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Panyamee, Jananya. "Independent living : the perspectives of people with acquired physical impairments in the Thai community /." [St. Lucia, Qld.], 2005. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19180.pdf.
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Karl, Ralph. "PSS Center for Independent Living evaluation of the residential service program /." Online version, 2008. http://www.uwstout.edu/lib/thesis/2008/2008karlr.pdf.
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Shepherd, Thomas J. N. (Thomas John Nicholas) Carleton University Dissertation Social Work. "Getting to the heart: the role of frontline workers in supported living." Ottawa, 2000.
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Paul, Rosalind. "Choice for people with learning disabilities living in residential care settings : a discourse analysis." Thesis, Glasgow Caledonian University, 2015. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.743878.
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Ellingsberg, Carol E. "CCTV use by visually impaired seniors living independently in community settings." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002ellingsbergc.pdf.
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Samuel, Judith C. "An evalution of intensive interaction in community living settings for adults with profound learning disability." n.p, 2003. http://ethos.bl.uk/.
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Rashid, Zulqarnain. "Cricking implementation with augmented reality and RFID: towards independent living of people with motor disabilities." Doctoral thesis, Universitat Pompeu Fabra, 2016. http://hdl.handle.net/10803/350796.
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People with manipulative and locomotive disabilities represents a large fraction of the population classified as disabled, including the elder, injured and other health related issues. Wheelchairs have evolved in order to maintain their mobility, autonomy and independence in the society. Despite important achievements in accessibility in current society (e.g. streets adapted to wheelchairs, or public transportation adapted with ramps and elevators), people with motor disabilities still lack independence in daily activities to improve their quality of life. Shopping is one example, where users can not access products in shelves beyond their arm length. Due to this barrier they often need personal assistance or support to complete all the necessary steps in the shopping activity. However, wheelchair users may prefer to shop individually (that is, without the assistance) in order to maintain their independence and privacy. This dissertation presents a novel systems that allows wheelchair user to interact with items placed beyond their arm length, by means of real-time interactive interfaces collaborated with Radio Frequency Identification (RFID). Our proposal, based on the concept of Smart Spaces, allows the users to interact through Hand-held, Smart Glass or Touch Screen interfaces in real-time with the items present on the shelf. We designed and evaluated the system with the participation of 18 wheelchair users with different degrees of physical disabilities. The obtained results demonstrate the suitability of our proposed system towards an improvement of the independence and empowerment of wheelchair users in shopping activities.La gent amb deterioraments locomotrius i de manipulació representa una gran fracció de la població classificada com discapacitada, incloent ancians, lesionats i altres problemes de salut relacionats. Les cadires de rodes han evolucionat per mantenir la mobilitat, autonomia i independència a la societat. Malgrat els importants avenços en accessibilitat a l’actual societat (p.e. carrers adaptats per cadires de rodes o transport públic adaptat amb rampes i elevadors), la gent amb problemes motors encara manquen de independència en tasques diàries per millorar la seva qualitat de vida. Anar de compres és un exemple, a on els usuaris no poden accedir a productes als prestatges més enllà de la llargada dels seus braços. Degut a aquesta barrera, sovint necessiten atenció personal o suport per completar tots els passos necessaris en una activitat de compres. Però els usuaris amb cadires de rodes prefereixen anar a comprar individualment (això vol dir, sense assistència) per tal de mantenir la independència i privacitat. Aquesta dissertació presenta un nou sistema que permet als usuaris amb cadira de rodes interactuar amb objectes col•locats més enllà de la llargada dels seus braços, a través d’una interfície interactiva en temps real amb la Identificació per Radiofreqüència o RFID. La nostra proposta, basada en el concepte d´espais intel•ligents, permet als usuaris interactuar mitjançant la mà, ulleres intel•ligents o una interfície web a una pantalla tàctil en temps real amb els objectes presents al prestatge. Hem dissenyat i avaluat el sistema amb la participació de 18 usuaris en cadira de rodes amb diferents graus de discapacitat física. Els resultats obtinguts demostren la idoneïtat de la nostra proposta de sistema cap a una millora de la independència i apoderament dels usuaris en cadira de rodes en activitats de compra.
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Atanga, Barbara Apaalabono. "Assessing the impact of smart tourism on the accessibility of people living with mobility disabilities." Kent State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=kent1586688586285019.
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Theakstone, Dianne-Dominique. "A comparative analysis of the governance mechanisms in two Centres for Inclusive Living that enhance disabled people's life choices." Thesis, University of Stirling, 2017. http://hdl.handle.net/1893/27569.
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This study examined disabled people’s access to independent living in Scotland and Norway. At the time of the field work for this research in 2012, the literature revealed no comparable social enquiry combining the concepts of citizenship, independent living and governance. Within disability studies, independent living denotes a perspective that recognises the interconnected nature of life areas that affect lived experiences of disablement and inclusion of disabled citizens. From the independent living movement, Centres for Inclusive Living emerged as unique governance structures with full service-user involvement and run by disabled people for disabled people. This study focused upon to what extent the organisational governance structures in the Glasgow Centre for Inclusive Living (GCIL) and Uloba Centre for Independent Living (Uloba) in Norway facilitate or impede disabled people’s access to independent living. The methodology adopted a mixed methods approach. The central method involved organisational case studies with GCIL and Uloba. This enabled an in-depth qualitative exploration through semi-structured interviews with the case study employees, service-user/co-owners and key experts within each country. In addition, an online survey was distributed to other organisations that operated within the disability field. The analytical framework used an integration of the social relational model of disability (Thomas, 1999) and meso level governance analysis (Lowe, 2004). The social relational model of disability provided structural (macro) and agency (micro) level interpretations and an emphasis on psychosocial elements of disability. It also enabled the synergy of a theory of impairment alongside a theory of disability. Meso (organisational) governance analysis focused attention on the connections between organisations in society. This focus revealed the lateral relationships with other meso level bodies, macro institutions and micro individual action. Research participants prioritised the areas of peer support, accessible housing and personal assistance. Peer support was found to take both informal and formal manifestations and acted as a foundation for the other two areas of independent living. The findings highlighted that Centres for Inclusive Living provide facilitation for access to independent living across macro, meso and micro tiers of society. In particular, empowerment, peer support and user led governance formed key strategies that enhanced disabled people’s access to independent living in Scotland and Norway.
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Lifshitz, Pleet Judy Charna. "Quality of life of intellectually challenged adults living in the community." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33463.
