Employing people with severe disabilities: The challenge remains

The authors present an update on the number of individuals with disabilities who are employed at a large federal installation that has been using a recruitment intervention designed to increase the employment rate of individuals with disabilities. The initial review of accessions (i.e., successful recruitments), published in the Journal of Job Placement (R. B. Kennedy, 1996), presented data that spanned 11 years (1984–1994). This article gives recruitment data for another 7 years (1995–2001).     

Disability,Performance, and Discrimination in the Service to Humanity

In an age when the church is called upon to be an inclusive community, persons with disabilities in Nigeria are still grappling with exclusion. Disability is associated with multiple challenges. The challenges include degrading treatment, marginalization, and exclusion from recruitment opportunities, as well as discrimination in churches. Some people believe that disability has negative connotations and that persons with disabilities are hopeless, helpless burdens and passive “objects” meant to receive charity as well as physical and spiritual deliverance. Persons with disabilities are stereotypically seen as incapable of being productive. It is assumed that because people live with disabilities, they are not meant to occupy leadership positions or fully partake in church activities. The expectation that persons with disabilities be wholly embraced into the Christian fold is yet to be met. This article shares information on the context in which some of the challenges facing persons with disabilities are rooted. It examines the involvement and experiences of persons with disabilities in the activities of the church, church institutions, and church‐affiliated organizations in Nigeria while acknowledging the church’s mandate of inclusion. It finds that stereotyping and discrimination are challenges for persons with disabilities – individuals who are also made in the image of God. In the future, more research needs to be carried out on issues around the isolation of persons with disabilities in the body of Christ. The findings would help interested groups recognize the predicaments of persons with disabilities and find realistic strategies for a progressive inclusive church community – in this way assisting the efforts of the World Council of Churches’ programme on disability.     

What policymakers need and must demand from research regarding the employment rate of persons with disabilities

Enabling persons with disabilities to prepare for and engage in gainful employment has become a priority concern in U.S. society. As a result, federal and state policymakers are adopting employment-related initiatives designed to enhance the employment rate of persons with disabilities. Policymakers need credible evidence in order to assess and reform these initiatives. This recognized need, however, begs the question of what constitutes 'credible evidence.' Of particular concern in the disability policy arena is the debate over the types of conclusion about employment rates that can and cannot be drawn from analyses of national survey data sets. This article connects standard research methodology concepts with the complexities of evaluating disability policy to help stakeholders appreciate the issues involved in this debate. This appreciation can help policymakers (1) recognize unwarranted cause-and-effect conclusions based solely on existing national survey data and (2) demand better data and stronger research designs to complement the potential over-reliance on correlational studies using problematic survey data to estimate policy impacts. To this end, the article concludes with a practical framework with a checklist for assessing the adequacy of research regarding the employment rate of persons with disabilities.     

L’apport des tests d’aptitudes dans le recrutement : l’exemple de la NV5-R

From the observation of a limited use of aptitude tests in the recruitment process, this article attempts to illustrate the relevance of such tests from applied research on the recruitment of sales persons. Thus, 32 candidates have participated in the recruitment process that is traditionally practiced by the organization, to which we have added three of the subtests of the battery NV5-R. The comparison of the scores at this test and the results of the classical procedure of recruitment for each subject shows that similar information is obtained by these two methods of selection. The contribution of aptitude tests in selection procedures has been discussed in terms of these results while laying the limitations of this study.     

An integrative conceptual framework of disability. New directions for research

Advances in research on disability and rehabilitation are essential to creating equal opportunity, economic self-sufficiency, and full participation for persons with disabilities. Historically, such initiatives have focused on separate and specific areas, including neuroscience, molecular biology and genetics, gerontology, engineering and physical sciences, and social and behavioral sciences. Research on persons with disabilities should examine the broader context and trends of society that affect the total environment of persons with disabilities. This article examines the various disability paradigms across time, assessing the relative contribution of the socioecological perspective in guiding research designed to improve the lives of persons with disabilities. The authors recommend new research directions that include a focus on life span issues, biomedicine, biotechnology, the efficacy and effectiveness of current interventions, an emphasis on consumer-driven investigations within a socioecological perspective of disability, and the implications for research and practice.     

Help Wanted: People With Disabilities and Recruitment Advertising

People with disabilities rely heavily on specialist agencies to find suitable employment. This research examines how agency consultants use recruitment ads in their work with clients. The authors analyzed the ads collected by consultants and learned that the ads were dominated by organization and job attributes. The ads contained less information about preferred applicant characteristics and selection procedures. Consultants used the ads to facilitate immediate matches between clients and employers, but they also used the ads to nudge clients in new career directions. The results reflect challenges consultants experience in balancing the long‐term needs of clients against the short‐term demands of employers.     

