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h c r l zc n t e s P R I A M V E IW O T O M 2 0 1 2 P U C P R
Af ao Lv N u m t 1 0 6 •
1 0 7
h w b o n u w p u c p r a d u
Cla s s ific a tio n o f F u n c t to m n g , Djs a b i lity a n d H e a lt h d e t e rm m e s
The I nt er nat i onalin a biht f to p e rf o r m m d e p e n d e n l l iv in g .
te rm s o f re s t r rc i ro n s m t h e a b l h l y t o p e r f o r m d a i l
y l i v i n
g
o r t h e
the p ro c e s s o f d is a b i l i t
y
f o r o l d e r a d u l t s i s g e n e r a l l
y c e n t e r e d m
Ac c o rd ing 10 th e W o rld H e a lt h O r g a n. i z a t io n
( 2 0 0 3 ) ,
s o c ia l m a m s t re a m o f lif e (W H O . 2002)
a c ti v e p
r o c e s s w i th o p t i m iz e d m v o l v e m e n t o f t h e e l d e r ly
i n t h e
s u c c e s s f u ln e s s o f t h e a g i n
g p
r o c e s s a n d d e t e r m m e s It a s a n
Or g a m z a u o n , 2002) An e n h a n c e d q u a l i ty o f l i f e
g u a r a n t e e s
(Le nn a rt s s o n & S i l v e r s t e i n . 2001. 0 Do n n e l . 2009 W o rl d H e a lt h
pa rtia p a t i o n ,
a n d s e c u n t
y
m o r d e r t o e n ha n c e q u a l t y o f l if e
ft m c l lo n n
g
e n
g
a
g
e m e n t w i t h l i f e ,
o
p p
o s u N t i e s f o r h e a t h, s o a a l
in de pe n d e n c e m e v e r
y
d a y l i f e , c o
gn i t i v e a n d
p h
y s i c a l
re la ted ro pe rs o n a l a n d s o o a l w e l l -
be in g d e p e n d e n c e a n d
Addi u o n a l l
y , o ld er a d u i: S w i t h d l s a b
•
l a ti e s e n c o u n t e r i S S U e S
In n n g u s d e r Su e n l i f e c o
r
, d r t r o n s
(Cha p pe l & C o o k e , 20 11) .
sirr i la r d e a e a s i n
g e f , e c t o n a b l l t l e s a n d c a p a c l t r e s o n
p e o p l e
The re t s a n a t1
J
•
a l
l
u x i a
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o s t t i o n b e M e e n t h e m b e c a u s e o f t h e
d s a b II-y a n d th e p r o c e s s 0
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a
g
i n
g t s h e e t s 2 0 0 5 . Sm i t h , 2008)
m aj o r c o m p o n e p, : S m t s t h e o : e t c a l e SCu SS iO n m e p r o c e s s o f
The a g n
g v n : h d rs a b l l rt i e s f r a m e w o r k m v o l v e s t w o
Nc r o n h a & P a l lo n . 2009)
o :d e r a d u lt s   7th d cs a b tl it re s ( O r t iz & C o l e . 200 4.
I, o n t e v e r d e .
go v e r n m e n : a l m i e r v
e n t i o n s w n e n m e e u n
g
t h e r e a l n e e d s o f
s a fe ty n e t s a n d t h e a s s o a a t e d e c o n o m i c c o s t s r e ta t e d t o
de s r
g
n a n d t h e c o n s tru c t i o n o f t h e s o o a l p o l i c y a
g
e n d a . The
e n t ir e r e g
lo n a n d p o p u l a u o n It h a s rm p o r ta s t i m
p
h c a t io n s fo r t h e
m P u e rt o R ic o i s N a l f o r p r e d ec t rn
g t h e : u l u r e n e e d s o f t h i s
Und e rs t a n d i n
g t h e s t j t e o f o ld e r a d u l l s w i t h d i s a b i h t re s
Agin g w i t h O is a b i l it i e i : A n O v e r v i e w
w o : lu n g s o o a l p o i c y  n P u e r t o R t : 0
di s c u s s io n , c n t i c a l a p p ra i s a l a n d p r a c ti c a l d e m o n s t r a u o n o f t h e
o f a s s e s s i n
g
t h e m i n c o m b m a t io n t h r o u
g
h a c o m m o n
di f f e r e n t p
r o b l e m a t i c a r e a s w e a l i e m
p t t o m e r
g e t h e g a p
a nd d es a b i
’
t
y
t o p e m d l , e r e r t f e ie s o f s o a a l m t e re s t . R e
ga r d in
g
Sw i tz e r . 2003). Co n s l d e
’
r n
g th e s : ro n g i m p h c a b o n s o f a g
i n
g
a c c e s s i b l l l t
y . M o b:b t y . w o r k . A n d e d u c a t i o n ( W e h m a n . 1993;
r e g a rd i n
g d rf , e r e n t a s
p e c t s o f h u m a n n
g
n t s h e a l t h a n d s o c i a l
fo r b e i t e r a n d V,- d e r a s s e s s m e n t s o f n e e d s o f v u l n e r a b l e p e o
p
l e
Po hcy re s e a r c h e rs h a v e d e m o n s t r a t e d t h e s t ro n g i m p li c a t i o n s
In te rd ts a p l m a -
Y G e r o
’
r t o l o
g y . 2004 ; M u lle r & Ah e a r n . 200 5).