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This study examined the relationship between the principle of normalization and the concept of quality of life of intellectually challenged adults living in the community. The effect of demographic variables on the quality of life of this population was examined. The sample consisted of sixty respondents from four agencies (one from Montreal and three from Ottawa) providing services to intellectually challenged adults. Cummins' (1997) Comprehensive Quality of Life---Intellectual Disability Fifth Edition (ComQol-I5) was used.Both objective and subjective quality of life scores were calculated. The major findings were: (1) the subjective scores were higher than the objective scores; (2) a number of subjective scores were positively correlated with the objective score for community (attending leisure/social activities, belonging to a group and/or holding a position of responsibility) and (3) higher functioning respondents (income, diagnosis, education and living arrangements) had significantly higher overall quality of life scores. Results were compared with two outside samples (Italian and Australian); all three samples showed a similar pattern of lower objective scores and higher subjective scores.
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Modlin, Susan Jane. "TRANSITION TO ADULTHOOD: THE EXPERIENCE OF YOUTH WITH PHYSICAL DISABILITIES LIVING WITH A SERVICE DOG." Thesis, Connect to resource online, 2008. http://hdl.handle.net/1805/1612.
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Thesis (Ph.D.)--Indiana University, 2008.Title from screen (viewed on April 23, 2008). School of Nursing, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Melinda M. Swenson, Joan K. Austin, Sharon L. Sims, John McGrew. Includes vitae. Includes bibliographical references (leaves 142-161).
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Jacobs, Joyce. "A descriptive study of housing preferences for persons with disabilities living in nursing homes in Dunn County." Online version, 2001. http://www.uwstout.edu/lib/thesis/2001/2001jacobsj.pdf.
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Adolfsson, Päivi. "Food Related Activities and Food Intake in Everyday Life among People with Intellectual Disabilities." Doctoral thesis, Uppsala universitet, Institutionen för kostvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-131328.
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The aim of this thesis was to study food, eating and meals in the everyday life of 32 women and men with intellectual disabilities (IDs) who require varying levels of supervision. They lived in supported living (rather independently) or group homes in community-based home-like settings. Observations during 3 days, assisted food records and anthropometric measurements were used to collect data. Dietary intake on the group level showed a varied diet and sufficient intake of all micronutrients, but a low dietary fibre intake. On the individual level, inadequate intake of micronutrients was observed, with many participants being obese, overweight or underweight. Everyday support with food, eating and meals was seen in four praxis: foodwork by oneself for oneself, foodwork in co-operation, foodwork disciplined by staff and foodwork by staff. These four practices resulted in large variations in dietary intake. The first praxis entailed more convenience food and less vitamins, the second and third, more fresh ingredients and high energy intake, and the fourth, low energy intake but rather high intake of vitamins. Sharing of meals was least common in supported living and more common in group homes and daily activity centres. The participants’ social eating spheres consisted mostly of other people with ID and staff members, and seldom other people. Whereas some preferred solitary eating, many participants considered eating together as important, but required staff support in establishing commensality. However, disturbing behaviour, as determined by the staff, could result in solitary eating. In conclusion, supporting the group rather than the individual sometimes created less favourable dietary, eating and meal outcomes. This problem needs to be addressed in order to establish food security at the individual level. In addition, actions should be taken to ensure that people with intellectual disabilities receive sufficient support to meet their individual needs and aspirations.
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Yip, Chi-wing Frederick. "Factors affecting caregivers in caring for adults with mental handicap living in hostels /." Hong Kong : University of Hong Kong, 1994. http://sunzi.lib.hku.hk/hkuto/record.jsp?B1399105X.
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Dube, Angelo Buhle. "Protection of the rights of persons living with disabilities under the African human rights system." Diss., University of Pretoria, 2007. http://hdl.handle.net/2263/5441.
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The purpose of this work is to examine the nature or form of disability rights, and whether the African regional human rights system adequately protects them. In other words, the study tries to understand whether the current appalling status of people living with disabilities can be blamed on normative paucity of the African human rights system. The author will therefore comb the African human rights instruments to determine this, and based on the findings, will assess the propriety or
otherwise of adopting a disability specific instrument for the continent and recommend accordingly.Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2007.
A Dissertation submitted to the Faculty of Law University of Pretoria, in partial fulfilment of the requirements for the degree Masters of Law (LLM in Human Rights and Democratisation in Africa). Prepared under the supervision of Christine Dowuona-Hammond Faculty of Law, University of Ghana, Legon Accra.
http://www.chr.up.ac.za/
Centre for Human Rights
LLM
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Perry, Jill, and University of Lethbridge School of Health Sciences. "Designed for life : disabled/enabled at home." Thesis, Lethbridge, Alta. : University of Lethbridge, School of Health Sciences, 2008, 2008. http://hdl.handle.net/10133/734.
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Using a phenomenological hermeneutic methodology, this thesis describes the lived experience of people with mobility impairments in the context of their home environment. Nine individuals with mobility impairments were interviewed at length regarding their experiences in their homes. From the resulting narratives, the data were arranged under three thematic statements: Doing my thing, Being myself, and Evolving with my environment. The study highlights the interdependent nature of the person-environment-occupation relationship and reveals the potential for an enabling home design to affect all areas of human occupation (self-care, productivity and leisure). The efficient performance of self-care activities in the home emerged as being somewhat predictive of the extent to which participants were involved in the areas of productivity and leisure. This thesis offers support for the social model of disability and illuminates the need for incorporating universal design in all homes.x, 98 leaves ; 29 cm. --
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Sinecka, Jitka. "Agency within constraints how the agency of people labeled with developmental disabilities is constructed in supported living schemes /." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2009. http://wwwlib.umi.com/cr/syr/main.
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Smith, Susan Elizabeth. "The need for leadership : the impact of health action plans for people with learning disabilities living in England." Thesis, Manchester Metropolitan University, 2012. http://e-space.mmu.ac.uk/324233/.
