Trr re organization of disability benefits system
Upcoming SlideShare
Loading in...5
×
 

Like this? Share it with your network

Share

Trr re organization of disability benefits system

on

  • 246 views

Val's presentation at the University of Calgary -- Social Construction of Disability and Health Course; Paradigms, Policies, Systems and Outcomes

Val's presentation at the University of Calgary -- Social Construction of Disability and Health Course; Paradigms, Policies, Systems and Outcomes

Statistics

Views

Total Views
246
Views on SlideShare
246
Embed Views
0

Actions

Likes
0
Downloads
1
Comments
0

0 Embeds 0

No embeds

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment
  • Northern Lights Vocational Services www.nlvs.ca 1-800-361-4642
  • Northern Lights Vocational Services www.nlvs.ca 1-800-361-4642

Trr re organization of disability benefits system Presentation Transcript

  • 1. Val Lougheed Northern Lights Canada Real Work * Real People * Real Results Paradigms, Policies, Systems and Outcomes The Re-Organization of the Disability Benefits System 1-800-361-4642 * www.northernlightscanada.ca * vlougheed@northernlightscanada.ca
  • 2. The Medical Model 1600’s – Rene Descartes (philosopher)
  • 3. Disease “pathology of a part that is identified by objective criteria” (Barbour, 1995, p. 10)
  • 4. Impairment • “a loss of, or loss of the use of….any body part, system or function” • relates to a specific function (Zabrodski, 1999, pp. 49 & 52)
  • 5. Disability • “loss of capacity to meet personal, social or occupational demands” • relates to a specific role (Zabrodski, 1999, pp. 51 & 52)
  • 6. Handicap • result of an impairment or disability that limits or prevents the fulfillment of one or several roles regarded as normal • activity limitation; participation restriction (WHO, 1980; ICF, 2001)
  • 7. Impairment Predicts Disability
  • 8. Person and their Disability Health Care & Rehab ► Fix The Person
  • 9. Disability Policy Objectives -Art and Science • Rehabilitation Services • Financial Compensation
  • 10. Disability Policy Objectives -Art and Science Rehabilitation Services “empower and enable consumers to act effectively in a spirit of self-reliance” (Hope, Timmel and Hodzi, 1985)
  • 11. Disability Policy Objectives -Art and Science Financial Compensation …ensures that you continue to be able to “meet your daily financial needs” (Great-West Life, 2010)
  • 12. Combining Art and Science “twin but potentially contradictory goals” “how to reconcile these twin goals has yet to be resolved” (OECD, 2004, p. 3)
  • 13. Disability Benefits System 1. Measure impairment 2. Translate impairment into disability 3. Compensate for loss -- $$ 4. Fix person so they can work again
  • 14. Rehabilitation and Return to Work 1. Directed by physician 2. Rehab – facility-based 3. RTW – ‘Fitness to Work” statement by physician
  • 15. George Engel The Need for a New Medical Model: A Challenge for Biomedicine (Engel, 1977)
  • 16. Biopsychosocial Model The Medical Model “assumes disease to be fully accounted for by deviations from the norm of measurable biological (somatic) variance. It leaves no room…for the social, psychological and behavioural dimensions of life”. (Engel, 1977. p. 130)
  • 17. New Definition -- Disease “pathology of a part that is identified by objective criteria” (Barbour, 1995, p. 10)
  • 18. New Definition -- Impairment • “a loss of, or loss of the use of….any body part, system or function” • relates to a specific function (Zabrodski, 1999, pp. 49 & 52)
  • 19. New Definition -- Disability “a complex phenomenon, reflecting the interaction beween features of a person’s body and features of the society in which he or she lives” (http://www.who.int/topics/disabilities/en/)
  • 20. New Definition -- Handicap a condition that “creates obstacles to accomplishing life’s basic activities and if these obstacles can be overcome only by compensating in some way for the effects of the impairment” (Zabrodske, 1999, p. 52)
  • 21. Nordenfeldt (2003) says… • Disease and Impairment ► Medicine and Health • Disability and Handicap ► Action Theory and Social Science
  • 22. Disability and Handicap Only have meaning when associated with action and placed in context ► doing something, somewhere ► must understand the something and the somewhere (Nordenfeldt, 2003)
  • 23. Impairment does not Predict Disability
  • 24. Focus ► Disabling Factors not Disability 1. Person 2. Environment 3. System
  • 25. Disability Policy Objectives Redefined Rehabilitation Services BPS Model “captures factors that more directly relate to functional recovery”. (Loisel, 2009, p. 97)
  • 26. Disability Policy Objectives Redefined Financial Compensation “The vast majority of people…who take up disability benefits never return to work.” (OECD, 2009, p. 19) •Disability does not equate with ‘unable to work’ •Financial compensation should support RTW efforts
  • 27. Another New Definition – Work Disability “preventable absence or withdrawal from work [which is] disruptive, potentially harmful and costly both to the employee and the employer” (ACOEM – Ontario Summit to Prevent Work Disability, 2010, p. 5)
  • 28. Disability Benefits System SAW/RT W
  • 29. Rehabilitation and Return to Work Holistic Problem Solving 1. Person 2. Environment 3. System
  • 30. Person Impairment plus •Personal circumstances •Social supports
  • 31. Environment • Lack of modifications or accommodations • Psychological (fears, anxiety, depression, distress) • Social (perceived demands, perceptions of co-workers) • Discrepancy between demands of the work and capabilities of the worker (Loisel, 2009, p. 97)
  • 32. System “benefits system itself has a disabling effect on people” (OECD, 2009, p. 17)
  • 33. Iatrogenesis
  • 34. VIDEO CLIP Viktor Frankl video http://www.youtube.com/watc 15 to the end
  • 35. Rehabilitation Strategies in a BPS System S.P.I.C.E. IT UP!
  • 36. Simplicity
  • 37. Proximity
  • 38. Immediacy
  • 39. Centrality
  • 40. Expectanc y