Assessing the Role of Rehabilitation Science and Engineering
Author: Institute of Medicine
Publisher: National Academies Press
The most recent high-profile advocate for Americans with disabilities, actor Christopher Reeve, has highlighted for the public the economic and social costs of disability and the importance of rehabilitation. Enabling America is a major analysis of the field of rehabilitation science and engineering. The book explains how to achieve recognition for this evolving field of study, how to set priorities, and how to improve the organization and administration of the numerous federal research programs in this area. The committee introduces the "enabling-disability process" model, which enhances the concepts of disability and rehabilitation, and reviews what is known and what research priorities are emerging in the areas of: Pathology and impairment, including differences between children and adults. Functional limitations--in a person's ability to eat or walk, for example. Disability as the interaction between a person's pathologies, impairments, and functional limitations and the surrounding physical and social environments. This landmark volume will be of special interest to anyone involved in rehabilitation science and engineering: federal policymakers, rehabilitation practitioners and administrators, researchers, and advocates for persons with disabilities.
The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.
Beginning in late 2004, the IOM began a project to take a new look at disability in America. It will review developments and progress since the publication of the 1991 and 1997 Institute reports. For technical contracting reasons, the new project was split into two phases. During the limited first phase, a committee appointed by IOM planned and convened a 1-day workshop to examine a subset of topics as background for the second phase of project. As was agreed upon with the sponsor of the workshop, the Centers for Disease Control and Prevention (CDC), the topics were: methodological and policy issues related to the conceptualization, definition, measurement, and monitoring of disability and health over time; trends in the amount, types, and causes of disability; disability across the age spectrum and in the context of normal aging; and secondary health conditions. The phase-one workshop was held in Washington, D.C. on August 1, 2005. Its participants included researchers, clinicians, social service professionals, policy experts, and consumer representatives and advocates. The meeting agenda and list of participants are included in Appendix A. Workshop on Disability in America: A New Look- Summary and Background Papers summarizes the workshop presentations and discussions. The background papers prepared for the workshop are included in Appendixes B through O. Some papers were submitted and circulated in advance of the meeting, whereas others were first presented at the meeting. The analyses, definitions, and views presented in the papers are those of the paper authors and are not necessarily those of the IOM committee. Likewise, the discussion summary is limited to the views of the workshop participants.
A unique resource for rehabilitation engineers, design and building professionals, rehabilitation counselors, gerontologists, psychologists, and other health and mental health professionals, this volume covers the significance and impact of universal design as a change agent for social and health movements. With a focus that is both practical and visionary, it emphasizes how the use of universal design can promote increased performance and participation for the aging population and people with disabilities, while mitigating the stigma and segregation that often characterize traditional rehabilitation design strategies. Written by one of the few architecturally trained researchers engaged in environmental issues related to accessibility and design for aging, the book stresses that universal design is not solely for people with disabilities, but is about usability and inclusion for people of all levels of ability. It examines key social ecological models in rehabilitation for aging and disability, and sheds new light on health and disability at both the individual and population level. Particular attention is paid to the medical, functional, and environmental implications of disability, health care and disability systems, and the psychosocial and cultural issues pertinent to rehabilitation counseling. Key Features: Examines the medical, functional, and environmental implications of disability Addresses health care and disability systems Discusses psychosocial and cultural issues pertinent to rehabilitation counseling Rooted in the concepts of social equity and inclusivity through participation of older adults and disabled individuals in community and societal roles Provides a visionary yet practical paradigm that transcends traditional design problem-solving
Author: Mark A. Stebnicki, PhD, LCP, DCMHS, CRC, CCM
Publisher: Springer Publishing Company
"This edition...adds an important international perspective on illness and disability. The personal narratives help bring the real world of people who are suffering to the forefront of the scientific discourse."--Doody's Medical Reviews Now in its sixth edition, this best-selling textbook continues to be the most comprehensive and diverse text available on the psychosocial aspects of disability. It examines current thought and treatment approaches to working with individuals with disabilities through the contributions of expert thinkers and practitioners in the disability field. Abundant and insightful narratives by disabled individuals offer a bridge between theory and practice for students in rehabilitation psychology and counseling courses. In addition to completely updated and reorganized material, this edition contains insightful new section introductions, empirically based research articles, and the contributions of international researchers presenting a more global and richer perspective on the psychosocial aspects of disability and illness. It also contains an increased focus on the negative impact of societal attitudes and treatment of disabled individuals on their psychological adjustment to disability. The addition of objectives at the beginning of each chapter and review questions and personal perspectives at the end of each chapter further facilitate in-depth learning. Key Features: Presents the most comprehensive and diverse coverage of psychosocial aspects of disability topics of any textbook available Examines contemporary thinking and treatment approaches in working with individuals with disabilities Provides a bridge between theory and practice through the narratives of individuals with disabilities Establishes a historical understanding of societal attitudes toward disability and treatment past and present of persons with disabilities Analyzes barriers to enabling persons with disabilities and improving social consciousness and quality of life for this population Facilitates course planning through inclusion of objectives and review questions/personal perspectives in each chapter
Global stability in the early twenty-first century will be conditioned largely by how the United States handles its relations with China, Europe, and Russia -- the "geostrategic triad"-according to Zbigniew Brzezinski. Thus, the United States needs a well-defined strategy to manage the two "Eurasian power triangles": the United States, Japan, and China, and the United States, Europe, and Russia. With this work, he offers a comprehensive geostrategic road map for such U.S. engagement.
