Journal articles on the topic 'People with disabilities – services for – finance'
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Nuwagaba, Ephraim Lemmy, Millie Nakabugo, Meldah Tumukunde, Edson Ngirabakunzi, Sally Hartley, and Angie Wade. "Accessibility to micro-finance services by people with disabilities in Bushenyi District, Uganda." Disability & Society 27, no. 2 (March 2012): 175–90. http://dx.doi.org/10.1080/09687599.2011.644929.
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Owen, Randall, Alexandra Bonardi, Val Bradley, John Butterworth, Joe Caldwell, Robin Cooper, Yochai Eisenberg, et al. "Long-Term Services and Supports." Inclusion 3, no. 4 (December 1, 2015): 233–41. http://dx.doi.org/10.1352/2326-6988-3.4.233.
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Abstract People with intellectual and developmental disabilities (IDD) often rely on long-term services and supports (LTSS) to live and work in the community or with their families. As policy reforms continue, it is important that we have research goals to guide the field. In August 2015, an expert panel met to discuss the future of LTSS for people with IDD and reached consensus that future work should ensure adequate funding and quality standards are in place, especially with the growth of managed long-term services and supports (MLTSS) programs, the increasing variety of Medicaid funding authorities used to finance supports for people with IDD, the changes in public policy regarding LTSS, and the application of behavioral supports, particularly positive behavior support (PBS).
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Birenbaum, Arnold. "Reforming Medicaid and Vulnerable People." Einstein Journal of Biology and Medicine 20, no. 1 (March 2, 2016): 33. http://dx.doi.org/10.23861/ejbm200320515.
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Medicaid, the federal-state financed program that assists people to gain access to health services when they cannot afford them, has been inthe news of late. Unfortunately the news is disquieting for people who count on this program for health care and rehabilitation services. Change is not always the friend of vulnerable people, and in this instance, it can be downright disruptive when it comes to accessing services. Because they are not well organized, people with Medicaid coverage do not have political clout, even though more people are covered by Medicaid than Medicare (e.g., the public insurance program for almost all people over the age of 65 and some people with disabilities). New Bush administration proposals and ongoing practices could be particularly harsh for people with disabilities.
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Chen, Lei. "RACE/ETHNICITY DISPARITY FOR PEOPLE WITH LTSS NEEDS IN CALIFORNIA: DISABILITY, FINANCE, AND HEALTH AND WELL-BEING." Innovation in Aging 7, Supplement_1 (December 1, 2023): 298–99. http://dx.doi.org/10.1093/geroni/igad104.0995.
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Abstract Older adults and people with disabilities have high needs for Long-Term Services and Supports (LTSS). Disability status, financial difficulties, and health and well-being are likely not uniformly experienced by all people with LTSS needs. Subgroups of older adults and people with disabilities, such as racial/ethnic minorities, may be at significant risk of experiencing financial difficulties and stress about making ends meet. This study used the first cycle of data (2019-2020) from the California Long-Term Services and Supports (CA-LTSS) survey, merged with select data from the California Health Interview Survey (CHIS) (N = 2,030). Multivariate Regressions and Conditional Process Analysis (CPA) were applied to test the hypothesized relationships. Findings show that black/African American and Asian participants with LTSS needs were more likely to have cognitive impairments. Black/African American participants with LTSS needs were more likely to report difficulties in activities of daily living. Racial/ethnic minorities with LTSS needs experienced diverse and more financial difficulties on average than their white counterparts. Asian participants with LTSS needs reported worse psychological distress than other racial/ethnic groups. American Indians and Alaska Natives with cognitive impairments were more likely to have more financial difficulties, and those with difficulty in instrumental activities of daily living were more likely to report worse self-rated health. This study moves beyond the typical white/black disparities analyses and focuses on diverse racial/ethnic groups. We need to address the financial needs of various racial/ethnic groups of people with LTSS needs and target policies and service programs to meet their mental health needs.
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Zhao, Xiaofen, Li Lin, and Yan Zhang. "Services for Users with Disabilities in Joint Libraries in China." Asian Social Science 15, no. 11 (October 20, 2019): 42. http://dx.doi.org/10.5539/ass.v15n11p42.
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China has a large population with disabilities. In China, there may be varieties of barriers for disabled users to access library resources and services. Joint libraries are a new type of libraries constructed by local government and one or more colleges (universities), playing a dual role as both academic library and public library. Therefore, the users of joint libraries include not only college students and teachers, but also other people from all walks of life. Undoubtedly, the resources and services of these joint libraries must be provided for all kinds of users. Since 1997, more than ten joint libraries have been constructed and opened in China. In this article, we first briefly discussed the causes for the barriers to users with disabilities in libraries. Second, taking joint libraries as a case, we focused on the services to remove barriers and to ensure information equity for disabled people. Provision of equal services for disadvantaged groups is an essential indicator of joint libraries. The present article may provide recommendations for the future sustainable development of joint libraries in China and other developing counties.
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Nyambane, David, and Thamar Bakunzibake. "Enhancing Socio-Economic Empowerment through Financial Inclusion Initiatives: A Case Study of Rwanda Union of the Blind." IDOSR JOURNAL OF CURRENT ISSUES IN ARTS AND HUMANITIES 9, no. 2 (December 17, 2023): 57–74. http://dx.doi.org/10.59298/idosrjciah/2023/4.3.3300.
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The research defines financial inclusion as the process of making sure vulnerable groups, like low-income individuals and the less privileged, have access to financial services and reasonable credit when they need it, at an affordable cost. This study focused on enhancing financial inclusion and socio-economic empowerment among individuals with disabilities in the Rwanda Union of the Blind. Using a descriptive and correlation research design, the researcher employed two primary data collection methods: questionnaires and interviews with structured questions for the respondents. The study involved 2400 members of the Rwanda Union of the Blind, with a sample size of 96 visually impaired individuals selected using the Yamane formula. Both quantitative and qualitative methods were used for data analysis, with Pearson’s correlation coefficient used to establish relationships between variables. The study's findings highlighted a 43% positive impact of financial inclusion on the socio-economic empowerment of people with visual impairment. Some respondents, particularly those who accessed loans from banks, acknowledged that financial services enabled them to excel in economic activities. Nevertheless, most respondents faced challenges due to discrimination and the absence of collateral, especially among disabled youth, hindering their access to finance. To achieve full financial inclusion, the study recommended that Microfinance Institutions or Banks should ensure equal opportunities and access to credit and financial services for individuals with disabilities. This can be achieved by providing information in formats accessible to them and making service points physically accessible. The government should promote awareness and involvement of visually impaired individuals in incomegenerating activities. Additionally, it was suggested that people with visual impairment should be encouraged to confidently apply for financial services. Keywords: Financial inclusion, Visual impairment, Socioeconomic empowerment, Financial services, People with disabilities.
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Skalska, Teresa. "Identifying quality gaps in tourism for people with disabilities: Importance-Performance Analysis (IPA)." Turyzm/Tourism 33, no. 1 (April 15, 2023): 41–48. http://dx.doi.org/10.18778/0867-5856.33.1.04.