Web-based recruitment: effects of information, organizational brand, and attitudes toward a Web site on applicant attraction

Recruitment theory and research show that objective characteristics, subjective considerations, and critical contact send signals to prospective applicants about the organization and available opportunities. In the generating applicants phase of recruitment, critical contact may consist largely of interactions with recruitment sources (e.g., newspaper ads, job fairs, organization Web sites); however, research has yet to fully address how all 3 types of signaling mechanisms influence early job pursuit decisions in the context of organizational recruitment Web sites. Results based on data from 814 student participants searching actual organization Web sites support and extend signaling and brand equity theories by showing that job information (directly) and organization information (indirectly) are related to intentions to pursue employment when a priori perceptions of image are controlled. A priori organization image is related to pursuit intentions when subsequent information search is controlled, but organization familiarity is not, and attitudes about a recruitment source also influence attraction and partially mediate the effects of organization information. Theoretical and practical implications for recruitment are discussed.     

Persons with disabilities

In 1990, the United States Congress enacted legislation protecting the civil rights of persons with disabilities. The Americans with Disabilities Act (ADA) (1990) has been termed the most significant civil rights legislation since the 1960s (Rothstein, 1992/1994; see also Drimmer, 1993; Gostin & Beyer, 1993). The intent of the ADA is to provide “not only equal treatment [for persons with disabilities], but also equal opportunity” (Rothstein, 1992, p. 19, emphasis in original). The purpose of the ADA is not only to eliminate intentional discrimintion, but also to change “policies and practices that have a discriminatory impact” on persons with disabilities (p. 19). The ADA was implemented in the wake of decades of growing awareness of and responses to the numerous societal barriers confronted by persons with disabilities. The civil rights movement for persons with disabilities was spawned by grass roots movements (Scotch, 1984). Over time, this civil rights movement has been aided by behavioral science research as well as by legal actions (see, e.g., Scotch, 1984, 1988; see also Ainlay, Becker, & Coleman, 1986; Asch & Fine, 1988; Rothstein, 1992/1994; Shapiro, 1993). It is still too early to assess the ultimate success of the specific ADA legislation, much less the general disability-rights, advocacy movement. Nevertheless, as the articles in this special issue of Behavioral Sciences and the Law reflect, the behavioral-science-and-law community has much to contribute to the elimination of the marginalization of persons with disabilities in modern society. As shown in the articles in this issue, these efforts can include a) assessing progress in light of legislation and policy reforms, b) identifying on-going barriers, and c) offering ideas for different ways to conceptualize not only the problems, but also the solutions to problems confronting persons with disabilities. Ultimately, these and the other efforts being undertaken in the legal, social, and political arenas should help in the fight to fully integrate persons with disabilities into every part of the social fabric. The issue begins with two articles that report on empirical research. First, Professor Peter Blanck presents results from his longitudinal study of the ADA. Specifically, Professor Blanck has been examining employment integration and economic opportunity. His article summarizes the findings from his program of research: There are seven core findings, indicating both successes in employment (e.g., an increase of employment in integrated work settings) as well as continuing concerns (e.g., wage disparities as a function of gender; a leveling off of economic opportunities). The other empirical study is presented by Professor Delbert Rounds. Professor Rounds interviewed individuals with legal blindness in order to learn about their experiences of criminal victimization. One of only a handful of studies on the impact of crime on persons with disabilities, the research indicates that although individuals with legal blindness may not be victimized at rates different than sighted persons, the legally-blind appear to be vulnerable to specific kinds of victimization and their victimization experiences may differ from other crime victims' experiences. The remaining five articles assess different issues related to persons with disabilities. All draw, to some degree, on behavioral science research to argue for the elimination of barriers to persons with disabilities so that they can share the same social and legal rights and responsibilities as non-disabled persons. Professor Harlan Hahn offers a sociopolitical definition of disability. Instead of conceptualizing disability as a functional impairment, Professor Hahn advocates the use of a minority model that stresses attitudinal discrimination as the principal problem facing disabled persons. Professor Hahn suggests that the reconceptualization of disability could benefit persons with disabilities in both social scientific and legal contexts. For example, it would focus social scientific investigations on such issues as the concept of aesthetic anxiety. Research undertaken in light of the minority/attitudinal model, Professor Hahn argues, could have the same positive consequences in aiding persons with disabilities in their fight for legal and social equality as did social scientific research regarding race issues. Professor Michael Perlin presents a different twist on sociopolitical implications of disability issues. He shows how a seemingly “minor” decision by the United States Supreme Court in the mental disability case of Godinez v. Moran (establishing a unitary standard for the determinations of competence to stand trial, competence to plead guilty, and competence to waive counsel) had a substantial influence on the way in which the courts recently handled the high-visibility case of Colin Ferguson. Ferguson, a very bright but mentally disabled Black man, was the defendant charged with the murder of six people and the wounding of 19 others. Professor Perlin uses the filters of sanism and pretextuality to examine the Ferguson trial and to provide insight into how the American criminal justice system reacts to defendants with mental disabilities. Whereas Professor Perlin analyzed criminal law issues that disenabled persons with mental disabilities rather than enabled them, Professor Roger Levesque analyzes recent civil law reforms that have the same consequence. Professor Levesque's focus is on the way in which laws (statutes and case decisions) have intruded on the rights to engage in sexual, marital, and parental relationships. His analyses are very similar to Professor Perlin's in the demonstration of sanist and pretextual approaches to these issues taken by the law. Professor Levesque advocates that the law adopt the approach taken by many (but not all) social scientists — viz., the examination of behavior in context without preconceived, moralistic positions, resulting in individual assessments of competency — in order to provide a better understanding of rights and abilities for persons with mental disabilities, and, ultimately, an end to restrictive legal rules. Professor Donald Hantula and Ms. Noreen Reilly also focus on persons with mental disabilities. They contend that under the reasonable accommodation provisions of the ADA, persons with mental disabilities should and could have successful employment opportunities if only the social and managerial environments were to be modified. Professor Hantula and Ms. Reilly suggest the use of behavior analysis and performance management perspectives as bases for analyzing, developing, implementing, and evaluating reasonable accommodation for persons with mental disabilities. They also argue that the changes needed for persons with disabilities would actually benefit non-disabled employees as well. Finally, Dr. McCay Vernon, Dr. Lawrence Raifman, and Professor Sheldon Greenberg analyze the problems associated with providing Miranda Warnings to deaf suspects. They provide caselaw, empirical, and analytical evidence demonstrating that present law enforcement practices fail to inform deaf suspects of their legal rights, resulting in adverse consequences for both law enforcement and the suspects. Dr. Vernon and his colleagues identify techniques that not only promote an awareness of the problems, but also help to address the problems for criminal justice officials and for deaf suspects.     

