Journal articles on the topic 'People with disabilities – services for – great britain'

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1

Udovenko, J., and O. Honcharenko. "BRITISH EXPERIENCE OF SOCIAL AND PSYCHOLOGICAL REHABILITATION OF PEOPLE WITH DISABILITIES." Bulletin of Taras Shevchenko National University of Kyiv. Social work, no. 3 (2018): 63–67. http://dx.doi.org/10.17721/2616-7786.2018/3-1/14.

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The article is devoted to the study of the UK experience with the system of social and psychological rehabilitation of people with disabilities. The legislation analyzes the protection and support of people with disabilities in the UK, which enables them to maximize their potential, live a full and active life in their families, communities and society as a whole. The content of the concept of "rehabilitation", defined in normative documents, is disclosed as a personalized, interactive and collaborative process that reflects a person as a whole, enabling her to maximize their potential, to live a full and active life in their family, community, educational activities, and the workplace where it is needed. The goals of social rehabilitation of people with disabilities in the UK are considered, namely the orientation towards the person, its needs, and not the diagnosis; active involvement process, not passive care; integration of specialized and universal services; maximizing the potential of personality; work in partnership etc. The model of socio-psychological rehabilitation of people with disabilities in Great Britain, based on a multidisciplinary approach, is presented. The principles and stages of this model are described, aimed at implementation of complex, individually oriented approaches and active involvement of people with disabilities in different spheres of activity according to their needs and possibilities. The experience of British organizations that implement innovative technologies of physical, financial, informational support of people with disabilities is studied and described, in particular: the system of "contactless physiotherapy", independent personal payments, special online applications for various events of soplife, etc. The model of employment support for people with disabilities is presented in detail, which involves finding a job in accordance with the client's capabilities, training and adaptation to the workplace, and the general support of the work program for 2 years.
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McConkey, Roy, and Sarah Craig. "Change over 12 years in residential provision for adult persons with intellectual disabilities in Ireland." Tizard Learning Disability Review 23, no. 1 (January 2, 2018): 1–7. http://dx.doi.org/10.1108/tldr-01-2017-0001.

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Purpose The purpose of this paper is to document the impact of major policy changes and reductions in government funding on residential provision for people with intellectual disabilities (ID) in Ireland. Design/methodology/approach Ireland is unique in having a national database of people in receipt of services from specialist ID providers. Information on persons in residential settings from 2005 to 2016 was examined in terms of changes in the types of provision over time and broken down by age groups. Findings From 2011 onwards, cuts in government funding coincided with a continuing reduction in the overall provision of residential accommodation for adults with ID. There was a parallel increase in the number of people living with family carers, especially persons aged 55 years and over. The greatest reduction was in residential centres which was in line with recent policy but this was not matched by an increase in alternative options, with fewer people aged 20-34 living in residential accommodation of any kind. Compared to Great Britain, Ireland has proportionately more residential places with fewer people living independently. Social implications More Irish families have to continue caring for their adult relatives into their old age. Likewise, those resident in group homes and living independently are growing older which means there is an increased likelihood they will require additional support. Originality/value This national data set is a valuable tool for monitoring changes in service provision over time and for determining the impact of government policy and funding decisions.
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Florek, Paweł, and Tomasz Kołodziejczyk. "Supporting Evacuation of Disabled People – Organizational and Technological Challenges." Safety & Fire Technology 57, no. 1 (2021): 134–44. http://dx.doi.org/10.12845/sft.57.1.2021.9.

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Aim: The aim of this publication is to present the most important aspects concerning the conditions for evacuation of people with various types of disabilities – from mobility problems, to reduced perception in the event of a threat, and to indicate the most important challenges both in terms of legal regulations, as well as organizational and technological conditions for ensuring effective evacuation of disabled people. Introduction: People with disabilities are a group that requires special consideration when planning evacuation from public utility facilities, because many of these people – depending on the type and degree of their dysfunction – will not be able to evacuate from the danger zone on their own. The inspection carried out in 2019 by the Delegation of the Supreme Audit Office in Poznań confirmed the need to adapt the applicable legal regulations in this regard (in practice, fire safety instructions, evacuation plans, staff training and equipping facilities with adequate equipment supporting the evacuation of people with disabilities) [1]. In addition to legal and technological aspects, a very important factor in the effective evacuation of disabled people are organizational solutions adopted in a given facility, which should take into account the individual specificity (cubature) and functions of a given facility. Methodology: As part of the research process, theoretical research was used, such as: analysis of literature and legal documents, synthesis, general- ization, inference, comparison and analogy. During the research, national and foreign sources (from the United States and Great Britain) were analyzed. The selection of individual countries was guided by the level of development of the solutions adopted in these countries dedicated to supporting the evacuation of disabled people in a situation of threat to their life or health, as well as the availability of data sources. Conclusions: The presented analysis of the conditions for the evacuation of people with disabilities from public utility buildings shows the challenges that both the legislator and managers of facilities in the country face in this area, as well as the emergency services. The latter – similarly to people with disabilities – are the systemic beneficiaries of the desired changes in the area of law and tactics of rescue operations, from the moment of alerting about an event in the facility where there are people who are unable to evacuate themselves. Introducing good practices, verified in other countries, into common application, should significantly improve rescue operations. The expected effect will be to shorten the time of providing help to all people unable to evacuate themselves in an emergency – regardless of their number, as well as the type and specificity of the public facility in which the life or health threatening situation occurred. Keywords: evacuation of disabled people, public utility buildings, intelligent construction, modelling and computer simulations, individual evacuation plan Type of article: review article
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Ivanova, O., and M. Senkiv. "ACCESSIBLE TOURISM FOR ALL IN THE EUROPEAN UNION." Bulletin of Taras Shevchenko National University of Kyiv. Geography, no. 74 (2019): 66–74. http://dx.doi.org/10.17721/1728-2721.2019.74.12.

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The Global Code of Ethics for Tourism promotes the right of all people to equality in access to contemplate the resources of the planet, which, in turn, is the main principle of accessible tourism for all. Modern approaches to understanding the concepts of accessible tourism for all are analyzed in this paper. Accessible tourism for all means that any tourism product should be designed irrespective of age, gender and ability and with no additional costs for customers with disabilities and specific access requirements. Role of the principles of universal design for accessible tourism for all is characterized. In contrast to the concept of accessibility, which only applies to low-mobility categories of the population and focuses on physical access to transport and buildings, as well as access to information, the concept of universal design emphasizes creating the same conditions convenient for all users, without impersonating some of them. Three main prerequisites for the development of accessible tourism for all in the European Union are determined and characterized, in particular, existing accessibility legislation and standards at the global, European and national levels, population ageing and increase in the number of people with disabilities. There is the problem in Ukraine of the lack of accessibility standards for tourism facilities and services, so it is important to learn the experience of the European Union. The European Union population is aging and this trend will continue in the future. This phenomenon is a major challenge for the society, but at the same time, it also represents a great opportunity for local businesses and for the whole European economy. Elderly people (65 years and older) are encouraged to travel by different motives: visiting relatives, gaining cultural or gastronomic experience, they are interested in traveling on cruise ships, relaxing on the coast, participating in sports events or ethnic holidays. They tend to spend more while traveling and stay longer. Tourists with disabilities, above all, make travel decisions based on the opinions of their friends, and rely less on special offers aimed at them. Online offers and printed brochures of travel agencies influence their decision at the same level. France and the United Kingdom have the most disabled people in the EU. The European Union is the main tourism destination in the world. Five its member states (France, Spain, Italy, Great Britain, Germany) belong to the top ten countries of the world on arrival of tourists. The map of the most accessible cities of the European Union is created and the quantitative distribution of these cities by country of ownership is presented. France, Germany and Sweden are leaders in the European Union by the number of the most accessible cities in 2011-2018. Among the 23 most accessible cities, only five are the capitals of states. At the same time, the city of Ljubljana in Slovenia was twice noted by the European Commission as one of the most accessible. Elements of the tourism chain include: tourism destination management; tourism information and advertising (preparation, information and booking); urban and architectural environments; modes of transport and stations; accommodation, food service and conventions; cultural activities (museums, theatres, cinemas, and other); other tourism activities and events. On the basis of the theory of accessibility chain structure and the tourism chain, the best practices of accessible tourism for all are analyzed using the example of the city of Lyon – the great business center in France, which in 2018 was recognized by the European Commission accessible in the European Union.
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Zajadacz, Alina. "Evolution of models of disability as a basis for further policy changes in accessible tourism." Journal of Tourism Futures 1, no. 3 (September 14, 2015): 189–202. http://dx.doi.org/10.1108/jtf-04-2015-0015.

