence of problems with transportation in a sample of community-dwelling seniors residing in an urban setting and investigates the role that gender plays in the ability of seniors to remain mobile in their communities.Design and Methods: Data collected as part of a study assessing the prevalence and consequences of unmet needs for community-based services in a random sample of 839 elderly aged 75 years and older were employed in bivariate and multivariable analyses.Results: The prevalence of problems with transportation was 23 per cent, with 33 per cent of females and 10 per cent of males categorized as having problems with transportation. Of those subjects categorized as having problems with transportation, 88 per cent were women. In addition to being predominantly women, those who reported problems with transportation were older, in poorer health, and had lower income and income satisfaction.Implications: Problems with transportation are an important issue facing seniors; women, in particular. These results highlight the differences in aging as experienced by women and men with respect to social effects, needs, and the significance attached to the experience.

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Social Inclusion: A Proposed Framework to Inform Policy and Service Outcomes Evaluation

Inclusion ◽

10.1352/2326-6988-4.4.226 ◽

2016 ◽

Vol 4 (4) ◽

pp. 226-238 ◽

Cited By ~ 1

Author(s):

Virginie Cobigo ◽

Roy Brown ◽

Yves Lachapelle ◽

Rosemary Lysaght ◽

Lynn Martin ◽

...

Keyword(s):

Intellectual Disability ◽

United Nations ◽

Social Inclusion ◽

Consensus Building ◽

Community Based ◽

Persons With Disabilities ◽

Outcomes Evaluation ◽

Service Outcomes ◽

United Nations Convention ◽

Community Based Services

Abstract Social inclusion is recognized as a fundamental right in the United Nations Convention on the Rights of Persons With Disabilities (2006). Inclusion is also an explicit goal for community-based services in many countries. However, existing definitions of social inclusion are insufficient to support the development of policies and services, and the evaluation of their success in promoting social inclusion. Furthermore, existing definitions and measures tend to overlook the perspective of persons with disabilities and their significant others. Using a consensus building strategy, we developed a framework of social inclusion, which included the perspective of adults with intellectual disability. The proposed framework supports the development and evaluation of social inclusion policies and service outcomes.

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