This report reviews the literature on the mental health support needs of people with physical impairments. The review is divided into two parts. The first part reviews research literature concerned with psychology, psychiatry and rehabilitation services. The second part of the review looks at what is known about the mental health support needs and experiences of people with physical impairments from a social model perspective. It was the first stage of a research project.
(Edited publisher abstract)
This report reviews the literature on the mental health support needs of people with physical impairments. The review is divided into two parts. The first part reviews research literature concerned with psychology, psychiatry and rehabilitation services. The second part of the review looks at what is known about the mental health support needs and experiences of people with physical impairments from a social model perspective. It was the first stage of a research project.
(Edited publisher abstract)
Subject terms:
social model, mental health problems, physical disabilities, depression, psychiatry, psychology, rehabilitation;
ROWLAND-CROSBY Nic, GIRAUD-SAUNDERS Alison, SWIFT Paul
Publisher:
Foundation for People with Learning Disabilities
Publication year:
2004
Pagination:
141p.
Place of publication:
London
This report outlines a two and half year project evaluating the support offered by the new Connexions Service to young people with learning difficulties, physical impairments, to young deaf people, those with visual impairments, young people experiencing mental health problems or those with autistic spectrum disorders. The project covered five Connexions Services across the country. Lessons for good practice are outlined and recommendations for future service improvements made.
This report outlines a two and half year project evaluating the support offered by the new Connexions Service to young people with learning difficulties, physical impairments, to young deaf people, those with visual impairments, young people experiencing mental health problems or those with autistic spectrum disorders. The project covered five Connexions Services across the country. Lessons for good practice are outlined and recommendations for future service improvements made.
Extended abstract:
Author
ROWLAND-CROSBY Nic, GIARAUD-SAUNDERS Alison, SWIFT Paul
Title
Developing connexions: young people with disabilities, mental health needs or autistic spectrum disorders.
Publisher
Foundation for People with Learning Disabilities, 2004
Summary
This report outlines a two and half year project evaluating the support offered by the new Connexions Service to young people with learning difficulties, physical impairments, to young deaf people, those with visual impairments, young people experiencing mental health problems or those with autistic spectrum disorders. It covered five Connexions Services across the country. Lessons for good practice are outlined and recommendations for future service improvements made.
Context
This report has a number of key tasks: to provide Connexions Services with an easy-to-use evidence base; to enable Connexions Services to use this information as their service undergoes further development in integrated service delivery; to provide partner agencies and professionals with an understanding of the key learning from this project and how a multi-agency approach (as highlighted in the Green Paper and the Children Bill) should be
supporting young people; and to provide evidence and practice guidance on involving a wide and diverse group of young people in ongoing service development and one-to-one.
Contents
Chapter 1, ‘The Project', comprises descriptions of the final report, the Connexions Service, the project, making it work, recruiting young people, involving and consulting with young people, and consulting with connexions services, personal advisers and partner agencies. Chapter 2, ‘The Evidence', discusses young people, parents and carers, the Connexions Service and personal advisers, and what partners said about the new Connexions Service and the work of personal advisers. Chapter 3, ‘The Learning', covers the delivery of a differentiated service, the role of the personal adviser, involving young people, information, and working with partners. Chapter 4 ‘The Future', is about independence, the role of the personal adviser, and involving young disabled people and their families/carers. Each chapter begins with an easier-to-read summary, and all but the first end with conclusions. Appendices discuss models of delivery, responsibilities for pupils with statements of special educational needs, a tiered approach to service delivery and the role of the personal adviser, the Connexions Service National Unit, and the assessment, planning, information and review framework.