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Purpose The purpose of this paper is to present the results of a critical analysis of the disability models developed to date and of how they function in practice. Furthermore, it aims to answer the following question: which model of disability (MD) will provide the most suitable foundation for any course of action undertaken in the process of planning accessible tourism development in the future? Design/methodology/approach In the first stage of the study a critical analysis of the MDs described in the literature as well as in selected reports and expert opinions relating to people with disability (PwD) was performer. These findings then became the basis for the second stage of the study which focuses on identifying attitudes within society towards the types of tourism on offer connected to the analysed MDs. The applied research methods include an analysis of a survey (2013, 2014) carried out face-to-face and on the SurveyMonkey web site. The study group consisted of 619 people (from Poland, Russia, Germany, Portugal, Slovakia, Canada, Tunisia and Great Britain). Findings The great diversity of disabilities makes finding a universal solution in the creation of accessible tourism supply a complex task. This supports the need for a flexible “mix of various models” aimed at finding optimal solutions and the personalisation of tourism. In this context the greatest potential in the development of accessible tourism are models which are a synthesis of many determiners of disability such as the biopsychosocial or the geographical model of disability. The dynamics of accessible tourism development is likely to be increasingly influenced by the economic model, reflecting current trends for the personalisation of tourism supply. Research limitations/implications The survey was carried out mainly within the European Community, the exception being respondents from Irkutsk in eastern (Asian) Russia. In order to gain a global view of the development of accessible tourism, research should be performed in countries representing all continents or tourist regions. Additionally, reflecting the definition of accessible tourism its beneficiaries – PwD – should participate in decision-making processes. Tourism service providers who are directly engaged in tourism supply also have a role to play. Their opinions and attitudes towards the development of accessible tourism determine its very nature in reality. Practical implications The survey on attitudes in society regarding the organisation of tourist trips for PwD confirmed conclusions from the analysis of the practical implications of various disability models in the creation of tourism supply that a single universal, optimal solution does not exist. All of the described MD can be applied in the development of a diverse tourism supply. The proposed model “diversification of supply […]” is the theoretical basis for the conscious development of accessible tourism in practice which in accordance with changes observed in the tourism market is undergoing increasing diversification and personalisation. Social implications In each of the tourism supply for PwD types the economic model of disability based on the identification of PwD needs and surrounding society is important. The number of PwD and the scope of necessary services, social support (PwD often travel accompanied by one to three people) is determined by income in all the sectors identified in the structure of tourism supply. From the economic point of view, awareness of different types of disability and the diverse models describing it are significant aids in the segmentation of tourism supply and placement of products accessible to PwD on the tourism market. Originality/value The paper presents a new, critical perspective on the selected MD, the key to which is the search for optimal solutions in the development of accessible tourism. The analysis performed indicated the need for a synthesis of paradigms at the core of the conceptualisation of particular models, including those often regarded as being contrary (medical and social). The results of studies would give tourism providers important data on an increasingly competitive tourism market, and also affect changes in how PwD, the elderly, are viewed, from the category of “relatively poor” to “attractive, using a wide range of services”.
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FLOYD, MICHAEL, PAUL CORNES, and GEORGE BOECKENFOERDE. "New technology training for people with disabilities in Great Britain." International Journal of Rehabilitation Research 16, no. 1 (March 1993): 39–44. http://dx.doi.org/10.1097/00004356-199303000-00005.

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Bouras, Nick, Geraldine Holt, and Shaun Gravestock. "Community care for people with learning disabilities: deficits and future plans." Psychiatric Bulletin 19, no. 3 (March 1995): 134–37. http://dx.doi.org/10.1192/pb.19.3.134.

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The challenge facing services for people with learning disabilities is to create the environment in which clients have the best quality of life without preconception. The heterogenous nature of people with learning disabilities requires diversity of care provisions sensitive to their individual needs. The different demonstration and presentation of their mental health needs has influenced the development of services and different models of specialist services have emerged with local variations. There is still, however, a great deal of confusion on both ideological and service delivery level. Although services for people with learning disabilities have succeeded in resettling people in the community and supporting them in developing adaptive skills, unfortunately these successes are not matched by equally effective and efficient services to those with mental health needs.
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Sin, Chih, Nina Mguni, Chloe Cook, Natasha Comber, and Annie Hedges. "Targeted violence, harassment and abuse against people with learning disabilities in Great Britain." Tizard Learning Disability Review 15, no. 1 (January 29, 2010): 17–27. http://dx.doi.org/10.5042/tldr.2010.0026.

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Olszowski, Patrick, and Anna Boaden. "Targeted violence, harassment and abuse against people with learning disabilities in Great Britain." Tizard Learning Disability Review 15, no. 1 (January 29, 2010): 28–30. http://dx.doi.org/10.5042/tldr.2010.0027.

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Snowdon, John, and Tom Arie. "Old age psychiatry services: long-stay care facilities in Australia and the UK." Psychiatric Bulletin 26, no. 1 (January 2002): 24–26. http://dx.doi.org/10.1192/pb.26.1.24.

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We are old age psychiatrists; T.A. based in Britain, J.S. in Australia. A return visit by T.A. to Australia allowed us to focus attention on differences between the two countries in their provision of long-term care for old people with mental disabilities. What works well? What constrains development?
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Espinoza, Francisco, Alys Young, and Claire Dodds. "Political participation among deaf youth in Great Britain." PLOS ONE 19, no. 4 (April 4, 2024): e0301053. http://dx.doi.org/10.1371/journal.pone.0301053.

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Variations in political participation are linked to demographic factors, socioeconomic disparities, and cultural-ethnic diversity. Existing research has primarily explored reduced political involvement among individuals with disabilities, particularly in electoral politics. However, little research has attended the involvement of deaf people specifically. This is of interest because deaf youth are at an intersection of disability, language and cultural identity with their language affiliations and rejection or acceptance of disability evolving through childhood. This study draws from original data collected via an online survey, comprising 163 deaf young respondents aged 16-19 in Great Britain. We compare their levels of political participation with those of general population peers to explore how sociodemographic factors, alongside variations in self-identification as deaf, and meaningful interactions with other deaf people contribute to explain their political engagement. The results challenge conventional wisdom by demonstrating that deaf youth participate more actively in politics than their hearing peers in various forms of political involvement, including collective, contact, and institutional activism. We also recognize differences among deaf youth and propose that social aspects of identity formation, particularly embracing a deaf identity and having deaf friends, can boost certain forms of political engagement. In summary, this study underscores the importance of acknowledging the diversity of deaf youth in terms of affiliation with various forms of deaf identity, rendering their experience different from both disabled and hearing youth. By identifying the factors driving heightened political participation, policymakers and advocates can develop strategies to enhance political engagement among all young people, regardless of their hearing status.
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Rajapakse, D., and R. N. Ranasinghe. "Prevalence of hepatitis B virus in people with learning disabilities." Psychiatric Bulletin 20, no. 8 (August 1996): 473. http://dx.doi.org/10.1192/pb.20.8.473.

