Trends in Rehabilitation Services and Employment for Persons With Disabilities

2006 ◽  
Author(s):  
Debra L. Hagen-Foley
Keyword(s):  
Rehabilitation Services ◽  
Persons With Disabilities

scholarly journals Modern aspects of social protection of combatants depending on the severity of disability

2020 ◽  
pp. 35-40
Author(s):  
N. M. Bieliaieva ◽  
O. B. Yavorovenko ◽  
I. V. Kurylenko ◽  
L. V. Prysiazhniuk ◽  
O. V. Dziuniak ◽  
...  
Keyword(s):  
Medical Rehabilitation ◽  
Rehabilitation Services ◽  
Persons With Disabilities ◽  
Rehabilitation Process ◽  
Group Iii ◽  
Rehabilitation Programs ◽  
Social Rehabilitation ◽  
Group I ◽  
Severity Of Disability ◽  
Rehabilitation Measures

The urgency of the problem is due to the significant increase in recent years in the number of young and middle-aged people who have passed the war, the need to develop adequate measures of social assistance and protection. An important task in the organization of the rehabilitation process is to determine the structure of the needs of servicemen with disabilities in various types of medical and social care and the development of individual rehabilitation programs (IRP) based on them. The purpose of the study: to determine the structure of the needs of servicemen with disabilities in medical and social rehabilitation depending on the severity of disability. Statistical data from 25 administrative territories of Ukraine for 2018 are analyzed, the needs of participants of military service with disabilities in medical and social rehabilitation measures, their structure are calculated. The data of the information base of the centers and the bureau of medical and social examination of the regions were used. Processing of the primary material was performed using the universal statistical package "Excel". In 2018, medical and social expert commissions (MSEC) of Ukraine for the first time and re-certified and recognized persons with disabilities 7843 combatants. Of these, disability of group I (IA and IB) was established in 2.6 %, II – in 29.2 %, III – in 68.2 % of cases. All victims for MSEC were formed IRP. The dependence of the needs of combatants in medical and social rehabilitation measures on the severity of disability has been established. For persons with disabilities of groups II and III, priority is given to medical and professional rehabilitation, group I – social rehabilitation and technical means of rehabilitation with medical support. Of the medical rehabilitation services for persons with II and III groups of disability, sanatorium treatment is significant, and group I – rehabilitation therapy. Among vocational rehabilitation services, employment in production conditions is important – for persons with group III disabilities, in specially created conditions – for persons with group II disabilities, at home – for persons with group I disabilities. Vocational training was offered to a small number of people with disabilities of all groups. Among social rehabilitation services and technical means of rehabilitation, the services of social workers of territorial social service centers were significant for representatives of all disability groups, simpler means of transportation for persons of group III disability and more complex means for persons of group I. Determining the characteristics of the needs of servicemen with disabilities depending on its severity allows MSEC specialists to better form the IRP, develop targeted rehabilitation programs at the regional level, assess shortcomings in the organization of the rehabilitation process and build a rehabilitation system for combatants.

scholarly journals Barriers and facilitators to utilisation of rehabilitation services amongst persons with lower-limb amputations in a rural community in South Africa

2018 ◽  
Vol 43 (1) ◽  
pp. 95-103 ◽  
Author(s):  
Ugendrie Naidoo ◽  
Liezel Ennion
Keyword(s):  
South Africa ◽  
Lower Limb ◽  
Rural Areas ◽  
Lower Limb Amputation ◽  
Barriers And Facilitators ◽  
Rural Setting ◽  
Limb Amputation ◽  
Rehabilitation Services ◽  
Personal Factors ◽  
Persons With Disabilities

