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The purpose of this paper is to examine trends over time in social care usage and expenditure for adults with learning disabilities in England.

Returns from councils with social services responsibilities in England concerning social care usage and expenditure were analysed to examine the national picture and trends over time for adults with learning disabilities.

In 2017/2018, 147,915 adults with learning disabilities were receiving long-term social care, an increase of 5.7 per cent from 2014/2015. Social care expenditure increased by 10.2 per cent from 2014/2015 to £5.54bn in 2017/2018; adjusted for inflation this was a 2.7 per cent increase. For adults with learning disabilities who receive social care, increasing numbers of people are living with families or in supported accommodation/living, with gradual declines in the number of people living in residential or nursing care. The number of adults with learning disabilities in temporary accommodation is small but increasing.

While councils appear to be attempting to protect social care for adults with learning disabilities in the face of cuts to council expenditure, social care expenditure and coverage are not keeping pace with likely increases in the number of adults with learning disabilities requiring social care.

This paper presents in one place statistics concerning long-term social care for adults with learning disabilities in England.

People with intellectual disability have a low rate of employment in Australia and internationally. Their low employment rate is set within a context of limited employment choices. Further, the most common types of work currently undertaken by people with intellectual disability – open and sheltered employment – have limitations and may not be suitable for everyone. Expanding the employment choices available represents an important way forward, but evidence is needed to guide the expansion. This paper aims to contribute to the evidence required by comparing people with intellectual disability’s experience and outcomes in open and sheltered employment to their experience and outcomes working in social enterprises, which is becoming an important alternative employment option for this group.

The paper uses the qualitative accounts of 51 people with intellectual disability to compare experiences and outcomes in open, sheltered and social enterprise employment in Australia.

The paper finds that social enterprises combine some of the benefits of open and sheltered employment and thus expand employment choice. However, the level of business/market development and opportunities for employment in social enterprises are currently limited and require further development and scale to enable social enterprises to be an option for more people with intellectual disability. Policy implications are drawn out for expanding employment choice, in particular through social enterprise employment, for people with intellectual disability.

The paper offers the first three-way comparison of open, sheltered and social enterprise employment for people with intellectual disability, contributing to both the disability employment and social enterprise literature.

The aim of this paper is to discuss the importance of the disability category in Swedish welfare policies. The paper seeks to focus on two cases that illustrate how the social dimension in the understanding of disability permitted the inclusion of individuals, previously considered as “unwanted strangers”, in the Swedish welfare context. The first case is that of refugees classified as unfit for work after the Second World War. The second deals with the Roma groups who obtained the right of formal Swedish citizenship during the same period.

The analysis is based on data collected during two research projects. The first concerning the Roma policy of the Swedish Government from 1880 to 1970, primarily based on the analysis of public documents collected in the Swedish National Archives, including government reports and accompanying background material. The second research project deals with the development of an institutionalised reception of refugees by the Swedish welfare services after the Second World War. This research mainly uses documents produced during the international negotiations dealing with refugees interned in different camps in Europe and related documents in the Swedish National Archives related to the history of the organised reception of refugees in Sweden. In the case of refugees, the analysis focuses on the construction of disability in the classification system of the international refugee camps and in the organised reception of these refugees in Sweden. In the case of Swedish Roma, the analysis focuses upon the construction of social disability both in the arguments elaborated by Swedish authorities for the inclusion of Roma and in the practical organisation of their inclusion in the Swedish welfare system.

The paper provides insights about the crucial importance on the disability category in the organisation of Swedish social welfare after the Second World War. The policies developed raise important questions about basic requisites to obtain citizenship and also call into question the unequal conditions of citizenship. The case of Swedish Roma and the refugees interned in international camps illustrated how changing perceptions of poverty and deviance were strongly influenced by medical representations of disease and disability. Disability, previously perceived as a principally medical category with social consequences, now acquired a social dimension that enabled new refugees and Roma groups to be considered as members of the nation state.