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The prevalence of hepatitis B virus infection is thought to be higher in institutions for people with a learning disability than in the general population (Clarke et al, 1984). People with Down's syndrome are reported to be at higher risk than other learning disability groups. The prevalence of hepatitis B surface antigen (Hbs Ag) in Great Britain is in the order of 1 in 500 of the blood donor adult population (Department of Health, 1980). This rate is lower than those reported from countries in Europe, Africa and Asia. The present study was to identify those residents in an institution for people with a learning disability with a positive response to the test for Hbs Ag.
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Murjan, S., M. Shepherd, and B. G. Ferguson. "What services are available for the treatment of transsexuals in Great Britain?" Psychiatric Bulletin 26, no. 6 (June 2002): 210–12. http://dx.doi.org/10.1192/pb.26.6.210.

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AIMS AND METHODWe conducted a questionnaire survey of all 120 health authorities and boards responsible for the commissioning of services for the assessment and treatment of transsexual people in England, Scotland and Wales, in order to identify the nature of the input offered and assess conformity to current international standards of care.RESULTSEighty-two per cent of the commissioning authorities responded and confirmed that most health authorities/boards provide a full service for the treatment of transsexuals, although this would be delivered at a local level in only 20% of cases. However, 11 commissioning authorities gave confused and inaccurate responses and three other health authorities appear to hold views on the commissioning of these specialist services that are not in keeping with the current legal situation and a recent High Court ruling, which establishes the right of transsexual people to NHS assessment and treatment.CLINICAL IMPLICATIONSThere are discrepancies in prioritisation and provision of clinical services for this group that are not standard across Great Britain.
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Ramadan, Willy, and Barkatullah Amin. "God's Inclusive House?" IJDS Indonesian Journal of Disability Studies 10, no. 1 (July 10, 2023): 22–33. http://dx.doi.org/10.21776/ub.ijds.2023.010.01.02.

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This article will discuss how the accessibility of places of worship for persons with disabilities in the Banjar community and also the views of religious leaders regarding these services and accessibility. The research method used is qualitative with a phenomenological approach. The interviews were chosen data collection techniques with 5 religious’ leaders with a purposive sampling technique as the subject. The results of this study found that the house of worship in the Banjar community in South Kalimantan was still not referred to as an accessible congregation. This means that places of worship for religions in South Kalimantan, both physically, in communication, and in attitudes, cannot be easily accessed by persons with disabilities. However, even so, indicators of community displayed by all religions are already open and friendly to people with disabilities. This is evidenced by the forms of religious services provided by the church management or people with disabilities. The second finding explains that the views of religious leaders show great and positive concern for people with disabilities in South Kalimantan. In general, the views of religious people can be categorized into 3 major views: (1) The existence of a house of worship that is designated with non-Muslims, which is appointed by the Regional Government, as a house of worship that has complete facilities for persons with disabilities; (2) The house of worship has a special room for persons with disabilities; (3) Disability-friendly houses of worship are the focus of religious services.
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Giaconi, Catia, Miguel Ángel Verdugo, Noemi Del Bianco, Laura E. Gómez, Ilaria D'Angelo, and Robert L. Schalock. "The Application of Quality of Life in Services for Persons with Intellectual and Developmental Disabilities: Lines of intervention in Spain and Italy." EDUCATION SCIENCES AND SOCIETY, no. 2 (December 2022): 41–58. http://dx.doi.org/10.3280/ess2-2022oa14963.

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The concept of quality of life (QOL) has become a measurable construct of great value to all people, including people with intellectual and developmental disabilities (IDD). In particular, the field of IDD is currently experiencing a paradigm shift related to beliefs, assumptions, policies, and practices concerning people with disabilities and their families and the place and role they play in society. This article starts by reconstructing the state of the art of the application of QOL in Social Services, reconstructing its research developments, operational declinations and influences in social policies in Spain and Italy.
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Robinson, J. R. "A Survey of Blind and Partially Sighted Adults in Britain." Journal of Visual Impairment & Blindness 87, no. 3 (March 1993): 78–79. http://dx.doi.org/10.1177/0145482x9308700306.

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This article presents the results of the first nationwide survey on people who are blind or partially sighted in Great Britain to ascertain the challenges they face and to provide better services to them that are based on specific areas of concern.
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Trachsler, Tracy, and Mary Handley. "Sports, the Great Equalizer: Influencing Future Sports Professionals View of Disabilities: Sports Professionals View of Disabilities." Sport Social Work Journal 2, no. 1 (July 18, 2022): 49–62. http://dx.doi.org/10.33043/sswj.2.1.49-62.

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Human services, social work and sports have shared goals of improving the quality and the meaning of life for individuals. Educating young adults about the intersection of the goals of sports and the goals of social work is one intervention to help influence positive change in our culture. This study represents one example of an intervention to affect change within college students who are sports management majors and taking a sport sociology class. These college students participated in sporting activities with adults with intellectual disabilities on a college campus. At the end of the activities, the students were asked to critically reflect upon their experience specifically related to their sociological understanding of people with intellectual disabilities in sport. The data was analyzed with respect to the concept of the "other." The results of this study provide insights for exposing future sport professionals to diverse populations. The results also reinforce the goals of social work to develop and enhance a more inclusive world for people with developmental and intellectual disabilities.
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Nunes, Paula Estrela da Silva, and Thelma Helena Costa Chahini. "People with disabilities and the context of inclusion in distance learning undergraduate courses." International Journal for Innovation Education and Research 10, no. 9 (September 1, 2022): 448–57. http://dx.doi.org/10.31686/ijier.vol10.iss9.3928.

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Distance Education had significant advances in recent years in the country. Thus, it is of great importance to investigate the current scenario of students with disabilities in Higher Education in this type of education. In this context, the present study addresses the process of inclusion of people with disabilities in distance learning undergraduate courses in public and private institutions in the metropolitan region of São Luís/MA, specifically, in the municipalities of São Luís, São José de Ribamar, Raposa and Paço do Lumiar. Preliminary findings indicate that these institutions need to have in their actions and services, qualified human resources, accessibility in information and communication, among others, so that people with disabilities can insert themselves, learn and conclude their courses.
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Cambridge, P. "Challenges for Safer Sex Education and HIV Prevention in Services for People with Intellectual Disabilities in Britain." Health Promotion International 13, no. 1 (January 1, 1998): 67–74. http://dx.doi.org/10.1093/heapro/13.1.67.

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Poerwanti, Sari Dewi, Sukron Makmun, and Amhar Davi Dewantara. "Jalan Panjang Menuju Inklusi Digital bagi Penyandang Disabilitas di Indonesia." Journal of Urban Sociology 1, no. 1 (April 30, 2024): 44. http://dx.doi.org/10.30742/jus.v1i1.3536.

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Currently, the trend of internet use continues to increase, including in Indonesia. The internet is believed to be able to support community empowerment and improve welfare. For this reason, digital technology is required to be able to reflect the needs of all levels of society, including people with disabilities. This is a great opportunity for people with disabilities to benefit from digital information, products and services to live more independent lives. This article discusses how digital technology, especially the internet, is used by people with disabilities, including the obstacles that accompany it. This research uses a literature review method by collecting data through observation and literature study. The research results show that there is a digital gap between people with disabilities and non-disabled people in Indonesia. The main obstacles in creating an inclusive digital space are awareness, motivation, access to ownership, access to use, access to affordability of digital technology, digital skills, adaptive technology, certainty of digital protection & security as well as policy and regulatory support. However, efforts were also found to implement good digital inclusion practices by reducing the digital divide through policy support, infrastructure improvements, empowerment activities and increasing public awareness.Keywords: people with disabilities; digital inclusion; digital divide; digital technology
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Yamamoto, Scott H., and Deborah L. Olson. "Vocational Rehabilitation Employment of People with Disabilities: Descriptive Analysis of U.S. Data from 2008 to 2012." Journal of Applied Rehabilitation Counseling 47, no. 4 (December 1, 2016): 3–9. http://dx.doi.org/10.1891/0047-2220.47.4.3.