Background: Persons with disabilities who reside in rural areas experience challenges accessing and utilising health services and rehabilitation. Due to the high prevalence of diabetes mellitus in rural regions, the risk of having a lower-limb amputation is increasing. Comprehensive rehabilitation is vital to mitigate the negative impact that a lower-limb amputation has on a person. Objective: To explore the barriers and facilitators to accessing rehabilitation experienced by persons with lower-limb amputations in a rural setting. Study Design: A qualitative descriptive approach was used to collect and analyse data. Methods: Data were collected from 11 conveniently sampled participants from three sub-district hospitals in the rural iLembe district, Kwa-Zulu Natal, South Africa. Data were collected using semi-structured interviews to explore the barriers and facilitators perceived by persons with lower-limb amputations in a rural region. Results: The three main barriers identified in this study were environmental factors, financial constraints and impairments. These barriers negatively impacted the participant’s utilisation of rehabilitation. The two main facilitators identified were environmental facilitators and personal factors which aided participant’s utilisation of rehabilitation. Conclusion: Access to rehabilitation was mainly hindered by the challenges utilising transport to the hospital, while self-motivation to improve was the strongest facilitator to utilising rehabilitation. Clinical relevance Rehabilitation is essential in preparation for prosthetic fitting. If a person cannot access rehabilitation services, they will remain dependent on caregivers. Highlighting the challenges to utilisation of rehabilitation in rural areas can assist to reduce these barriers and improve the functional status of persons with lower-limb amputations.

Recent Trends and Issues in Vocational Rehabilitation of People with ID

2016 ◽  
pp. 283-309
Author(s):  
Bijoy Kumar Dehuri ◽  
Bhavna Mukund
Keyword(s):  
Intellectual Disability ◽  
Vocational Rehabilitation ◽  
Supported Employment ◽  
Well Being ◽  
Rehabilitation Services ◽  
Persons With Disabilities ◽  
Integrated Employment ◽  
Recent Trends ◽  
People With Intellectual Disabilities ◽  
United Nations Convention

Employment has many advantages for people. Besides earning an income, work provides opportunities for social interaction, a means of structuring and occupying time, enjoyable activity and involvement, and a sense of personal achievement. Work is considered therapeutic and essential for both the physiological survival and psychological well-being of people in contemporary societies and hence it's importance in people with intellectual disability. The rights of people with disabilities have been given new attention with the entry into force of the United Nations Convention on the Rights of Persons with Disabilities (CRPD) in May 2008. The various policies, issues and trends in vocational rehabilitation of people with intellectual disabilities in existence in different countries need to be examined along with different models in existence to develop appropriate executable models whereby such rehabilitation services could be made available early in life to such individuals and after training they could be provided with supported employment or integrated employment as the case may be.

scholarly journals Prevalence and factors associated with utilization of rehabilitation services among people with physical disabilities in Kampala, Uganda. A descriptive cross sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Swaibu Zziwa ◽  
Harriet Babikako ◽  
Doris Kwesiga ◽  
Olive Kobusingye ◽  
Jacob A. Bentley ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Data Collection ◽  
Physical Disabilities ◽  
Cross Sectional Study ◽  
Education Level ◽  
Rehabilitation Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Persons With Disabilities ◽  
People With Physical Disabilities

Abstract Background Worldwide, fifteen percent (15%) of the world’s population or one (1) billion people live with some form of disability. In Uganda, 12.4% of the Uganda’s population lives with some form of disability and Kawempe division accounts for (22.6%) of all persons with disabilities living in Kampala district. Rehabilitation services are provided within Kawempe division at Mulago hospital physiotherapy department and Katalemwa rehabilitation center in Kampala district, Uganda at a free and a subsidized cost to help to improve the function, independence, and quality of life of persons with physical disabilities. However, many people with physical disabilities do not utilize the services and the reasons are not clear. Methods The study design was a descriptive cross-sectional study employing quantitative methods of data collection. A total of 318 participants were included in the study. Simple random sampling was used to select the study participants. Ethical issues were maintained at all levels during data collection and dissemination of results. Results The study revealed a prevalence of 26.4% of the utilization rehabilitation services among people with physical disabilities in Kawempe division, Kampala, Uganda. Factors that were significantly associated with utilization of rehabilitation services among people with physical disabilities at multivariable logistic regression analysis included; age (AOR: 0.30; 95% CI: 0.12–0.74), socioeconomic status (AOR: 2.13; 95% CI: 1.03–4.41), education level (AOR: 4.3; 95% CI: 1.34–13.91) and awareness of the participants about the rehabilitation services (AOR: 5.1; 95% CI: 2.74–9.54) at p value ≤0.05. Conclusion The study revealed a prevalence of 26.4% of the utilization rehabilitation services among people with physical disabilities in Kawempe division, Uganda. Factors that were significantly associated with utilization of rehabilitation services included; age, socioeconomic status, education level and awareness of the participants about the services. Therefore, the government and other relevant stake holders should increase sensitization and awareness of rehabilitation services, their benefits and facilities providing such services to people with physical disabilities, healthcare professionals and the general public.