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The aim of the article is to assess the significance (importance) and level of inconvenience of selected attributes of tourist services provided at particular stages of the supply chain in tourism (information, accommodation, transport, organization and intermediation) in relation to people with various types and degrees of disability. The survey conducted among the disabled helped to identify quality gaps in the provision of tourism services, taking into account their complementarity and accessibility at every stage of delivery. The method of Importance-Performance Analysis (IPA) and basic measures of descriptive statistics were used to analyze empirical data. The study will help to indicate to what extent the tourist experience of a disabled person and the type of disability affect the assessment of the significance (importance) and inconvenience of selected attributes of tourist services. The results of the research can be used by entrepreneurs to analyze the quality and reliability of services provided by their partners and the behavior and needs of the disabled in tourism. They will also be useful for local and regional authorities responsible for ensuring the competitiveness and inclusiveness of tourism regions.
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Magaqa, Qhayiya, Proochista Ariana, and Sarah Polack. "Examining the Availability and Accessibility of Rehabilitation Services in a Rural District of South Africa: A Mixed-Methods Study." International Journal of Environmental Research and Public Health 18, no. 9 (April 28, 2021): 4692. http://dx.doi.org/10.3390/ijerph18094692.
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Introduction: Rehabilitation services aim to optimise individuals’ functioning and reduce disability. However, people with disabilities, who represent a key population of users of rehabilitation services, continue to have unmet needs for rehabilitation services that include the provision of assistive devices. This paper examines the availability and accessibility of rehabilitation services in a rural district of South Africa in order to explore why unmet needs for rehabilitation services persist. Methods: All nine district hospitals in a rural district of South Africa were included in the study. Rehabilitation services capacity was assessed by examining the available assistive devices, consumables and human resources at the level of the health facility. Data collection was conducted using the Global Co-operative Assistive Technology [GATE] Assistive Products List, AT2030’s ATScale priority list and the South African National Catalogue of Commodities for Primary Health Care Facilities. Descriptive statistics were then used for the analysis. For the qualitative component, semi-structured interviews were conducted with adults with physical disabilities at household level to explore barriers to accessing assistive device inclusive rehabilitation services and the consequences thereof in the same rural district. An interview guide based on the WHO health system building blocks was used. Thematic content analysis guided the analysis of the interview transcripts. Findings: The findings of the research demonstrate that rehabilitation service capacity in the district was constrained as a result of low availability of assistive devices [2–22%] and consumables [2–47%], as well as, possibly, a shortage of rehabilitation providers [n = 30] with an unequal distribution across health facilities [n = 9]. In addition, people with physical disabilities reported poor referral pathways, financial constraints, transport and road consideration and equipment unavailability as barriers to accessing rehabilitation services. Moreover, these barriers to access predisposed individuals to finance-, health- and person-related harm. Conclusion: Rehabilitation service availability is constrained by a lack of service capacity in rural South Africa. In addition, the rehabilitation services in district hospitals are not adequately accessible because of existing barriers to enable key populations to achieve optimised functioning.
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Kim, Yong Seog. "Toward Successful Management of Vocational Rehabilitation Services for People with Disabilities: A Data Mining Approach." Industrial Engineering and Management Systems 11, no. 4 (December 30, 2012): 371–84. http://dx.doi.org/10.7232/iems.2012.11.4.371.
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Hendayana, Yana, Harry Mulyadi, Fitriani Reyta, and Radhi Abdul Halim. "How Perception use of e-Filling Technology Enhance Knowledge of Indonesian Disability Taxpayers and Impact Tax Compliance." Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences 4, no. 2 (April 20, 2021): 1687–96. http://dx.doi.org/10.33258/birci.v4i2.1830.
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Taxes are a source of state revenue used to finance government spending and development. One of the taxes that the government imposes on its people is income tax including income from dissability. Referring to the large number of persons with disabilities in Indonesia, indeed there should be no difference in the treatment of the fulfillment of rights between normal people and disabilities. Philosophically and constitutionally, based on Pancasila and the 1945 Constitution, every citizen has a chance which is equally good in terms of work, accessing public facilities, get a decent life and livelihood, and so on. This is emphasized for the fulfillment of the rights of disabilities. Innovation of online accessibility for public services is one solution for disabilities taxpayers in Indonesia. SPT reporting via djponline one of them. The presence of efilling intended for makes disability taxpayers easier to participate in carrying out their tax obligations as citizens, but there is contrast in the field often taxpayers with special needs have not felt much benefit from the existence of this technology, for this reason the researcher decides to examine whether e-filling can affect the increase in taxpayer knowledge among disabilities, 85 samples taken from disabilities SMes in Bandung West Java, The data is processed using the partial least square method and using a quantitative approach, result shown as much as 58.47% the existence of e-Filling enchance the tax knowledge of persons with disabilities and non significance impact the tax compliance, they argue that all it needs is advanced technology on a disability-friendly website..
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Kozhura, Liudmila, Svitlana Zadereiko, and Andrii Omelchenko. "SYSTEM OF ECONOMIC MEANS OF STATE ADMINISTRATION OF THE RIGHTS OF PEOPLE WITH DISABILITIES TO HEALTHCARE." Baltic Journal of Economic Studies 7, no. 4 (September 27, 2021): 101–7. http://dx.doi.org/10.30525/2256-0742/2021-7-4-101-107.
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At the current stage of the development of society the problem of social protection and state support for people with disabilities is particularly relevant and requires reform and improvement. Ukraine, as a country aspiring to join the European Union, should take into account the best foreign experience of the leading countries of the world in the field of state policy to support people with disabilities and its implementation. The process of reforming the national healthcare system demonstrated the ineffective policy in this area, the high level of corruption and the inability to transform this system to the level of world standards of medical care, especially for people with disabilities. The problem of disability in Ukraine is becoming particularly acute. The goal of this article is to investigate the system of economic means of state administration of the rights of people with disabilities to healthcare, to identify the areas of budgetary management and the formation of a new mechanism of economic administration. Scientific analysis was carried out by using the method of systematic approach and analysis, which enabled us to study theoretical aspects of economic methods of state administration of the right of people with disabilities to healthcare, formation of the budget management in Ukraine for the economic security of the rights to healthcare, and features of the new mechanism of the economic administration of the right of people with disabilities to health care. It has been researched that along with administrative methods of state management of the right to health protection of people with disabilities the economic group of methods is important. These include programs of economic development of health care, rehabilitation programs for people with disabilities, implementation of pilot projects to change the mechanism of financial support for operative treatment, etc. Methods of regulating influence (indirect management) are becoming increasingly important, and economical methods of management belong to them. Implementation ensures that the financial and material interests of the management objects are satisfied through the activities of its subjects, which create favorable conditions for achieving the goals and objectives of management. For example, local self-government bodies, within the limits of their competence, can finance local programs for the development and support of community healthcare institutions. In 2019, a new mechanism of rehabilitation support for children with disabilities was introduced based on the principle of "money follows the people", which should ensure targeting, transparency and improve the quality of rehabilitation services. Resources are divided vertically among regional bodies, which divide budgetary funds among local bodies in proportion to the number of children who require rehabilitation measures, according to the place of their residence (location). The national legislation also reflects the norms that created the conditions for the implementation of the right to work of people with disabilities, as well as ratified Convention on the Rights of Persons with Disabilities and the ILO Convention on professional rehabilitation. From the point of view of the Ministry of Healthcare of Ukraine, the funds allocated by the state are extremely insufficient for the uninterrupted functioning of the medical system. In its budget memorandum for 2021 the ministry has allocated twice as much – 296 billion UAH, 225 billion UAH of which for the implementation of the medical guarantee program (which is 5% of GDP, as required by the Law of Ukraine "On State Financial Guarantees of Medical Services to Population"). But the proposals of the Ministry of Health both at the time of formation of the state budget and at the time of its approval were not taken into account. The requirement of the Law of Ukraine "On State Financial Guarantees of Medical Services to the Population" for the establishment of financing of the program of medical guarantees at the level of 5% of GDP was lengthened for one more year.