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People with disabilities (PWD) in the U.S. experience lower employment rates and wages than people without disabilities, and unfortunately this historical trend has had negative consequences for our society. A major federal initiative to address this problem was in creating State-Federal Vocational Rehabilitation (VR) services to assist PWD to obtain and retain employment. This study analyzed and described VR employment outcomes across several consecutive recent years and across states and client characteristics. From 2008 to 2012, which included the years of the ‘Great Recession’, the upper Northeast and the South had the highest VR employment closure rates; rates among white males were the highest. Results of this study have important implications for researchers, VR services, and policymakers in a larger context of an economy that continues to evolve and technological advancements that will create new opportunities but also challenges.
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Ramadhani, Milenia, Hartanto Hartanto, and Muhamad Rusdi. "Arrangement and Implementation of Fulfillment of Health Guarantee Rights for Persons with Disabilities in the Special Region of Yogyakarta." Journal of Legal and Cultural Analytics 3, no. 1 (February 27, 2024): 57–72. http://dx.doi.org/10.55927/jlca.v3i1.7683.

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Human Rights (HAM) are rights given to humans simply because they are human. Not because of positive law, but because of their human dignity; So the great attention to people with disabilities, which is carried out by the DIY government, is motivated by awareness of human rights, for people with disabilities who are included in vulnerable groups. The number of people with disabilities in the Special Region of Yogyakarta (DIY) is also quite large, so this research will analyze how the regulation and implementation of fulfilling the right to health insurance for people with disabilities in DIY is regulated.The push to formulate regional level regulations for people with disabilities was carried out by the central government, the DIY regional government and disability advocates or activists as well as people with disabilities. DIY has 4 districts and 1 city, each of which has a disability regional regulation in order to fulfill the regulations for implementing health services for people with disabilities in their respective regions according to their potential. However, existing regional regulations must not conflict with higher regulations, including the DIY Regional Regulation. The implementation of these arrangements means that activities are carried out well. This can be seen from the efforts made by DIY in collaboration with City Districts in health programs and funding for people with disabilities, including assistance with assistive devices. Although obstacles are still encountered, in general it can be said to be going well. Improvement prioritizes valid data collection, coordination between stakeholders and simplifying requirements for people with disabilities who want to fulfill their rights in the health sector.
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Walker, Alan, and Carol Walker. "Age or disability? Age-based disparities in service provision for older people with intellectual disabilities in Great Britain." Journal of Intellectual & Developmental Disability 23, no. 1 (January 1998): 25–39. http://dx.doi.org/10.1080/13668259800033561.

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Heidinger, Martin, and Elisa Simonnet. "Disabilities and their lifelong burden in people affected by leprosy in India." Egészségtudomány 63, no. 1-2 (2019): 33–44. http://dx.doi.org/10.29179/egtud.2019.1-2/33-44.

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Disabilities in persons affected by leprosy pose a life-long disease burden, both for patient and the responsible medical service. The obligate intracellular pathogen Mycobacterium leprae affects skin, as well as peripheral nerve cells, and can result in leprosy reactions, which can be intensifications of the host’s immune response, or antibody reactions to immune complexes. Leprosy can thus lead to disabilities, that are currently graded in three categories. The proportion of grade-2 disabilities in newly diagnosed leprosy patients (G2D) is one of the main indicators for leprosy monitoring. In total numbers, G2D are declining according to the size of the analyzed populations. The G2D-Rate per 1 Million persons however, shows fluctuations, which correspond to the efforts made in case-finding, and the public awareness concerning early reporting. Furthermore, no global data has been published yet, regarding the development of grade-0 and grade-1 disabilities throughout the course of treatment and beyond. The practical prevention of disabilities, and the exacerbation of those in already impaired persons, poses a great difficulty, especially in India, where historically stigmatization is present, the integration of leprosy services into the public health sector was described as failure, and funding is scarce, due to the fact, that leprosy was officially eliminated on a public health level in 2005.
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Juan, Huang, Li Li, Mai Jiasong, Zhang Lifang, and Huang Baoying. "The Application of “Internet+” in the Ageing Adaptation of Elderly People with Disabilities at Home." Journal of Mathematics 2021 (December 16, 2021): 1–6. http://dx.doi.org/10.1155/2021/6074643.

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This paper focuses on the role of the Internet in empowering social work to intervene in ageing-in-place services for the disabled elderly in terms of time, space, and resources. Through the practical analysis of home care service providers, the advantages and characteristics of the “Internet” for ageing-in-place services for the disabled elderly are identified, as well as some of the problems that exist in the current intelligent home care service platform. This paper proposes to improve and optimize the “Internet+” by fully enhancing the technical empowerment of the Internet, improving the integration and spanning of space, and giving full play to the role of social work on the Internet. This paper proposes to improve and optimize the “Internet+” elderly home care services for the disabled, so as to solve to a certain extent the practical problems faced by the “Internet+” elderly home care services in the early stage of development. The significance of this paper is that, through the study of the “Internet+” home care services for the elderly with disabilities, the process of the services is sorted out and summarized, and suggestions and measures are put forward for its shortcomings, providing practical methods and feasible paths for future generations, which are of great significance for other social work agencies using Internet tools.
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French, Sally. "In Whose Service? A Review of the Development of Services for Disabled People in Great Britain." Physiotherapy 80, no. 4 (April 1994): 200–204. http://dx.doi.org/10.1016/s0031-9406(10)61296-5.

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Scott, Becky Louise. "The impact of austerity on welfare reform and mental health services." PsyPag Quarterly 1, no. 105 (December 2017): 4–7. http://dx.doi.org/10.53841/bpspag.2017.1.105.4.

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The coalition government of 2010–2015 was formed amidst the worrying context of the ‘Great Recession’ of 2008. Consequently, many of the austerity measures which were introduced were very much focused and rationalised by a reduction of public spending. Welfare provision was particularly targeted and problematised. This article draws together previous research and some contemporary ideas in regard to how people with disabilities navigate and continue to be affected by welfare reform, with a specific focus on the impact of austerity on those experiencing mental health and distress.
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Kriščiūnas, Aleksandras. "NEGALIA IR POŽIŪRIS Į JĄ ŠIUOLAIKINĖJE VISUOMENĖJE." Sveikatos mokslai 25, no. 1 (January 15, 2014): 5–14. http://dx.doi.org/10.5200/sm-hs.2015.001.

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Disability is part of human condition. The number of people with disabilities is growing. Every epoch has faced the moral and political issue of how best to include and support people with disabilities. This issue will become more acute as the demographics of societies change and more people live to an old age. There is a global increase in chronic health conditions such,as diabetes, cardiovascular diseases and mental disorders, which will influence the nature and prevalance of disability. Establishment of a complex rehabilitation system of disabled people is great challenge. It is to be understood as a versatile system of legal, medical, economical, organizational, etc., means, which helps people to regain their disturbed biopsyhosocial functions, compensate them and adapt them to society. The article further calls to organise, stengthen, and extend comprehensive rehabilitation services and programmes for disabled people, which should begin as early as possible, based on multidisciplinary assessment of individual needs and strengths, and including the provision of assistive devices and technologies.
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Sherstiuk, Roman, Igor Stoyko, and Liudmyla Maliuta. "Inclusive education in an institution of higher education: realities and possibilities of education of war veterans with special needs." Galician economic journal 86, no. 1 (2024): 205–16. http://dx.doi.org/10.33108/galicianvisnyk_tntu2024.01.205.