The Relationship between Substance Use Disorders and Unsuccessful Case Closures in Vocational Rehabilitation Agencies

2008 ◽  
Vol 39 (2) ◽  
pp. 25-29 ◽  
Author(s):  
David Hollar
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Learning Disabilities ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Physical Disabilities ◽  
Rehabilitation Services ◽  
Persons With Disabilities ◽  
Vocational Rehabilitation Services ◽  
The Relationship

Vocational rehabilitation (VR) services can be challenging for certain persons with disabilities, particularly persons with mental illness, traumatic brain injury (TBI), and substance use disorders (SUD). This study focused on successful (status 26) and unsuccessful (status 28) closures contained in the Longitudinal Study of the Vocational Rehabilitation Services Programs (LSVRSP). Individuals with ADHD, mental illness, physical disabilities, SUD, and learning disabilities had the lowest successful closure rates (43.2%, 45.5%, 50.6%, 51.3%, and 51.4%, respectively). Consumers reported a need for additional services, lack of job availability, family problems, discrimination, and transportation issues as leading reasons for unsuccessful closure. The results indicate a need for more comprehensive services directed towards persons with behavioral disabilities.

scholarly journals A Cross-sectional Survey of Rehabilitation Service Provision for Children with Brain Injury in Selangor, Malaysia

2018 ◽  
Vol 1 (2) ◽  
pp. 45-58
Author(s):  
Ee Lin Tay ◽  
Chee Piau Wong
Keyword(s):  
Brain Injury ◽  
Rural Areas ◽  
Service Provision ◽  
Urban Areas ◽  
Urban Poor ◽  
Service Providers ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Unequal Distribution ◽  
Persons With Disabilities

Purpose:  Rehabilitation services in Malaysia are provided by both governmental and non-governmental agencies but there are challenges, such as the lack of integration between agencies, and accessibility barriers to services especially for the population of urban poor and people in the rural areas. With the help of a survey, this project aimed to gain a better understanding of rehabilitation services provided for children with brain injury within the state of Selangor and Federal Territories of Kuala Lumpur and Putrajaya.Method:  A list of 205 organisations that provide rehabilitation services for children with neurological injuries was compiled. The researchers attempted to verify the services by visiting the facilities or via telephone or email communication if visits were not possible.Results: The researchers were able to verify 83% of the organisations identified. There are 40 hospitals and 17 service providers for acute and / or chronic physical rehabilitation services for persons with disabilities of all ages, including children.Conclusion: Findings showed the unequal distribution of rehabilitation service provision by districts. Service providers were concentrated in the urban areas. Setting up new healthcare facilities is one of the solutions but the costs for development, construction, and manpower could be high. An alternative solution is proposed, namely, the use of a home-based virtual rehabilitation programme.

scholarly journals Use of rehabilitation services by persons with disabilities in Brazil: A multivariate analysis from Andersen’s behavioral model

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250615
Author(s):  
Arthur de Almeida Medeiros ◽  
Maria Helena Rodrigues Galvão ◽  
Isabelle Ribeiro Barbosa ◽  
Angelo Giuseppe Roncalli da Costa Oliveira
Keyword(s):  
Health Care ◽  
Multivariate Analysis ◽  
Primary Health Care ◽  
Behavioral Model ◽  
Individual Characteristics ◽  
Rehabilitation Services ◽  
Socioeconomic Conditions ◽  
Persons With Disabilities ◽  
Andersen’S Behavioral Model ◽  
Primary Health