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Makhmutkhodjaeva, L. S. "The Issues of Improving the Inclusive Education System in Uzbekistan." Open Education 26, no. 2 (March 15, 2022): 52–68. http://dx.doi.org/10.21686/1818-4243-2022-2-52-68.
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Purpose of the study. With the emergence of new requirements for higher education institutions in the educational market services and in the labor market, there is a need to find effective methods of managing education in the conditions of the development of market relations; universities and institutions are faced with the task of creating techniques for ensuring the quality of educational services. Particular relevance is the formation of a system for ensuring the quality of education for different categories of students, including persons with disabilities. The purpose of the study is to review the situation with the state of inclusive education, based on foreign experience as an attempt to analyze the situation in other countries, as well as provide recommendations for further improvement in order to make inclusive education a reality for a large number of children and their families. It is possible that these studies will help to create an inspirational climate more conducive to “education for all” in society and make it easier for children who may have been excluded from education in the past.Materials and methods. The methodological basis of the study was activity, personality-oriented, systemic, project and individually creative approaches. The volume of materials can be conditionally divided into several groups - decrees and resolutions of the government of the Republic of Uzbekistan, reports and studies of international organizations, works of scholars and researchers. An analysis of the historiography of the issue showed that despite of a significant number of studies in the field of education, including inclusive education, there are still no studies that analyze foreign experience and integrate that data on study in the field of inclusive education in the Republic of Uzbekistan. This article is an attempt to analyze the situation in Uzbekistan, consider the measures taken in the Republic of Uzbekistan to introduce inclusive education, analyze the experience of other countries and offer recommendations.Results. Significant work is being done in Uzbekistan to create living conditions; education for people with disabilities, a legislative framework has been created to make conditions for the further development of people with disabilities. The article explores the experience of foreign countries and Central Asian countries in the development of inclusive education. Especially, the situation with the education of persons with disabilities in Uzbekistan are being reviewed, besides, the access of children to get education, as well as receiving vocational and higher education is being studied in addition with the legislative framework in this specialty. It is noted that the problem of disabled people with education is one of the central issues for the republic.Conclusion. Thus, we conclude that the social inclusion of children and adults with disabilities requires broad systemic changes and a multisectoral approach that removes institutional and structural barriers, allowing persons with disabilities to meet their basic needs related to health, rehabilitation, economic and social security as well as learning and skills development within living in their communities.In our conditions, which are unfavorable for the most independent life of disabled people, reducing the degree of state responsibility for the well-being of citizens with disabilities is fraught with high social risks. The transition to independent living and inclusion should be carried out using development guidelines by taking into account national interests and socio-economic contexts, the emphasis should be on removing barriers to provide young people with disabilities with education.
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Samal, Ashis, and Ashis Kumar Samal. "People With Disability and Access To Financial Services: Evidence From Odisha." American Journal of Economic and Management Business (AJEMB) 2, no. 6 (June 17, 2023): 204–14. http://dx.doi.org/10.58631/ajemb.v2i6.41.
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The purpose of this study is to examine the effects of disability on access to financial services in Odisha. Data for the study were obtained from the Odisha Economic Survey 2021-22. We used an instrumental variable (IV) regression approach to examine the effect of disability on the use of formal financial institutions and mobile money. We find that the likelihood of having access to finances and using any of the financial institutions, or having at least a product/service with a bank reduces for people with disability. Further, our results show that while people with disability are less likely to use commercial banks (6.3%), rural banks (4.8%) and at least one financial service (6.3%), they are 53.7% more likely to use mobile money. Collaborative actions are needed to raise awareness on mobile money and other Fintech solutions, as well as accessibility functions that can support the inclusion of persons with disabilities into the financial system.
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Rotholz, David A., Charles R. Moseley, and Kinsey B. Carlson. "State Policies and Practices in Behavior Supports for Persons With Intellectual and Developmental Disabilities in the United States: A National Survey." Intellectual and Developmental Disabilities 51, no. 6 (December 1, 2013): 433–45. http://dx.doi.org/10.1352/1934-9556-51.6.433.
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Abstract Providing effective behavioral supports to decrease challenging behavior and replace it with appropriate alternative skills is essential to meeting the needs of many individuals with intellectual and developmental disabilities (IDD). It is also necessary for fulfilling the requirements of Medicaid-funded individual support plans and is important for moral, ethical, and societal reasons. Unfortunately, there is no national standard for behavioral support practices or source of information on the status of behavior support policies, practices, and services for adults with IDD at either state or national levels. The collection of comprehensive data on state behavior support definitions, provider qualifications, training, and oversight requirements is a necessary starting point for the development of plans to address needed policy and practice changes. This survey is the first national assessment of state policies and practices regarding the definition and delivery of behavior support services to people with intellectual and developmental disabilities receiving publicly financed supports in the United States.
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Lamedica, Regina, Marco Maccioni, Alessandro Ruvio, Federico Carere, Nicola Mortelliti, Fabio Massimo Gatta, and Alberto Geri. "Optimization of e-Mobility Service for Disabled People Using a Multistep Integrated Methodology." Energies 15, no. 8 (April 8, 2022): 2751. http://dx.doi.org/10.3390/en15082751.
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The penetration of e-mobility is growing thanks to the European guidelines on climate preservation regarding the reduction in CO2 emission. Governments are adapting their economic policies with the aim to incentivize e-mobility. At the same time, with a view to equality and accessibility, countries are working to introduce e-mobility services also for people with disabilities in order to improve the quality of their lives. The paper reports the deployment of an e-mobility service for persons with disabilities carried out in a project financed by Sapienza University of Rome. The project includes a feasibility study and a cost–benefit analysis in order to identify the optimal solution from a technical and environmental point of view for a sustainable e-mobility service for people with reduced mobility. A methodology to design a service based on optimal routes and electric vehicles with respect to energy consumption, time travel, energy and vehicle costs and quality of service is proposed. The 5-step methodology calculates the most energy-efficient routes and defines the optimal charging schedule, taking into account charging points dislocated along the routes and choosing vehicle typologies with the best performance based on economic evaluations. A software was developed to automatize the methodology.
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Ghalwash, Seham, Ayman Ismail, and Noha El Sebaie. "Helm: a social enterprise expanding opportunities for people with disabilities in Egypt." Emerald Emerging Markets Case Studies 11, no. 4 (December 7, 2021): 1–31. http://dx.doi.org/10.1108/eemcs-10-2020-0391.
