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Journal article

Assistive devices in context: cross-sectional association between challenges in the home environment and use of assistive devices for mobility

Authors:
SEPLAKI Christopher L., et al
Journal article citation:
Gerontologist, 54(4), 2014, pp.651-660.
Publisher:
Gerontological Society of America

Purpose: This study estimates the cross-sectional association between physical and social challenge in the home environment and use of assistive devices (AD) for mobility in the home, controlling for lower extremity physical performance (short physical performance battery [SPPB]) and other factors. Design and Methods: Data are from the Women’s Health and Aging Study I, a prospective study of the factors related to physical disability in a sample of moderately to severely disabled older women. The study describes these associations in the baseline sample overall and also within subsets who do and do not have both a baseline and a 3-year follow-up observation. Results: On average, physical challenge in the home environment is inversely associated with level of AD use in the overall sample, independent of SPPB, living alone, and other factors. No significant association was found between social challenge and the level of AD use in the overall sample. Findings by follow-up responder status were similar (with minor variability). Implications: Future cohorts who are better educated and more receptive to technology may confront challenges in the home environment that limit their ability to age in place. Findings suggest that the physical challenges of the home are significantly related to AD use. Future analyses that explore the mechanisms of the home environment as a source of challenges to independent functioning could help in the design of future interventions for these cohorts as they age. (Edited publisher abstract)

Journal article

Cycles of adaptive strategies over the life course

Authors:
COOPER Margaret, BIGBY Christine
Journal article citation:
Journal of Gerontological Social Work, 57(5), 2014, pp.421-437.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA

An increasing number of Australia’s ageing population are aging with long-term physical impairments. This study explored the life experiences of this group using a qualitative approach. In-depth interviews were conducted with 10 disabled Victorians, aged between 51 and 84 years, and an inductive thematic analysis undertaken. A relationship was found between the adaptive strategies that participants developed as they moved through life phases and the impairment stages. The implications of the emergence of a cyclical process of adaptation across the life course. and particularly in respect of aging, delivery of aged-care services and social workers in this sector are discussed. (Publisher abstract)

Journal article

A grounded theory of living a life with a physical disability in Taiwan

Authors:
LIN Hsiu-Ching, KNOX Marie, BARR Jennieffer
Journal article citation:
Disability and Society, 29(6), 2014, pp.968-979.
Publisher:
Taylor and Francis,

This study explores the experiences of disability for a number of Taiwanese adults with a physical disability. Using a grounded theory approach, their experiences of living a life with a physical disability were gained through in-depth interviews. The resulting grounded theory ‘it is more than just the impaired body’ presents the dynamic interactions between the participants and the context in which they were living their lives and how they managed their lives within that context. With its inclusion of the cultural dimension, a holistic way of understanding the daily lives of those who experience physical disability in Taiwan is provided. (Publisher abstract)

Journal article

Skin of hate, skin of love

Author:
WOOD Peter C.
Journal article citation:
Psychoanalytic Social Work, 21(1-2), 2014, pp.133-148.
Publisher:
Taylor and Francis

While skin can be expressive of self-representation, skin can also be the origin of self-representations and of particular problems in self-representation. In the case described the patient is born with a congenital, severe skin disorder and the significant part that skin has played in a four-year psychoanalysis is described. The article then focuses on one function of skin, that of containment, and relates this containment function to the patient's sense of herself and to thoughts about psychoanalytic work. (Edited publisher abstract)

Journal article

Using the Assessment of Motor and Process Skills as part of the diagnostic process in an inner-city learning disability service

Authors:
MESA Sue, et al
Journal article citation:
British Journal of Occupational Therapy, 77(4), 2014, pp.170-173.
Publisher:
College of Occupational Therapists

Learning disability is characterised by significant impairment of both intellectual function and social and adaptive function, with onset before adulthood, and yet social and adaptive function is often omitted from assessment processes. This practice analysis explores the feasibility of administering the Assessment of Motor and Process Skills to assess adaptive function (alongside the assessment of intellectual function) as part of the diagnostic process for people with a learning disability. After a 2-year period, scores for the two assessments were correlated and a low level of correlation was found. Findings suggested that the Assessment of Motor and Process Skills should continue to be used as part of the diagnostic process alongside assessments of intellectual function, because assessment of intellectual function alone does not predict adaptive function and cannot be relied on for diagnosis of learning disability; doing so would ensure that practice was evidence based. (Edited publisher abstract)

Digital Media Full text available online for free

Quality in social care: achieving excellence in home care

Author:
SOCIAL CARE INSTITUTE FOR EXCELLENCE
Publisher:
Social Care Institute for Excellence
Publication year:
2014
Pagination:
19 minutes 48 seconds
Place of publication:
London