drs a b tl ru e s r e
g a r d i n g t h e i r a
g e s
(
F i n m s h C e n t r e f o r
in a n a ly s is o f n e e d s .
Tr e a t m e n t a n d a l l e n t i o n t o p e o p
’
e W i t h
Re s e a r c h e : S rn d l s a b Pi t
y
h a v e s h o w n t h a t t h e r e i r e d i f f e r e n c e s
u n d e rs ta n d in g s ( B u r d e n . 199 7: S c o t t, Le e . Le e , & K i m . 2006 ).
in d if f e re n t s o a e t i e s d e p e n d i n
g o n c u l t u r a l v a l u e s a n d
Ce ro nto lo g
is t h a v e s h o w n t h a t a g i n
g d i f f e r a s a s o a a l p r o c e s s
deg re e o f m t e r d ls a p l rn a ry a p p r o a c h e s o f a n a ly s is .
re s ea r ch o n a g in
g a n d d is a b il i t
y
h a s b e e n l i m i t e d t o a s u f f i c i e n t
n e ed s a nd r ed u c in g t h e n e g a t iv e e x p e n e n c e s t h e y
f a c e ,
t he
De s p it e t h e im p o r t a n c e o f u n d e r s t a n d n g o l d e r a d u l ts
’
She a fo r , 2002).
be n e fic ia ry g r o u
p s f o r s o c i a l p o l i c y P r o t e c b o n ( h t o r a se s 8
e x p e r ie n ce le s s s o n a e
p r iv i
’
e g e i n t h e i r e v e r
y
d a
y
l i v e s ( C h o i ,
c u r r e n t
gr o t p s , dis abled , e t c
The re fo re , o l de r a d u lt s v n t h d is a b i lit ie s
peo pl e l abe le d a s m a r
g m a Jjz e d .
In c lu d i n
g o l d e r a d u l t s ,
e thn ic
a n d n eg a t inl e a n Jt u d e s a r e c o m m o n f o r s p e c i f i c c a t e g
o n e s o f
A s tu d y o f K rle a n d h h n s o n
( 1 9 8 8 ) s u g g
e s t s t h a t m o r e b a r r i e r s
o n ly be c a u s e o f t h e i r a
g e b u t a l s o b e c a u s e o f t h e i r i m p a i m i e n t
the. Ir c h a n c e s o f b e n
g d is c n m m a t e d a n d s t l
g
m a b z e d d u e n o l
N u E r a o u l l s w i t h s o m e k m d o f d i s a b i l i t
y
d o u b l e
tho u g h t-
o
f a S a n e g a tiv e
Po fic y , Se rv ic e s
Ke y +l o r d r A
g
i n g . Dis a b i hty ,
Pu e r t o R ic o ,
His p a n c ,
s o n a i p a r t io p a t io n .
a du z s m t e rm s o f h e a lt h i e r c o m m u n it i e s a n d g
r e a t e r
a n d s o a e t y w h e n w o r k m
g f o r t h e w e ll b e i n
g o f o l d e r
a d d r e s s e s a s h a r e d n e s p o n s l b i l l t
y
b e N / e e n t h e s t a t e
P u e r t o R ic a n s o c ia l P OLi c
y p l a n n i n
g
a n d d e s i
g
n
c h ar a c t e n s t l c s o f t h e o l d e r a d u l t s I t i s c o n c l u d e d t h a t
c u lt u r a l. s o c ia e c o n o m i c a l .