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Case synopsis Drawing from individual experiences and shared passion, Amena and Ramez first founded Helm as a student club at the American University in Cairo in 2012. As a club, Helm worked extensively to identify the main challenges facing persons with disabilities (PwDs) in Egypt. During meetings with various stakeholders, Helm found that employment was a recurring theme. The employment rate for PwDs in Egypt was only 21.3% compared to 40.2% among the non-disabled. During its first year alone, Helm found jobs for 300 individuals with some sort of disability. Despite this initial success, Helm strived to increase its social impact by increasing the integration of PwDs in Egypt through changing employers’ mindset and building inclusive work atmospheres where PwDs could work and thrive. There were, however, major cultural barriers in Egypt standing in the way of this vision. Despite these challenges, Helm managed to play a pivotal role in creating social transformation around disability in Egypt. Helm became a key player in reshaping Egypt’s legislation on PwDs through participating in several policymaking discussions, parliamentary committee meetings and programs with governmental entities. In the hope of increasing Helm’s potential social impact, Amena and Ramez aimed to maintain their growth in Egypt and to expand to other markets in the region. Accordingly, they were faced with a set of compelling questions. Amena and Ramez further wanted to make sure that their current business model and contribution to social transformation for PwDs could help them to grow and serve other markets. Should they adapt their business model and services offerings to scale up their social impact accordingly? If so, how? Case learning objectives This case allows students to consider the nature of social enterprises in developing countries and how they create social transformation in supporting PwDs in local communities. This case also introduces students to social enterprises’ business models, scalability and the sustainability issues which such enterprises face in the context of developing countries. By the end of studying the case, students should be able to understand the following: Objective 1: Identify the characteristics of social entrepreneurship and apply it to a social enterprise using Robinson’s (2006) definition of social entrepreneurship; Objective 2: Analyze the business model of a social enterprise using the nine building blocks of the business model canvas of Osterwalder and Pigneur (2010); Objective 3: Evaluate the social enterprise revenue model for sustainability using Yunus et al.’s (2010) building a social business model; and Objective 4: Suggest business model modification to improve a social enterprise’s scalability and service offerings in a new market. Complexity academic level This case study is aimed at students who are enrolled in entrepreneurship, social entrepreneurship, non-profit management, corporate social investment and sustainability courses. This case is written at an honor of graduate level so it can be used for master’s level, short graduate programs, MBA. The case is directed to students who have a business background and want to understand and explore social entrepreneurship. Supplementary materials Teaching notes are available for educators only. Subject code CSS 3: Entrepreneurship.
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Hudspeth, Nancy, and Gerard Wellman. "Equity and public finance issues in the state subsidy of public transit." Journal of Public Budgeting, Accounting & Financial Management 30, no. 2 (June 4, 2018): 135–55. http://dx.doi.org/10.1108/jpbafm-02-2018-0014.
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Purpose Public transit is an essential service for people without access to an automobile, particularly those who are low income, elderly, or with disabilities. Previous research has found that large urban transit agencies receive less state funding per ride provided than suburban agencies. The paper aims to discuss this issue. Design/methodology/approach Using data from the National Transit Database for 37 of the largest US transit agencies, the authors create a panel data set of services provided and sources of operating funds for the period 1991-2009. The authors develop an equity index that represents the difference between the share of state funding that an agency receives and the share of the total transit rides in the state that it provides. The authors use fixed-effects regression modeling to examine the determinants of fiscal balance and the equity index. Findings The authors find that the share of an agency’s operating funds that come from dedicated taxes is a significant predictor of fiscal health as measured by its fiscal balance; reliance on passenger fares and provision of bus service are significant predictors of operating deficits. The equity index finds that large agencies receive less than their fair share of state transit funding based on ridership. Practical implications Dedicated tax revenues are a key ingredient to transit agencies’ fiscal stability. Transit agencies’ fiscal condition in states and localities that do not have a dedicated tax could benefit from such a tax. Social implications Transit is an essential service for people who are unable to drive or own an automobile; funding inequities maintain old patterns of segregation and isolation for “transit dependents.” Originality/value This study supports earlier research finding that large agencies receive less than their fair share of state funding based on ridership. It contributes to the literature on transportation equity and transit finance.
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Cohen, Marc A., Benjamin Veghte, Eileen J. Tell, and Alexandra L. Bradley. "DESIGNING A STATE-BASED SOCIAL INSURANCE PROGRAM FOR LONG-TERM SERVICES AND SUPPORTS." Innovation in Aging 3, Supplement_1 (November 2019): S573. http://dx.doi.org/10.1093/geroni/igz038.2123.
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Abstract The fundamental LTSS financing problem today is the absence of an effective insurance mechanism. To achieve universal coverage, social insurance is required. This report identifies key design questions for states to consider in crafting an LTSS social insurance program, outlines a range of vetted approaches states could adopt, and describes the building blocks and tradeoffs associated with these options. This analysis was developed during a year of deliberations by a Study Panel of 15 experts in LTSS with a variety of perspectives. States must answer two critical first-order questions. First, who is the program seeking to help – only the elderly, or all people with disabilities? Only those who start paying into the program now, or current retirees as well? Second, how will the program be financed – through a payroll tax, an income tax, or some other dedicated revenue source? Additional considerations follow from these two overarching questions.
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Al-Zboon, Eman, and Ibrahim Jumia'an. "Psychological Security Among University Students: Highlighting Pre-Service Teachers of Children with Disabilities and Pre-School Children." Mediterranean Journal of Social Sciences 11, no. 6 (November 21, 2020): 41. http://dx.doi.org/10.36941/mjss-2020-0062.
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A survey of psychological security among pre-service teachers is significant for policy-makers in health and education services sectors to certify skilled teachers to work with children. So, the purpose of the current study was to investigate the level of psychological security of Jordanian pre-service special education and early childhood teachers. A descriptive method design was adopted. A survey was used to collect data about the level of psychological security of Jordanian pre-service teachers. Participants of the study were 216 special education and early childhood teachers. Results showed that teachers cited average levels of PS and 10.6 % of all participants had a low level of PS. Teachers rated thinking about the future, life being interesting, love between people, and unknown things as problematic issues in PS. Results revealed no statistically significant mean differences due to gender, average achievement or religious commitment. Recommendations for field and future research are presented.
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Raudeliunaite, Rita, and Vida Gudžinskienė. "THE DEVELOPMENT OF INDEPENDENT LIVING SKILLS IN YOUNG ADULTS WITH INTELLECTUAL DISABILITY IN SHELTERED HOUSING ACCOMMODATION." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 3 (May 26, 2017): 265. http://dx.doi.org/10.17770/sie2017vol3.2444.
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National Programme for Social Integration of People with Disabilities for 2013 - 2019 has set a strategic objective to create a positive environment and conditions for a dignified and fully fledged life of people with disabilities in Lithuania, to guarantee equal opportunities and the quality of life of people with disabilities. The article analyses the experiences of the social workers, who work in sheltered housing accommodation with young adults with intellectual disability, when developing independent living skills in young adults with intellectual disability. Sheltered housing accommodation is social services institutions providing social care, in which persons live in home environment and conditions are created for them to manage their own personal life on their own with the support of the social workers. A qualitative-empirical study has been conducted by using the method of a semi-structured interview. The study data were processed by using the method of content analysis. The results of the empirical study are based on the experience of 11 social workers, who have been working in sheltered housing accommodation with young adults with intellectual disability for at least 3 years. The study has revealed that the following independent living skills are considered to be the most easy to be developed: cooking, simple housework, hygiene skills. The young adults also easily develop public transport use skills. The young adults most often acquire work skills by tidying their home environment. The most difficult, according to the social workers, to develop are economic skills: to manage their budget, to allocate finances, to pay for services, and to do the shopping. The young adults with intellectual disability find it difficult to develop their parenting skills. Communication skills are developed while learning etiquette and complying with it in a large range of environments, by encouraging to communicate courteously with other persons, showing personal example, taking a good example from others, taking part in different events, festivals and communal activity. The development of independent living skills occurs by engaging young adults in a practical activity. Particular attention is given to the development of healthy lifestyle skills. The young adults are encouraged to make decisions by guiding them in the right direction, while respecting their interests; the responsibility for the decisions made by them and the consequences of those decisions is also developed. Activity planning, organising and personal skills are developed.