This paper is primarily descriptive. Further research is needed in order to develop a better understanding of how the social dimension of disability is constructed and how this social dimension was used to include new groups. The contents focus on the emergence of new social policies in Sweden after the Second World War; further research should focus on how these policies and processes still have a considerable influence on present policies and representations on migrants and Roma groups.

The paper provides important insights on taken for granted representations in Swedish welfare authorities' work with refugees and Roma groups. The institutionalised representation of Roma and refugee groups as disabled probably is an obstacle in the social incorporation of these groups.

Based on two cases the paper discusses how the concept of social disability, with its origins in medical sciences, was adopted by the Swedish welfare authorities and applied to groups considered deviants. In later policies the authorities widened social disability to include culture and ethnicity. Refugees and Roma groups classified as disabled were treated according to established practises created for people classified as unable to be incorporated into a “normal” social life.

Despite the presence of people with disabilities in higher learning institutions, facilities provided for both accommodation and classrooms prove to be ineffective in fulfilling their expectations. However, the existing measures have tended to be rigid and unable to incorporate the ever evolving user experiences from constantly enrolling students in public campus buildings. The paper is premised on the notion of social inclusivity of the built environment in public universities through user experiences, measured through a qualitative lens.

The study was qualitative and deployed a case study strategy. Respondents were purposively identified and subjected to in-depth interviews, key informant interviews and focused group discussions. The full realisation of the sample frames was determined by data saturation. Data from responses was thereafter sorted, coded and categorised through a systematic thematic analysis. Some responses reactions were reported verbatim. The anonymity of the respondents was observed though through the use of pseudonyms.

This paper has indicated respondents' experiences regarding social inclusivity of the institutional built environment and thematically categorised them in six areas: complaints mechanism and feedback, pre- and post-enrolment experiences, namely; complaints mechanism and feedback, pre- and post-enrolment experiences and social support as a property management policy. Others include, representation in university decision-making organs, perceptions regarding disability and its needs and distribution of facilities and site works. It recommends that property management practices should be re-oriented to ensure the sustainability of learning facilities for the disabled, taking into consideration the ever-evolving needs and preferences of PWD user students with disabilities.

Linking the social and human rights models to actual experiences of property occupiers is unique. The author believes that it will, in addition to the existing models and strategies, improve on a better achievement of inclusivity of building use used by all categories of members of the society.

The purpose of this paper is to draw attention to the work of sociologists who laid the foundation for queer and crip approaches to disability and to address how queer and crip theory has and can help to re-conceptualize our understandings of health, illness, disability, and sexuality.

This paper is an examination of historical moments and prominent literature within medical sociology and sociology of disability. Sociological and popular understandings of disability and sexuality have often mirrored each other historically. Although this literature review focuses primarily on medical sociology and disability studies literature, some works of scholars specializing in gender studies, sexuality, literature, history, and queer studies are also included

In this paper, I argue that the medicalization and pathologization of human differences specifically as it pertains to sexuality and disability within the medical sociological literature have led to constructionist, social model, and feminist critiques. It is these critiques that then laid the foundation for the development of queer and crip theoretical approaches to both disability and sexuality.

Crip and queer approaches to disability provide a clear call for future sociological research. Few social science scholars have applied queer and crip approaches in empirical studies on disability. The majority of work in this area is located in the humanities and concerned with literary criticism. A broader array of empirical work on the intersection of sexuality and disability from queer/crip perspectives is needed both to refine these postmodern theoretical models and to examine their implications for the complex lived experience that lies at the intersection of sexuality and disability. In queering disability and cripping sexuality and gender, we may be able not only to more fully conceptualize disability, sexuality, and gender as individual social categories, but also to more fully understand the complex intersection of these social locations.