Subject terms:
learning disabilities, mental health problems, physical disabilities, visual impairment, young people, autistic spectrum conditions, deafness;
Social Work in Health Care, 39(1/2), 2004, pp.89-105.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
In the Eastern European countries included in the communist system of the USSR, parents of disabled children were encouraged to commit their disabled child to institutional care. There were strict legal regulations excluding them from schools. Medical assessments were used for care decisions. Nevertheless many parents decided to care for their disabled child at home within the family. Ukraine became an independent country in 1991, when communism was replaced by liberal democracy within a free market system. Western solutions have been sought for many social problems existing, but 'hidden,' under the old regime. For more of the parents of disabled children, this has meant embracing ideas of caring for their disabled children in the community, and providing for their social, educational, and medical needs, which have previously been denied. The issue of disability is a serious one for Ukraine where the nuclear disaster at Chernobyl in 1986 caused extensive radiation poisoning. This almost certainly led to an increase in the number of disabled children being born and an increase in the incidence of various forms of cancer. This paper is based on a series of observation visits to some of the many self-help groups established by parents, usually mothers, for their disabled children. It draws attention to the emotional stress experienced both by parents and their disabled children in the process of attempting to come to terms with the disabling conditions, and the denial of the normal rights of childhood resulting from prejudice, poor resources, ignorance, and restrictive legislation. Attempts have been made to identify the possible role and tasks of professional social workers within this context. International comparisons show that many parents and their children do not benefit from the medical model of disability, and that serious consequences include the development of depressive illness among those who find that little help is available from public services. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
In the Eastern European countries included in the communist system of the USSR, parents of disabled children were encouraged to commit their disabled child to institutional care. There were strict legal regulations excluding them from schools. Medical assessments were used for care decisions. Nevertheless many parents decided to care for their disabled child at home within the family. Ukraine became an independent country in 1991, when communism was replaced by liberal democracy within a free market system. Western solutions have been sought for many social problems existing, but 'hidden,' under the old regime. For more of the parents of disabled children, this has meant embracing ideas of caring for their disabled children in the community, and providing for their social, educational, and medical needs, which have previously been denied. The issue of disability is a serious one for Ukraine where the nuclear disaster at Chernobyl in 1986 caused extensive radiation poisoning. This almost certainly led to an increase in the number of disabled children being born and an increase in the incidence of various forms of cancer. This paper is based on a series of observation visits to some of the many self-help groups established by parents, usually mothers, for their disabled children. It draws attention to the emotional stress experienced both by parents and their disabled children in the process of attempting to come to terms with the disabling conditions, and the denial of the normal rights of childhood resulting from prejudice, poor resources, ignorance, and restrictive legislation. Attempts have been made to identify the possible role and tasks of professional social workers within this context. International comparisons show that many parents and their children do not benefit from the medical model of disability, and that serious consequences include the development of depressive illness among those who find that little help is available from public services. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Subject terms:
mental health problems, physical disabilities, self-help groups, social work, children, families;
This article reports on employment barriers experienced by random samples of 200 people who have left welfare and returned between June 1999 and May 2002, and 300 who left welfare between January 1999 and December 2001 and were not on state Department of Labor employment rolls. Demographic characteristics of returners and their reported barriers to employment (transportation 32 percent, not enough pay 29 percent, no jobs in the community 26 percent, negative attitudes of co-workers 32 percent, stressful working environments 29 percent) were consistent with Wilson's (1991) article and Vartanian's work on the effects of the neighborhood environment and lack of access. Leavers, on the other hand, reported higher degrees of physical disability (53 percent), illness or injury (44 percent), and mental illness (26 percent) as barriers to employment. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
This article reports on employment barriers experienced by random samples of 200 people who have left welfare and returned between June 1999 and May 2002, and 300 who left welfare between January 1999 and December 2001 and were not on state Department of Labor employment rolls. Demographic characteristics of returners and their reported barriers to employment (transportation 32 percent, not enough pay 29 percent, no jobs in the community 26 percent, negative attitudes of co-workers 32 percent, stressful working environments 29 percent) were consistent with Wilson's (1991) article and Vartanian's work on the effects of the neighborhood environment and lack of access. Leavers, on the other hand, reported higher degrees of physical disability (53 percent), illness or injury (44 percent), and mental illness (26 percent) as barriers to employment. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Subject terms:
mental health problems, physical disabilities, social policy, benefits, demographics, employment;
HANJORGIRIS William F., RATH Joseph F., O'NEILL John H.
Journal article citation:
Journal of Gay and Lesbian Social Services, 17(2), 2004, pp.25-41.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
This paper examines the experiences of gay men living with disabilities or chronic illness from a social constructivist perspective. Emphasizing the sociocultural aspects of disability, such an approach recognizes that the questions asked and the answers given about disability are embedded in sociohistorical contexts, and that language both shapes and reveals underlying assumptions and behaviours related to disability. Using Kameny's concept of sociological minority, it is proposed that gay men and persons with disabilities constitute minority groups with experiences in common with those of other recognized minority groups. Implications for mental health practitioners providing services to gay men with disabilities are addressed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
This paper examines the experiences of gay men living with disabilities or chronic illness from a social constructivist perspective. Emphasizing the sociocultural aspects of disability, such an approach recognizes that the questions asked and the answers given about disability are embedded in sociohistorical contexts, and that language both shapes and reveals underlying assumptions and behaviours related to disability. Using Kameny's concept of sociological minority, it is proposed that gay men and persons with disabilities constitute minority groups with experiences in common with those of other recognized minority groups. Implications for mental health practitioners providing services to gay men with disabilities are addressed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Subject terms:
long term conditions, mental health problems, mental health services, physical disabilities, sociology, gay men;
Reports on high levels of dissatisfaction among mental health services users with physical impairments. Two-thirds reported difficulty accessing services. Key concerns included lack of assistance, accessible environments, withdrawal of medication for physical impairment on admission and non-availability when needed, community mental health workers' unfamiliarity with impairments, lack of a co-ordinated approach by GPs and psychiatrists, and fragmented physical/mental needs. People wanted to be seen as whole, with services and professionals communicating and working together. Concludes that services should work together to prevent needs being fragmented by professional and service boundaries.
