scholarly journals Community-based workers’ capacity to develop inclusive livelihoods for youth with disabilities in Botswana

2021 ◽  
Vol 10 ◽  
Author(s):  
Ermien Van Pletzen ◽  
Bryson Kabaso ◽  
Theresa Lorenzo
Keyword(s):  
Urban Communities ◽  
Phenomenological Approach ◽  
Policy Formulation ◽  
International Classification Of Functioning ◽  
Structured Interviews ◽  
Community Based ◽  
Youth With Disabilities ◽  
Innovative Strategies ◽  
Community Based Rehabilitation ◽  
Supportive Community

Background: Youth with disabilities encounter multiple barriers to livelihood opportunities and socio-economic inclusion. Research focusing on identifying and evaluating evidence-based strategies that may facilitate their transition into socio-economic participation is limited.Objectives: The study undertook to contribute knowledge and evidence to inform inclusive socio-economic development of youth with disabilities and capacitation of community-based workers engaged in implementing the livelihood component of community-based rehabilitation programmes advocating for inclusive development.Method: This qualitative exploratory case study used the International Classification of Functioning, Disability and Health: Children Youth Version to analyse community-based workers’ knowledge and experience of the rural and peri-urban communities in which they worked in Botswana. It further analysed their activities, strategies and recommendations in response to environmental factors impacting the livelihood opportunities of youth with disabilities. Data were generated through semi-structured interviews, following a life history and phenomenological approach. Data were analysed inductively using thematic content analysis.Results: Community-based workers showed sufficient knowledge and experience of barriers and enablers in health, education and training, social development, employment and governance that facilitated or obstructed access to livelihood opportunities for youth with disability. Identifying more barriers than enablers, community-based workers adopted innovative strategies to sustain and strengthen their practices and activities in the livelihoods domain. They contributed recommendations, mainly aimed at government.Conclusion: Community-based workers have the capacity to provide valuable evidence and design strategy to facilitate the socio-economic inclusion of youth with disabilities. They are particularly adept at intervening at local levels but do not have sufficient confidence or capacity to mobilise supportive community structures or to exert influence at the level of policy formulation, decision-making and implementation.

scholarly journals Am I there yet? The views of people with learning disability on forensic community rehabilitation

2015 ◽  
Vol 6 (3/4) ◽  
pp. 148-164 ◽  
Author(s):  
Alana Davis ◽  
Michael Doyle ◽  
Ethel Quayle ◽  
Suzanne O'Rourke
Keyword(s):  
Learning Disability ◽  
Interpretative Phenomenological Analysis ◽  
Community Integration ◽  
Current Model ◽  
Service Users ◽  
Structured Interviews ◽  
Community Based ◽  
Content Type ◽  
Community Rehabilitation ◽  
Community Based Rehabilitation

Purpose – Previously, diversion from the criminal justice system for people with learning disability (LD) and serious forensic needs in Scotland meant hospitalisation. More recently new legislation has meant that community-based rehabilitation is possible for this group. The purpose of this paper is to qualitatively explore the views of people with LD subject to these legal orders. This is both a chance to work in partnership to improve services and also to make the voices of this potentially vulnerable group heard. Design/methodology/approach – Semi-structured interviews were conducted with ten participants subject to a community-based order. All participants were male. Ages, index behaviour, and time spent on order varied. The data was transcribed and analysed using interpretative phenomenological analysis. Findings – The main themes which emerged from the data were a taste of freedom, not being in control, getting control back, loneliness, and feeling like a service user. Participants described positives about community-based rehabilitation but also a number of negatives. Practical implications – Participant accounts suggest that the current community rehabilitation model has some shortcomings which need to be addressed. Suggestions are made for improvements to the current model relating to: achieving clarity over the role of support staff and pathways out of the system; increasing opportunities for service users to voice concerns; empowering staff teams via extensive training and supervision; and directly addressing internalised stigma to promote community integration. Originality/value – This is the first piece of work evaluating compulsory community forensic care for people with LD from the perspective of service users. It highlights difficulties with the system which could lead to helpful ways to evolve this model.

scholarly journals An exploration of engagement in community based creative activities as an occupation for older adults

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Luned Edwards ◽  
Bethan Owen-Booth
Keyword(s):  
Older Adults ◽  
National Policy ◽  
Occupational Therapists ◽  
Well Being ◽  
Phenomenological Approach ◽  
Ageing Population ◽  
Creative Arts ◽  
Structured Interviews ◽  
Community Based ◽  
Content Type

Purpose The purpose of this study was to explore the experiences of older adults (aged 60 and over) participating in community-based creative arts. With an ever increasing ageing population, understanding the benefits of leisure occupations such as community creative arts will be vital for Occupational Therapists in facilitating participation and active engagement. Design/methodology/approach An empirical qualitative research design with an interpretive phenomenological approach was undertaken. A purposive sampling method enlisted four older adult volunteers whose experiences of creative arts were explored through semi-structured interviews. Interview data were analysed thematically. Findings Participants identified many benefits of engaging in community creative arts. Four main themes were identified, namely, “personal benefits”, “choice” in their occupation, “encouragement” to and from others, with the environment facilitating “socialising”. These resulted in improved occupational performance and positive well-being outcomes. Originality/value The study complements national policy and extends evidence-based practice on the potential well-being benefits on older adults. In support of the preventative agenda, occupational therapists may apply these findings to increase social prescribing within practice.