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This thesis reports on the impact of the introduction of health action plans in learning disability services in England between 2001 and 2007. The research compares the experience of a learning disability service in the North West of England to the national position. A mixed methodology was adopted. Firstly the experience of health facilitators nationally was examined using a self administered questionnaire to gather a mix of qualitative and quantitative data. Two local focus groups were then held with local health facilitators. A further focus group was held for people with learning disabilities who had a health action plan. The overall finding was that leadership was a crucial factor in determining the success of policy implementation. Health facilitators identified that they were not always prepared in the role of undertaking health action plans. Training was most likely to be offered to non nursing staff, but nurses themselves identified that they did require training as this was, in most cases a new and additional part of their role. Furthermore, contradictions in roles often hindered the health action plan process for nurses. Differences between areas of the country included experience of training; methods of introduction of health action plans; people responsible for the health action plan; and eligibility for a plan. The monitoring and audit of health action plans was also sporadic and there was considerable difference in relation to what constituted a plan. Several key themes emerged from the research. Health facilitators commented that health improvements had been identified through the use of health action plans, with more improvements being noted where health screening had informed the process. Other benefits of the health action plan included improved communication with the person with a learning disability, between professionals and carers and between carers and families. Local practice mirrored that identified nationally, with good examples provided of improved health for people with learning disabilities and cooperation with some primary care professionals. In conclusion, the thesis identifies that there has been good practice in the implementation of health action plans and some evidence to suggest that they have helped improve health. Some practice, however, has been less positive and it is argued in the thesis that better leadership, more informed guidance, training and support would have maximised the benefits of the policy.
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Brown, Jessica. "The use of self-harm among people with learning disabilities living in secure service provision : a qualitative exploration of meaning." Thesis, University of Sheffield, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.412745.
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Umb-Carlsson, Õie. "Living Conditions of People with Intellectual Disabilities : A Study of Health, Housing, Work, Leisure and Social Relations in a Swedish County Population." Doctoral thesis, Uppsala universitet, Psykiatri, Ulleråker, Akademiska sjukhuset, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6143.
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The general aim of this thesis is to describe mortality, health and living conditions in an administratively defined county population of people with intellectual disabilities born between 1959 and 1974 (N=213). The living conditions of persons with intellectual disabilities were compared with those of the general population. Moreover, the reports of relatives and staff were compared on the living conditions of people with intellectual disabilities. Information on the living conditions of persons with intellectual disabilities was provided by proxy (relative and staff) questionnaire reports and national welfare statistics conducted by Statistics Sweden (SCB). Medical examination and medical case records were used to obtain data on health and medical services. People with intellectual disabilities lived in the community and took part in numerous common recreational and cultural activities. However, the comparison with the general population indicated clear differences in living conditions, particularly regarding employment and social life. In contrast, surprisingly little variation in living conditions was found in people with intellectual disabilities, despite varying ages and a wide range of level of disabilities. In addition, gender related differences of persons with intellectual disabilities were few when compared with those found in the general population. A wide range of physical and mental health problems were identified in the group with intellectual disabilities. Although a majority of persons with intellectual disabilities had access to a family doctor and attended regular health checks, a number of needs of specialist examinations were identified indicating shortcomings in the quality of health care. Analyses indicated differences in the reports of relatives and staff on living conditions of most domains included in the questionnaire. In general, disagreement was higher on subjective than on objective items. Relative and staff responders contribute dissimilar information that is related to varying viewpoints and different types of information.
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Groth, Sofia, and Matilda Söderström. "Self-help facilitation for people living with disabilities: a tool for empowerment? A qualitative study in the context of rural Zambia." Thesis, Högskolan i Gävle, Avdelningen för socialt arbete och psykologi, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-16846.
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This report is the result of a field study conducted in the southern part of Zambia, funded by the Swedish International Development Cooperation Agency (SIDA). The aim of this qualitative study was to explore how self-help facilitation provided by the organisation Response Network can contribute to the empowerment of people living with disabilities in the context of rural Zambia. We interviewed four people working for the organisation as well as the principal responsible of youth with disabilities in a rural high school. We also conducted two focus group interviews with two disability support groups in a rural village. The results of this study were analysed using empowerment theory and systems theory. Our findings showed that self-determination, education and participation were contributing to the empowerment of people with disabilities. Level of attitudes, understanding and motivation were shown to be important factors which impact the empowerment of people with disabilities.
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Chiu, Sin-leung, and 趙善良. "Living in the community: an exploratory studyof independent living skills training for the mentally handicappedpeople." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1989. http://hub.hku.hk/bib/B31248391.
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Umb-Carlsson, Õie. "Living conditions of people with intellectual disabilities : a study of health, housing, work, leisure and social relations in a Swedish county population /." Uppsala : Department of Neuroscience, Psychiatry, Ulleråker, University Hospital, Akademiska sjukhuset, Uppsala University, 2005. http://urn.kb.se/resolve?urn=urn:bn:se:uu:diva-6143.
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Wendt, Robert J. "Group homes for the mentally retarded: a study of community and freedom." Thesis, Virginia Polytechnic Institute and State University, 1988. http://hdl.handle.net/10919/74530.
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Through a case study, this study examines the organizational structure of group homes for the mentally retarded. The case study is found to represent a new form of communal organization according to Hillery's theory of communal organization (1968; 1978). As a communal organization, the structural measures utilized to maximize freedom in this group home are examined. A discussion of the implications of this study towards community theory and the management of group homes follows.Master of Science
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Jonker, Liezl. "Resilience factors in families living with a member with a mental disorder." Thesis, Link to online version, 2006. http://hdl.handle.net/10019/556.
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Smith, Jan Elizabeth. "Needs, characteristics and experiences from minority ethnic adults with learning disabilities and minority ethnic older people living in care homes across England : an exploratory mixed methods study." Thesis, University of Kent, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.595300.
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Zingmark, Magnus. "Occupation-focused and occupation-based interventions for community-dwelling older people : Intervention effects in relation to facets of occupational engagement and cost effectiveness." Doctoral thesis, Umeå universitet, Arbetsterapi, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100064.
