scholarly journals https://www.acnr.co.uk/2020/05/physical-disability-a-mark-of-cain-the-impact-of-disability-stigma-on-access-to-rehabilitation-services/

2020 ◽  
Vol 19 (2) ◽  
pp. 20-22
Author(s):  
Elohor Ijete ◽  
Keyword(s):  
Physical Disability ◽  
Rehabilitation Services ◽  
Disability Stigma ◽  
The Impact

scholarly journals Autonomy of long-stay psychiatric inpatients

2006 ◽  
Vol 40 (4) ◽  
pp. 699-705 ◽  
Author(s):  
Luciane Carniel Wagner ◽  
Marcelo Pio de Almeida Fleck ◽  
Mário Wagner ◽  
Míriam Thaís Guterres Dias
Keyword(s):  
Social Functioning ◽  
Physical Disability ◽  
Independent Living ◽  
Personal Autonomy ◽  
Psychiatric Inpatients ◽  
Work Related ◽  
Severe Impairment ◽  
Living Skills ◽  
The Impact ◽  
Management Work

OBJECTIVE: To assess personal autonomy of long-stay psychiatric inpatients, to identify those patients who could be discharged and to evaluate the impact of sociodemographic variables, social functioning, and physical disabilities on their autonomy was also assessed. METHODS: A total of 584 long-stay individuals of a psychiatric hospital (96% of the hospital population) in Southern Brazil was assessed between July and August 2002. The following instruments, adapted to the Brazilian reality, were used: independent living skills survey, social behavioral schedule, and questionnaire for assessing physical disability. RESULTS: Patients showed severe impairment of their personal autonomy, especially concerning money management, work-related skills and leisure, food preparation, and use of transportation. Autonomy deterioration was associated with length of stay (OR=1.02), greater physical disability (OR=1.54; p=0.01), and male gender (OR=3.11; p<0.001). The risk estimate of autonomy deterioration was 23 times greater among those individuals with severe impairment of social functioning (95% CI: 10.67-49.24). CONCLUSIONS: In-patients studied showed serious impairment of autonomy. While planning these patients' discharge their deficits should be taken into consideration. Assessment of patients' ability to function and to be autonomous helps in identifying their needs for care and to evaluate their actual possibilities of social reinsertion.

Abstract TP425: The Impact of Social Determinants of Health on 1-Month Outcomes Post Aneurysmal Subarachnoid Hemorrhage

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Drew Prescott ◽  
Xueyuan Cao ◽  
Brandon Baughman ◽  
Ansley Stanfill
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Drug Abuse ◽  
Marital Status ◽  
Social Determinants ◽  
Household Income ◽  
Physical Disability ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Stroke Severity ◽  
Depression And Anxiety ◽  
The Impact

Introduction: Aneurysmal subarachnoid hemorrhage (aSAH) carries high disability rates. Depression and anxiety are also common for survivors, but little work has been done to investigate the role of social determinants of health (SDOH) on such outcomes. The purpose of this abstract is to examine the impact of SDOH on physical disability, depression, and anxiety at 1-month post-aSAH, in order to better identify factors that are amenable to intervention to improve quality of life for these patients. Methods: A retrospective chart review was conducted of aSAH patients (selected by ICD-9/10 code) seen at a high-volume neurology and neurosurgery clinic from 2002-2018. Standard patient demographic and clinical characteristics were collected. The outcomes of physical disability, depression, and anxiety were also collected at 1-month post-aSAH. The studied SDOH characteristics were: race, gender, marital status, employment, smoking, drug/alcohol use, and household income level category (defined as low or middle income per US Census Bureau standards). Results: These patients (N=970) were 52.9 (±14.5) years old, 59.5% Caucasian, and 67.4% female. In addition to stroke severity measures (i.e., Hunt/Hess Grade, Fisher, GCS at time of admission), physical disability at 1-month was also associated with female gender, drug abuse, and low household income ( p ≤0.05). Depression at 1-month was not associated with stroke severity measures but was associated with these same SDOH factors and also with unemployment prior to aSAH ( p <0.0001). Anxiety was not associated with drug abuse or income in this group. Race, marital status, and smoking history were not found to be associated with these 1-month outcomes. Conclusions: This work demonstrates that measures of SDOH should be included in addition to clinical variables in a comprehensive predictive model of outcomes post-aSAH.