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Bogenschutz, Matthew, Amy Hewitt, Jennifer Hall-Lande, and Traci LaLiberte. "Status and Trends in the Direct Support Workforce in Self-Directed Supports." Intellectual and Developmental Disabilities 48, no. 5 (October 1, 2010): 345–60. http://dx.doi.org/10.1352/1934-9556-48.5.345.
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Abstract Self-directed programs that allow individuals with intellectual and developmental disabilities to exercise greater control over their finances have become increasingly common in recent years. At the same time, challenges in the recruitment, retention, and training of direct support workers in the field have grown more acute. In this article, the authors investigate the status of the direct support workforce for people using self-directed supports in 1 Midwestern state, based on the results of a statewide survey of service users. Although additional research is needed, the results of this study suggest that people who use self-directed funding options are satisfied with their ability to direct staffing, though challenges remain. Among these challenges, the presence of higher than expected wages but lower than expected benefits provision compared with traditional services may have serious policy and staff retention ramifications that affect the long-term viability of self-directed funding options. In addition, staff training remains a challenge, with service users in this sample reporting low rates of training beyond a general skill set. Implications of these findings are discussed.
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Saavedra, Cristian. "The Teleton Integrated Care Approach to Deliver Rehabilitation Services and Promoting Inclusion for Children and Teenagers with Motor Disabilities in Chile - Implementation and lessons learned." International Journal of Integrated Care 23, S1 (December 28, 2023): 778. http://dx.doi.org/10.5334/ijic.icic23301.
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People with disabilities face significant barriers in order to get proper access to health care. According to the World Health Organization, they are three times more likely to be denied health care, four times more likely to be treated badly in the healthcare system and 50% more likely to suffer catastrophic health expenditure.
In Chile, 5,8% of the children and teenagers have some form of disability. Motor disabilities are one of the most prevalent in this age group.
Teleton is a non-profit network of 14 healthcare institutes providing rehabilitation care to 93,5% of children and teenagers with motor disabilities in Chile.
Conditions treated by Teleton include Cerebral Palsy, amputations, central nervous system diseases, neuromuscular diseases and other congenital or acquired diseases leading to a motor impairment.
Established in 1979 and mostly financed through a yearly national fundraising campaign, over the last 10 years Teleton has faced difficulties to provide adequate coverage and continuity of care to their patients.
As a response to these challenges, in 2015 Teleton developed an integrated multidisciplinary model of care including interventions from several specialties such as: physiatry, orthopedics, nursing, physiotherapy, occupational therapy, psychology, education, social work, art therapy, phono audiology and adapted sports therapy. The model follows the principles of the McColl Chronic Model of care.
As a core element, the model establishes the creation of specialized multidisciplinary teams of professionals taking care of a specific population from a diagnostic group. This feature allows the workforce to gain expertise and enhance coordination, thus improving the quality of care.
Similarly, the model allow patients to be treated by the same professionals who know their clinic history facilitating the delivery of care and patient satisfaction.
The aim of this paper is to explain the key components of this model including clinical processes, organization of delivery of care, clinical metrics, team coordination practices, and to present main results in terms of health coverage, health quality, administrative performance, governance and impact on patient functionality.
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Walter R. Frontera, Wouter DeGroote, and Abdul Ghaffar. "Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems: A Call to Action to Accelerate Progress." Journal of the Pakistan Medical Association 73, no. 11 (October 30, 2023): 2147–49. http://dx.doi.org/10.47391/jpma.23-90.
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During the last few decades, the field of rehabilitation has experienced substantial development, growth, and acceptance. Rehabilitation addresses the impact of a health condition on a person’s everyday life by optimizing their functioning and reducing their experience of disability. Rehabilitation expands the focus of health beyond preventative and curative care to ensure people with a health condition can remain as independent as possible and participate in education, work, and meaningful life roles.1 A definition of rehabilitation for research purposes has been recently published.2 Scientific and clinical research have generated a body of knowledge that strongly supports the use of many rehabilitation interventions with positive outcomes in various populations and health conditions. We also have now a better understanding of the growing global need, demand, and recognition of rehabilitation around the world. For example, it has been estimated that 2.41 billion people in the world could benefit from rehabilitation services. This means that at least one in every three persons in the world needs rehabilitation at some point during the course of their disease or injury.3 This figure has most likely increased because of the COVID-19 pandemic. The need for rehabilitation increased by 63% between 1990 and 2017 because of the aging population, the increasing prevalence of noncommunicable health conditions, and the shifting epidemiological profile in most countries.3 Finally, according to the 2022 global report on health equity for persons with disabilities, approximately 1.3 billion people or 16% of the world’s population has moderate to severe levels of disability associated with the underlying health conditions and impairments.4 Now more than ever before, it is crucial that rehabilitation is available and accessible to populations globally according to their needs. The important contribution of rehabilitation to the functioning, including social and occupational participation and well-being of populations worldwide, can no longer be denied or delayed. Rehabilitation is critical for the attainment of the United Nations Sustainable Development Goal 3, Ensure healthy lives and promote well-being for all at all ages.5 Notwithstanding the foregoing arguments, there continues to be a high unmet need for rehabilitation globally, with some low- and middle-income countries reporting unmet needs up to 50% of those who could benefit from rehabilitation. Rehabilitation services are not accessible to many people around the world.6 Many of those in need do not have access because of the failure, at least partially, to effectively plan for rehabilitation services. Many nations and health systems have not implemented policy measures that recognize rehabilitation as an essential component of universal health coverage7,8 Health policy, planning, and decision making for rehabilitation often require more local evidence to adequately plan, finance, implement,and monitor quality rehabilitation services including infrastructure and workforce to make services accessible to those in need.9
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Achirei, Stefan-Daniel, Mihail-Cristian Heghea, Robert-Gabriel Lupu, and Vasile-Ion Manta. "Human Activity Recognition for Assisted Living Based on Scene Understanding." Applied Sciences 12, no. 21 (October 24, 2022): 10743. http://dx.doi.org/10.3390/app122110743.
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The growing share of the population over the age of 65 is putting pressure on the social health insurance system, especially on institutions that provide long-term care services for the elderly or to people who suffer from chronic diseases or mental disabilities. This pressure can be reduced through the assisted living of the patients, based on an intelligent system for monitoring vital signs and home automation. In this regard, since 2008, the European Commission has financed the development of medical products and services through the ambient assisted living (AAL) program—Ageing Well in the Digital World. The SmartCare Project, which integrates the proposed Computer Vision solution, follows the European strategy on AAL. This paper presents an indoor human activity recognition (HAR) system based on scene understanding. The system consists of a ZED 2 stereo camera and a NVIDIA Jetson AGX processing unit. The recognition of human activity is carried out in two stages: all humans and objects in the frame are detected using a neural network, then the results are fed to a second network for the detection of interactions between humans and objects. The activity score is determined based on the human–object interaction (HOI) detections.