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Background Occupation-focused and occupation-based interventions can potentially promote occupational engagement among community-dwelling older people, but there is limited evidence to identify the most effective and cost-effective interventions. For independent-living older people, there is a lack of evidence to determine if occupation-focused and occupation-based interventions have an effect on their occupational engagement. For older people who need assistance because of bathing disabilities, there is limited evidence of the effects of occupation-focused and occupation-based interventions on their occupational engagement or for reducing or omitting their need for assistance. Finally, there is limited evidence to determine if occupation-focused and occupation-based interventions implemented for community-dwelling older people are cost effective. Aim The aim of this thesis was to evaluate the effects and cost effectiveness of occupation-focused and occupation-based interventions for two groups of community-dwelling older people, independent-living, community-dwelling older people and older people with bathing disabilities. Method Studies I and II were based on an exploratory randomized controlled trial. One hundred and seventy seven persons, 77–82 years, single living, and without need for home help were randomized to a no-intervention control group or to one of three occupational therapy interventions focused on promoting occupational engagement: an individual intervention, an activity group or a discussion group. In study I, effect sizes for leisure engagement and ability to perform activities of daily living (ADL) tasks were estimated for each intervention in relation to the control group to identify the most effective intervention at 3 and 12 months after baseline. In study II, the effects on quality adjusted life years (QALYs) and the total costs for the intervention, social services provided by the municipality and health care were used evaluate cost-effectiveness. Study III was a quasi-experimental clinical trial and included 95 persons, 65+, who had applied for municipality-based home help with bathing. For participants in the intervention group, occupational therapists implemented occupation-focused and occupation-based interventions. No occupational therapy intervention was implemented for those in the control group, but they were allocated home help services if judged to need it based on an assessment by a municipality care manager. Evaluations of ADL ability, self-rated health and allocated home help were implemented at baseline and after 15 weeks. Study IV involved the use of decision-modeling based on a five state Markov model that included levels of dependency in ADLs, place of residency and death. Probabilities for transitions between states in the model, QoL scores and societal costs for each state were derived from previous research. Overall, the model was based on research indicating that more severe levels of dependency reduced QALY scores and increased societal costs. Previous trials have provided evidence that an occupation-focused and occupation-based intervention implemented to reduce bathing disabilities increased the probability of independence of home help. The Markov model was used to evaluate cost-effectiveness over 8 years for an intervention compared to no intervention. Results The results of study I indicated that each intervention had a small positive effect on minimizing a decline in leisure engagement and/or ADL, but no intervention was clearly superior. In study II, the results indicated that the interventions delivered in a group format positively affected self-rated health. The discussion group was the most cost-effective intervention. The results of study III indicated that the intervention had no effect on ADL ability or self-rated health. There was, however, a large difference in the allocation of home help at follow up, indicating that the intervention was effective in reducing dependency on home help for bathing. The results of study IV indicated that compared to no intervention, the intervention resulted in a positive accumulation of QALYs and lower costs for every year during the entire 8 year period. Conclusion This thesis provides evidence to support the implementation of occupation-focused and occupation-based interventions for independent-living, community-dwelling older people in order to reduce their decline in occupational engagement and improve their self-rated health; the interventions also have the potential to be cost effective. This thesis also provides evidence that an occupation-focused and occupation-based intervention implemented for older people with bathing disabilities was effective in promoting independence from home help for bathing. Finally, an occupation-focused and occupation-based intervention that increased the probability of being independent of home help for bathing had a positive impact on the long term accumulation of QALYs and reduced societal costs and, therefore, can be considered very cost effective.
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Teles, Fernanda Moreira [UNIFESP]. "Identificação de incapacidades em crianças com deficiência inclusas em escolas municipais pertencentes à DRE-Diretoria Regional de Educação Penha - São Paulo, por meio do PEDI-Inventário de Avaliação Pediátrica de Incapacidade." Universidade Federal de São Paulo (UNIFESP), 2010. http://repositorio.unifesp.br/handle/11600/9700.
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Previous issue date: 2010-05-26Introdução – Inclusão é o movimento da sociedade para produzir a igualdade de oportunidades para todos. No âmbito individual, a inclusão supõe que cada um tenha a possibilidade de fazer suas próprias escolhas e construir sua própria identidade pessoal e social. No Brasil, a Constituição Federal de 1988 estabelece o dever do Estado com a educação mediante a garantia de ensino fundamental obrigatório e gratuito para todos, inclusive aos que a ele não tiveram acesso na idade própria e, ainda, atendimento educacional especializado às pessoas com deficiência, preferencialmente na rede regular de ensino. A deficiência pressupõe a existência de variações de algumas habilidades que sejam qualificadas como restrições ou lesões. No Brasil, segundo o IBGE (2000) a prevalência de deficiência na população era de 14, 5%; em São Paulo, dados da Secretaria Municipal de Saúde, apontam para uma prevalência de 6,59%. Objetivos - Descrever as incapacidades de alunos em processo de inclusão por meio do inventário de avaliação pediátrica de incapacidade (PEDI). Métodos – tipo de estudo: transversal analítico; população: 181 alunos de 7 a 10 anos em processo de inclusão em 32 escolas da rede municipal da DRE – Delegacia Regional de Ensino Penha – São Paulo (SP). Variáveis: idade e série escolar; tipos de deficiência constantes de laudo do prontuário da criança. Instrumento: inventário de avaliação pediátrica de incapacidade (PEDI) que por meio de questionário aplicado ao cuidador avalia 197 atividades nas áreas de auto-cuidado, mobilidade e função social e a necessidade de assistência do cuidador para as mesmas funções. Análise estatística: utilizados teste t-student, análise de variância (ANOVA), análise de variância de medidas repetidas; para todos os testes considerou-se significância estatística (p < 0,5). Resultados – dos 181 alunos, 39 (21,5%) eram menores de 8 anos, 32 (17,7%) tinham 8 anos, 57 (31,5%) tinham 9 anos e 53 (29,3%) tinham 10 anos ou mais; em relação à série escolar, 35 (19,3%) estavam na 1ª série, 46 (25,4%) na 2ª série, 50 (27,6%) na 3ª série e 50 (27,6%) na 4ª série. Quanto aos tipos de deficiências, foram classificados em: Conduta típica – 30,4%, Deficiência física – 14, 9%, Deficiência global do desenvolvimento – 6,6%, Dislexia – 1,1 %, Distúrbios de fala – 7,2%, Deficiência visual – 2,8%, Múltiplas deficiências – 18,2%, Síndrome de Down – 9,4%, Síndromes genéticas – 6,6%. Diferenças estaticamente significantes no desempenho dos alunos, segundo o PEDI, foram observadas nas escalas de auto-cuidado (média de 77,8% na 1ª série e de 95,2% na 4ª série - p) e mobilidade (média de 90,0% na 1ª série e 99,8% na 4ª série) entre as séries, mas não entre as idades, ainda que apresentasse uma tendência de desempenho crescente – auto-cuidado (média de 85,7% em menores de 8 anos e 90,4% em crianças com 10 anos ou mais) e mobilidade (média 88, 9% em menores de 8 anos e 97,6% em crianças com 10 anos ou mais). Na função social não houve diferença entre as série ou idades. Em relação aos grupos de deficiências, na área de função social observaram-se as menores médias quando comparadas às outras áreas (auto-cuidado e mobilidade): conduta típica (71,9%), deficiência global do desenvolvimento (58,7%), distúrbios de fala (53,7%), múltiplas deficiências (75,1%), síndrome de Down (61,0%) , síndromes genéticas (55,8%). O grupo de alunos com deficiência física apresentou como área mais afetada a mobilidade com média de 62,7%. Para todos os grupos, as médias referentes à assistência do cuidador para as funções refletiram a necessidade de ajuda que essas crianças requerem no cotidiano. Conclusões – A função social foi a mais comprometida em todos os grupos e o instrumento de PEDI – Inventário de avaliação pediátrica de incapacidade permitiu a identificação de incapacidades por grupo de deficiência e individual, podendo constituir instrumento importante para intervenção direcionada e acompanhamento na escola.