Diagnosis and assessment of stroke

2016 ◽  
Author(s):  
Candice Delcourt ◽  
Craig Anderson
Keyword(s):  
Heart Disease ◽  
Ischaemic Stroke ◽  
Ischaemic Heart Disease ◽  
Cause Of Death ◽  
Physical Disability ◽  
Early Phase ◽  
Haemorrhagic Stroke ◽  
Common Cause ◽  
The World ◽  
The Impact

Approximately 20 million strokes occur in the world each year and over one-quarter of these are fatal. This makes stroke the second most common cause of death, after ischaemic heart disease, and strokes are responsible for 6 million deaths (almost 10% of all deaths) annually. Stroke has major consequences in terms of residual physical disability, depression, dementia, epilepsy, and carer burden. Moreover, around 20% of survivors experience a further stroke or serious vascular event within a few years of the index event. Ischaemic stroke contributes the greatest share of the impact of stroke, with a rate of approximately 1 in 1000 person-years and accounting for between 60% (in Asia) and 90% (in Western ‘white’ populations) of all strokes around the world. Diagnosis and assessment are essentially clinical and confirmed by CT or MRI scanning. Prognostication is difficult in the early phase of haemorrhagic stroke and in ischaemic stroke is affected by the availability and timely use of treatments to recanalize the occluded vessel.

The Impact of Health Anxiety in Multiple Sclerosis: A Replication and Treatment Case Series

2017 ◽  
Vol 46 (2) ◽  
pp. 148-167 ◽  
Author(s):  
Neil Carrigan ◽  
Leon Dysch ◽  
Paul M. Salkovskis
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Physical Disability ◽  
Cognitive Behaviour Therapy ◽  
Health Anxiety ◽  
Case Series ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
The Impact

Background: Multiple sclerosis (MS) is commonly associated with psychological complications. Previous research by Hayter and colleagues (2016) found that in patients with MS, health anxiety (HA) can account for part of the variance in quality of life (QoL) independent of physical and cognitive impairment caused by the disease. MS patients with HA perceived their intact physical and cognitive performance as impaired relative to those without HA and attributed the impairment to MS. These misperceptions might be useful targets in the treatment of HA in MS using cognitive behaviour therapy (CBT). Aims: Study 1 sought to replicate the main findings from Hayter et al. (2016). Study 2 examined the impact of HA-focused CBT in a case series. Method: In Study 1, twenty participants with MS were screened for HA and assigned to either a high or low HA group. They completed assessments of cognitive and physical functioning before rating their performance on these tasks, followed by measures of QoL, mood and physical disability. Four participants in the high HA group subsequently received six sessions of CBT using a consecutive AB case series in Study 2. Results: Study 1 replicated the main findings from the earlier study. In Study 2, three of the four patients who received treatment showed substantial improvements in HA and mood and all showed improvement in QoL. Conclusion: Given the high rates of HA in MS patients and its impact on QoL, this case series suggests that a brief CBT intervention could significantly improve patients’ wellbeing.

Psychological Distress

1998 ◽  
Vol 118 (6) ◽  
pp. 790-796 ◽  
Author(s):  
JESSIE M. VanSWEARINGEN ◽  
JEFFREY F. COHN ◽  
JOANNE TURNBULL ◽  
TODD MRZAI ◽  
PETER JOHNSON
Keyword(s):  
Psychological Distress ◽  
Psychological Adjustment ◽  
Physical Disability ◽  
Well Being ◽  
Social Disability ◽  
Facial Motion ◽  
Neuromotor System ◽  
The Impact ◽  
The Relationship ◽  
Head Neck

The relationship between facial neuromotor system impairment, disability, and psychological adjustment is not well understood. This study was designed to explore the relation between impairment and disability and the impact of psychological adjustment on the relation for individuals with disorders of the facial neuromotor system. We studied outpatients ( n = 48; mean age, 49.0; SD = 16.3; range, 18 to 84 years) with a facial neuromotor disorder and acute or chronic facial paralysis. Measures of impairment (Facial Motion Assay, House-Brackmann scale, and Facial Grading System), disability (Facial Disability Index, physical and social well-being subscales), and psychological adjustment (Beck Anxiety Inventory, Beck Depression Inventory) were administered. Bivariate correlations between impairment and disability measures indicated impairment was positively correlated with physical and social disability (r = 0.44, p < 0.01; r = 0.39, p < 0.05, respectively). Stepwise regression analysis to predict disability indicated physical disability was predicted by impairment and the interaction of impairment and psychological distress (R 2 = 0.425; F = 12.57; df = 2, 34; p = 0.002). Psychological distress, and not impairment and the interaction of impairment and distress, was the single predictor of social disability (R 2 = 0.274; F = 13.23; df = 1, 35; p = 0.001). Psychological distress was a moderator of the relation between impairment and physical disability and a mediator of the relation between impairment and social disability for individuals with facial neuromotor disorders. Assessment and interventions targeted for psychological distress in addition to interventions targeted for impairments appear warranted to effectively reduce the disability associated with facial neuromotor disorders. (Otolaryngol Head Neck Surg 1998;118:790–6.)