Po l it i c a l . A n d e d u ca ti o n a l
ha m e  w ) r k i s b e i n
g d e s c n b e d t a k i n
g
m t o a c c o u n t
pro g ra m . A n m n o v a tl v e . E n ha n c e m e n t o f s e r v i Ce s
the. E x
per i e n c e a n d
P
r a c t i c e o f t h e P R O S P E R A
pa rt c rp a t ro n o f 1h e a
g
i n
g
P u e r t o R i c a n s . Ba s e d o n
c on se q u e n c e s o f d e c re a s i n
g a b i l i t ie s a n d s o c i a l
the im p o rt a n c e o f t h e a g in g p r o c e s s a n d
pOli c y m a k i n
g
f o r t h e g
r o u p o f o l d e r a d u lt s . c o n s t de n n
g
di s c u s s t h e n e e d f o r a n e  rv c o m p r e h e n s i v e w a y o f
The o bje c uv e s o f t h i s w o r k w e r e t odrs a b •
1l l t e s
pe o p te Wi t h l o n
g
•
te r m im p a ir m e n t s a n d ru n c t io n a l
m P u e rt o R ic o -
m e p re s e n t a n d f u t u re o f a g
i n g
pohtic a l u n d e r s t a n d in g o f a g r o w in g p o p u la r c o n c e r n
Thb a rt ic le. E x a m m e s Me th eo r e tic a l a n d s oc i
Ab #tr a c t
Pb n l if rc a l C a t h o l i c U n i v e n i t
y
o f P u e n o R Ec o
Dep ar tm e n t o f S o c ia l W o r k
Pa u h le s o s F e r ic e a i
Phila d e l p h ra .
PA
Me r c y L I F E ( L iv in g In d e p e n d e n t ly F o r E l d e r s )
Ale r C a s ta n o
o f N ue v o Le on ,
Me x ic o
Un iv e r s i t y o f T e x a s a t A r l i n
g
t o n a n d t h e A u t o n o m o u s U n i v e r s i t
y
So o a l W e l la re P ol ic y
Bi-
N3 t i o n a l D o c t o r a l P r o
g
r a m o f S o c i a # W o r k a n d C o m
p a r a t i v e
St tv iy a N ik o o v a
AGING W ITH DISAB ILIT IES IN PU ERTO RICO
Cle n c i o t S o c l o l e i
Cita Sugerida:
Nikolova, S., Casiano, A., & Fericelli, P. J. (2012). Aging with disabilities in Puerto Rico.
Horizontes, 55(106-107), 35-40.
Cita Sugerida:
Nikolova, S., Casiano, A., & Fericelli, P. J. (2012). Aging with disabilities in Puerto Rico.
Horizontes, 55(106-107), 35-40.

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Aging with Disabilities in Puerto Rico

  • 1.
  • 2. h c r l zc n t e s P R I A M V E IW O T O M 2 0 1 2 P U C P R Af ao Lv N u m t 1 0 6 • 1 0 7 h w b o n u w p u c p r a d u Cla s s ific a tio n o f F u n c t to m n g , Djs a b i lity a n d H e a lt h d e t e rm m e s The I nt er nat i onalin a biht f to p e rf o r m m d e p e n d e n l l iv in g . te rm s o f re s t r rc i ro n s m t h e a b l h l y t o p e r f o r m d a i l y l i v i n g o r t h e the p ro c e s s o f d is a b i l i t y f o r o l d e r a d u l t s i s g e n e r a l l y c e n t e r e d m Ac c o rd ing 10 th e W o rld H e a lt h O r g a n. i z a t io n ( 2 0 0 3 ) , s o c ia l m a m s t re a m o f lif e (W H O . 2002) a c ti v e p r o c e s s w i th o p t i m iz e d m v o l v e m e n t o f t h e e l d e r ly i n t h e s u c c e s s f u ln e s s o f t h e a g i n g p r o c e s s a n d d e t e r m m e s It a s a n Or g a m z a u o n , 2002) An e n h a n c e d q u a l i ty o f l i f e g u a r a n t e e s (Le nn a rt s s o n & S i l v e r s t e i n . 2001. 0 Do n n e l . 