Introduction – Inclusion is the movement of the society to provide everyone with equal opportunities. In the individual context, the inclusion assumes that every individual has the possibility of making their own choices and build their own personal and social identity. In Brazil, the Federal Constitution from 1988 establishes the obligation of the State with the education by assuring compulsory and free basic education for everyone, including those who had no access to it at proper age, and also specialized educational services for people with disabilities, preferably in the regular education system. The disability presupposes the existence of variations of some skills which are classified as restrictions or injuries. In Brazil, according to IBGE (2000) the prevalence of disability in the population was 14, 5%; in São Paulo, data from the Municipal Health Department, it indicates a prevalence of 6.59%. Objectives – Describe the inabilities of students in the inclusion process through the pediatric evaluation of inabilities (PEDI). Methods – type of study: cross-sectional analysis; population: 181 students 7-10 years old in inclusion process in 32 municipal schools of DRE - the Regional Education Penha - São Paulo (SP). Variables: age, school grade level, kind of disability contained in the records of the child’ reports. Instrument: inventory of pediatric evaluation of disability (PEDI) that, through a questionnaire applied to the caregiver, assesses 197 activities in the areas of self-care, mobility and social function and the need of the caregiver assistance for these functions. Statistical analysis: used t-student test, analysis of variance (ANOVA), analysis of variance with repeated measurements; for all tests it was considered statistical significant (p <0.5). Results – out of the 181 students, 39 (21.5%) were less than 8 years old, 32 (17.7%) were 8 years old, 57 (31.5%) were 9 years old and 53 (29.3%) were 10 years old or more, as far as grade is concerned, 35 (19.3%) were in the 1st grade, 46 (25.4%) in the 2nd grade, 50 (27.6%) in the 3rd grade and 50 (27.6%) in 4th grade. As to the types of disabilities, they were classified as typical Conduct - 30.4%, Physical handicap - 14, 9%, Global development disability - 6.6%, Dyslexia - 1.1%, Speech disorders - 7.2 % Visual impairment - 2.8% Multiple disabilities - 18.2%, Down syndrome - 9.4%, Genetic syndromes - 6.6%. Statistically significant differences in student performance, according to the PEDI, were observed in the self-care scales (average of 77.8% in the 1st grade and 95.2% in the 4th grade - p) and mobility (average of 90.0 % in grade 1st grade and 99.8% in the 4th grade) between the grades, but not between the ages, despite indicating a trend towards increasing performance - self-care (average of 85.7% in children under 8 years old and 90 4% in 10-yearl-olds or older children) and mobility (average of 88, 9% in children under 8 years old and 97.6% 10-yearl-olds or older children). In social function there was no difference between the grades or ages. As regards disability groups, in the area of social function the lowest averages were observed when compared to other areas (self-care and mobility): typical conduct (71.9%), global developmental disability (58.7%) , speech disorders (53.7%), multiple disabilities (75.1%), Down syndrome (61.0%), genetic syndromes (55.8%). The group of students with physical disabilities presented mobility as the most affected area with an average of 62.7%. For all groups, the average result concerning the assistance of the caregiver for specific roles reflected the need of help that these children require in activities of daily living. Conclusions - The social function was the most impaired in all groups and the PEDI instrument - Inventory of pediatric evaluation of disability - led to the identification of inabilities by group and individual disability, which may constitute an important tool for targeted intervention and follow-up at school.
TEDE
BV UNIFESP: Teses e dissertações
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Barbosa, Jaqueline Caracas. "Pós-alta em hanseníase no Ceará: olhares sobre políticas, rede de atenção à saúde, limitação funcional, de atividades e participação social das pessoas atingidas." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-09042009-102619/.