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Implementing the principles of inclusive education in institutions of higher education is not an easy task. Before its application in institutions of higher education, inclusive education was initially developed for younger schoolchildren. As many students with disabilities successfully complete their schooling, the need to move towards inclusive education in higher education has increased. The war in Ukraine caused the appearance of new, previously unknown challenges for our society. One of the main challenges for Ukrainian society caused by the war is the full adaptation of veterans to civilian life, especially, disabled veterans, and among them there are many very young people. The world's leading countries have long paid great attention to people with special needs and the disabled. The most developed countries spend significant resources to involve people with disabilities in public life, education, science, sports, arts, etc. Unfortunately, during and after the war, Ukraine will face the problem of employment for the disabled and people with special needs. Tens of thousands of people who have become "persons with disabilities" are returning home from the front and will continue to return. This is already a big problem, which, unfortunately, is traditionally overlooked by our state. Military with disabilities are willing to work and have the potential to successfully acquire job skills through education services and, of course, individualized employment support. The opportunity to work for this group of people is of great importance from the material point of view, and social integration and serves as an effective method of self-realization and rehabilitation. The approach to the implementation of the principles of inclusive education in practice is closely related to two problems: the elimination of possible barriers as a process and the achievement of accessibility of educational services and the program of financing educational services for disabled veterans. Inclusive education can reorient higher education to the needs of the market, which is generally relevant for Ukrainian higher education and is repeatedly noted in the studies of many scientists and the comments of stakeholders. The purpose of this article is to provide insights into inclusive practices in higher education that require a contemporary discussion of how to move the university toward an inclusive environment, developing policies, strategies, processes, and actions that will contribute to the success of all students.
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GLASER, KAREN, MIKE MURPHY, and EMILY GRUNDY. "Limiting Long-Term Illness and Household Structure among People Aged 45 and over, Great Britain 1991." Ageing and Society 17, no. 1 (January 1997): 3–19. http://dx.doi.org/10.1017/s0144686x96006277.

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The aim of the study reported here was to investigate the relationship between health and household composition among older people. The 1 per cent and 2 per cent SARs (Samples of Anonymised Records) drawn from 1991 British Census data were used to examine the frequency of a limiting long-term illness among older people according to different types of living arrangements. These data include the population in institutions and our results show that previous studies based only on the private household population have underestimated the prevalence of illness among older people. Long-term illness rates vary across family and household types, with higher frequencies found for those individuals not living in families (either alone or with others) or in lone parent families, compared with those living as part of a couple. Importantly, our results show a previously unreported clustering of long-term illness in households. Those over 45 suffering from a limiting long-term illness were more likely than those without such an illness, to live in households including others with long-term illness. These results indicate that health should be considered from a household, rather than just an individual, perspective. Our findings support those who have argued that families including an older ill member need more help from formal services. However, it is unlikely that this can be achieved solely by redeploying services from those living alone as long-term illness rates were also high in this group.
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Кунцевич, Евгения, Evgeniya Kuntsevich, Валентин Морозов, and Valentin Morozov. "On the formation of caravan tours within the framework of adaptive tourism." Services in Russia and abroad 10, no. 1 (May 16, 2016): 137–45. http://dx.doi.org/10.12737/19176.

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The article discusses the relevance of the development of tourism for people with disabilities and highlights the issue of potential and relevance of the organization of the caravan tours as part of adaptive tourism in Russia. The authors point out the positive results of the development of the tourist destination, and also list the main shortcomings and constraining factors of realization caravanning in the country. The authors have conducted "pilot" survey among tourists with special needs and summed it up. The research results demonstrate perceptivity of development of caravan tours for people with disabilities. But it is a great work must be done to this kind of trailering became popular. First of all it is necessary to adapt the infrastructure of tourist sites for specific requirements of customer with disabilities (lifts, handrails, ramps, wide doorways, special sanitary zones for wheelchair users, adapted furniture, etc.), special attention should be paid to camp organization parking (specialized sanitary facilities, recreational facilities, catering places, etc.). Development of a socially oriented tourist destination, where the client could be provided with the convenience and security, as well as the considerate treatment of staff (hospitality workers, medical and social services and transport services) during the entire trip, is very important for the organization of tours for people with special needs.
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Widjajanto, Kenmada, Ibrahim Adi Surya, Della Dwinanti Sumpena, and Soerachman D. "VISUAL READING TECHNIQUE INNOVATION IN FILM SCREENING FOR PEOPLE WITH VISUAL DISABILITIES." Jurnal Darma Agung 31, no. 1 (March 9, 2023): 50. http://dx.doi.org/10.46930/ojsuda.v31i1.2935.

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Naturally, films are created for humans with normal hearing and vision functions. The question is, is it true that people who have visual disabilities are not able to enjoy movies? A Technical Services Unit of Indonesian Ministry of Social Affairs located in Cimahi, West Java, named Sentra Abiyoso, has developed an innovative facilities for people with visual impairments, which is called “Bioskop Berbisik”, meaning whispering cinema. At Bioskop Berbisik, the visually impaired audiences will get help from a visual narrators who tell the storyline of the film. The presence of Bioskop Berbisik Sentra Abiyoso Cimahi is a manifestation of the fifth principle of Pancasila, Social Justice for All Indonesian People, as well as a manifestation of SDGs (Sustainable Development Goals, UN General Assembly Agreement in 2015). As a model of social services for people with visual impairments, the presence of Bioskop Berbisik is interesting and important to observe and study, to see how the beneficiaries feel the sensations, and how the expected management strategy could continue consistently. To get the answer, the writers conducted research using the social experimental method with students of SLBN-A Citeurep Cimahi as respondents.The conclusion of the study provides an answer that Bioskop Berbisik of Sentra Abiyoso Cimahi provides great benefits for people with visual impairments. On the other hand, the management of Sentra Abiyoso as a social service facility under the Ministry of Social Affairs of the Republic of Indonesia needs support from various parties to maintain its sustainability and expand its benefits.
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Rowe, Jed. "The management of falls in older people: from research to practice." Reviews in Clinical Gerontology 10, no. 4 (November 2000): 397–406. http://dx.doi.org/10.1017/s0959259800010492.

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Falls are common in late life. Evidence from New Zealand, the United States and Great Britain suggest that about a third of people aged over 65 will fall each year, a proportion that rises to about half for the community-dwelling population older than 85 years. Falls are the leading cause of death from injury in older people. Although many falls do not cause serious injury, nor precipitate referral to the health services for 30–50% of fallers, those that do have major consequences. From a purely financial perspective, acute care of those with falls is estimated to cost $10 billion per annum in the United States.
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Korchagina, Irina I., and Lidia M. Prokofieva. "Long-term care needs assessments: French and Russian experience." POPULATION 23, no. 3 (2020): 59–70. http://dx.doi.org/10.19181/population.2020.23.3.6.

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Social support of older people is given a very great attention. In many countries, older people receive long-term care at home. The long-term care (LTC) is actively developed worldwide over the past 20 years. LTC improves the life quality of older people and people with disabilities. Such system includes medical and social services. Currently, in many OECD countries, from a half to three quarters of older people receive long-term care at home. France is one of those countries in which the social support of older people is given a very great attention. In Russia, long-term care is a task of family. Our country is taking first steps in creation of a long-term care system. It is important to take into account the experience of countries that already have specialized social services for older people with loss of autonomy. A new and important element of the LTC system will be a special scale for determining the level of need for long-term care. Such scale helps to differentiate the needs of each elderly person or person with a disability. This paper analyses the methods of determining the level of need for long-term care, used in France and in Russia and describes the advantages and disadvantages of these methods.
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Witsø, Aud Elisabeth, and Brit Hauger. "‘It’s our everyday life’ – The perspectives of persons with intellectual disabilities in Norway." Journal of Intellectual Disabilities 24, no. 2 (May 15, 2018): 143–57. http://dx.doi.org/10.1177/1744629518774174.