Quality of Life as Defined by Chinese Americans with Disabilities: Implications for Rehabilitation Services

1999 ◽  
Vol 30 (3) ◽  
pp. 35-41 ◽  
Author(s):  
Nan Zhang Hampton ◽  
Vickie Chang
Keyword(s):  
Quality Of Life ◽  
Chinese Culture ◽  
Good Life ◽  
Emotional Health ◽  
Chinese Americans ◽  
Rehabilitation Counselors ◽  
Rehabilitation Services ◽  
Vocational Rehabilitation Services ◽  
The Impact

The purpose of this study was to explore dimensions of quality of life (QOL) perceived by Chinese Americans with disabilities with reference to improve vocational rehabilitation services to this group. Forty-three Chinese Americans/immigrants with physical disabilities participated in the study. A focus group technique was used to collect data. The participants identified the following nine dimensions of QOL: (1) contributing to society; (2) self-reliance; (3) enjoying the same rights as others; (4) not having to worry about food, clothing, housing, and transportation; (5) physical health; (6) emotional health; (7) relationships; (8) individual safety; and (9) stability and prosperity of the nation. Participants also defined six problems that prevented them from living a good life. Implications of the results for rehabilitation counselors and researchers are discussed in light of the impact of Chinese culture and immigration on the QOL of Chinese Americans/immigrants with disabilities.

Employers' Concerns About the ADA: Implications and Opportunities for Rehabilitation Counselors

1992 ◽  
Vol 23 (3) ◽  
pp. 45-47 ◽  
Author(s):  
Dennis D. Gilbride ◽  
Robert Stensrud ◽  
Morgan Connolly
Keyword(s):  
Human Resources ◽  
Labor Relations ◽  
Action Planning ◽  
Rehabilitation Counselors ◽  
Rehabilitation Services ◽  
Job Fit ◽  
Good Person ◽  
Telephone Interviews ◽  
Rehabilitation Services Administration ◽  
The Impact

A survey of employers' concerns related to the Americans with Disabilities Act (ADA) (PL 101-336) was conducted. Telephone interviews were conducted with 80 human resources directors in the four Midwestern states of Rehabilitation Services Administration (RSA) region VII (Iowa, Missouri, Kansas, and Nebraska). This survey found that employers were primarily concernep with the issues of: job restructuring, accommodations, and establishing a good person-job fit. They were least concerned with the impact of the ADA on affirmative action planning and on labor relations. The implications of these findings are discussed.

Vocational Rehabilitation Needs of Individuals Dually Diagnosed with Substance Abuse and Chronic Mental Illness

1996 ◽  
Vol 27 (3) ◽  
pp. 3-10 ◽  
Author(s):  
A. Lisa Brown ◽  
Kathleen M. Saura
Keyword(s):  
Substance Abuse ◽  
Mental Illness ◽  
Vocational Rehabilitation ◽  
Dual Diagnosis ◽  
Rehabilitation Services ◽  
Chronic Mental Illness ◽  
Vocational Rehabilitation Services ◽  
Vocational Success ◽  
Barriers To Service ◽  
The Impact

Individuals who have a dual diagnosis of substance abuse and chronic mental illness pose unique challenges in the delivery of vocational rehabilitation services. Barriers to service provision include an underestimation of prevalence; agency classifications that require a separation of disability conditions into primary and secondary disability; a lack of counselors’ awareness of the unique needs of this population; and the impact of negative attitudes and stigma on vocational success. Although individuals with dual diagnosis can benefit from rehabilitation services and stable employment, changes in the traditional service delivery system are recommended. To address the unique needs of this population, rehabilitation practitioners are encouraged to seek specialized training and continuing education through regional training programs and interagency consultation.

Measuring the Impact of Rehabilitation Services on the Quality of Life of Disabled People in Cambodia

Disasters ◽  
2002 ◽  
Vol 26 (2) ◽  
pp. 175-191 ◽  
Author(s):  
Bruce A. Powell ◽  
Stewart W. Mercer ◽  
Carson Harte
Keyword(s):  
Quality Of Life ◽  
Rehabilitation Services ◽  
Disabled People ◽  
The Impact
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