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Objetivo: Caracterizar a adequação das ações do programa de controle da hanseníase no momento do pós-alta nos municípios de Sobral e Fortaleza, Ceará, no plano de políticas públicas, organização da rede de atenção à saúde, limitação funcional e de atividades e participação social das pessoas atingidas. Metodologia: Pesquisa transversal descritiva realizada no período de agosto de 2006 a setembro de 2007. Incluiu 304 residentes afetados pela hanseníase dos dois municípios uma amostra de 10% dos que receberam alta entre 2003 e 2005. Além da construção do cenário técnico-político do pós-alta, foram realizados nos participantes exame físico dermatoneurológico, avaliação simplificada das funções neurais, caracterização sociodemográfica, caracterização da limitação de atividade e consciência de risco e caracterização da restrição à participação social. Resultados: A população era em sua maioria masculina, parda, com baixas condições socioeconômicas e com profissões/ocupações que ampliavam a vulnerabilidade para incapacidades físicas. Aqueles com marcante progressão do grau de incapacidade física eram, em sua maioria, multibacilares (87% em Sobral; 62,6% em Fortaleza). O acesso à atenção pós-alta foi frágil em relação a intervenções como cirurgias e atenção psicológica. Os estados reacionais contemplaram em grande parte a busca e oferta de atenção neste período. Aproximadamente 30% das pessoas em acompanhamento pós-alta tiveram necessidade de encaminhamentos adicionais. Esse acompanhamento não seguiu parâmetros de referência. Existiu baixa percepção de risco dos participantes (escore 0: 60,1% em Fortaleza; 56,5% em Sobral); não houve relação definida entre escala SALSA e idade ou EHF. A maioria não apresentou nenhuma restrição significativa à participação; aqueles com restrição configuravam-se principalmente no plano relativo aos aspectos do trabalho. Do ponto de vista técnico-político foram observados importantes avanços no país nas questões do pós-alta. Conclusões: Foram identificadas lacunas em termos da operacionalização da atenção às pessoas atingidas no momento do pós-alta em ambos os municípios. A análise integrada e ampliada dessa pesquisa possibilitou a verificação da fragilidade das ações voltadas ao momento do pós-alta nos municípios estudados. A abordagem das pessoas atingidas pela hanseníase mantém-se como um importante desafio para o SUS.Objective: To characterize the performance of actions of the Hansens Disease Control Programs in Sobral and Fortaleza municipalities, Ceará State, regarding health policy planning, organization of health care networks, activity and functional limitation and safety awareness, and social participation in affected people after release from treatment. Methods: Descriptive and cross-sectional study performed from August 2006 to September 2007. In total, 304 affected residents of both municipalities were included a sample of 10% of cases released from treatment between 2003 and 2005. Besides the analysis of technical and political scenarios, the following data were collected: dermatological and neurological examination, simplified assessment of neural deficits, socio-demographic characterization, assessment of activity limitation and safety awareness, and characterization of social participation. Results: The majority of the population was male, coloured, of low socio-economic status and performing jobs with increased vulnerability for development of physical disabilities. The majority of patients presenting with a high degree of physical disability were multibacillary (87%, Sobral; 62.6%, Fortaleza). The access to specific health care after release from treatment was limited, especially to surgeries and psychological care. Most cases attended were due to Hansens disease reactions. About 30% of people followed up after release from treatment needed additional evaluations by other specialists. Guidelines were not used when following up patients. There was a low risk perception of study participants (score 0: 60.1%, Fortaleza; 56.5%, Sobral) and no clear relation between SALSA scale and age or EHF score. Most participants did not present any significant participation restriction; if restrictions were present, work-related aspects were most frequently involved. Considering operational and political aspects, a progress was observed in these questions after release from treatment. Conclusions: Problems were identified related to application of health care after release from treatment. The present comprehensive and integrated analysis detected the fragility of measures focusing on Hansens disease patients after release from treatment in both municipalities. The assessment of these people continues to be an important challenge for Brazils Unified Health System.
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Newman, Ian. "Countryside recreation and people with disabilities." Thesis, University of Sunderland, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.278944.
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Boyce, Karen E. "Egress capabilities of people with disabilities." Thesis, University of Ulster, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.266537.
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Ho, Kam-ping. "The governance of rehabilitation service for people with disabilities in Hong Kong." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31967516.
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Nguyen, Toan Hieu, and toan nguyen@novita org au. "ACCESSIBLE MOBILE COMMUNICATION FOR PEOPLE WITH DISABILITIES." Flinders University. Informatics and Engineering, 2006. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20060331.111126.
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People with disabilities are both functionally and socially disadvantaged and the lack of access to mobile communication technology adds to their disadvantage. Changes and benefits we have seen in our society with the advent of mobile phones and associated electronic communication for people without disabilities have not migrated to people with disabilities. The comprehensive communication capability of a mobile phone can enable users anywhere to independently access a very wide range of communication, information and control systems and services. This research has addressed the key accessibility issues faced by people with disabilities who need or want to use the mobile phone for voice and data communication.
The research revealed that:
� there exist accessible features on mobile phones that can better assist people with disabilities in using the phone;
� through education and training, people with disabilities can develop or be provided with effective and efficient ways to access and use the phone;
� current, off-the-shelf telecommunications equipment such as car kits, speakerphone, voice recognition technology, wireless connectivity capability on mobile phones can enable people with disabilities, even severe physical disabilities, to access the telecommunications network and services; and
� with a suitable interfacing system in place, Augmentative and Alternative Communication (AAC) device users can operate the phone for voice and data communication, which previously had not been possible.
Trials established that people with a range of physical disabilities can use and should have equal access to telecommunications equipment and services. This research has shown that, with the right policies, processes and support through equipment matching, education, training and delivery, current off-the-shelf solutions can help people with disabilities to effectively communicate with other members of our society and to access the same range of information systems and services enjoyed by able-bodied members of the community.
An interfacing system has been developed to provide users of AAC technology with the ability to use a mobile phone for voice calls and text messaging (SMS). It is confidently predicted that other features and services on the phone such as speakerphone, digital camera and FM radio, email and internet-based applications, and local or remote appliances and devices, can be controlled via the AAC device.
Outcomes and findings have confirmed the main hypothesis of the thesis that, despite very limited mobility, speed, accuracy and vocal communication ability, users will be able to successfully operate the mobile phone itself, and use it for various modes of bidirectional communication with systems to which they choose to connect.
The overall outcomes of the research have established that the benefits and usefulness of the mobile phone are so significant that they should become a necessity for people with a disability. It has been successfully demonstrated that, with the proper mechanisms and educational programs in place, the provision of accessible mobile phones for people with disabilities can significantly improve their quality of life through increased range of accessible activities, and will improve their independence, engagement with their peers, safety, security and self-esteem.
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Bradley, Jennifer. "Facilitating choice for people with learning disabilities." Thesis, University of Hull, 2010. http://hydra.hull.ac.uk/resources/hull:5792.
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Background: Choice constitutes a core element of the human experience. To deny this right can be seen as a denial of basic human rights and yet for people with learning disabilities this has often been a reality. Some argue that choice is different for people with learning disabilities for a variety of intellectually based reasons. The effect of choice on people with learning disabilities therefore is an important area of concern for researchers to establish the underlying meaning and drivers for increasing choice for this group of people. Method: A systematic literature review was conducted to bring together studies examining the effects of choice for people with learning disabilities. The review utilised three databases and selected reference lists to find relevant articles and these were brought together in a summary of findings. Results: Studies focused heavily on task behaviours and challenging behaviours and whether and how this would be altered by introducing elements of choice or preference. A large majority of studies demonstrated that the main basis for the improvement of tasks and behaviours was the introduction of preferred stimuli rather than the being able to actively choose between stimuli. Other studies demonstrated that choice has a positive effect on mood, quality of life and motivation during a self care exercise.
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Garrod, Christopher James. "Subjective wellbeing in people with intellectual disabilities." Thesis, University of Hull, 2013. http://hydra.hull.ac.uk/resources/hull:8430.
