A Case Study Of People With Disabilities Social Work Essay

A Case Study Of large number With Disabilities Social Work EssayThis case study is in relation to a 19 year old adult, Shaku who dumbfounds from nurture disability. Shakus heritage is East Afri give the axe/ Punjabi and both her p bents argon masses who hold full epoch. Shaku break trim backs with her p bents, b other(a)s, sister and grand mother. The family of Shaku is non a devoted Muslim family but it has been observed that they value their traditions. Regarding Shakus cultivation disability, her speech is impaired and she is animal(prenominal)ly disenable and requires assistance with individualal cargon tasks. Although she is disabled, but she is homogeneous a normal girl in many ways, who loves fashionable cloths, loves to watch movies and misses her friends from school. Shaku has a speech and language therapist, Jean who is working with her with computerized assistive technology.A learning disability affects the way someone learns, communicates or does some nonch alant things. Someone has a learning disability all through his or her life. There are many different types of learning disability. They can be mild, moderate or severe. Some people with a mild learning disability do not pick up a lot of have in their lives. But other people may choose support with all sorts of things, handle getting dressed, deviation shopping, or filling out forms. Some people with a learning disability overly have a physicaldisability. This can mean they need a lot of mental and physical support 24 hours a day.Shaku has been attending a topical anesthetic authority ran day centre, Hopefield Road Resource philia for people with learning disabilities three times a week for the last 12 months. In addition to this she has a palm agency, Helpful hands visit at home three times a day, for one and a half hours at a time to overhaul her with simple everyday tasks. Shaku is getting more and more frustrated and angry everyday. There are many reasons for her verb ally abusive out bursts. After interviewing her, this is what I came to know about her family affirm ground and the way things are going for Shaku. Shaku feels she is a burden on her parents, as both of them are working parents they do not have the time to look after her. This also frustrated Shaku as she needs more time from people who love her and are close to her. Shaku does get some gist of support from her grandmother but that is not enough as she can not openly communicate with her in Punjabi. Shaku feels uncomfortable beingness left up to others. Even though she can not perform everyday tasks by herself, she still adjusts this inconvenient. For example, she does not like to go to bed early. Shaku is disturbed by the idea of the centre closing because then she would not have any activities to do. Although Shaku portrays a friendly attitude towards Kerry, she is not comfortable with her presence and is somewhat feeling being abuse. Another important issue in Shakus life is about what will happen to her in future. She is unsure and uncertain. Her parents plan on marrying her, to which she does not give a favourable response.Explain the likely policy and legislative framework which underpins the scenario as it is and that may assist this situation. Discuss the likely impact, usefulness and limitations of such policy and legislative framework. people with learning disabilities are citizens first and foremost, and public run,together with the toffee-nosed sector, need to respond eliminately. This means thatthe responsibility to ensure that all people can enter the workforce is a communitybasedresponsibility not one simply for health and brotherly care effective person-centred planning is critical, as it ensures services pair the needsof the individual, rather than fitting people into what is available recognising the importance of employment whilst still at school is critical. Ensuringeffective individualised transition planning and slaying from e ducationto employment could have a dramatic and long lasting effect on the lifeexperiences of this group and other servicesUnder the NHS and wearicipation Care bout 1990 Section 47(1) Shaku is eligible for an assessment of need for community care services. Furthermore, according to The NHS and Community Care Act 1990 Section 47(2) Shaku has additional rights that are defined in this act because she suffers from learning and physical disabilities. Under Section 4 of the Disabled Persons (Services and Consultation and Representation) Act 1986, local authorities will need to come to a finding regarding the services that are necessary to be provided to Shaku.The Carers and Disabled Childrens Act 2000 gives carers the right to ask for an assessment of their own needs to help them to continue to care, irrespective of whether the person they are caring for has had or is having their own needs assessment. The assessment is available to any carer who provides or is intending to provide r egular and unanimous care. The Carers and Disabled Act 2000 also allows, Social Service Departments to provide services directly to carers.The deadening Discrimination Act 1995 (DDA) also applied to Shaku as she has a disability of both physical and mental impairment. As this law states, Shaku will have access to reasonable adjustment to fight with her disability. Shaku is encouraged to take part in public life as this Act has changed the law and extended the rights of disabled people in relation to using transport services, joining private clubs, strengthens rights in the areas of renting premises and discriminatory job advertisements. People like Shaku will receive full support from public bodies and will feel potency in mingling with the public. Shaku is a Vulnerable Adult, according