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Javed, Afzal, and Nazish Imran. "Schools: A vital component of Child and Adolescent Mental Health." Indian Journal of Clinical Psychiatry 3, no. 01 (August 24, 2023): 1–4. http://dx.doi.org/10.54169/ijocp.v3i01.80.
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Mental health among children and adolescents persists as a significant public health concern, given the continuous escalation in the prevalence of mental disorders.1 According to the World Health Organization (WHO), roughly 20% of young people encounter psychiatric difficulties.2 A considerable proportion (50%) of psychiatric morbidity in adults manifests in the formative years ofchildhood. Children and adolescents living in LMIC have a high prevalence of psychiatric morbidity due to various adversities they face, including limited services to support children with neurodevelopmental disabilities and stigma, poor educational facilities and educational environment, bullying, caregivers’ absence, chronic poverty, armed conflicts, etc. Despite the high burden of mental illnesses originating at young age and associated disability, evidence from both developed and developing countries suggest that the majority of children at risk of psychiatric illness remain undetected and untreated. In certainsocieties, it is not an anomalous phenomenon that parents are held accountable for their child’s mental illness or that it is traced back to spiritual factors and demonic possession. Epilepsy, a significant co-morbid disorder with manydevelopmental problems in children, is sometimes considered contagious. Lack of resources (finances, services, human resources) and stigma faced by children and families are among the main barriers identified in access to care.
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Li, Yuchang, Linlin Hu, and Yuanli Liu. "Long-term care insurance facilitating integrated care: the "whole-person, full-responsibility" system in Qingdao City of China." International Journal of Integrated Care 23, S1 (December 28, 2023): 346. http://dx.doi.org/10.5334/ijic.icic23464.
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Introduction: The ageing of China has brought the burden of long-term care, and some local areas started the piloting of long-term care insurance (LTCI). In response to its rapid ageing situation, Qingdao was the first city in China to establish LTCI, and it became a national pilot city in 2016. Qingdao has explored an integrated LTCI system, featuring "whole-person, full-responsibility", which promotes the integration of health and long-term care service delivery.
Short description of practice change implemented: LTCI in Qingdao is financed through a variety of channels, including the reallocation of medical insurance funds, government financial subsidies and premiums. The scope of LTCI coverage is centred on people’s needs and facilitate the provision of integrated services, including medical care, nursing care, living care, functional maintenance and spiritual comfort services. It meets the complex care needs of people with long-term disabilities, reduces the use of hospital beds, and promotes the development of the care service market.
Targeted population and stakeholders: The targeted population is the LTCI participants in Qingdao, especially the severely disabled and dementia population. Stakeholders include medical insurance agencies, medical institutions, long-term and elderly care facilities, families, etc.
Timeline: Qingdao has been exploring the construction of LTCI since 2012, and in 2018 it introduced the concept of ""whole-person, full-responsibility"" as a new insurance model.
Highlights: Qingdao has innovatively established a ""whole-person, full-responsibility"" integrated insurance model facilitating the combination of medical, ageing, nursing, rehabilitation and prevention services. The core is a person-centred, integrated approach to care needs, with the same designated care provider taking full responsibility for providing the integrated services.
The care includes ""special care"", "" institutional care"", ""home care"" and ""ambulatory care"", covering longer-term hospitalization, institutional care and home care.
People with dementia were also reimbursed for dementia care. In addition, the Dementia Prevention Fund has been established to promote the prevention of dementia.
Sustainability and transfer-ability: The establishment of LTCI in Qingdao has effectively reduced the use of hospital beds, reduced the burden of medical insurance funds and promoted the development of the service market. It has been scaled up to the whole province of Shandong and became a national model for LCTI with potential of large scale duplication. But the scheme still faces funding pressure as its expansion of benefits.
Conclusion: LTCI in Qingdao is based on the concept of ""whole-person, full-responsibility"", taking into account the care needs of people in a holistic manner, which addresses the care integration for long-term disabled and dementia population. It also promoted the development and capacity building of providers and reduced the burden of medical system, resulting in a win-win situation for all parties. It provided a model for China to explore the LTCI system and integrated care for the elderly.
Discussion: To promote the sustainable development of Qingdao's LTCI system as well as the national LTCI system, issues should be considered in the next step including the sustainable fund raising through diversified channels, the supervision of service quality, training of professionals and workforce, and priority given to disability prevention.
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Midgley, Gerald. "Evaluating Services for People with Disabilities." Evaluation 2, no. 1 (January 1996): 67–84. http://dx.doi.org/10.1177/135638909600200106.
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Vernon, Samantha. "People with learning disabilities accessing maternity services." British Journal of Midwifery 27, no. 9 (September 2, 2019): 589–92. http://dx.doi.org/10.12968/bjom.2019.27.9.589.
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From September 2018–June 2019, I was fortunate enough to undertake a research internship with the National Institute for Health Research (NIHR). My chosen topic was ‘people with learning disabilities accessing maternity services'. This was because, through 19 years of clinical practice, I identified an increasing number of women and families with learning disabilities presenting for care in my Trust, but found no specific mention of learning disabilities in the National Institute for Health and Care Excellence (NICE) (2019) guidelines, nor a standard definition within which to work. This led me to reflect on my experience and how midwives can assist women and families with learning disabilities. This refelection has been guided by Gibbs (1988) .
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Hairia, Herlina Sakawati, and Muh Nur Yamin. "Evaluation of Services For Persons With Disabilities at The Office of Population and Civil Registry Services, Enrekang District." Perkembangan Kajian Sosial 1, no. 1 (April 30, 2024): 37–46. http://dx.doi.org/10.69616/p.v1i1.11.
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Every public service provider is obliged to provide fair and equitable services to all levels of society without exception to people with disabilities. The Enrekang District Population and Civil Registry Service, South Sulawesi has implemented a strategy to improve services for people with disabilities by referring to regional regulations regarding the provision of services for people with disabilities. However, these efforts still do not provide excellent service as expected. Through this research, an evaluation analysis of the implementation of services for people with disabilities in Enrekang Regency, South Sulawesi was carried out to determine the causes of poor quality services for people with disabilities. This research uses a descriptive qualitative approach. Data collection was carried out by interviews and direct observation of the facilities and services available at the Enrekang Regency Population and Civil Registry Office, which were then analyzed using the technique introduced by (Miles et al., 2018), namely Interactive Model Analysis. The research results show that services for Persons with Disabilities at the Enrekang Regency Population and Civil Registry Office, South Sulawesi need to improve Effectiveness and Adequacy indicators. Lack of facilities, such as special toilets for people with disabilities, can hamper the service process. Apart from that, the absence of translators for the deaf makes it difficult for employees to communicate which can hamper the service process. Despite these shortcomings, in general, there have been efforts to improve accessibility for people with disabilities. Services to people with disabilities are carried out quickly and precisely, and employees are responsive in responding to the needs and complaints of people with disabilities.
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Thompson, David. "Misplaced and forgotten: People with learning disabilities in residential homes for older people." Housing, Care and Support 5, no. 1 (February 1, 2002): 19–22. http://dx.doi.org/10.1108/14608790200200006.