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The portfolio has three parts these being: the systematic literature review, the empirical study and the appendices. Part one is a systematic literature review into the influences on the subjective wellbeing of people with intellectual disabilities. It presents an understanding of people with intellectual disabilities, how wellbeing as a concept is currently understood and how their subjective wellbeing can be influenced. Part two is an empirical paper which used different methods to explore how young people with intellectual disabilities perceive their experiences of attending a sports group with their peers of similar abilities and how this experience influences their subjective wellbeing. To achieve this eight young people aged 9 – 13 years old completed an adapted wellbeing measure to quantify their subjective wellbeing. A semi structured interview, incorporating creative methods to collect data was employed to ensure that this often under represented group could have a voice. The themes of this research are discussed and linked to previous research to identify clinical implications and the methodology is also discussed and future research opportunities are identified. Part three comprises the Appendices to support the work in the first two parts of the thesis including a reflective account of the research process.
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Allen, David. "Challenging behaviour in people with learning disabilities." Thesis, University of Surrey, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.388791.
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Gathard, Jo. "People with learning disabilities' accounts of friendship." Thesis, Open University, 2000. http://oro.open.ac.uk/58027/.
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This study aimed to investigate how people with learning disabilities construct accounts of friendship, and manage aspects of a 'spoiled identity' within this. Furthermore it aimed to investigate how the typical processes of friendship formation are affected by the management of such an identity. It was suggested disclosure of personal information can be anxiety provoking for them and the choice of analysis needed to focus on deconstructing their accounts for linguistic devices used to manage difficult issues and then consideration could be given to the functions of these devices. Eight people with mild learning disabilities, four men and four women, were recruited to the study. Having obtained their informed consent each was interviewed using a semi-structured interview schedule focusing upon aspects of friendship formation identified within mainstream literature. In view of the aims of the study it was decided the most appropriate form of analysis would be discourse analysis. At a surface level the experience of the participants mirrored that found in previous research. In addition a number of rhetorical devices were identified. Further consideration of these revealed they were used at times in the interview when either participant or interviewer was attempting to manage an issue related to difference or stigma. In view of this it is argued that managing a stigmatised identity directly impacts upon typical processes of friendship formation. The findings are discussed; consideration is given to service and research implications. It is suggested that awareness of the nature and function of rhetorical devices could facilitate professionals in helping people with learning disabilities to discuss their difficulties and associated emotions in a more meaningful way. Enabling people with learning disabilities to develop higher self-esteem is discussed in relation to them attributing more value to friendships with others with similar disabilities, and the development of the self-advocacy movement.
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Pearson, Tanya. "Attachment styles and people with intellectual disabilities." Thesis, University of Birmingham, 2013. http://etheses.bham.ac.uk//id/eprint/4666/.
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This thesis comprises two chapters. The first chapter is a systematic review and synthesis of the literature on the relationship between attachment style and challenging behaviour in people with developmental disabilities (DD). From seven identified papers, which include correlational and intervention studies, the findings show that there is limited evidence to suggest that there is a relationship between attachment style and challenging behaviour in people with DD. The second chapter of the thesis is a quantitative study, which examines whether young adults with intellectual disabilities (ID) can be taught about early attachment behaviours between parents and infants using a DVD. Based on a within-subjects research design, sixteen participants with ID took part in three conditions: pre-intervention, post-intervention and follow up. The intervention comprised an adapted 'Attachment in Practice DVD' (Siren Films, 2009) and a booklet summarising the content of the DVD. Knowledge and understanding of attachment behaviours was measured using seven semi-structured interview questions developed by the authors. The findings show that young adults with ID can be taught about attachment behaviours using a DVD. However, retaining this information over a period of two weeks was challenging for the participants. Strategies to help people with ID retain this information are discussed.
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Flynn, Samantha E. "Cancer experiences in people with intellectual disabilities." Thesis, University of Chester, 2018. http://hdl.handle.net/10034/621794.
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People with intellectual disabilities are increasingly being diagnosed with cancer due, in part, to increases in life expectancy for this population. Despite the growing number of people with cancer and intellectual disabilities, the cancer-related experiences of people with intellectual disabilities are under-researched. Person-centred approaches to research are needed to better understand the needs and psychosocial outcomes of people with cancer and intellectual disabilities. This thesis aims to better understand the cancer-related experiences of people with intellectual disabilities, and the impact on the people who support them. The thesis comprises four related studies: (1) a systematic review of psychosocial experiences of cancer in people with intellectual disabilities; (2) a qualitative study of cancer experiences in people with intellectual disabilities using thematic analysis informed by grounded theory; (3) a survey of UK oncology nurses' attitudes and care perceptions towards people with intellectual disabilities; and (4) a feasibility study of an intervention to improve healthcare professionals' perceptions of communicating with people with cancer and intellectual disabilities. Five themes emerged from the ten papers included in the systematic review: delayed diagnosis; information, communication, and understanding; negative psychological consequences; negative physical consequences; and social support. Six of the ten papers included data from the same ethnographic study of 13 people, highlighting a paucity of empirical research regarding the psychosocial cancer experiences of people with intellectual disabilities. The qualitative study indicated that people with intellectual disabilities were often excluded from conversations about their diagnosis, treatment, and ongoing care, and expressed confusion and anxiety about their cancer. Attempts to protect them from distress inhibited communication, but where additional support was offered, participants engaged more meaningfully in their experience and this should, therefore, be encouraged. In the qualitative study, oncology nurses were reported to be important figures in the care of patients with intellectual disabilities. The survey of oncology nurses highlighted that caring for cancer patients with intellectual disabilities may intensify their already difficult role; however, previous experience may ameliorate negative consequences. This sample identified their need for training about communicating with people with intellectual disabilities. The first three studies informed the development of a novel, brief, online, video-based intervention for healthcare professionals working with people with intellectual disabilities and cancer. The feasibility trial of this intervention indicated that there were problems with recruitment, high attrition, and intervention adherence. These problems were, most likely due to participants finding the content and delivery method to be unacceptable. It is clear that the intervention is not feasible in its current format, and that further theoretical and modelling work is needed before the intervention is feasibility tested again ahead of a definitive trial. This body of work has demonstrated that people with intellectual disabilities and cancer face multiple barriers to accessing cancer care, including informative and understandable communication with healthcare professionals. With appropriate support, psychological and physical outcomes can be improved for people with intellectual disabilities and cancer, but caring for people with cancer and intellectual disabilities can be challenging for paid and informal carers, and oncology staff. Difficulties with communication are bi-directional, and improving communication might be an appropriate first step to improving cancer experiences for this population, but developing effective interventions presents numerous feasibility challenges.
