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Intro to Rehab > Test 2 > Flashcards

Test 2 Flashcards

0
Q

Daniel’s definition of “normal opportunities”

A

Array of life plans reasonable persons are likely to construct for themselves

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1
Q

Number of PWD in the US

A

43 million

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2
Q

Philosophical considerations

A

Defining the range
Providing necessary resources••
Right to guaranteed minimum
Quality of life/right to treatment••

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3
Q

Economic argument

A

PWD pay back $12 for every $1 spent on rehab

Offenders pay back $8 for every $1

Clients pay back costs for services in 4 years

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4
Q

Moral argument

A

Rehab: humane necessity; not a luxury

Social responsibility and he rehabilitation movement

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5
Q

Medical Causes

A

Psychic (emotional characteristics)
Seen as weakness of character

Somatic (organs, muscles, etc.)

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6
Q

Natural causes

A

Organic lesions in the brain

Movement for human treatment of PWD

Assumption that behavior was causeby ignorance

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7
Q

Society as a cause

A

Victimization process

Social control

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8
Q

Hershenson’s 3 causes for disability

A

Faith (supernatural)

Logic (medical)

Power (environmental)

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9
Q

Perceived responsibility

A

People responsible for disability given less compassion

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10
Q

Perceived threat

A

Employers fear increased workers comp, absenteeism, cost of accommodation

PWD seen as economic liability

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11
Q

Justification for institutionalization

A

“Acting in their best interest” or “society’s best interest”

PWD seen as incapable of taking care of themselves

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12
Q

Prevailing economic considerations

A

Available resources

Demand of labor
Level of inflation
Government revenue

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13
Q

Sociocultural trends

A

Optimism/pessimism

Social Darwinism

Rehab vs. tougher sentencing

Civil rights and consumerism

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14
Q

Paternalism vs Professionalism

A

Paternalism can be confused with caring; clients best interest

Professionalism means professionals decide

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15
Q

What determines values

A

Life experiences
Religious orientation
World view

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16
Q

Prominent social values

A

Independence and self-sufficiency

Work and productivity

Physical appearance

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17
Q

Existential anxiety

A

Recognition of our frail bodies, and that it could happen to any of us

“It could happen to you”

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18
Q

Aesthetic anxiety

A

Worried about our own appearance and potential loss of attractiveness

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19
Q

Ethical principals of a helping profession

A 
Beneficence
Autonomy
Justice 
Nonmaleficence 
Fidelity
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20
Q

Beneficence

A

Do no harm

Acting to promote well-being of others

Special knowledge, control of beliefs, societal expectations

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21
Q

Autonomy

A

Respect freedom of choice and action

Should not interfere with client’s independence in choice making and action

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22
Q

Justice

A

Be fair

Treat equal people equally

Implies fair distribution of resources

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23
Q

Nonmaleficence

A

Identifying the course of action least likely to result in harm/injury

Part of interdependence is the right to make the wrong choice

24
Q

Fidelity

A

Keeping promises and commitments you have made

Follow through on your part

Don’t make promises you can’t keep

25
Q

JAN

A

Job Accommodation Network

26
Q

Major issues of physical disabilities

A 
General health
Self-concept and self-esteem
Relationship issues
Sexual functioning
Abuse
27
Q

Special populations of physical disabilities

A

Deafness and deaf culture
Blindness and blind culture
Subscribe abuse (AODA)
Geriatric Rehabilitation

28
Q

Deafness and deaf culture

A

Disability or cultural difference

Language (forms of sign language, body language, sign language) not universal

Communication

29
Q

Blindness and visual impairment

A

Orientation and mobility

Environmental awareness

Body language and facial expressions

Use of verbal information

30
Q

Substance abuse (AODA)

A

Medical model: looks at relapse as a component of disease

12 step model

Dual diagnoses/co-occurring disorder 80%

31
Q

Geriatric rehabilitation

A

Fastest growing group in rehab pops

Number of older individuals increases, disability conditions will increase (thus needing services)

Older workers are sought after

32
Q

AAMD (association of mental deficiency) classification system

A

Requires presence of deficiencies in both measured intelligence ad adaptive behavior

Mild, moderate, severe, profound

33
Q

DSM-IV classification system

A

Significantly sub-average intellectual functioning accompanied by significant limitations at least 2 or more adaptive skills

34
Q

Mild, Moderate, Severe, Profound

A

Mild: 50 or 55-70

Moderate: 35/40-50/55

Severe: 20/25-35/40

Profound: below 20:25

35
Q

Psychosocial aspects of CD

A

Individuals with CD have lower self esteem

Problems adjusting

Families may contribute to problems by over protecting or rejecting

36
Q

Rehab potential (CD)

A

90% of CD individuals working in competitive and/or community rehab

May benefit from routine jobs

37
Q

Learning Disability definition

A

A disorder in one or more of the basic psychological thinking, speaking, perceiving, or using language or concepts spoken or written

Must be diagnosed by a psychiatrist, psychologist, or neuropsychologist

38
Q

Types of LD

A

Dyscalculia (math)

Dysgraphia (writing)

Agnosia (recognition)

Dysphasia (speech/language)

39
Q

Psychosocial aspects of LD

A

Friendlessness/social awkwardness

Hidden disability “illegitimate”

May lead to isolation

Average or above average IQ

40
Q

Rehabilitation potential (LD)

A

Gather background info on performance patterns

Voc eval helpful in determining functional limitations and establishing appropriate voc goals

Focus on strengths

41
Q

Psychiatric disability

A

Voc rehab, eligible psychiatric

42
Q

DSM-IV in psychiatric disability

A

DSM-IV doesn’t provide meaningful info regarding work potential

43
Q

1/3 rule

A

1/3 require hospitalization

1/3 can get by on their own

1/3 need rehabilitation support

44
Q

Work adjustment problems for psychiatric disabilities

A 
Poor adaptations in new situations
Lower-quality work
Inappropriate grooming/dress
Lack of confidence
Relate poorly to co-workers
Tim, pressures, deadlines are difficult
Difficulty focusing on multiple tasks
45
Q

Job Club

A

Provides training in work readiness

Uses group model/participants learn from and encourage each other

Successful for people who work better in groups

46
Q

Job accommodations for psychiatric disabilities

A 
Provide quite place free of distraction
Provide schedules & short-term goals
Allow time outs when too much stress
Training supervisors to give feedback
Provide routine for conversation
47
Q

What does normal mean

A

Absence of deviance, illness, disability

Ideal of being perfect

Absence of abnormal

48
Q

Disability definition depends on:

A

Value judgements
Functioning environment
Who is determining/their motives
Classification system uses

49
Q

Why classify disabilities

A

Provide benefits/services to those who need them
Determine eligibility for services
Represent legislative/judicial interests
Used by professionals to communicate and develop interventions

50
Q

Problems of classification

A

Can negatively impact self image
Lead to harmful stereotypes
Affect performance
Form expectations

51
Q

4 broad categories of disability

A

Physical

Intellectual

Cognitive

Psychiatric

52
Q

Disability models

A

Medical

Functional

Environmental

53
Q

Mental model

A

Focus of fixing a problem within an individual

“Sick role”

54
Q

Functional model

A

Definition of disability influenced by individual functions

55
Q

Environmental model

A

Environment can cause, define, and exaggerate disability

Disability viewed as product

56
Q

Where does Voc Rehab fall

A 
Quality of life
Independence
Self determination and choice
Communication of service
Holistic
Understand disability experience
Combine model influences
57
Q

Most important definition of disability

A

Individual’s definition of his/her disability

Intro to Rehab (3 decks)

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