Reports on high levels of dissatisfaction among mental health services users with physical impairments. Two-thirds reported difficulty accessing services. Key concerns included lack of assistance, accessible environments, withdrawal of medication for physical impairment on admission and non-availability when needed, community mental health workers' unfamiliarity with impairments, lack of a co-ordinated approach by GPs and psychiatrists, and fragmented physical/mental needs. People wanted to be seen as whole, with services and professionals communicating and working together. Concludes that services should work together to prevent needs being fragmented by professional and service boundaries.
Subject terms:
interagency cooperation, mental health problems, mental health services, multidisciplinary services, physical disabilities, user views;
Reports on an Anglo-French partnership, between Medway Council and the Maison de l'Initiative in the Grande Synthe region, which is pioneering 'cultural mediation' as a way to combat exclusion among ethnic minorities. The project is funded until July 2005 by the European Union's Interreg IIIA programme. In Medway the project is focusing on improving access to social services for people from ethnic minorities with mental health needs, physical disabilities and learning difficulties. In France the mediators are targeting employment issues for ethnic minorities.
Reports on an Anglo-French partnership, between Medway Council and the Maison de l'Initiative in the Grande Synthe region, which is pioneering 'cultural mediation' as a way to combat exclusion among ethnic minorities. The project is funded until July 2005 by the European Union's Interreg IIIA programme. In Medway the project is focusing on improving access to social services for people from ethnic minorities with mental health needs, physical disabilities and learning difficulties. In France the mediators are targeting employment issues for ethnic minorities.
Subject terms:
learning disabilities, mental health problems, physical disabilities, social services, access to services, black and minority ethnic people, employment;
Reports on high levels of dissatisfaction among mental health services users with physical impairments. Two-thirds reported difficulty accessing services. Key concerns included lack of assistance, accessible environments, withdrawal of medication for physical impairment on admission and non-availability when needed, community mental health workers' unfamiliarity with impairments, lack of a co-ordinated approach by GPs and psychiatrists, and fragmented physical/mental needs. People wanted to be seen as whole, with services and professionals communicating and working together. Concludes that services should work together to prevent needs being fragmented by professional and service boundaries.
Reports on high levels of dissatisfaction among mental health services users with physical impairments. Two-thirds reported difficulty accessing services. Key concerns included lack of assistance, accessible environments, withdrawal of medication for physical impairment on admission and non-availability when needed, community mental health workers' unfamiliarity with impairments, lack of a co-ordinated approach by GPs and psychiatrists, and fragmented physical/mental needs. People wanted to be seen as whole, with services and professionals communicating and working together. Concludes that services should work together to prevent needs being fragmented by professional and service boundaries.
Subject terms:
interagency cooperation, mental health problems, mental health services, multidisciplinary services, physical disabilities, user views;
Draws attention to the difficulties disabled parents often have in obtaining their entitlements under community care legislation. A failure to meet needs relating to impairment and disabling barriers can mean that parents lack the practical support required to carry out parenting tasks. Some parents cannot get help unity their family is in crisis and this can result in their ability to look after their children being questioned.
Draws attention to the difficulties disabled parents often have in obtaining their entitlements under community care legislation. A failure to meet needs relating to impairment and disabling barriers can mean that parents lack the practical support required to carry out parenting tasks. Some parents cannot get help unity their family is in crisis and this can result in their ability to look after their children being questioned.
Subject terms:
mental health problems, parental role, parents, physical disabilities, access to services, community care;
Looks at how identity card schemes could further marginalise vulnerable people, and create barriers to vulnerable people getting the services they need.
Looks at how identity card schemes could further marginalise vulnerable people, and create barriers to vulnerable people getting the services they need.
Subject terms:
homeless people, mental health problems, physical disabilities, vulnerable adults, access to services, asylum seekers;