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This study illuminates how adults with intellectual disabilities understand and describe their everyday life and its shortcomings when it comes to equal rights in the context of Norwegian community living. An inclusive research design, including nine persons with mild intellectual disability, two university researchers and two intellectual disability nurses from the municipality, was undertaken. An inductive thematic analysis of data identified three key themes: everyday life – context, rhythm and structure, social participation and staff – an ambiguous part of everyday life. Results show that service provision had institutional qualities; participants experienced lack of information and reduced possibilities for social inclusion and community participation like everyone else. More attention on the role of policy development, support staff and leadership, in relation to facilitating an everyday life with more user involvement, social inclusion and community participation of people needing support, is essential. Participatory, appreciative, action and reflection in workshops for persons with intellectual disabilities and support staff represent a promising approach to promote the voices and interests of persons with intellectual disabilities. This article tells you about the everyday life of people with intellectual disabilities living in Norway. Nine people with intellectual disabilities worked together with two university researchers and two intellectual disability nurses in the community, in workshops. The people with intellectual disabilities liked to have their own apartment and going to work every day. They said that they wanted more social participation with friends and more participation in activities in the community, just like everyone else. They wanted to be treated with more respect by their staff. All participants in the project saw great value in working together and some of them are working together in a new project about involvement in the improvement of support services for people with intellectual disabilities.
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Yakubenko, O. V., P. I. Frolova, and D. A. Ivanova. "Implementation of an inclusive approach in African countries as a direction of international cooperation within the SDGs." Terapevt (General Physician), no. 3 (March 28, 2024): 6–12. http://dx.doi.org/10.33920/med-12-2403-01.

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The article analyzes the implementation of the principle of social inclusion in relation to people with disabilities in African countries. The features characteristic of the crisis countries belonging to the Sahel zone are described. The paper outlines the ways of possible cooperation with the Russian Federation on the way to achieving the Sustainable Development Goals, i.e. ensuring an inclusive and fair right to social ize people with disabilities through education and encouraging learning opportunities for people with disabilities. The interaction of the countries can be aimed at training personnel for the special education system of African countries, developing adapted educational programs for people with disabilities, and organizing early care for children with developmental disorders of sensory systems. These programs require political, economic, scientific, technological, and socio-cultural cooperation between Russia and African countries. According to the United Nations, the African continent includes 54 independent states. Most of them were colonized and had external control of major European countries — Great Britain, France, and others. In the middle of the 20th century, the process of gaining the independence of African countries began. African countries have a large gap in socio-economic indicators and are heteroge neous. Among them, progressive countries can be distinguished — those with positive experience in achieving the SDGs. Such countries include the Republic of Seychelles, Equatorial Guinea, Kenya, Tunisia, and so on. Along with progressive countries, there are countries that have many socio-economic problems and low per capita incomes. In addition, health and education systems have not been formed in such countries. Such countries include Niger, Mali, Chad, Gabon, and others. Therefore, cooperation within the framework of BRICS will allow organizing interaction aimed at more effective implementation of the inclusive model in A frican countries.
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Протасова, Е. А. "Self-employment as a social and labor adaptation of persons with disabilities in the labor market." Экономика и предпринимательство, no. 5(118) (June 11, 2020): 175–78. http://dx.doi.org/10.34925/eip.2020.118.5.033.

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В статье проанализирована актуальная для Российской Федерации проблема самозанятости лиц с инвалидностью как инструмента их социально-трудовой адаптации. Проанализированы преимущества, которые обеспечивает рост самозанятости среди инвалидов как для самих лиц с инвалидностью, так и для социума в целом. Рассмотрен уровень самозанятости в России (по официальным данным и по результатам опросов). Проанализирована динамика востребованности инвалидов на рынке труда в России, в мире в целом и в отдельных развитых странах. Рассмотрены показатели удовлетворенности работой среди инвалидов в России. Изучен опыт стимулирования самозанятости среди инвалидов в США и Великобритании. Разработаны предложения по формированию экосистемы социально-трудовой инклюзии инвалидов. The article analyzes the actual problem of self-employment of persons with disabilities as a tool for their social and labor adaptation in the Russian Federation. The author analyzes the advantages that the growth of self-employment among disabled people provides both for persons with disabilities themselves and for society as a whole. The level of self-employment in Russia is considered (according to official data and survey results). The article analyzes the dynamics of demand for disabled people in the labor market in Russia, in the world as a whole and in certain developed countries. Indicators of job satisfaction among disabled people in Russia are considered. The experience of stimulating self-employment among disabled people in the United States and Great Britain was studied. Proposals for the formation of an ecosystem of social and labor inclusion of disabled people have been developed.
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Dmitrova, L. V. "LIBRARY SERVICES FOR BLIND AND VISUALLY IMPAIRED CITIZENS." Proceedings of SPSTL SB RAS, no. 2 (July 5, 2020): 99–103. http://dx.doi.org/10.20913/2618-7515-2020-2-99-103.

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Blind and visually impaired citizens are a special category of people with disabilities. According to the World Health Organization data, there are about 39 million blind people around the world and 246 million people have very low vision. The formation of a barrier-free environment in the field of social services, culture, education, employment is the most important task for representatives of federal and regional authorities, ministries and departments. Institutions of various profiles are doing great work on socio cultural rehabilitation of persons with restricted health abilities and on ensuring them equal opportunities with other citizens to participate in social life. Library services for people with complete or partial loss of vision are part of the social rehabilitation system. People of this category are provided with information by special libraries for the blind and visually impaired as well as by the network of state and municipal libraries. In the context of globalization, there rises the question of integrating special libraries for the blind and publicly accessible libraries into the united system for to provide disabled people with information services. The article gives a brief characteristic of publications devoted to library services for blind and visually impaired citizens. Library specialists actively discuss ways of uniting resources and promoting services for people with total or partial loss of vision for to raise effectiveness in solving tasks of adaptation for this group of inhabitants. Such system could support people, having restrictions on vision, in full realization of their rights and liberties, create conditions for raising culture of consumption of products and social sphere services.
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Padolko, A. A. "Analysis of the activity of inpatient social service institution and assessment of indicators affecting the quality of life of residents." Scientific Bulletin of the Omsk State Medical University 3, no. 2 (January 17, 2024): 34–42. http://dx.doi.org/10.61634/2782-3024-2023-10-34-42.

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Actuality: sooner or later every person sooner or later thinks about whether he or she can count on someone's help and support, improving the quality of life in old age or in connection with changes in health. In the modern world, great attention is paid to the elderly, people with disabilities and their social services. Purpose: characterization and analysis of the activity of the institution "Dragunsky boarding school", recommendations for improving the performance indicators. Materials and methods: A descriptive epidemiologic research, the study of the main activity indicators on financing and dynamics of residents was carried out. The regulatory framework was analyzed. Conclusion: Social service is carried out on the principles of equal, free access of citizens to social services. Great importance of the work of increasing the efficiency of the institution has a micro-level - direct activities focused on each recipient of social services, with an individual approach.
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Adibi, Hossein. "The Australian National Disability Insurance Scheme and People With Disabilities From CALD Backgrounds." International Journal of Reliable and Quality E-Healthcare 9, no. 3 (July 2020): 1–23. http://dx.doi.org/10.4018/ijrqeh.2020070101.

