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 110 introduction to social welfare and social work

SSE – 110Introduction to Social Welfare and Social Work

Chapter 16

Physical and Mental Disabilities and Rehab


History of rehabilitation practices

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 practices1

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 practices2

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

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

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

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 services1

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

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

Empowering Consumers of Services

  • Normalization

  • Maximize Self-Determination

  • Innovation

  • Facilitate and Enhance Family Support


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