to the definition of No Secrets A person aged 18 years or over who is or maybe in need of community care services by reason of mental or other disability, age or illness.The Sexual Offences Act 195 6 gives Shaku the protection and rights as any other girl. She has rights toa) To have and enjoy a fulfilling personal relationshipb) The right to express sexual need in an appropriate way if they wish toc) To privacyd) To be sexually activee) To have sexual education, including redeling on personal relationships, sex and sexuality, HIV and other sexually transmitted diseasesf) To contraceptive advice and support servicesg) To marry or cohabith) To make an informed choice about whether or not to have childreni) To be free from exploitation, abuse and degrading treatmentIn Shakus case, Kerry is not having a sexual relationship with her but she is being abused to the outcome of calling name calling and touching parts of the body. Section 128 of the Mental Health Act 1959,states that it is an offence for a male member of staff or manager of a hospital or mental nursing home to have unlawful sexual intercourse with a woman who is for the time being receiving treatment for mental tro uble oneself or is an out patient at the hospital or home. It is also an offence for a guardian to have unlawful sexual intercourse with a person in his custody/care (Mental Health Act 1948) or in Part 111 accommodation (National Assistance Act 1948). The Sexual Offences Act 1967 also makes it an offence for a male member of staff to commit acts of gross indecency on male patients. All prosecutions require the Director of Public Prosecutions consent. match to the benignant Rights Act, rights of people with learning disabilities are the same as of their fellow citizens. In March 2008 the Joint Committee on Human Right say that the HRA provides a legal framework for service providers to abide by, and for service users to demand that they are treated with respect for their dignity. According to the Human Rights Act, Shaku has the right to marry or refuse at her own free will. Shaku is over 18 years old and if she understands the nature of the marriage, she can get married without her parents consent. Otherwise, she would have to have permit of her parents.The Mental cognitive content Act 2005 (the Act) provides the legal framework for acting and making decisions on behalf of Shaku as she insufficiencys the mental capacity to make particular decisions for herself. The person that makes the decision for Shaku will have to adhere with this Act. The five statutory principles are1. A person must be assumed to have capacity unless it is established that they lack capacity.2. A person is not to be treated as unable to make a decision unless all practicable steps to help him to do so have been taken without success.3. A person is not to be treated as unable to make a decision merely because he makes an unwise decision.4. An act done, or decision made, under this Act for or on behalf of a person who lacks capacity must be done, or made, in his scoop out interests.5. Before the act is done, or the decision is made, regard must be had to whether the purpose for which it is needed can be as effectively achieved in a way that is less restrictive of the persons rights and freedom of follow up.The deputy should keep a few things in mind when making decisions they should only make those decisions they are authorized by the court. They should let the person make the decisions whenever they can, always put they persons best interests first.The impairment Discrimination Act 1995 banned the ill treatment of disabled people. The Disability Discrimination Act 2005 and the Disability Equality Duty Act promotes disability equality, takes steps to eradicate discrimination and harassment. These laws make the world an easier place to live in for Shaku.Shaku comes from a minority ethnic background which is why she is subject to discrimination and needs a high level of support. According to the Learning Disability Task Force people belonging from minority ethnic groups experience poverty, racism, discrimination in employment, education, health and genial servi ces. There are a few services which adhere to hold sufficient skills which are needed to work with people with learning disabilities from minority ethnic communities. To prtoct people suffereing from learning disabilities Government departments and local statutory providers are expected to act in accordance with the RaceRelations (Amendment) Act 2000.1As mentioned in the Department of Health document Valuing People Now, a strategy has been set out where all the basic rights in relation to health, inclusion in all the aspects of community, housing education, work, having a family, advocacy, transport, leisure services and social activities, safety in the community and at home, access to justice rights of people with learning disabilities.According to the Governments White Paper Valuing People A cutting Strategy for Learning Disability for the 21st Century Shaku has the rights to be educated and have access to employment opportunities. Having an education and earning forherself can make Shaku more supreme and confident about her self as time goes by and even diminish the disabilities she has. From these benefits she can also achieve inclusion and visibility in the community. The running(a) Group research shows the objectives of people with learning disabilities are not different from those of the 6.9 million disabled people of working age in Great Britain. The works Group also possesses separate unemployment is damaging to both mental and physical health.Under the Government policy, Shaku is eligible for high education rights. She can access vocational educational training courses. To get