Community-based Rehabilitation For People Research Articles

The potential of outdoor contexts within community-based rehabilitation to empower people with disabilities in their rehabilitation

Purpose: The aim was to examine the potential of outdoor contexts within community-based rehabilitation to empower people with disabilities in their rehabilitation. Materials and methods: Interpretive description was applied as the methodology in a 5-month ethnographic fieldwork study, and guided by social practice theory. In total, 115 people with disabilities were included for participant observation, of which 15 participants were recruited for individual walking interviews. Results: Analysis revealed four overlapping themes. Firstly, “Revisiting the Outdoors” appeared to be an overarching theme, which created a basis for “Building Autonomy” among the participants. The varied outdoor experiences empowered the participants to take a more active role in their rehabilitation. These experiences afforded unique opportunities for “Connecting with Community” and, finally, “Embodied Learning” – that could be transferred to home and to other everyday contexts. Conclusion: Outdoor contexts within community-based rehabilitation appeared to hold strong potential for connecting people with disabilities to communities. Although barriers exist, we argue that revisiting the outdoors supports collective awareness and action with the capacity to influence community attitudes more broadly. IMPLICATIONS FOR REHABILITATION Outdoor contexts within community-based rehabilitation for people with disabilities capitalise on the features of both indoor and outdoor environments with activities that meet shifting individual priorities and needs. Outdoor contexts within community-based rehabilitation offer people with disabilities empowering experiences that are part of the landscape of everyday life and transfer well to home and other environments. Community-based rehabilitation directly involving outdoor contexts and supported by professional skills provides a crucial bridge from individual rehabilitation to community belonging.

Community-based rehabilitation for people with physical and mental disabilities in low- and middle-income countries

Reason for withdrawal from publication This review is one part of a larger systematic review. The other part of the review will be published in the Campbell Collaboration Library of Systematic Reviews (http://www.campbellcollaboration.org/library.php). Both reviews are funded by the International Initiative for Impact Evaluation (3ie). A copy of the reviews will be published in the 3ie database of systematic reviews (http://www.3ieimpact.org/en/evidence/systematic-reviews/). Editorial Note 2 March 2017: This review was published in the Journal of Development Effectiveness, Volume 8, 2016.

Community-based rehabilitation for people with physical and mental disabilities in low- and middle-income countries: a systematic review and meta-analysis

ABSTRACTWe conducted a systematic review to assess the effectiveness of community-based rehabilitation (CBR) for people with physical and mental disabilities in low- and middle-income countries, and/or their family/carers and community. We identified 15 eligible studies, 10 of which were randomised controlled studies. Overall, the studies suggested that CBR may be effective in improving the clinical outcomes and enhancing functioning and quality of life of the person with disabilities and his/her carer. However, this conclusion must be interpreted with caution due to the small number of studies, concerns about study quality and lack of information on cost-effectiveness of the interventions.

Using participatory action research in community-based rehabilitation for people with acquired brain injury: from service provision to partnership with Aboriginal communities

Purpose. Community-based rehabilitation (CBR) developed in response to delivery of rehabilitation services to people with disability in developing countries, and appears appropriate to address rehabilitation needs of rural and remote populations, including Australian Aboriginal People with acquired brain injury (ABI). This article will describe participatory action research (PAR) as a vehicle for exploring and translating the CBR model within a mainstream brain injury rehabilitation service in Queensland, Australia.Method. PAR was conducted with two self-selected remote Aboriginal communities in Far North Queensland. Key components to this project were the employment of a local Aboriginal worker, facilitating community engagement and consultation. PAR elements of planning, action and review were conducted through individual and group meetings and activities within the communities across a 3-year period.Results. The project has facilitated expansion and change within the current brain injury rehabilitation service model in line with CBR philosophical foundations, including community development and partnership as a desirable way of engaging with key stakeholders.Conclusions. The focus on community consultation through PAR and the development of community partnerships has increased the cultural competency of the rehabilitation service, the capacity of participating communities and of the sector to respond in ways that are valued and owned by Aboriginal People with brain injury, their families and communities.

