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Designing accessible managed care service for people with physical disabilities: consumer suggestions within an emergent design process
- Authors:
- WOLF-BRANIGIN Michael, LEROY Barbara
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 3(3), 2004, pp.3-16.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Persons with physical disabilities have difficulty accessing health care. This has become more pronounced with the emergence of managed care and other efforts to limit growing healthcare costs. In responding to a state's Medicaid office interest in designing accessible health services, a consumer-based evaluation including a series of nine focus groups (96 participants) was conducted using an emergent design method. This inductive analysis approach identified difficulties and provided the basis for recommending strategies to improve access. Two sets of consumer recommended strategies consistently were expressed during this process: (1) initiating one-to-one advocacy to improve local service coordination and (2) performing person-centered planning at enrollment in a managed care plan to facilitate appropriate and prompt access. These access strategies formed the basis for a later intervention design. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Disability and abuse in relation to substance abuse: a descriptive analysis
- Author:
- WOLF-BRANIGIN Michael
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 6(3), 2007, pp.65-74.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The substance abuse admission and treatment patterns of one US state were reviewed over a five year period to identify specific patterns among those with disabilities. Using a series of group comparisons, chi-squares and logistic regressions, the data reveal that people who had a disability and abused substances were more likely to be victimised by physical abuse and domestic violence than those without a disability. People with disabilities were also a third to a half more likely to receive long term residential, short term residential and intensive outpatient care. The implications for service providers and for social work education are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).