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Carlsson, Byttner Lina, and Edita Durakovic. "Homesupport for elderly people with psychiatric disabilities." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26908.
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This essay deals with the support and help offered to elderly people over 65 with mental disabilities out of personnel from a special support team. We have chosen to use the qualitative method to answer our questions. We have four semi-structured interviews with all staff from the support team we have been in contact with, three nurses/nursing assistants and project manager for the support team. We have recognized five themes and divided the text into six different categories and disciplines that answers and highlights the importance of meeting clients' needs, increase their independence and quality of life. Our theme is security, continuity, time, treatment and relations. Our topics are quality of life and health, personalized and holistic, empowerment, motivation and participation, activity and disengagement and stigma.The conclusion of our essay is that there is a need for a special team to meet the needs of older people with mental disabilities. The support team has more time and can give clients the support they need. The time gives staff the opportunity to increase clients' quality of life by listening and understanding. The staff provides security with their presence and attitude while becoming a social contact for the client. The staff has the knowledge required to provide good treatment. The staff of the support team works with high professionalism and flexibility. The support team is working from the client's needs when the operation should be given and how it should be. The support team works with the continuity that provides a better and deeper relationship with the client.We have found that staff in the support team is working to get their clients to feel that they are able to do things themselves and build up their confidence and self esteem. This is the support team doing by lifting up what clients can and try to motivate clients to do things. By the support teams encouragement and support clients can find faith in themselves to handle things and become independent. Support team works with their clients so that they feel the meaningfulness of everyday life. By the motivation from the support team clients has managed to become more involved in their daily work.The support team provides personalized care to their clients. We have found it impossible to generalize and think that all older people with mental disabilities can be satisfied by for example activity and interaction with other people. For many of these clients their need may change. Passivity and aloofness can be an experience of tranquility and well-being and to decrease stress. Another aspect we have found, the reason why clients withdraw and isolate themselves at home is that clients put “stamp” on themselves as mentally ill. This negative self-image can be influenced by impressions from the surroundings. By that clients are treated with respect and sensitivity of personnel, client's view of themselves can change. The support team works to ensure opportunities in their clients' daily lives and not obstacles.
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Fields, Danelle. "Psychology Trainee Attitudes Toward People with Disabilities." University of Akron / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=akron1367232111.
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Jackson, Tom. "Psychoanalytic psychotherapy with people with learning disabilities." Thesis, University of Sheffield, 2004. http://etheses.whiterose.ac.uk/14865/.
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This thesis focuses on the practice of providing psychoanalytic and psychodynamic therapy to adults with learning disabilities. Part J reviews the literature in the area, examining published case studies and technical papers relating to the practice of providing psychoanalytic and psychodynamic psychotherapy to adults with learning disabilities. A consistent therapeutic frame was identified, but reports of therapists' practice were sparse, inconclusive and varied. Part 2 reports a qualitative study exploring the practice of psychoanalytic/psychodynamic psychotherapists, experienced in providing therapy to adults with learning disabilities. Interview transcripts were analysed using a Grounded Theory methodology. A consistent account of practice was emergent, and a model implicating the role of philosophical notions of disability and their impact on practice was proposed The nature of the proposed model was considered with respect to its difference from other psychoanalytic models used in the provision of therapy to non learning-disabled adults and children. Part 3 describes the salient stages of the research process and the key learning points for the author. The author reflects on the process of carrying out the research with respect to doing future research and identifies areas for improvement to his present practice.
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Trustam, Emma. "Exploring recovery in people with learning disabilities." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12767/.
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A literature review examines how mental health difficulties may differ for people with learning disabilities (PwLD) and the general population; with respect to their vulnerability to mental ill-health and the definition, presentation and treatment of mental health problems. Factors which have been found to positively impact on the mental health of PwLD are then explored. The review considers methodological limitations and gaps in our understanding, highlighting a need for further research focusing on mental health recovery for individuals with learning disabilities. Section B presents a study exploring what recovery means for people with learning disabilities and mental health difficulties. Interviews were conducted with nine individuals and Interpretative Phenomenological Analysis used. A model was developed which described participants’ entry to the therapeutic service and their progression towards recovery. The model firstly describes how participants felt entering the service, their Mental Health/Therapy Experience, and explains how these experiences were validated and the recovery process enabled through the therapeutic alliance. Once enabled, the second dimension of the model is detailed, that of the Client Recovery Experience which extends across three phases of recovery. The first phase, Feeling Better describes elements perceived as integral to improved mental health. The second phase, Recovery Ongoing identifies that more input is required. Thirdly, Attainability?: Reality, Ideals and Fantasy, reveals PwLD’s perceptions of recovery and the techniques used in striving to achieve this. Salient features of recovery specific to PwLD are recognised as important to clinical practice, and results suggest there is a need to openly discuss LD identity, and address idealisations surrounding a non-LD one. This would involve setting realistic goals and managing expectations accordingly and focussing on social integration as a way of enabling ongoing recovery.
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Gilderthorp, Rosanna. "Sports participation for people with intellectual disabilities." Thesis, Canterbury Christ Church University, 2015. http://create.canterbury.ac.uk/13719/.
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There is little literature that explains the relationship between intellectual disability (ID) and physical and sensory disabilities. A review conducted in 1987 indicated increased prevalence of physical health problems amongst people with ID (McLaren & Bryson, 1987). The current classification system used by the International Federation for Para Athletes with Intellectual Disability (INAS) does not take into account any relationship between ID and physical or sensory disabilities . The present study aimed to provide evidence to enable INAS to address the potential inequalities in the classification system and to add to understanding of the relationship between ID and physical and sensory disability. Participants (N=111) were recruited from regional and international sporting events for people with ID. IQ measurements were gained either from records or by administration of an assessment. All participants, with a trusted adult, were administered a semi-structured health interview. Findings indicated a weak negative correlation between IQ and additional physical disability. The data also suggested that level of additional physical disability negatively predicts athletic performance and there is some limited support for the suggestion that IQ positively predicts performance. The findings have implications for INAS and health/social care services.
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Lewis, Halle Gayle. ""Cripples are not the dependents one is led to think" work and disability in industrializing Cleveland, 1861-1916 /." Diss., Online access via UMI:, 2004. http://wwwlib.umi.com/dissertations/fullcit/3153762.
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Foster, Meghan. "Assessment of preferences for individuals with severe disabilities /." View online, 2008. http://repository.eiu.edu/theses/docs/32211131499121.pdf.
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