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The National Disability Insurance Scheme (NDIS) is considered to be the second greatest reform in healthcare in Australia after the introduction of Medicare in Australia in 1983. This reform was introduced in 2012 in two phases. The first phase as a trial took place for three years. The expectation was that the reform will be rolled out by 2019 or 2020. This article argues that the trial implementation process has achieved very positive outcomes in the lives of a great number of people with disability in Australia. At the same time, NDIS is facing many serious challenges in some areas. One of the obvious challenges is that this reform is a market approached reform. The second challenge relates to meeting the needs of minorities. People with disabilities from Culturally and Linguistically Divers (CALD) backgrounds are one of the five most venerable, underutilised users of NDIS services in Australia. They have no strong voice and negotiable abilities. The main question here is how NDIS is to meet its commitment to satisfy the needs of these vulnerable people in Australia.
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McConkey, Roy. "Variations in residential accommodation for adults with intellectual disabilities: the example of Northern Ireland." Irish Journal of Psychological Medicine 23, no. 2 (June 2006): 68–73. http://dx.doi.org/10.1017/s0790966700009605.

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AbstractObjectives: Over the past three decades, major changes have taken place internationally in the type of residential accommodation provided for people with intellectual disabilities but these appear to be less evident in Northern Ireland.Method: A census was undertaken of all persons in any form of residential placement using a range of existing databases to identify the population, with a short questionnaire completed for each resident.Results: Around 440 persons lived in hospitals and 1,970 in some other form of provision but mostly in large congregated settings such as residential care homes and nursing homes. This was more marked in certain Health and Social Service Boards than in others. Most places are provided by the private sector although voluntary organisations and housing associations now manage around one-third of places. People living in hospitals reportedly had different characteristics to those in all other settings while those in nursing homes tended to require greater personal care. However the characteristics of people living in residential homes, supported living arrangements and village communities were broadly comparable. Around one in 10 persons were deemed to benefit from a move; mostly from residential homes to more independent living arrangements.Conclusions: Compared to Britain and the Republic of Ireland there is an under-provision of residential placements in Northern Ireland. To date, funding from outside of health and social services has been the main driver for the type of accommodation provided. The implications for future policy and provision are discussed.
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Tuffrey-Wijne, I., N. Giatras, L. Goulding, E. Abraham, L. Fenwick, C. Edwards, and S. Hollins. "Identifying the factors affecting the implementation of strategies to promote a safer environment for patients with learning disabilities in NHS hospitals: a mixed-methods study." Health Services and Delivery Research 1, no. 13 (December 2013): 1–224. http://dx.doi.org/10.3310/hsdr01130.

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BackgroundThere has been consistent evidence that people with learning disabilities experience health inequalities and poor NHS health-care provision, leading to avoidable harm and premature, avoidable death.ObjectivesTo describe the factors in NHS hospitals that promote or compromise a safe environment for patients with learning disabilities, in the light of national recommendations that hospitals should (1) identify patients with learning disabilities, (2) provide reasonably adjusted services, (3) involve carers as partners in care and (4) include patient and carer views in service development.DesignA 21-month mixed-method study carried out between 2011 and 2013, using questionnaire surveys, interviews, observation and monitoring of safety incidents.SettingSix NHS hospitals in the south of England.MethodsThe study employed mixed methodologies in three stages. Stage I involved mapping the systems and structural changes within each hospital site, with senior strategic managers asked to provide data on relevant policies. Stage II examined the effectiveness of implemented measures. Methods for this stage included an electronic questionnaire survey sent to all clinical staff (n = 990); face-to-face semi-structured interviews with clinical staff and strategic hospital managers (n = 68); semi-structured face-to-face interviews with adults with learning disabilities who had used the hospital in a 12-month period (n = 33); questionnaire survey (n = 88) and semi-structured interviews (n = 37) with carers of patients with learning disabilities who had been a patient during the 12-month period; and participant observation with patients (n = 8). Stage III assessed generalisability to other vulnerable patient groups and involved expert panel discussions with senior managers and senior clinicians at four sites (n = 42).ResultsExamples of good practice were not consistently replicated hospital-wide. The most common safety issues were delays and omissions of treatment and basic care. The main barriers to better and safer hospital care for people with learning disabilities were (1) the invisibility of patients with learning disabilities within hospitals, owing to a lack of effective flagging systems and a lack of staff knowledge and willingness to flag this group; (2) poor staff understanding of the specific vulnerabilities of people with learning disabilities, the reasonable adjustments to services that these patients may need and the Mental Capacity Act (Great Britain.Mental Capacity Act 2005. Chapter 9. London: The Stationery Office; 2005); (3) a lack of consistent and effective carer involvement and misunderstanding by staff of the carer role; and (4) a lack of clear lines of responsibility and accountability for the care of each patient with learning disabilities. The main enablers were the learning disability liaison nurse (LDLN), provided that this role was properly supported by senior management and carried sufficient authority to change practice; and ward managers who facilitated a positive ward culture and ensured consistent implementation of reasonable adjustments.ConclusionsThe vulnerabilities of people with learning disabilities can, and do, lead to compromised patient safety in NHS hospitals. Further research is needed as follows: (1) identifying the most frequently needed reasonable adjustments within the hospital care pathways of people with learning disabilities and their cost implications; (2) identifying the most effective structures for ensuring clear lines of responsibility and accountability for the care of patients with learning disabilities, including support needed by ward managers in order to carry day-to-day accountability; (3) investigating practical and effective ways of flagging patients with learning disabilities across NHS services and within NHS hospitals; (4) investigating, implementing and evaluating protocols for shared care; (5) evaluating LDLN posts nationwide; and (6) extending research recommendations (1) and (3) to patients with dementia and those with mental health problems.Study registrationComprehensive Clinical Research Network Portfolio, 10998; Integrated Research Application System Coordinated System for gaining NHS Permission, 74907.FundingThe National Institute for Health Research Health Services and Delivery Research programme.
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Ulyhanets, Serhii, Liudmyla Melnyk, and Ulyana Shynkarenko. "Barrier-free tourism as a means of physical recreation for persons with disabilities on the example of the developed active tour «Conquering diseases»." 30, no. 30 (June 10, 2021): 76–84. http://dx.doi.org/10.26565/2076-1333-2021-30-08.

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This article analyzes the current state of development of barrier-free tourism in the Zhytomyr region, as well as presents a guided tour for blind people. The study clarified the stages of evolution of the concept of «inclusive tourism» and its interpretation by both Ukrainian and foreign scientists, as well as its own definition of this area. The main difference was due to the variety of terms that can be used to describe tourism for people with disabilities. For Ukraine, the most appropriate option is the word «barrier-free», which, unlike «affordable tourism», has no other interpretation. An important aspect when creating a tourist route is to first choose the direction in which the main attention will be paid when including services in the tourist product. According to the fact that in Zhytomyr in 2021 it is planned to actively develop the sports industry and in general the main tourist specialization of the region is aimed at the development of active tourism. It was sports disability tourism that was taken as the basis among other types. This route is the first in the region, due to the fact that it combines not an ordinary walking tour, but a modified one, which first includes passing a quest-walk for the blind using a smartphone, and then playing various sports. Due to the various services included in the tour, for those who use it, it can serve as a means of rehabilitation through socialization and organized active leisure. Within the Zhytomyr region and the city of Zhytomyr there is a great opportunity to develop this area and attract people with limited mobility, as there are many natural and historical and cultural monuments that can be included in the routes. The main importance of this topic and the development of a tourist route for the blind is that people with disabilities will be able to find like-minded people during the tour and the need to create an environment accessible to all citizens, including people with various disabilities. So, now an important point is the socialization of people with disabilities in the tourist environment.
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Walker, Alan. "Enlarging the Caring Capacity of the Community: Informal Support Networks and the Welfare State." International Journal of Health Services 17, no. 3 (July 1987): 369–86. http://dx.doi.org/10.2190/q4x5-ac1d-lbg0-5l63.