Shaku ready for employment, Entry to Employment (E2E) is a flexible work-based learning programme established across England. E2E concentrates many concerns about the accessibility of work towards young people with learning disabilities. It is an entry/level 1 programme which is proposed to help young people to conquer obstacles that confine their advancement to higher l evels. Each programme covers three core areas basic and key skills, vocational development, and personal and social development.Part C RecommendationsDiscuss the social work interventions which would be required in this scenario what would you need to do and how you would approach the scenario? Critically evaluate different options you could consider.First of all, Shaku and her problems need to be understood properly. Everything that is to be done should be in the best interests of Shaku. Better communication methods than speech need to be used when communicating with Shaku, such as pictures, simple text, tapes and videos. When communicating with Shaku, she should be intercommunicate directly giving her a self of confidence in herself and being patient with her whenever needed. Shakus family will be complicated in her care up to the extent which is comfortable for them with their daily life routine. Shakus family would be trained to help them understand interpret and manage situat ions that Shaku finds challenging. Shaku should have access to a community service for people with learning disabilities. Small-scale alternative day services provide supported employment or innovative leisure or educational pursuits.A straddle of Occupational Therapy models will be used to gather relevant information about the individual and to help plan appropriate treatment and intervention.The model of Human OccupationThe basis of this model has three elements-o Volitiono Habituationo Performance CapacityVolition refers to the process by which persons are motivated toward and choose what they do. Habituation analyses the persons habits and routines. Performance Capacity analyses the persons mental, physical sensory capabilitiesVolition, habituation, performance capacity and environmental conditions always resonate together, cr take conditions out of which our thoughts, feelings and behaviour come out(Kielhofner 2004).The model is very useful and can be applied to both very ab le and less able individuals. It guides us to ask the right clinical questions in order to build a picture with the person, of their life and what they can and want to achieveThe Sensory Integration ModelThis model addresses problems of sensory scheme in the brain.A number of people with learning disabilities have a problem processing sensory information which impacts on their ability to do everyday tasks. Byprocess of assessment and specially designed programmes Occupational Therapists help to adapt the persons responses to sensory information in order for them to become more adaptive in their ability to interact with their environment.The Canadian Model of OperationThe theoretical basis of CMOP decoctes on the dynamic relationship between thePerson spirituality, cognitive, affective and physicalOccupation self care, leisure and productivityEnvironment physical, institutional, cultural, socialThe person is connected to the environment, and occupation occurs as a result of the interaction between the person and their environment. Another component to the model is Spirituality which is at the core of a person, is influenced by the environment and gives meaning to occupation. There are two main areas of focus in this modelOccupational performance i.e. the result of the interaction between a person, their environment and occupation .Client-centred practice i.e. the collaboration and partnership formed in the therapeutic process.As Shakus therapies are taking place, Shaku has the issue of marriage she is not comfortable with. As a social worker I would be cerebration about what Shaku wants and what her best interests are in. Shakus parents may want the best for her in their opinion by an arrange marriage. Even before anything like this takes place, Shaku should be habituated knowledge about all the aspects of marriage and the relation ship. In Shakus condition, it will take a considerable amount of time for her to understand everything properly in that loc ation is a need for Shakus parents to understand what her condition is and how much she can take in when it comes to issues like marriage. It should be made sure that Shakus parents do give her a considerable amount of time everyday as this can help a great deal in her recovery, If Shaku is to be married she needs to be educated in special programs for parents with learning disabilities. These programs will help Shaku and her parents understand the issues that affect parents who have learning disabilities, what kind of help is out there for parents with learning disabilities.Learning Disability ServicesAn in-house care plan is needed for Shaku. The care plan will feature the information about her daily living, health, medication, personal care, likes, dislikes, wishes, choices and other aspects. The plan will be updated regularly to act in accordance with her changing needs and will be reviewed at an anuual basis.person centred planning is sure to be undertaken by Shaku and her fam ily. This will help them to choose what ever is best suited for them. A care plan will be written down what Shaku transport, social, educational, health and other community-based services can be linked up. Contacting Social Care Direct will the first step towards getting a social care service.The Care Quality Commission (CQC), takes assessments and follow-up reviews on care homes and services throughout the UK. Their website lists all the assessments