“What's in a Name”—Attitudes Toward Disabled Persons

High school students' evaluations of labels or terms for 3 disabilities (amputation, mental retardation, and mental hospitalization) were compared with other high school students' evaluations of persons described in sketches as having one of the disabilities but functioning adequately. For each of the 3 comparisons, the person described in the sketch was more favorably evaluated. The variabilities of the labels “Amputees” and “Mentally Retarded” were greater than those of the respective persons described in the sketches. These findings suggest caution in generalizing from attitude studies in which labels or terms are used as the stimulus for disability. The more favorable evaluations of the sketched persons would have implications for counselors in describing persons with disabilities to others.     

Reasonable accommodation for employees with mental disabilities: a mandate for effective supervision?

Reasonable accommodation under Title I of the Americans with Disabilities Act (ADA) for employees with mental disabilities is explored from a behavior analytic perspective. Although much of the attention in issues of reasonable accommodation is concentrated on persons with physical disabilities, it is argued that the needs of individuals with mental disabilities are in greater need of further study. The criteria for successful accommodation in the workplace for employees with mental disabilities is seen to be structurally different, but functionally similar to successful accommodations for employees with physical disabilities, and is based on the development of enabling environments. Behavior analysis offers a theoretical basis and performance management presents a methodological basis for analyzing, developing, implementing, and evaluating reasonable accommodation for persons with mental disabilities, largely in terms of effective supervision. It is concluded that Title I of the ADA may be seen as providing a mandate for effective supervision, which may also be extended to all employees.     