Service users get together with a social care academic and a leader in the home care sector to discuss how excellence can be achieved in domiciliary care.  We see examples of excellence in support offered to older people, people with learning disabilities and people with physical disabilities in their own homes.  Much of the focus is on the relationship between staff members and the people they support because getting that right is fundamental to excellent care. This film has now been revised. This film was previously available under the title 'Defining excellence: excellence in domiciliary care '. (Edited publisher abstract)

Journal article Full text available online for free

Decisions about equipment and adaptations used for bathing and showering

Author:
McLAGGAN Joy
Journal article citation:
Research Policy and Planning, 31(2), 2014/15, pp.143-160.
Publisher:
Social Services Research Group

Bathing and showering equipment and adaptations are commonly prescribed by Occupational Therapists in Adult Services. Despite this very little is known about what affects whether or not these items are used by individuals. With demands increasing it is essential that the experiences, preferences and needs of users are better understood in order that the equipment and adaptations provided are fully utilised and the need of the user met in a client-centred approach. This article details the research ‘Equipment and adaptations used for bathing and showering: views of individuals on their use’ (McLaggan, 2011) which examined: What equipment and/or adaptations do people use for bathing and showering?; Do people utilise all the equipment and/or adaptations they possess?; What affects whether or not people use equipment and/or adaptations? The article will consider the findings from this research in relation to existing research in this field. (Publisher abstract)

Journal article

“My body came between us” accounts of partner-abused women with physical disabilities

Author:
RICH Karen
Journal article citation:
Affilia: Journal of Women and Social Work, 29(4), 2014, pp.418-433.
Publisher:
Sage

Women with physical disabilities are at high risk of intimate partner violence. In addition they are subject to inaccurate stereotypes, including challenges to their gender identities. Like other assaulted women, they may reframe the violence they experience in order to reduce stigmatisation. Nineteen formerly abused women with disabilities discussed their coping strategies and reasons for remaining in abusive relationships. Results were content analysed using feminist and Interactionist lenses. Respondents used neutralisation strategies common to abused women but incorporated disability-specific elements. Accounts tended to bolster a stereotypically feminine (gendered, nurturant, or sexual) identity. Policy and clinical implications are discussed. (Edited publisher abstract)

Journal article

Sexual victimization of youth with a physical disability: an examination of prevalence rates, and risk and protective factors

Authors:
MUELLER-JOHNSON Katrin, EISNER Manuel P., OBSUTH Ingrid
Journal article citation:
Journal of Interpersonal Violence, 29(17), 2014, pp.3180-3206.
Publisher:
Sage

Children with disabilities have been shown to be at greater risk of victimisation than those without. This study used data from a national school-based survey of adolescents (n = 6,749, mean age = 15.41, SD = .66) in Switzerland to investigate sexual victimisation (SV) among physically disabled youth. Two subtypes of SV were differentiated: contact SV, including penetration or touching/kissing, and non-contact SV, such as exhibitionism, verbal harassment, exposure to sexual acts, or cyber SV. A total of 360 (5.1%) youth self-identified as having a physical disability. Lifetime prevalence rates for contact SV were 25.95% for girls with a physical disability (odds ratio [OR] = 1.29 compared with able-bodied girls), 18.50% for boys with physical disability (OR = 2.78 compared with able-bodied boys), and 22.35% for the total sample with physical disability (OR = 1.74 compared with able-bodied youth). For non-contact SV, the lifetime prevalence was 48.11% for girls with a physical disability (OR = 1.44 compared with able-bodied girls), 31.76% for boys with physical disability (OR = 1.95 compared with able-bodied boys), and 40.28% for the total sample with physical disability (OR = 1.67 compared with able-bodied youth). After controlling for other risk factors, physical disability was a significant predictor of contact and non-contact SV for boys, but not for girls. (Edited publisher abstract)

Journal article

Examining the impact of disability status on intimate partner violence victimization in a population sample

Authors:
HAHN Josephine W., et al
Journal article citation:
Journal of Interpersonal Violence, 29(17), 2014, pp.3063-3085.
Publisher:
Sage

This study examined effects of impairments in physical and mental health on the risk of intimate partner violence (IPV) victimization in a nationally representative sample of U.S. adults (18 years. A total of 34,563 adults completed interviews in two waves of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Physical and mental health impairments, as well as IPV victimization, were assessed using validated surveys in the total sample and by gender. In the total sample, physical health impairments at Wave 1 and mental health impairments at Wave 1 were significantly associated with higher risk of IPV victimization at Wave 2, compared with those without reported impairments. Higher risk of later IPV victimization was also seen among females who reported physical health impairments and mental health impairments compared with those who did not report similar limitations. Among males, higher risk of IPV victimization was significantly associated with mental health impairments, compared with those without mental health impairments. Adults with physical and mental health impairments may benefit from targeted interventions aimed at preventing IPV. (Edited publisher abstract)

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