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Psychosocial factors affecting adults with intellectual disabilities with psychiatric disorders in Cali, Colombia
- Authors:
- VERDUGO Miguel Angel, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 6(3), September 2009, pp.173-179.
- Publisher:
- Wiley
The objective of this study was to describe the psychosocial factors associated with the comorbidity between intellectual disability (ID) and psychiatric disorder of adults in the city of Cali, Colombia. Subjects were 50 dyads consisting of a carer and a person with ID. The Caregivers Questionnaire and the Integral Quality of Life Scale were adapted for use in the study. The analysis of information was based on three factors: person, family, and society. In the case of the personal factor, an adequate level of physical well-being and a good level of self-care were found in more than 60% of the adults with dual diagnosis, good adherence to treatment in 82%, and medium satisfaction in the individual-context relationship in 54%. With regard to the family factor, a high level of satisfaction of needs (84%) was found. Good family functioning was observed in 86%, while family participation in rehabilitation was reported to be between moderate and deficient in 60% of the cases. With respect to the social factor, cases of support between moderate and deficient were found in 68%, and a regular inclusion was observed in 48%. The authors conclude that the family functioning aspect appeared as the major protective factor, while the inclusion and social support were shown as the main risk factors.
A conceptual and measurement framework to guide policy development and systems change
- Authors:
- SCHALOCK Robert L., VERDUGO Miguel Angel
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 9(1), March 2012, pp.63-72.
- Publisher:
- Wiley
This article presents a conceptual and measurement framework that provides a template for guiding policy development and systems change. The article is based on the following three premises regarding policy development and systems change. First, policymakers, system-level personnel, and organisation leaders need to understand the concepts of vertical and horizontal alignment and how the analysis of these two types of alignment provides the basis for policy development and systems change. Second, policy development, which is based on vertical alignment, focuses on enhancing the congruence between system-level process and organisation-level practices. Third, systems change, which is based on horizontal alignment, focuses on enhancing the logical sequence of the input, throughput, and output components of system-level processes and organisation-level practices. Application of the framework can structure the thinking and analytic activities of systems and organisation-level personnel and can help them identify significant disconnects between and among system-level processes and organisation-level practices. The article concludes with a discussion of a number of change-oriented principles and guidelines that address significant challenges faced today by intellectual and developmental disabilities' organisations and systems.
Report on the employment of disabled people in European countries: Spain
- Authors:
- VERDUGO Miguel Angel, JENARO Cristina, CAMPO Maribel
- Publisher:
- Academic Network of European Disability Experts
- Publication year:
- 2009
- Pagination:
- 21p., bibliog.
- Place of publication:
- Utrecht
- Edition:
- Rev. ed.
This report, relating to Spain, is one of a series reviewing national implementation of the European Employment Strategy from a disability equality perspective. It provides an update as at November 2009 to a first report published in 2008. Evidence is summarised, along with a comment on the current economic crisis. It is then briefly reviewed in a standardised format under the following headings: academic publications and research reports; employment statistics and trends; laws and policies, type and quality of jobs; specific examples of good practice; and conclusions and recommendations. The national disability rate is 8.9%, little changed from the previous year. The employment rate for disabled people is 28.5%. Two new policy initiatives have been introduced: a global action strategy to employ people with disabilities 2008-2012; and a disability action plan 2009-2012. New reports evaluate public policies relating to the employment of disabled people, examine compliance with rules on workplace integration, and look at access of people with disabilities to public employment. In the second quarter of 2009 overall employment decreased by 7.1%. Disabled people are often employed in the service and industry sectors and these sectors have been most severely affected by the economic crisis. It appears that funding for sheltered workshops has also been reduced.