2009 W o rl d H e a lt h pa rtia p a t i o n , a n d s e c u n t y m o r d e r t o e n ha n c e q u a l t y o f l if e ft m c l lo n n g e n g a g e m e n t w i t h l i f e , o p p o s u N t i e s f o r h e a t h, s o a a l in de pe n d e n c e m e v e r y d a y l i f e , c o gn i t i v e a n d p h y s i c a l re la ted ro pe rs o n a l a n d s o o a l w e l l - be in g d e p e n d e n c e a n d Addi u o n a l l y , o ld er a d u i: S w i t h d l s a b • l a ti e s e n c o u n t e r i S S U e S In n n g u s d e r Su e n l i f e c o r , d r t r o n s (Cha p pe l & C o o k e , 20 11) . sirr i la r d e a e a s i n g e f , e c t o n a b l l t l e s a n d c a p a c l t r e s o n p e o p l e The re t s a n a t1 J • a l l u x i a p o s t t i o n b e M e e n t h e m b e c a u s e o f t h e d s a b II-y a n d th e p r o c e s s 0 ’ a g i n g t s h e e t s 2 0 0 5 . Sm i t h , 2008) m aj o r c o m p o n e p, : S m t s t h e o : e t c a l e SCu SS iO n m e p r o c e s s o f The a g n g v n : h d rs a b l l rt i e s f r a m e w o r k m v o l v e s t w o Nc r o n h a & P a l lo n . 2009) o :d e r a d u lt s 7th d cs a b tl it re s ( O r t iz & C o l e . 200 4. I, o n t e v e r d e . go v e r n m e n : a l m i e r v e n t i o n s w n e n m e e u n g t h e r e a l n e e d s o f s a fe ty n e t s a n d t h e a s s o a a t e d e c o n o m i c c o s t s r e ta t e d t o de s r g n a n d t h e c o n s tru c t i o n o f t h e s o o a l p o l i c y a g e n d a . The e n t ir e r e g lo n a n d p o p u l a u o n It h a s rm p o r ta s t i m p h c a t io n s fo r t h e m P u e rt o R ic o i s N a l f o r p r e d ec t rn g t h e : u l u r e n e e d s o f t h i s Und e rs t a n d i n g t h e s t j t e o f o ld e r a d u l l s w i t h d i s a b i h t re s Agin g w i t h O is a b i l it i e i : A n O v e r v i e w w o : lu n g s o o a l p o i c y n P u e r t o R t : 0 di s c u s s io n , c n t i c a l a p p ra i s a l a n d p r a c ti c a l d e m o n s t r a u o n o f t h e o f a s s e s s i n g t h e m i n c o m b m a t io n t h r o u g h a c o m m o n di f f e r e n t p r o b l e m a t i c a r e a s w e a l i e m p t t o m e r g e t h e g a p a nd d es a b i ’ t y t o p e m d l , e r e r t f e ie s o f s o a a l m t e re s t . R e ga r d in g Sw i tz e r . 2003). Co n s l d e ’ r n g th e s : ro n g i m p h c a b o n s o f a g i n g a c c e s s i b l l l t y . M o b:b t y . w o r k . A n d e d u c a t i o n ( W e h m a n . 1993; r e g a rd i n g d rf , e r e n t a s p e c t s o f h u m a n n g n t s h e a l t h a n d s o c i a l fo r b e i t e r a n d V,- d e r a s s e s s m e n t s o f n e e d s o f v u l n e r a b l e p e o p l e Po hcy re s e a r c h e rs h a v e d e m o n s t r a t e d t h e s t ro n g i m p li c a t i o n s In te rd ts a p l m a - Y G e r o ’ r t o l o g y . 2004 ; M u lle r & Ah e a r n . 200 5). drs a b tl ru e s r e g a r d i n g t h e i r a g e s ( F i n m s h C e n t r e f o r in a n a ly s is o f n e e d s . Tr e a t m e n t a n d a l l e n t i o n t o p e o p ’ e W i t h Re s e a r c h e : S rn d l s a b Pi t y h a v e s h o w n t h a t t h e r e i r e d i f f e r e n c e s u n d e rs ta n d in g s ( B u r d e n . 199 7: S c o t t, Le e . Le e , & K i m . 2006 ). in d if f e re n t s o a e t i e s d e p e n d i n g o n c u l t u r a l v a l u e s a n d Ce ro nto lo g is t h a v e s h o w n t h a t a g i n g d i f f e r a s a s o a a l p r o c e s s deg re e o f m t e r d ls a p l rn a ry a p p r o a c h e s o f a n a ly s is . re s ea r ch o n a g in g a n d d is a b il i t y h a s b e e n l i m i t e d t o a s u f f i c i e n t n e ed s a nd r ed u c in g t h e n e g a t iv e e x p e n e n c e s t h e y f a c e , t he De s p it e t h e im p o r t a n c e o f u n d e r s t a n d n g o l d e r a d u l ts ’ She a fo r , 2002). be n e fic ia ry g r o u p s f o r s o c i a l p o l i c y