1981: International Year of Disabled Persons.
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Referral directories of dentists willing to treat disabled individuals have been used as an expeditious means of improving access to care for this group. The purpose of this survey was to assess the usefulness of one such statewide referral directory. Agencies, individual field workers, and organizations to which the directory had been sent 18 months earlier were surveyed to determine the usefulness of the directory. Of the 77 groups and individuals surveyed, 46 (59.7 percent) reported that they had received the directory. The directory was considered "useful" or "very useful" by 58.7 percent of the acknowledged recipients. An additional 19.6 percent considered it to be "marginally useful." The directory was estimated to be used at least once per month by 59.1 percent of the recipients. Referral directories address only one aspect of access to dental care for disabled individuals; the effectiveness of such directories depends on their appropriate use by referring agencies.
In this paper, several approaches to assist employers in the accommodation process for disabled employees are discussed and a mathematical model is proposed to assist employers in predicting the accommodation level needed by an individual with a mobility-related disability. This study investigates the validity and reliability of this model in assessing the accommodation level needed by individuals utilizing data collected from twelve individuals with mobility-related disabilities. Based on the results of the statistical analyses, this proposed model produces a feasible preliminary measure for assessing the accommodation level needed for persons with mobility-related disabilities. Suggestions for practical application of this model in an industrial setting are addressed.
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This report provides information on disabled clients that was collected as a supplement to the 1989 Addiction Research Foundation survey of alcohol/drug services in Ontario. The estimated prevalence of disabled clients in the treatment population was highest for those with psychiatric disorders (10.3%), followed by physical disabilities (mobility, 3.7%; vision, 1.5%; hearing, 1.4%; other impairments, 0.1%) and developmental handicaps (2.3%). There were, however, relatively few agencies reporting services tailored specifically for the disabled. Respondents generally felt that clients with psychiatric disorders or developmental handicaps would be better served by specialized programs with additional staff training, while the physically disabled could be adequately served in "mainstream" services. Resources for physically disabled clients were not available in many addiction programs. Not all agencies desired these resources, however, even if funding were to be made available. Other factors were also important, such as the architectural feasibility of wheelchair accessibility, or the perception among the agencies that outreach capacity was beyond the role of their program. Implications of various methods of service delivery for the disabled are discussed.
Richmond (1990, P.65) writes "spinal cord injury occurs not just to the individual but to the entire family. There exists during crisis the potential for growth for individual family members and the entire family system". This article is written from both personal experience and professional interest because little appears to be written in the nursing literature about the family adjustment following discharge from hospital of a person who has a permanent disability following damage to the spinal cord.