Stigmata and negotiated outcomes: Management of appearance by persons with physical disabilities

This paper explores the role of clothing in the management of appearances by persons with disabilities. A negotiated outcomes perspective is used to study the clothing choices of disabled persons, rather than viewing them as passive recipients of the labels supplied by perceivers. A two‐part study of college students with physical disabilities, including comments from a series of focused group interviews and open‐ended responses to a questionnaire with national distribution, resulted in the data presented. The data indicated that most of the students strived to appear as normative as possible through their clothing choices and accordingly used a variety of techniques: “making do” with ingeniously adapted ready‐to‐wear apparel; using clothes to conceal a disability; deflecting attention from a disability toward more normative but slightly discrediting attributes; compensation through fashionable dress or by emphasizing other social roles and abilities; and social inclusion, i.e., the assertion that all persons vary in physical appearance. Some students employed dress to take advantage of their social uniqueness through such techniques as wearing bright or prominent clothing or by displaying humor. Possible directions for future research on the social interactions of disabled persons, particularly involving the implications of normalizing appearance versus emphasizing social uniqueness, are presented.     

Re-imagining the (Dis)Abled Body

Disability imagery, whether photographs, posters, or verbal or written discourse, comprises multiple viewpoints or gazes, ranging from the impaired physical body to the disabling social environment. In some instances, photographic image and accompanying text combine to reinforce the notion of persons with disabilities as helpless and needy people. These conceptualizations not only emphasize obvious prejudices and limited thinking about persons with disabilities, but also illustrate the consequences: persons with disabilities tend to assimilate the oppressive images constructed by society. In order to create positive images of, for example, persons with brain injury, epilepsy or hemiplegia, we need to develop a disability consciousness that allows us to re-imagine (dis)ability in ways that value individual identity. In so doing, we raise critical questions about self and other.     

患者致残后的心理变化与康复

探讨患者致残后复杂的心理变化一些常见因素,然后根据各种因素制定治疗方案。对所治疗残疾人为研究对象,通过与残疾人交谈,观察其言行变化,问卷调查,随访调查,将获得的资料进行分析整理,得出患者各种复杂心理变化的病因。患者由正常人变为残疾人这个复杂心理变化由自身的应激、自我认识及社会文化等各种因素所引起,根据各种因素制定一些有...     

Respecting Embedded Disability

In certain ways, many disabilities seem to occupy a middle ground between illnesses like cancer and identity‐traits like race: like illnesses, they can present a wide variety of obstacles in a range of social and natural environments and, insofar as they do, they are something we should prevent potential people from having for their own sake; at the same time, those same types of disabilities can be, like race, a valuable part of the identity of the persons who already have them. I consider this seemingly dual nature of a significant class of disabilities to attempt to understand the proper relation of those disabilities to persons and how we should value or respect them. I argue for a distinction between embedded disabilities (e.g. John's blindness) and general disabilities (e.g. blindness‐in‐general); importantly not everyone with a disability will turn out to have an embedded disability. I then show that expressing negative value judgments about general disabilities does not typically express disrespect for people with disabilities — thereby addressing a long‐standing charge made by many in the disabilities community. Finally, I show that unlike with disabilities, expressing negative judgments about the general form of identity‐traits like race does typically express disrespect for people with those identity‐traits.     

The Effects Of Recruitment Message Specificity On Applicant Attraction To Organizations

We used the elaboration likelihood model (ELM) from marketing research to explain and examine how recruitment message specificity influences job seeker attraction to organizations. Using an experimental design and data from 171 college-level job seekers, the results showed that detailed recruitment messages led to enhanced perceptions of organization attributes and person–organization (P–O) fit. Perceptions of fit were found to mediate the relationship between message specificity and intention to apply to the organization. In addition, perceptions of organization attributes and P–O fit were found to influence intentions to apply under circumstances of explicit recruitment information while attractiveness and fit perceptions were shown to influence application intentions under conditions of implicit recruitment information. The theoretical and practical implications of these findings are discussed.     

Predicting pre-service teachers’ opposition to inclusion of students with disabilities: a path analytic study

This study addressed predictors of pre-service teachers’ opposition toward the practice of educating students with disabilities in mainstream classroom settings—a practice known as inclusion. We tested a hypothesized path model that incorporated social dominance orientation (SDO) and contact as distal predictors, and intergroup anxiety, stereotype use, and self-efficacy for including students with disabilities as more proximal predictors of opposition to inclusion in a sample of 229 pre-service teachers from the Southwestern United States. In large part, the predicted relationships among our variables were supported. The effect of SDO on opposition to inclusion was both indirect (via stereotype use and intergroup anxiety) and direct. The effect of close contact with persons with disabilities relevant to inclusion was mediated by intergroup anxiety and, more distally, by stereotype use. Stereotype use and intergroup anxiety were positive predictors of opposition to inclusion. The predicted relationship between self-efficacy and opposition to inclusion was not supported by the data. Rather, the data supported a reverse causal ordering. Implications for future research are addressed.     

