<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%>Rehab Reporter Jan 2006

JANUARY 2006
Models of Disability and Advocacy in Rehab Counseling

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MODELS of DISABILITY

OVERVIEW

Models of Disability - an Overview
The four main models of disability are:

Social
The social model primarily sees a disability as the result of limitations
imposed upon the individual by social and physical barriers, which prevent full involvement in the life of the individual’s society. It believes that society is organised to suit the needs of the fittest and that this is unfair. It is not the duty of disabled people to adapt and conform (normalisation), but society’s responsibility to adapt to meet their needs.

Disability is not seen as something invoking pity or in need of a cure. Equality for disabled people is seen in the same light as equality for other under-represented groups.

Medical
This is a long-established model that sees disabled people as ‘ill’ or ‘sick’ and not as people but patients. Under this model disabled people are expected to be ‘cured’ or ‘made better’. Medical professionals are perceived to be the ‘disability’ experts, diagnosing and dispensing treatment and generalising on the ‘limitation(s)’ of disability. Over concentration on medical conditions stresses weakness / dependency and effectively ‘blames’ the disabled individual for their failure to participate in society - attributing no blame to society.

Charity/Tragic
This model portrays disabled people as being worthy of pity. They are ‘brave’ and/or ‘plucky’ who ‘despite their disability’ still manage to be
happy and achieve goals (however limited). A disability is viewed as a personal disaster. Control and power rests with well meaning nondisabled people who endeavour to bring about change for the benefit of the ‘afflicted’. The language used is similar to that used in the medical model - people are ‘crippled’ with polio, ‘afflicted’ with arthritis, ‘suffer’ from a stroke. Disabled people are expected to be humble and grateful for what they receive.

W.H.O. (World Health Organisation)
This model was created in 1980 and attempts to synthesise the Medical and Social models. It sees disability as the result of a functional impairment (any loss or abnormality of psychological, physiological or anatomical structure or function), producing a handicap if a person is socially disadvantaged as a result.

Frequently Asked Questions

  • How have approaches to disability changed in recent times?
  • How should we portray disabled people in our marketing materials?
  • Is there a particular model or approach towards disabled students that we should be adopting?
  • What are the correct terms to use when talking about disabled people?
  • How is disability defined?
  • How many people are disabled in the general population?
  • How many students in higher education are disabled?
  • What support is available for disabled students?
  • Do I have to change the way I teach in order to support disabled students?
  • Is there any money available in my university to help me to support disabled students?

Fact Sheets/Guides - Disability Awareness

Models of Disability are tools for defining impairment and, ultimately, for providing a basis upon which government and society can devise strategies for meeting the needs of disabled people.”

Keys to perspectives
Applications and Interpretations

• The Medical Model
• The Expert/Professional Model
• The Tragedy/Charity Model
• The Social Model
• The Social Adapted Model
• The Economic Model
• The Customer/Empowering Model
• The Religious Model

Challenging traditional models of disability
Medical Model vs. Interactional Model

Historically, people with disabilities have been treated as different from mainstream society. As a result, people with disabilities were encouraged to "fix" their differences through medical interventions. Researchers Harlan Hahn and Carol Gill call this the medical model.

Under the interactional model, disability is viewed not as a deficiency but as a kind of difference. The interactional model promotes the idea that individuals would not need to be "fixed" if society were physically and programmatically accessible.

MODELS of DISABILITY
RESOURCES

The Review of Disability Studies – An International Journal

Disability Studies Quarterly

Society for Disability Studies

Disability Services
This section presents an overview of common disability types, including descriptive information, strategies for students, and suggested resources.

  • Attention Deficit/Hyperactivity Disorder
  • Deaf, Hard-of-Hearing, and Deaf / Blind
  • Learning Disabilities
  • Mobility Impairments
  • Psychiatric Disabilities
  • Systemic Disabilities
  • Traumatic Brain Injuries
  • Visual Impairments

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ADVOCACY

What is Advocacy Based Counseling?
Advocacy-based counseling means the involvement of a client with an advocate counselor in an individual, family, or group session with the primary focus on safety planning and on empowerment of the client through reinforcing the client's autonomy and self-determination. Advocacy-based counseling uses nonvictim blaming problem-solving methods that include:

(1) Identifying the barriers to safety;
(2) Developing safety checking and planning skills;
(3) Clarifying issues;
(4) Providing options;
(5) Solving problems;
(6) Increasing self-esteem and self-awareness; and
(7) Improving and implementing skills in decision making, parenting, self-help, and self-care.

Advocacy as a critical role for urban school counselors: working toward equity and social justice

Case Management and Advocacy within Crisis Counseling Programs

Advocacy Skills: Brain Injury Resource Center
Advocacy is a type of problem solving designed to protect personal, and legal rights, and to insure a dignified existence. There are many types of advocacy. For example, system advocacy, is useful for changing "the system;" additionally, it is used to promote causes. Legal advocacy is what lawyers are paid to do, and legislative advocacy is designed to change laws. Self-advocacy involves advocating for oneself; while individual advocacy involves advocating for another.

Advocacy Plan: Brain Injury Resource Center

ADVOCACY - RESOURCES

Self Direction is a disability led and run organization supporting a wide variety of people related issues, providing counseling, advocacy, advice, guidance, and support and training to the community.

The Center for Patient Partnerships
“In general, "advocacy" will focus on problem solving and communication to help patients and providers make good decisions together, and for patients to then get access to the desired care or treatment.”

National Patient Advocate Foundation

Mental Health and Disability Advocacy and Information

The Patient’s Advocate, Inc.

Vocational Rehabilitation State Offices

Protection and Advocacy of Individual Rights - Rehabilitation Services Administration

Advocacy, Empowerment, and Independent Living

ADVOCACY WEBSITES

WISHING YOU A VERY HAPPY 2006 !


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