〈地域リハビリテーションにおける言語臨床家の役割〉はじめに:言語臨床家による地域リハビリテーション活動の現状

〈地域リハビリテーションにおける言語臨床家の役割〉はじめに:言語臨床家による地域リハビリテーション活動の現状

〈地域リハビリテーションにおける言語臨床家の役割〉「失語症友の会」と「言語リハビリ教室」の県レベルでのつどい開催

〈地域リハビリテーションにおける言語臨床家の役割〉「失語症友の会」と「言語リハビリ教室」の県レベルでのつどい開催

Occupational Therapy Practice in Israel Following the Community-Based Rehabilitation for People with Psychiatric Disability Act 2000

The Israeli Community-Based Rehabilitation for People with Psychiatric Disability (CBRPPD) Act was ratified in July 2000. Its objectives were to define the principles of rehabilitation and the services offered to people with psychiatric disabilities in Israel. This article reviews this act and its application in a variety of services. We also examine the connection between the act and professional occupational therapy activities, applying the occupational therapy new practice framework (AOTA, 2002). It illustrates the application of the act and its professional implications using evidence obtained through semistructured questionnaires completed by occupational therapists working in psychiatric rehabilitation units in the community and in hospitals. It presents a variety of new opportunities that have opened up to occupational therapists, as well as their professional contribution to the field of psychiatric rehabilitation in Israel. Finally, the article presents several dilemmas which the mental health rehabilitation field in Israel is facing today.

A model for rehabilitation in the community: A client-needs approach

It is clear from the literature that a community-based approach to rehabilitation following traumatic brain injury is both essential and cost-effective. A model is presented for community-based rehabilitation which is client needs-led and interprofessional. The model described uses a client-led needs assessment as a basis for a contract identifying immediate, short- and long-term goals, and an intervention programme to achieve these in clients' homes and supported by their families. Interprofessional records are kept and regular re-assessment leads to goal and programme modification if necessary. Case studies are presented to show how activities of living scores can be dramatically increased when the model and programme of stimulation are implemented and systematically evaluated. Community-based rehabilitation for people recovering from traumatic brain injury requires commitment and dedication by all partners, and it will be shown that high levels of functioning can be restored using this approach.

A Preliminary Exploration of Goal-setting in Community-based Rehabilitation for People with Brain Impairment

AbstractCommunity-based rehabilitation for people with acquired brain injury (ABI) is largely driven by goals set in the course of rehabilitation by clients and service providers. A preliminary study investigating the perspectives and practice of experienced rehabilitation coordinators was undertaken to explore issues that influence goal-setting in community rehabilitation settings. Detailed interviews and subsequent rounds of clarification were conducted with six experienced rehabilitation coordinators. Key themes identified through inductive analysis include cognitive influences, other client influences, service provider influences and the client-service provider relationship in the goal-setting process. Based on the findings, a preliminary descriptive schema of goal-setting in a community-based rehabilitation service for people with acquired brain injury is suggested. Factors such as training, experience, and values of the rehabilitation coordinators are also discussed in terms of their influence on goal-setting. Some strategies to assist a person with ABI to identify and work towards achieving realistic goals are identified. Suggestions for enhancing community-based rehabilitation practices with people with ABI, and scope for future research are noted. This paper constitutes a general overview of goal-setting in community-based ABI rehabilitation.

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: A Workshop for Aphasics

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: A Workshop for Aphasics

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: A Speech Group at a Day-Service Center

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: A Speech Group at a Day-Service Center

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: Speech Rehabilitation Groups Based on the Health and Medical Service Law for the Elderly

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: Speech Rehabilitation Groups Based on the Health and Medical Service Law for the Elderly

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: Aphasia Peer Circles

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: Aphasia Peer Circles

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: A Clinic's Home-Visit Therapy Program

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: A Clinic's Home-Visit Therapy Program

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: Day Care Service at a Clinic for People with Aphasia

The Role of Speech and Language Therapists in Community-based Rehabilitation for People with Aphasia: Day Care Service at a Clinic for People with Aphasia