scholarly journals A qualitative study: Barriers and support for participation for children with disabilities

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Anne Marie Witchger Hansen ◽  
Musonde Siame ◽  
Judith Van der Veen
Keyword(s):  
Social Participation ◽  
Children With Disabilities ◽  
Community Support ◽  
Structured Interviews ◽  
Community Based ◽  
Policy Makers ◽  
Barriers To Participation ◽  
Community Based Rehabilitation ◽  
Advocacy Strategies ◽  
Financial Burdens

Background: This qualitative–exploratory study examined the barriers to participation amongst children with disabilities in Lusaka, Zambia, from the mothers’ perspective.Objectives: The objectives of this study were to understand how mothers of children with physical and cognitive disabilities who engaged their children in community-based rehabilitation (CBR) services in Lusaka, Zambia, perceived and described (1) the level of support they received and the barriers they encountered in terms of their child’s meaningful social participation; (2) the use and awareness of these barriers to identify and pursue advocacy strategies; and (3) hopes for their child’s future.Methods: Data were collected through semi-structured interviews with each mother in her home.Results: Findings revealed both support and barriers to the child’s social participation in relationship to their family, friends and community. Support also came from the CBR programme and mothers’ personal resourcefulness. Mothers identified their child’s school,their immediate environment and financial burdens as barriers to participation as well as their own personal insecurities and fears. Strategies to overcome barriers included internal and external actions. The mothers involved in the study hope their child’s abilities will improve with continued CBR services. Some mothers described a bleak future for their child due to alack of acceptance and access to education.Conclusion: The findings of this study suggest the significant role the mother of a child with a disability plays in her child’s social participation. Recommendations include enhancing CBR programming for families, especially for mothers, and advocating on behalf of children with disabilities and their families to attract the attention of policy makers.

scholarly journals PHYSIOTHERAPY SERVICE WITHOUT STANDARDIZED OPERATING PROCEDURES FROM PHYSIOTHERAPIST’S PERSPECTIVE: A CASE STUDY

2021 ◽  
Vol 9 (2) ◽  
pp. 191
Author(s):  
Triana Karnadipa
Keyword(s):  
Clinical Guidelines ◽  
Qualitative Case Study ◽  
Standard Operating Procedure ◽  
Evidence Based ◽  
Structured Interviews ◽  
Community Based ◽  
Self Confidence ◽  
Community Based Rehabilitation ◽  
Standard Operating

Background: Treatment variations have been considered as a sign of an inappropriate healthcare service whether due to the underuse or the overuse of resources. To reduce these variations, establishing and implementing well-developed standardized operating procedures (SOPs) and evidence-based standardized clinical guidelines is required. A rehabilitation unit for children with disabilities in Makassar did not implement any SOPs or standardized clinical guidelines in their service and treatment. This conduct may have an adverse effect on physiotherapists’ professionalism.Aims: The study aimed to explore the possible impact of community-based rehabilitation (CBR) practice with no SOPs and evidence-based standardized clinical guidelines on the physiotherapists. Method: This study was a qualitative case study. The CBR unit was observed for 278-hours and the study conducted three semi-structured interviews. Three physiotherapists voluntarily participated in the study. Open, axial, and selective coding were conducted to encode the interview findings. The findings from observation encoded interview, field, and self-reflective notes were triangulated, analyzed thematically, and illustrated by the explorative model.Results: Working with no SOPs and guidelines was associated with variations in procedures by physiotherapists, irregularity in their treatment choices, liability feeling toward errors making, and Low self-confidence in their professionalism.Conclusion: Working without SOPs and guidelines was associated with psychological exertion of the physiotherapists. They showed uncertainty in their professional capabilities as a physiotherapist. It is recommended for YPAC Makassar city to develop SOPs and evidence-based standardized clinical guidelines for their organization.Keywords: children, community-based rehabilitation, disability, guidelines, standard-operating procedure 

scholarly journals The Impact of Community-Based Rehabilitation in a Post-Conflict Environment of Sri Lanka

2017 ◽  
Vol 28 (1) ◽  
pp. 93-111
Author(s):  
Masateru Higashida ◽  
Joseph Soosai ◽  
Jacob Robert
Keyword(s):  
Quantitative Analysis ◽  
Sri Lanka ◽  
Positive Impact ◽  
Family Members ◽  
People With Disabilities ◽  
Structured Interviews ◽  
Community Based ◽  
Post Conflict ◽  
Community Based Rehabilitation ◽  
The Impact