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A significant number of people with learning disabilities live in nursing and residential homes for older people. Based on research undertaken by the Foundation for People with Learning Disabilities, this article describes why they entered these services and their lives once there. It raises serious concerns about their quality of life and challenges learning disability services to meet better the needs of people with learning disabilities as they age.
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Williamson, Alison, and Judith Johnson. "Improving services for people with learning disabilities." Nursing Standard 18, no. 24 (February 25, 2004): 43–51. http://dx.doi.org/10.7748/ns2004.02.18.24.43.c3555.
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Shield, Jessica, Linda Turner, Sian Pierce, and Wheatcroft David. "Dental services for people with learning disabilities." Learning Disability Practice 16, no. 1 (February 2013): 12–15. http://dx.doi.org/10.7748/ldp2013.02.16.1.12.e684.
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Reid, A. H. "Psychiatric services for people with learning disabilities." BMJ 310, no. 6994 (June 17, 1995): 1549–50. http://dx.doi.org/10.1136/bmj.310.6994.1549.
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Owens, J., T. A. Dyer, and K. Mistry. "People with learning disabilities and specialist services." British Dental Journal 208, no. 5 (March 2010): 203–5. http://dx.doi.org/10.1038/sj.bdj.2010.204.
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Sheardown, Jana. "Improving Library Services to People with Disabilities." Journal of Web Librarianship 2, no. 4 (December 2, 2008): 613–15. http://dx.doi.org/10.1080/19322900802523896.
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Nopiah, Ririn, and Heni Wahyuni. "Pengaruh Asuransi Kesehatan Dan Ekonomi Terhadap Aksesabilitas Layanan Kesehatan Penyandang Disabilitas Di Indonesia." Convergence: The Journal of Economic Development 3, no. 2 (July 19, 2022): 127–46. http://dx.doi.org/10.33369/convergence-jep.v3i2.22768.
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Health insurance is one of social health guarantees programs provided to the society in accessing health services in Indonesia. This program is implemented as a solution of equality problems on health services. This paper aims to analyze effect of health insurance ownership on accessibility health services to people with disabilities who included as vulnerable communities. This research have 1.288 respondents of people with disabilities from Indonesia Family Life Survey that analyzed by multinomial logit regression models. The results show that health insurance ownership of disabilities are not effective enough in accessibility of disabilities health services. To access health service, people with disabilities have main obstacle factor namely physical mobiltity services. Furthermore head of household, chronic disease, transportation costs, and years education variables have significant effect on preventive and curative health services to people with disabilities. Whereas sex and unemployed status significant effect on preventive health services. Keywords : People with Disabilities1, Health Insurance2, Accessibility3, Health Service4
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Chiu, Tzu-Ying. "Predictors of Use of Preventative Health Services for People with Disabilities in Taiwan." International Journal of Environmental Research and Public Health 18, no. 4 (February 9, 2021): 1661. http://dx.doi.org/10.3390/ijerph18041661.
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People with disabilities display less use of preventive health services, such as health examinations, flu vaccinations, Pap smears and breast screening, but evidence has shown that preventive health services can detect or even prevent serious diseases and medical problems. Therefore, identifying the factors associated with the use of preventive health services is important for people with disabilities. This study examined the use of preventive health services by people with disabilities and identified other associated factors for people with disabilities. The research used social demographics and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 12 items to measure activity and participation (AP) and other factors; there were 742 people with disabilities recruited with stratified proportional sampling. The data were collected through face-to-face interviews. The findings revealed that the common types of preventive services accessed by people with disabilities were health examinations and flu vaccinations; most of them had only used one preventive health service in the past year. The factors of having caregivers of spouses (OR = 1.74), perceived good health (OR = 1.26), and less limitation of AP (OR = 0.99) were significantly associated with the use of preventive services (p < 0.01). The study found a significant association between having children as caregivers and the non-use of Pap smears and breast screening services among women, providing valuable evidence for the distribution of the use of preventive health services for people with disabilities. Furthermore, the study highlighted the present status of disparities in the use of preventive services for people with disabilities and should encourage a boost in the adjustment of the medical environment and service resource allocation by the Taiwanese government for people with disabilities.
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Premuda-Conti, Paola, and Heber da Cunha. "Vocational Rehabilitation Services in Uruguay: A Rehabilitation Counseling Perspective." Journal of Applied Rehabilitation Counseling 45, no. 2 (June 1, 2014): 18–25. http://dx.doi.org/10.1891/0047-2220.45.2.18.
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Provisions to promote work for Uruguayans with disabilities have been included in many Uruguayan national laws (e.g., Law 16095, Law 18651), however, their participation in the labor force remains low. This paper introduces current demographic data on people with disabilities, as well as key aspects of Uruguayan society, such as prevalent attitudes towards people with disabilities. In addition, a brief overview of social security benefits and disability services is presented, followed by a description of current policy and major pieces of legislation that affect employment of people with disabilities in that country. Finally, selected public and private initiatives to foster employment opportunities for Uruguayans with disabilities, such as the Work Training program for people with disabilities (Programa de Capacitaciόn Laboral para personas con discapacidad or PROCLADIS) and the Target Employment program (“Objetivo Empleo), are presented in detail and discussed. Implications for rehabilitation counselors and practitioners are provided. The pursuit of full employment for people with disabilities remains a challenge in Uruguay, however, recent policy initiatives are auspicious.
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Bouras, Nick, and Geraldine Holt. "Mental health services for adults with learning disabilities." British Journal of Psychiatry 184, no. 4 (April 2004): 291–92. http://dx.doi.org/10.1192/bjp.184.4.291.
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Services for people with learning disabilities have been transformed since the late 1960s by the move from institutional to community care. (Learning disabilities is the term currently used in the UK in preference to mental retardation, developmental disabilities and mental handicap.) Important changes include the progress towards integration, participation, inclusion and choice for people with learning disabilities, which have occurred in the context of the broader civil and human rights movements. It is time to examine the services delivered to people with learning disabilities and comorbid psychiatric disorders (mental illness, personality disorders, behavioural problems with aggression) and the evidence for their effectiveness.
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Lodge, Alexa, and Paulette L. Stewart. "Public Library Support Services for People with Disabilities in Three Libraries in Trinidad and Tobago: An Evaluative Case Study." Caribbean Journal of Education 44, no. 1&2 (October 31, 2022): 77–101. http://dx.doi.org/10.46425/c044412r4670.
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Libraries have a mandate to provide equal access to information for all; including people with disabilities. This study was conducted to determine the types of resources available for people with disabilities; identify what services were provided to people with disabilities; ascertain the suitability of facilities for people with disabilities; and determine if there were challenges that people with disabilities had in accessing services provided by public libraries in Trinidad and Tobago. The libraries were found to have resources available in a variety of formats and assistive technologies; however, staff training for serving people with disabilities was inconsistent. Services for people who are blind included computer and braille classes which were done through collaborations with an organisation for people with disabilities. Only one of the libraries was fully accessible for wheelchair users and none of the libraries had sign language interpreters or braille signage available.
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Ride, Georgia, and Danielle C. Newton. "Exploring professionals' perceptions of the barriers and enablers to young people with physical disabilities accessing sexual and reproductive health services in Australia." Sexual Health 15, no. 4 (2018): 312. http://dx.doi.org/10.1071/sh17106.