Background For many years, discussions about health care for people with disabilities (PwD) in Brazil have not been treated as a priority; however, based on the advances made at the beginning of this century, new policies have been developed with the aim of improving access of these people to health services. Therefore, the aim of this study was to analyze how individual characteristics and contextual indicators are associated with access to rehabilitation services for PwD in Brazil. Methods A multivariate analysis was performed based on data from the National Health Survey 2013, considering access to rehabilitation services by PwD as the primary outcome and individual and contextual factors selected from Andersen’s behavioral model as independent variables. The contextual variables were reduced to two composite indicators (1-primary health care coverage and unfavorable socioeconomic conditions, and 2-economic inequality) from the analysis of the principal components. Poisson regression analysis with robust variance was performed to estimate the prevalence ratio (PR) and the respective 95% confidence interval (95%CI). Results Access to rehabilitation services by PwD was more prevalent in people aged 0 to 17 years (PR = 3.28; 95%CI 2.85–3.78), who are illiterate (PR = 1.24; 95%CI 1.09–1.40), whose socioeconomic level is A or B (PR = 1.60; 95%CI 1.35–1.88), who have health insurance (PR = 1.31; 95%CI 1.15–1.49), who have severe limitations (PR = 3.09; 95%CI 2.64–3.62), who live in states with a good offer of Specialized Rehabilitation Centers, both type II (PR = 1.20; CI95% 1.08; 1.33) and type IV (PR = 1.29; CI95% 1.15; 1.44), and who have greater coverage of primary health care, but unfavorable socioeconomic conditions (PR = 1.15; CI95% 1.03–1.28). Conclusion The results clarify the social inequities that exist regarding access to rehabilitation services for PwD in Brazil and highlight the need to formulate and implement public policies that guarantee the realization of the rights of these people.

scholarly journals PUBLIC ORGANIZATIONS AND UNIONS OF PERSONS WITH DISABILITIES AS SUBJECTS OF PROVIDING SOCIAL AND REHABILITATION SERVICES MEANS OF INCLUSIVE COMMUNITY TOURISM

2020 ◽  
pp. 193-194
Author(s):  
Галина Кучер
Keyword(s):  
Social Services ◽  
People With Disabilities ◽  
Public Organizations ◽  
Rehabilitation Services ◽  
Persons With Disabilities ◽  
New Approaches ◽  
Stage Of Development ◽  
Community Tourism

In today's conditions, public organizations of persons with disabilities are experiencing a new stage of development, gradually moving from users of social services to their providers. They carry out social and public activities based on new approaches in statutory activities, which encourages the search for more effective forms of interaction with people with disabilities of different nosologies and ages, government, media, business, and among themselves.

The Relationship Between Substance Use Disorders and Unsuccessful Case Closures in Vocational Rehabilitation Agencies

2008 ◽  
Vol 39 (3) ◽  
pp. 48-52 ◽  
Author(s):  
David Hollar ◽  
Mary McAweeney ◽  
Dennis Moore
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Learning Disabilities ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Physical Disabilities ◽  
Rehabilitation Services ◽  
Persons With Disabilities ◽  
Vocational Rehabilitation Services ◽  
The Relationship

Vocational rehabilitation (VR) services can be challenging for certain persons with disabilities, particularly persons with mental illness, traumatic brain injury (TBI), and substance use disorders (SUD). This study focused on successful (status 26) and unsuccessful (status 28) closures contained in the Longitudinal Study of the Vocational Rehabilitation Services Programs (LSVRSP). Individuals with ADHD, mental illness, physical disabilities, SUD, and learning disabilities had the lowest successful closure rates (43.2%, 45.5%, 50.6%, 51.3%, and 51. 4%, respectively). Consumers reported a need for additional services, lack of job availability, family problems, discrimination, and transportation issues as leading reasons for unsuccessful closure. The results indicate a need for more comprehensive services directed towards persons with behavioral disabilities.

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