Purpose: Conflict and disability are closely associated; it is therefore significant to examine strategies at the grassroots-level for restoring the human rights of people with disabilities living in post-conflict societies. The aim of this study is to reveal the impact of and issues with community-based rehabilitation (CBR) in the Northern Province of Sri Lanka that was ravaged by civil war from 1983 to 2009.Methods: The research was implemented in October 2016, in collaboration with a local NGO in the Mullaitivu district. A mixed-methods approach was followed, which included quantitative analysis of the NGO’s registration database of people with disabilities in the area (n=964), group interviews with 9 community rehabilitation committees (CRCs) of people with disabilities and their family members (n=118), and semi-structured interviews with clients of the CBR programme (n=5). Thematic analysis was applied to the narrative data.Results: The quantitative analysis on clients of the NGO revealed that 60.9% of disabilities were related to war. Livelihood assistance was the most common type of self-reported need (44.6%). The qualitative analysis revealed that in communities with inadequate local resources, CRCs that had access to livelihood assistance made a positive impact on the socioeconomic conditions of people with disabilities and their family members. Potential issues were observed, such as the expectation of and dependence on the financial aid without self-help. Some people with disabilities would not attend CRCs if there were no financial benefits. As most of the participants had war-related disabilities, it is also possible that participation of people with intellectual and psychiatric disabilities unrelated to war may not have been promoted in some CRCs.Conclusions: The CBR programme has had positive impacts on the living conditions of participants, albeit with some potential issues such as financial expectations and aid dependency. The authors argue that empowerment of people with disabilities and addressing socioeconomic inequality should be considered simultaneously.

scholarly journals Exploring the Perceptions of and Experiences with Traditional Foods among First Nations Female Youth: A Participatory Photovoice Study

2020 ◽  
Vol 17 (7) ◽  
pp. 2214
Author(s):  
Rebecca Hanemaayer ◽  
Kimberley Anderson ◽  
Jess Haines ◽  
Kitty RLynn Lickers ◽  
Adrianne Lickers Xavier ◽  
...  
Keyword(s):  
Urban Communities ◽  
First Nations ◽  
Indigenous Peoples ◽  
Well Being ◽  
Food Choices ◽  
Traditional Food ◽  
Structured Interviews ◽  
Traditional Foods ◽  
Community Based ◽  
Photovoice Methodology

Traditional foods contribute to the health and well-being of Indigenous Peoples. Many Indigenous Peoples within Canada have expressed a desire to consume more traditional foods; however, there are a number of barriers to doing so. Southern and urban communities face unique challenges associated with traditional food consumption. To address these concerns and build on community interests in a Haudenosaunee community in Southern Ontario, a participatory research project was initiated. This community-based study utilized Photovoice methodology to explore the perceptions of and experiences with traditional foods among local youth. Participants ranging in age from 15–22 (n = 5) took photos of their local food environments, including locations where foods were acquired, consumed, prepared, or shared during two seasons of the year. Semi-structured interviews were conducted to collect participants’ stories behind 8–10 self-selected images. A thematic analysis was subsequently utilized to identify patterns and themes illustrated by the photos and interview content. The youth conveyed contextual understandings of traditional foods and a preference for these items, despite their limited consumption, preparation or harvesting of these foods. The youth also identified the important influence of families and communities on their individual perceptions and experiences with traditional foods. Recommendations to reduce barriers to traditional food choices among youth are made.

scholarly journals Perceived Usability and Acceptability of Videoconferencing for Delivering Community-Based Rehabilitation to Individuals with Acquired Brain Injury: A Qualitative Investigation

2020 ◽  
Vol 26 (1) ◽  
pp. 47-57 ◽  
Author(s):  
Tamara Ownsworth ◽  
Deborah Theodoros ◽  
Louise Cahill ◽  
Atiyeh Vaezipour ◽  
Ray Quinn ◽  
...  
Keyword(s):  
Brain Injury ◽  
Service Delivery ◽  
Technology Acceptance ◽  
Family Caregivers ◽  
Acquired Brain Injury ◽  
Structured Interviews ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
Perceived Usability ◽  
Case Basis

AbstractObjectives:There is limited research on the use of telerehabilitation platforms in service delivery for people with acquired brain injury (ABI), especially technologies that support delivery of services into the home. This qualitative study aimed to explore the perspectives of rehabilitation coordinators, individuals with ABI, and family caregivers on the usability and acceptability of videoconferencing (VC) in community-based rehabilitation. Participants’ experiences and perceptions of telerehabilitation and their impressions of a particular VC system were investigated.Methods:Guided by a theory on technology acceptance, semi-structured interviews were conducted with 30 participants from a community-based ABI service, including 13 multidisciplinary rehabilitation coordinators, 9 individuals with ABI, and 8 family caregivers. During the interview, they were shown a paper prototype of a telehealth portal for VC that was available for use. Interview transcripts were coded by two researchers and analysed thematically.Results:The VC was used on average for 2% of client consultations. Four major themes depicted factors influencing the uptake of VC platforms; namely, the context or impetus for use, perceived benefits, potential problems and parameters around use, and balancing the service and user needs. Participants identified beneficial uses of VC in service delivery and strategies for promoting a positive user experience.Conclusions:Perceptions of the usability of VC to provide services in the home were largely positive; however, consideration of use on a case-by-case basis and a trial implementation was recommended to enhance successful uptake into service delivery.

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