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Background There is a lack of research on young people with physical disabilities’ access to sexual and reproductive health (SRH) services in Australia. Research has found that there are attitudinal, physical and communication barriers for people with disability, in general, accessing health services, including SRH services. This paper explores key informant perceptions of the barriers and enablers to young people with physical disabilities accessing SRH services in Australia. Methods: This research used a qualitative approach and involved semi-structured interviews with key informants. Key informants were identified using purposive and snowball sampling, and included health professionals working in SRH services and disability-focussed organisations. Thematic analysis was used to analyse the data. Results: Key informant interviews were carried out with nine health professionals and professionals from disability-focussed organisations. Key themes were: attitudes, role and capacity of health professionals; and additional supports. These three broad areas can either act as barriers or enablers for young people with physical disabilities to access SRH services. This research highlighted that heterosexual and gender bias creates additional barriers for young women with physical disabilities and young people with physical disabilities who identify as lesbian, gay, bisexual, queer, transgender or intersex (LGBQTI). Conclusion: Young people with physical disabilities face barriers accessing SRH services. Additional barriers are faced by young women and LGBQTI young people with physical disabilities. This paper suggests strategies to overcome these barriers.
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Paredes-Laguna, Dania Silvia, William Romeo Calderón-Curiñaupa, Sandra Liz Soto-Nuñez, Adriana Berenice Espinoza-Hoempler, and J. Jhonnel Alarco. "Factors associated with the use of rehabilitation services among people with disabilities in Chile: A population-based study." F1000Research 12 (January 18, 2023): 73. http://dx.doi.org/10.12688/f1000research.128242.1.
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Background: Rehabilitation services are necessary for people with disabilities to improve their quality of life and be included in society. This study aimed to determine the factors associated with the use of rehabilitation services among people with disabilities in Chile in 2015. Methods: This cross-sectional analysis of secondary data from Chile’s 2015 Second National Disability Study (ENDISC II) included people with disabilities aged ≥18 years. The dependent variable was the use of rehabilitation services in the previous year, and the exposure variables were sociodemographic and confounders. Poisson regression was used to determine associated factors, and prevalence ratios (PR) with their 95% confidence intervals (95% CI) were estimated. All results were weighted according to the ENDISC II complex sampling. Results: A total of 2610 people with disabilities were included, and 19.1% used some rehabilitation services in the previous year. Educational level (PR 0.43; 95% CI 0.25–0.75), having a mental illness (PR 1.77; 95% CI 1.44–2.18), and caregiver assistance (PR 1.57; 95% CI 1.25–1.97) were factors associated with the use of rehabilitation services. Conclusions: In 2015, one-fifth of people with disabilities in Chile used some rehabilitation services in the previous year. People with disabilities with lower educational levels were less likely to access these services. By contrast, people with mental illness and caregiver assistance were more likely to use rehabilitation services.
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Park, Eun-Young. "Effect of COVID-19 on Internet Usage of People with Disabilities: A Secondary Data Analysis." International Journal of Environmental Research and Public Health 19, no. 13 (June 25, 2022): 7813. http://dx.doi.org/10.3390/ijerph19137813.
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The coronavirus disease (COVID-19) pandemic has led our society to lead a life different than before. People, including those with disabilities, have come to rely on information from the Internet. However, there is a lack of empirical studies on the impact of the pandemic on the Internet usage of people with disabilities. To address this gap, this study analyzed data from the 2020 Digital Divide Survey, which comprised data on 7000 non-disabled people and 2200 people with disabilities. This was used to compare the changes in usage of Internet services, and awareness and experience of COVID-19-related non-face-to-face services among non-disabled people and people with physical disabilities, brain lesions, visual impairments, hearing impairments, and language impairments. People with and without disabilities reported increased internet usage, but the increase was significantly higher in the non-disabled population than in people with disabilities (p < 0.05), except for people with language impairments. Specific changes to service usage, experience, and usefulness were different according to the type of disability. The non-disabled population showed a significantly greater increase in the use of social participation services than people with physical disabilities (p < 0.05). The results of this study suggest that digital services need to be developed flexibly to address the unique needs of people with different types of disabilities.
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Matyana, Mandisi, and Xolani Thusi. "Making public service delivery more accessible to people with disabilities: The South African government narrative." International Journal of Research in Business and Social Science (2147- 4478) 12, no. 7 (October 28, 2023): 413–18. http://dx.doi.org/10.20525/ijrbs.v12i7.2713.
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Citizens with disabilities have the same rights as those without disabilities, and they are entitled to the same benefits as everyone else. Because of their mobility, people who do not have disabilities have greater access to public services. People with disabilities typically face difficulties in accessing government services due to the location of government offices, the physical structure of such offices, and the fact that they rely on others to access some of the services provided by the government. More government offices are located in urban areas, while the majority of people with disabilities live in rural areas, making it even more difficult for them to access government services such as health facilities, educational institutions, civic and social services. This paper examines what the South African government can do to make service delivery even more accessible to people with disabilities. To benefit this paper, the qualitative approach was used to collect data through a review of secondary sources.
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Syamsi, Ibnu. "Form of Services on Community-Based Employment Skills Education for People with Disabilities in Rural Areas." Journal of Education for Sustainability and Diversity 1, no. 1 (September 10, 2022): 67–85. http://dx.doi.org/10.57142/jesd.v1i1.7.
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Form of services on community-based employment skills education for people with disabilities in rural areas. This study aims to describe the form of community-based vocational education mobile services for people with disabilities in rural areas. This type of qualitative descriptive research using data collection tools, observations, interviews, and documentation. The results of the study, which obtained basic data on village potential, especially those related to the problems of people with disabilities in the research area, obtained basic data on prevalence rates of people with disabilities in rural areas, classification of disabilities, need assessments, and their distribution who need to receive job skills education services through mobile services, successful preparation of training materials to prepare prospective tutors to implement skills training, successful training of a number of prospective tutors in the village to train job skills, successful initiating efforts to raise funds and development in the research village area, successful instilling an understanding and awareness among community members, especially people parents or families with disabilities, regarding the importance of paying attention to or solving the problems of people with disabilities in rural areas.
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Murray, George. "Understanding Support Services for People with Learning Disabilities." Learning Disability Practice 8, no. 9 (November 1, 2005): 22. http://dx.doi.org/10.7748/ldp.8.9.22.s13.
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Koulikourdi, Anna. "Library services for people with disabilities in Greece." Library Review 57, no. 2 (February 29, 2008): 138–48. http://dx.doi.org/10.1108/00242530810854017.
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Bachman, Sara S., Mari-Lynn Drainoni, and Carol Tobias. "Substance Abuse Treatment Services for People with Disabilities." Journal of Disability Policy Studies 14, no. 3 (December 2003): 154–62. http://dx.doi.org/10.1177/10442073030140030501.
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Metzel, Deborah S., and Alberto Giordano. "Locations of Employment Services and People With Disabilities." Journal of Disability Policy Studies 18, no. 2 (September 2007): 88–97. http://dx.doi.org/10.1177/10442073070180020501.
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Chaplin, Robert. "Mental health services for people with intellectual disabilities." Current Opinion in Psychiatry 24, no. 5 (September 2011): 372–76. http://dx.doi.org/10.1097/yco.0b013e3283472524.
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