Sse 110 introduction to social welfare and social work
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SSE – 110 Introduction to Social Welfare and Social Work. Chapter 16 Physical and Mental Disabilities and Rehab. History of Rehabilitation Practices. There are an estimated 60 million people with a disability in the U.S.

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SSE – 110 Introduction to Social Welfare and Social Work

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SSE – 110Introduction to Social Welfare and Social Work

Chapter 16

Physical and Mental Disabilities and Rehab


History of Rehabilitation Practices

  • There are an estimated 60 million people with a disability in the U.S.

  • Attitudes towards the disabled have ranged from being perceived as being possessed by demons to viewing them as saint-like, with the community having a responsibility to care for them.

  • The Elizabethan Poor Law of 1601.

  • During colonial time a disability was seen as a result of God’s punishment.

  • In the 19th century gradual recognition was given to the needs of people with a disability in the U.S.


History of Rehabilitation Practices

  • Thomas Gallaudet opened the first school for deaf in 1817 in Hartford Connecticut.

  • In 1832 the first school for the blind was opened in Massachusetts.

  • The first university for the deaf opened in Washington, D.C.

  • The first sheltered workshop opened in 1850 in Massachusetts.

  • In the last half of the 19th century the orientation switched from education of those with cognitive disabilities to custodial care (due to Darwinism).


History of Rehabilitation Practices

  • The first hospital opened in Williamsburg, Virginia in the 1850’s.

  • In 1917, the Federal Government passed the Smith-Hughes Act – made federal monies available for Vocational Education.

  • In 1935 the Social Security Act was passed.

  • In 1943, the Barden-La Follett Act extended rehab services to the mentally ill.

  • During the 1950’s and 1960’s people with physical disabilities began to speak out.

  • In 1973 the Congress passed the Vocational Rehab Act.

  • In 1990 the Congress passed the American with Disabilities Act.


Developmental Disabilities

  • See page 513 for a definition.

  • Autism

  • Cognitive disability – see table 16.1 – page 514.

  • Causes of cognitive disability – see page 515 – 517.


Society’s Reaction to Disabilities

  • Our society places a high value on having a beautiful body.

  • As a society we make people with disabilities feel inferior.

  • We sometimes assume that a person with one disability has other disabilities.

  • We are all just one accident away from being disabled.


Current Services

  • Rehabilitation centers

    1. Vocational evaluation

    2. Sheltered employment

    3. Work adjustment programs

    4. Counseling services

    5. Placement services

    6. Respite Care

    7. Support Groups for Caregivers

    8. Recreational Programs

  • Educational programs

  • Residential services

    1. Group homes, halfway houses and nursing.

    2. Residential treatment centers.


Current Services

  • Day care centers

  • Hospital services

  • Home services

    1. Meals on Wheels

    2. Home Health Services

    3. Homemaker Services

  • Federal and state assistance programs

    1. Vocational Rehabilitation Funding

    2. Medicaid

    3. Old age survivor / disability, etc.

    4. SSI

    5. Foodstamps

    6. Worker’s Compensation Programs


Roles of Social Workers

  • Counseling clients

  • Counseling families

  • Taking social histories

  • Serving as a case manager

  • Serving as Liaison between the family and the agency.

  • Being a broker

  • Doing discharge planning.


Empowering Consumers of Services

  • Normalization

  • Maximize Self-Determination

  • Innovation

  • Facilitate and Enhance Family Support


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