which can help Shaku and her family to choose the right care home and to locate one near their residence as well.To make sure the needs of adults with a learning disability are met in the best way, health and social worker should work together. Shakus community learning disability nurse will fulfil common and special health needs which include challenging behaviour. Shakus Occupational therapy treatment programme will be designed based according to her exclusive life style, environment and choices. Clinical psychology provides evidence based assessment and intervention to individuals with a learning disability who may have a wide range of psychological problems, which are often interlacing and multiple. We undertake Cognitive Assessment, for example, to support service provision in relation to capacity issues. Music therapy is another communication tool which will be used for Shaku which will help her to express herself. The Physiotherapists provide assessment, advice and treatment to people with a musculo-skeletal problem associated to their learning disability, and any training their carers/family need to help them with this. Specifically, we support mobility, posture, eating and drinking and health living, including walking and exercise groups. As necessary, we liaise with other health professionals and non-health professionals in a variety of settings. Shaku experiences difficulty expressing her self verbally, she can be encouraged to communicate through art therapy which uses art materials. Speech and langua ge therapists put emphasis on developing communication, which is vital to good health and social care. In co ordination with her speech therapist Jean, Shaku can also attend regular inclusive communication training courses. The dietician can counsel on healthy eating, special diets or assist with eating and drinking problems. Mental health problems are very common in people who suffer from a learning disability. The psychiatrist is responsible for assessment and treatment of mental health problems and challenging behaviour.Person centred planning is developed by Learning Disability Partnership Boards which is done according to the White Paper, Valuing People. Partnership boards help people with learning difficulties fulfil their desire to live an ordinary life through person centred planning. The following is taken from the meeting that was arranged with Shaku and sets out what she wants to do and the things she is not happy about.Shaku seems very unhappy with her life. She misses s chool and her friends there. She is tire at home and bored in the day centre. She is angry that she cannot come and go as she pleases either at home or in Hopefield and school was better at this. She says that she find it depressing that the centre is now closing and is scared about what this means. Will she be at home more? More bored? Helpful men are rubbish and the leisure activities are watching telly together or going for a walk and they arrive too late. Shaku says that she would really like to see her friends more. She says that she hadnt thought much about marriage.As Shaku experience learning disabilitied, sometimes she can not explain what she wants so she will need support to make decisions. The Framework for person centred planning for Shaku will need be discussed with her parents, her therapists and her social worker. The person centred planning implementation group will follow the action plan on a daily basis. Shakus family, friends and comuunity services like care ma nagement, health professionals, services ( organisations that provide services for people with learning disabilities).Mental Capacity Act 2005.PDFBritish Institute of Learning Disabilities. PDFADULTS WITH A LEARNING DISABILITY INTERPERSONAL RELATIONSHIPS AND SEXUAL DEVELOPMENT. PDFOccupational Therapy Models and Learning Disability. PDFSafeguarding AdultsSupporting the needs of parents with learning disabilitiesmaking life better for people with a learning disability and people with mental health problems who live in Northern Irelandour lives, our choicesLearning Disability Services, Wakefield Council, viewed 10 June, 2010 http//www.wakefield.gov.uk/HealthAndSocialCare/AdultsAndOlderPeople/LearningDisabilities/default.htmChoosing the Right Care, AboutLearningDisabilities, viewed, 9 June, 2010http//www.aboutlearningdisabilities.co.uk/AboutOurSite.htmlDepartment of Health, Valuing People Now a new three year strategy for people with learning Disabilities 2003, viewed 7 June, 2010http //www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_093374.pdfImproving work opportunities for people with a learning disability 2006, Department of Health, viewed on June 6, 2010www.dh.gov.uk/en/SocialCare/Deliveringadultsocialcare/Learningdisabilities/DH_4138204Mansell, J (2010) Raising our sights services for adults with profound intellectual and multiple disabilities available at http//www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/dh/en/ps/documents/digitalasset/dh_114347.pdfRights, independence, choice and inclusion Learning Disability Task Force.Available at http//www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/dh/en/documents/digitalasset/dh_4074727.pdfVALuInG PEOPLE nOw A nEw THREE-YEAR dodge FOR PEOPLE wITH LEARnInG DISAbILITIES 2009, Department of Healthhttp//www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_093372.pdf3.There are some components that are essential for a good social care service. These in clude calculative and delivering arrangements that are adapted to the individual persons requirements and choices. As in Shakus case, she is living with her family, the service should be family-centered, and a care plan which is prepared for her should be what is most adapted for her and her family.2