Moving far beyond the realm of traditional "church history," Patrick Allitt here offers a vigorous and erudite survey of the broad canvas of American religion since World War II. Identifying the major trends and telling moments within major denominations and also in less formal religious movements, he asks how these religious groups have shaped, and been shaped by, some of the most important and divisive issues and events of the last half century: the Cold War, the Civil Rights Movement, the Vietnam War, feminism and the sexual revolution, abortion rights, the antinuclear and environmentalist movements, and many others. Allitt argues that the boundaries between religious and political discourse have become increasingly blurred in the last fifty years. Having been divided along denominational lines in the early postwar period, religious Americans had come by the 1980s to be divided along political lines instead, as they grappled with the challenges of modernity and secularism. Partly because of this politicization, and partly because of the growing influence of Asian, Latino, and other ethnic groups, the United States is anomalous among the Western industrialized nations, as church membership and religious affiliation generally increased during this period. Religion in America Since 1945 is a masterful analysis of this dynamism and diversity and an ideal starting point for any exploration of the contemporary religious scene.
The Institute of Medicine (IOM) and the National Research Council (NRC) have had prominent roles in discussions of aging, disability, and technology for decades. In 1978, Aging and Medical Education (IOM, 1978) raised national awareness of the challenges to physicians posed by the aging of the U.S. population. Thirty years later, Retooling for an Aging America highlighted concerns for the entire health care workforce in view of the aging of the population, including the role of technology in caring for older populations. The 1988 report The Aging Population in the 21st Century examined social, economic, and demographic changes among older adults, as well as many health-related topics: health promotion and disease prevention; quality of life; health care system financing and use; and the quality of care- especially long-term care. In 1991, the landmark report Disability in America laid out a national agenda to prevent disability and improve the lives of people with disabling conditions. The 1997 report Enabling America: Assessing the Role of Rehabilitation Science and Engineering examined the knowledge base of rehabilitation science and engineering and proposed ways to translate scientific findings into interventions that produce better health. And the 2007 report The Future of Disability in America examined progress made since the earlier reports and looked at continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. All these reports were produced by committees appointed in accordance with guidelines of the National Academies and met multiples times to compile and review evidence, reach consensus on conclusions and recommendations, draft a report of the committee, and then modify that draft report in response to comments from outside reviewers. The IOM and NRC have also held several workshops related to aging, disability, and technology and published summary reports, such as Technology for Adaptive Aging and Grand Challenges of Our Aging Society. The IOM and NRC also convene groups that take a different approach to issues of pressing national and international importance. Often known as forums or roundtables, these groups meet regularly to foster dialogue and confront issues of mutual interest and concern among a broad range of stakeholders. They can convene workshops, initiate cooperative projects among members, commission independently authored articles, and generate ideas for independent consensus studies. In 2012 the IOM and NRC joined together to establish the Forum on Aging, Disability, and Independence to provide a neutral venue for broad-ranging discussions among the many stakeholders involved with aging and disability. The goals of the forum are to highlight areas in which the coordination of the aging and disability networks is strong, examine the challenges involved in aligning the aging and disability networks, explore new approaches for resolving problem areas, elevate the visibility and broaden the perspectives of stakeholders, and set the stage for future policy actions. Forum sponsors and members include federal agencies, health professional associations, private sector businesses, academics, and consumers. Fostering Independence, Participation, and Healthy Aging Through Technology summarizes this workshop.
Taking as its starting point Delmore Schwartz's self-appointment as both a 'poet of the Hudson River' and 'laureate of the Atlantic,' this book comprehensively reassesses the poetic achievement of a critically neglected writer. Runchman reads Schwartz's poetry in relation to its national and international perspectives.