| Community-based service delivery in rehabilitation: the promise and the paradox. | |
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MedLine Citation:
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PMID: 10950496 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: According to many researchers, rehabilitation is being prevented from developing as a distinct profession due to two major problems. First, it has been claimed that rehabilitation is in need of a professional identity and a sense of cohesion if it is to emerge as a discipline. Second, it has been recognized that there is a need for a rehabilitation framework to challenge the restorative approach that continues to dominate rehabilitation, linking it back to the medical model from which it has attempted to escape. The model of community-based rehabilitation (CBR) is offered as a model that can provide the impetus for an attitudinal shift from the restorative tradition and unite rehabilitation workers through a cohesive framework. METHOD: Unfortunately, the implementation of community-based rehabilitation in urban societies has been disappointing. The current paper is a conceptual discussion of community-based rehabilitation that explores some potential causes of this poor implementation. RESULTS: To some extent, the implementation failure of community-based rehabilitation can be attributed to the paradoxes that are inherent in its fundamental constructs-empowerment and community inclusion. These paradoxes occur at a conceptual level, a practical level and a contextual level. CONCLUSIONS: Some solutions are offered to enable the paradigm to be implemented more fully. In particular, it is suggested that there is a need to develop useful working definitions of these constructs, favourable attitudes among rehabilitation workers and a focus on community development. |
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Authors:
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E Kendall; N Buys; J Larner |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Disability and rehabilitation Volume: 22 ISSN: 0963-8288 ISO Abbreviation: Disabil Rehabil Publication Date: 2000 Jul |
Date Detail:
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Created Date: 2000-11-28 Completed Date: 2000-12-14 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9207179 Medline TA: Disabil Rehabil Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 435-45 Citation Subset: IM |
Affiliation:
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Centre for Human Services, Griffith University, Australia. E.Kendall@mailbox.gu.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Community Health Services
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organization & administration* Delivery of Health Care* Humans Models, Theoretical* Patient Participation Rehabilitation / organization & administration* |
| Comments/Corrections | |
Comment In:
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Disabil Rehabil. 2001 Jan 15;23(1):16-7
[PMID:
11213317
]
Disabil Rehabil. 2001 Jan 15;23(1):22-5 [PMID: 11213319 ] Disabil Rehabil. 2001 Jan 15;23(1):18-21 [PMID: 11213318 ] Disabil Rehabil. 2001 Jan 15;23(1):26-9 [PMID: 11213320 ] Disabil Rehabil. 2001 Jan 15;23(1):30-5 [PMID: 11213321 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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