This paper presents an updated summary of a meta-analysis of qualitative research on parenting children with disabilities published over the last 50 years. In this summary, we explore whether shifts in academic discourse and changes in professional training are reflected in research on parenting and/or the experiences of parents who are the subject of such research. The detailed findings of the original analysis were published in Volume 7 of Research in Social Science and Disability.

An extensive literature search was conducted, and 79 peer-reviewed qualitative studies on the experience of parenting a child with a disability were included in the sample. Themes were extracted from the reviewed literature and compared across decades.

The findings of the present review suggest that some aspects of the parenting experience have changed very little. In particular, parents continue to experience negative reactions such as stress and anomie, especially early in their children’s lives, and socially imposed barriers such as unhelpful professionals and a lack of needed services continue to create problems and inspire an entrepreneurial response. In addition, stigmatizing encounters with others continue to be a common occurrence. In contrast to earlier decades, studies conducted in more recent years have begun to use the social model of disability as an analytic frame and also increasingly report that parents are questioning and challenging the concept of “normal” itself.

Additional improvements are needed in professional education and services to reduce the negative reactions experienced by parents of children with disabilities. The findings of this meta-analysis can serve as a guide to future research on parenting children with disabilities.

Purpose – This chapter examines the foundations of community among youth with disabilities.

Methodology – Qualitative data on 52 youth with disabilities were analyzed, based on interviews with the youth and their parents. The sample included youth with intellectual, hidden, physical, and sensory disabilities. Data analysis was guided by grounded theory.

Findings – Four foundations of community were identified: geographic, disability-based, religious, and virtual. Disability-based contexts provided much of the basis of friendship for youth with disabilities. Just under half of youth had community connections within their home towns.

Research limitations – These analyses rely on the self-reported and parent-reported experiences of 52 youth with disabilities in Massachusetts and are not representative of youth with disabilities nationwide. Only youth who were still in high school just before graduation are represented; those who dropped out earlier were not included.

Practical implications – Community connections create opportunities for friendship and for sharing information. Youth enjoyed their connections, whether they were formal (designed and created by adults) or informal (just hanging out with other local youth).

Social implications – Youth's connections with other youth with disabilities may result in bonding social capital, creating friendships, but there are fewer opportunities for bridging social capital, creating connections with typically developing youth.

Originality – This chapter provides an overview of youth's perceptions of their participation in various social and recreational activities and explores and conceptualizes the contexts in which youth with disabilities experience community connections with other youth.

As sociologists we all try to make a contribution to our field. Having completed our comprehensives and dissertations we have read in depth in several areas, have focused on an area that interests us, and have learned the research process whether it uses quantitative or qualitative methodology. We all make our contributions available to the field, but occasionally one among us makes a startling discovery, has an unusual idea or a way to approach a problem, starts examining a new problem at just the right moment, or has an insight into a specific conceptual problem with unusual alacrity. A few among us combine all that skill and happenstance and lead the way into new sociological insights, new areas of research and provide a notable foundation or advancement to an area of knowledge. Saad Nagi is one of those contributors with vision, insight, and skill to see ahead of his time. This paper attempts to bring together in one place his major contributions to the disability knowledge base in sociology.

The approach used in this paper is an in depth review of all of Nagi’s published works in the area of disability. The published literature is grouped into the five areas in which Nagi made major contributions, including major research of the Social Security Disability Insurance process; development of a framework for the disability process; epidemiological definitions and research; development of a coherent set of disability measures; and an examination of the social problem, policy, and program process as developed and practiced in this country.

Nagi made a large and significant contribution in all the areas listed above and much of the measurement, and process examination is still relevant and useful in current research. His framework is still the basis for the very newest models of disability which dominate disability research today.

Researchers need to go back to find Nagi books and articles written in the 60s, 70s, and 80s to ground their work in the originals rather than to take the interpretations of others on this material. The ICF and the Social Model did not originate in Europe alone, but much of the work began in the states in the early 60s with the work of Nagi, Haber, and others and should not be overlooked or ignored.