Staff support strategies to increase the involvement of individuals with disabilities in meal preparation

In recent years, residential services for persons with disabilities have changed radically, reflecting a shift from custodial care to habilitation and community participation. This has resulted in a significant shift in the roles of direct-care staff. Improvement of staff performance is recognized as a major objective of agencies providing residential support to persons with disabilities. This study examined the gap between existing technologies of support and performance of direct-care staff, and focused on participation in an important activity of daily living, meal preparation. This study compared initial, baseline levels of participation to levels of involvement observed during three experimental intervention phases introduced sequentially within a multiple-baseline design: staff prompting by interventionists, staff self-management, and staff training. Increases from baseline levels of participation were observed for all five participating staff-resident dyads. High levels of variability were observed in some dyads and amounts of increase differed across dyads. Findings are explained in terms of dyad-specific information. A model of staff performance is presented along with implications for high-quality residential service.     

‘On-the ground’ strategy matrix for fostering quality participation experiences among persons with disabilities in community-based exercise programs

ObjectiveThe purposes of this paper are to (1) document the generation and refinement of a quality participation strategy list to ensure resonance and applicability within community-based exercise programs (CBEPs) for persons with physical and intellectual disabilities, and (2) identify theoretical links between strategies and the quality participation constructs.MethodsTo address purpose one, a list of strategies to foster quality participation among members was extracted from qualitative interviews with providers from nine CBEPs serving persons with physical disabilities. Next, providers from CBEPs serving persons with physical (n = 9) and intellectual disabilities (n = 6) were asked to identify the strategies used, and examples of their implementation, within their programs. Additional strategies noted by providers and in recent published syntheses were added to the preliminary list. A re-categorization and revision process was conducted. To address purpose two, 22 researchers with expertise in physical and/or intellectual disability, physical activity, participation and/or health behaviour change theory completed a closed-sort task to theoretically link each strategy to the constructs of quality participation.ResultsThe final list of 85 strategies is presented in a matrix. Each strategy has explicit examples and proposed theoretical links to the constructs of quality participation.ConclusionsThe strategy matrix offers a theoretically-meaningful representation of how quality participation-enhancing strategies can be practically implemented “on-the-ground” in CBEPs for persons with disabilities.     

The direct support workforce in community supports to individuals with developmental disabilities: issues, implications, and promising practices

Difficulties in finding, keeping, and ensuring the competence of the direct support workforce in community developmental disability services has long been a challenge for individuals, families, providers, and policy makers. Direct support staff recruitment, retention, and competence are widely reported as one of the most significant barriers to the sustainability, growth, and quality of community services for people with developmental disabilities (ANCOR [2001] State of the states report. Alexandria, VA: ANCOR; Colorado Department of Human Services, [2000] Response to Footnote 106 of the FY 2001 appropriations long bill: Capacity of the community services systems for persons with developmental disabilities in Colorado; Hewitt [2000] Dynamics of the workforce crisis. Presentation at the NASDDDS Fall meeting. Alexandria, VA). While long in existence, these challenges are ones of growing concern because the number of people demanding community services is increasing and the population of people from which to recruit workers is declining (Office of the Assistant Secretary for Planning and Evaluation [2006] The supply of direct support professionals serving individuals with intellectual disabilities and other developmental disabilities: Report to Congress. Washington, DC: Office of Disability, Aging and Long-Term Care Policy, ASPE, U.S. Department of Health and Human Services). As the service system moves towards consumer direction, managed care, and more noncategorical service delivery systems, the difficulties of providing for an adequate and well-prepared workforce to support people with developmental disabilities becomes more complex and multifaceted. The solutions to those challenges are also more complex. This article reviews the literature regarding the complexity of the direct support workforce crisis, the effects of this crisis on various stakeholder groups, promising practices designed to address the challenges, and the related practice and policy implications.     

Assistive/rehabilitation technology,disability, and service delivery models

The United Nation’s Millennium Development Goals do not explicitly articulate a focus on disability; similar failures in the past resulted in research, policy, and practice that are not generalizable and did not meet the needs of persons with disabilities since they were developed for an “average” population. Academics and professionals in health and other disciplines should have a knowledge base in evidence-based practices that improve well-being and participation of people with disabilities through effective service delivery of assistive technology. Grounded by a theoretical framework that incorporates a multivariate perspective of disability that is acknowledged in the convention on the rights of persons with disabilities and the World Health Organization’s International Classification of Functioning, Disability and Health, we present a review of models of assistive technology service delivery and call for future syntheses of the fragmented evidence base that would permit a comparative effectiveness approach to evaluation.