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In common with most modern industrial societies, Great Britain is facing the unique late 20th century phenomenon of rapidly increasing numbers of people, especially very elderly people, requiring health and social care. The response in Britain has been to search for ways to enlarge the caring capacity of the “community” and, thereby, reduce the demands on public health and social services. Similar policy responses have been developed in other capitalist societies such as Canada, France, and the United States. Although a policy of “community care”-the provision of state services in people's own homes-was followed by governments of both major British political parties over the postwar period, under the right wing neo-monetarist regime of the present Thatcher administration the locus of policy has shifted toward encouraging greater reliance on the informal support networks of kin, friends, and neighbors. The reasons for this sea-change are explored and the assumptions that these networks are “natural” and necessarily the proper matrix of care are examined critically. This analysis draws on the results of recent research which indicates that informal support networks have significant limitations and that a policy based on withdrawing public services in the hope that these networks will fill the growing care gap is likely to be counterproductive. In conclusion, the author indicates the areas where further research is required to provide a sound basis for policy.
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Ronneberg, Corina R., Lisa Peters-Beumer, Beth Marks, and Alan Factor. "Promoting Collaboration Between Hospice and Palliative Care Providers and Adult Day Services for Individuals With Intellectual and Developmental Disabilities." OMEGA - Journal of Death and Dying 70, no. 4 (March 2015): 380–403. http://dx.doi.org/10.1177/0030222815573724.

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While end-of-life issues are increasingly gaining more attention, people with intellectual and developmental disabilities (IDD) continue to receive significantly less consideration in research, education, and clinical practice compared with the general population. This is a growing concern especially since the sheer number of persons aging with IDD is expected to double in the next 17 years. Furthermore, policies are shifting to reflect a preference for home and community-based services as an alternative to institutionalization, and it becomes evident that adult day services (ADS) may be ideal settings for receipt of end-of-life care, especially among individuals with IDD. However, end-of-life care and advance planning most commonly occur in long-term care settings for the general population and have historically been less of a priority in ADS and residential services for people with IDD. This article discusses the attitudes of, and collaboration between, ADS and end-of-life providers for aging adults including persons with IDD and explores how ADS may be a great pathway for delivering end-of-life care to the IDD population. Implications and recommendations will also be examined.
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46

Boniface, Gail, Margot Mason, Jacqueline MacIntyre, Christine Synan, and Jill Riley. "The Effectiveness of Local Authority Social Services' Occupational Therapy for Older People in Great Britain: A Critical Literature Review." British Journal of Occupational Therapy 76, no. 12 (December 2013): 538–47. http://dx.doi.org/10.4276/030802213x13861576675240.

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47

BROESE van GROENOU, MARJOLEIN, KAREN GLASER, CECILIA TOMASSINI, and THÉRÈSE JACOBS. "Socio-economic status differences in older people's use of informal and formal help: a comparison of four European countries." Ageing and Society 26, no. 5 (August 1, 2006): 745–66. http://dx.doi.org/10.1017/s0144686x06005241.

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This study investigates the variations by older people's socio-economic status (SES) (i.e. educational level and social class) in the use of informal and formal help from outside the household in Great Britain, Italy, Belgium and The Netherlands. In all these countries, it was older people in low SES groups who mostly used such help. Multinomial logistic regression analyses showed that, in each country and for both types of help, there were SES gradients in the utilisation of both formal and informal care, and that differences in age, health and marital status largely accounted for the former but not the latter. Cross-national differences in the use of both informal and formal help remained when variations in sex, age, SES, health, marital status, home ownership and the use of privately-paid help were taken into account. Significant interaction effects were found, which indicated that older people in low SES groups in Great Britain and The Netherlands had higher odds of using informal help from outside the household than their counterparts in Italy, and similarly that those in The Netherlands were more likely to use formal help than their Italian peers. The results are discussed in relation to the cultural differences and variations in the availability of formal services among the countries.
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48

Brown, Hilary. "Commentary on “The effectiveness of psychodynamic interventions for people with learning disabilities: a systematic review”." Tizard Learning Disability Review 19, no. 1 (December 20, 2013): 25–28. http://dx.doi.org/10.1108/tldr-08-2013-0038.

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Purpose – This paper is a commentary on “The effectiveness of psychodynamic interventions for people with learning disabilities: a systematic review” by Chris James and James Stacey. The purpose of this paper is to illustrate the thesis that standardised ways of evaluating health care interventions may have the inadvertent effect of undermining the case that people with intellectual disabilities should be offered the same opportunities to address their emotional and mental health difficulties as other citizens. Design/methodology/approach – The commentary argues that while the evidence base focuses on the outcomes of orthodox one-to-one interventions, sometimes broader “contextual reformulation” and systemic interventions are called for. However, family- or service-based interventions tend not to feature in studies. Findings – The commentary illustrates these issues by discussing two case studies, which demonstrate how relational issues tend to be unhelpfully focused on the person with intellectual disabilities to the detriment of family members or direct care staff, who may be struggling to make sense of the person's behaviour or distress. Originality/value – The commentary supports the argument put forward in the longer paper and also argues for mental health services to be offered on a non-discriminatory basis to people with intellectual disabilities and to their family members. But it also suggests that one of the additional impacts of service level psychotherapeutic interventions is to re-establish respect for the work of direct care staff whose work is often presented as if it is little more than domestic drudgery when in fact it involves negotiating and responding to people and their issues with great sensitivity and balance.
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Karpf, Ted, J. Todd Ferguson, and Robin Y. Swift. "Light Still Shines in the Darkness." Journal of Holistic Nursing 28, no. 4 (August 3, 2010): 266–74. http://dx.doi.org/10.1177/0898010109359310.

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Health care is in crisis at the global, national, and local levels, with hundreds of millions living without basic care, or with insufficient care. Current health care models seem to have ignored, muted, or excluded the voices of the people they were intended to serve, resulting in health systems and care delivery models that do not respond to the needs of the people. This article describes a values-based approach to health and health care services in which the voices of the people are heard and listened to, and in which individuals and communities are informed participants in their own care. We draw parallels between contemporary concerns for decency in care giving to Florence Nightingale’s path-breaking work, first with the British military medical system and then Great Britain as a whole.
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Chubrei, O., V. Yavorska, and M. A. Chubrei. "Inclusiveness of museum spaces as an opportunity to develop excursion activities for persons with disabilities." Constructive geography and rational use of natural resources, no. 4 (2024): 29–37. http://dx.doi.org/10.17721/2786-4561.2024.4.special-4/19.

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The theoretical aspects of excursion activities for persons with disabilities are analyzed, modern foreign and domestic practices of inclusion in the tourism sphere are characterized, the main aspects of the introduction of an inclusive museum space in Ukraine are highlighted. It was determined that, taking into account the nature of various features of tourists with disabilities, and to serve each group of such persons, it is necessary to use specialized methods and techniques of conducting excursions. In the course of the study, it was determined that for the introduction of inclusion in museum spaces, it is necessary to inform about the concept of inclusion, work on clarification of the effectiveness of its implementation as an opportunity to increase and strengthen the competence of museum workers, improve the quality of museum services and open new directions of interaction with the public for the implementation of various museum projects . The study of modern domestic practices of excursion service for persons with disabilities shows that the leading museum institutions of Ukraine are actively involved in this process. Having analyzed the foreign experience, it is worth noting that most European states have a high degree of environment adjustment for the development of inclusive tourism and its individual types and excursion activities. Spain, Finland, Greece, the Czech Republic, Germany, France, Austria, and Great Britain are among the countries where almost all elements of the tourist infrastructure are most adapted for the development of inclusive tourism. It was determined that certain strategies aimed at the sustainability of inclusive processes and comprehensive actions, which will include an assessment of the needs of vulnerable groups and their own capabilities, joint development of plans and programs, projects, strategic partnerships and cooperation, organization of feedback communication, communication strategy and representation of its services, as well as elements of advocacy and fundraising.
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