P r o t e c b o n ( h t o r a se s 8 e x p e r ie n ce le s s s o n a e p r iv i ’ e g e i n t h e i r e v e r y d a y l i v e s ( C h o i , c u r r e n t gr o t p s , dis abled , e t c The re fo re , o l de r a d u lt s v n t h d is a b i lit ie s peo pl e l abe le d a s m a r g m a Jjz e d . In c lu d i n g o l d e r a d u l t s , e thn ic a n d n eg a t inl e a n Jt u d e s a r e c o m m o n f o r s p e c i f i c c a t e g o n e s o f A s tu d y o f K rle a n d h h n s o n ( 1 9 8 8 ) s u g g e s t s t h a t m o r e b a r r i e r s o n ly be c a u s e o f t h e i r a g e b u t a l s o b e c a u s e o f t h e i r i m p a i m i e n t the. Ir c h a n c e s o f b e n g d is c n m m a t e d a n d s t l g m a b z e d d u e n o l N u E r a o u l l s w i t h s o m e k m d o f d i s a b i l i t y d o u b l e tho u g h t- o f a S a n e g a tiv e Po fic y , Se rv ic e s Ke y +l o r d r A g i n g . Dis a b i hty , Pu e r t o R ic o , His p a n c , s o n a i p a r t io p a t io n . a du z s m t e rm s o f h e a lt h i e r c o m m u n it i e s a n d g r e a t e r a n d s o a e t y w h e n w o r k m g f o r t h e w e ll b e i n g o f o l d e r a d d r e s s e s a s h a r e d n e s p o n s l b i l l t y b e N / e e n t h e s t a t e P u e r t o R ic a n s o c ia l P OLi c y p l a n n i n g a n d d e s i g n c h ar a c t e n s t l c s o f t h e o l d e r a d u l t s I t i s c o n c l u d e d t h a t c u lt u r a l. s o c ia e c o n o m i c a l . Po l it i c a l . A n d e d u ca ti o n a l ha m e w ) r k i s b e i n g d e s c n b e d t a k i n g m t o a c c o u n t pro g ra m . A n m n o v a tl v e . E n ha n c e m e n t o f s e r v i Ce s the. E x per i e n c e a n d P r a c t i c e o f t h e P R O S P E R A pa rt c rp a t ro n o f 1h e a g i n g P u e r t o R i c a n s . Ba s e d o n c on se q u e n c e s o f d e c re a s i n g a b i l i t ie s a n d s o c i a l the im p o rt a n c e o f t h e a g in g p r o c e s s a n d pOli c y m a k i n g f o r t h e g r o u p o f o l d e r a d u lt s . c o n s t de n n g di s c u s s t h e n e e d f o r a n e rv c o m p r e h e n s i v e w a y o f The o bje c uv e s o f t h i s w o r k w e r e t odrs a b • 1l l t e s pe o p te Wi t h l o n g • te r m im p a ir m e n t s a n d ru n c t io n a l m P u e rt o R ic o - m e p re s e n t a n d f u t u re o f a g i n g pohtic a l u n d e r s t a n d in g o f a g r o w in g p o p u la r c o n c e r n Thb a rt ic le. E x a m m e s Me th eo r e tic a l a n d s oc i Ab #tr a c t Pb n l if rc a l C a t h o l i c U n i v e n i t y o f P u e n o R Ec o Dep ar tm e n t o f S o c ia l W o r k Pa u h le s o s F e r ic e a i Phila d e l p h ra . PA Me r c y L I F E ( L iv in g In d e p e n d e n t ly F o r E l d e r s ) Ale r C a s ta n o o f N ue v o Le on , Me x ic o Un iv e r s i t y o f T e x a s a t A r l i n g t o n a n d t h e A u t o n o m o u s U n i v e r s i t y So o a l W e l la re P ol ic y Bi- N3 t i o n a l D o c t o r a l P r o g r a m o f S o c i a # W o r k a n d C o m p a r a t i v e St tv iy a N ik o o v a AGING W ITH DISAB ILIT IES IN PU ERTO RICO Cle n c i o t S o c l o l e i Cita Sugerida: Nikolova, S., Casiano, A., & Fericelli, P. J. (2012). Aging with disabilities in Puerto Rico. Horizontes, 55(106-107), 35-40.
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  • 7. Cita Sugerida: Nikolova, S., Casiano, A., & Fericelli, P. J. (2012). Aging with disabilities in Puerto Rico. Horizontes, 55(106-107), 35-40.