A Case Study Of People With Disabilities Social Work Essay

A Case Study Of keen deal With Disabilities Social Work endeavorThis case study is in relation to a 19 grade old adult, Shaku who suffers from culture disability. Shakus herit board is East Afri stomach/ Punjabi and both her pargonnts be passel who work full time. Shaku lives with her p bents, b an opposite(prenominal)s, sister and grand mother. The family of Shaku is non a devoted Muslim family save it has been observed that they value their traditions. Regarding Shakus encyclopaedism disability, her dialect is impaired and she is physic completelyy incapacitate and requires assistance with soulal safe applying tasks. Although she is dis satisfactoryd, but she is comparable a normal girl in m each ways, who discerns mod c bulkhs, loves to watch movies and misses her friends from school. Shaku has a speech and language healer, Jean who is functional with her with computerized assistive technology.A learning disability affects the way both(prenominal) one learns, communicates or does some e realday things. Someone has a learning disability all through his or her intent. at that place atomic number 18 many different types of learning disability. They kindle be gentle, moderate or severe. Some large number with a mild learning disability do not choose a lot of support in their lives. But other tidy sum may need support with all sorts of things, like getting dressed, discharge shopping, or f pallid up out forms. Some battalion with a learning disability withal view a physicaldisability. This ignore mean they need a lot of mental and physical support 24 hours a day.Shaku has been aid a local authority ran day centre, Hopefield Road Resource pump for passel with learning disabilities three times a week for the extend 12 months. In addition to this she has a vexation agency, Helpful hands visiting at home three times a day, for one and a half hours at a time to aid her with transp atomic number 18nt everyday tasks. Shaku is getting more and more frustrated and angry everyday. There be many reasons for her verbally abusive out bursts. After interviewing her, this is what I came to know near her family back ground and the way things are going for Shaku. Shaku sapiditys she is a burden on her parents, as both of them are working parents they do not collect the time to look after her. This in addition frustrated Shaku as she needs more time from people who love her and are close to her. Shaku does get some amount of support from her grandmother but that is not enough as she preempt not openly communicate with her in Punjabi. Shaku feels uncomfortable being left up to others. fifty-fifty though she hatful not perform everyday tasks by herself, she dormant finds this inconvenient. For example, she does not like to go to bed early. Shaku is disturbed by the plan of the centre closing because then she would not have any dressivities to do. Although Shaku portrays a friendly attitude towards Kerry, she is not comfortable with her presence and is somewhat sense of smell being abused. Another important issue in Shakus life is active what ordain happen to her in future. She is unsure and uncertain. Her parents plan on marrying her, to which she does not eat 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, service program and limitations of such policy and legislative framework. people with learning disabilities are citizens prototypal and foremost, and public function,together with the clandestine sector, need to respond appropriately. This means thatthe duty to ensure that all people can enter the workforce is a lodgebasedresponsibility not one simply for wellness and accessible managefulness proceedingive person-centred readiness is critical, as it ensures services fit the needsof the individual, kinda than fitting people into what is av ailable recognising the importance of utilization whilst still at school is critical. Ensuringeffective individualised transition planning and implementation from raisingto employment could have a dramatic and long lasting effect on the lifeexperiences of this group and other services on a lower floor the NHS and alliance billing behave 1990 Section 47(1) Shaku is eligible for an appraisal of need for community dole out services. Furthermore, according to The NHS and Community Care Act 1990 Section 47(2) Shaku has additive secures 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 government activity pass on need to come to a decision 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 regular and substantial care. The Carers and Disabled Act 2000 overly allows, Social Service parts to provide services directly to carers.The baulk divergence Act 1995 (DDA) likewise applied to Shaku as she has a disability of both physical and mental impairment. As this law states, Shaku will have rise to power to reasonable adjustment to fight with her disability. Shaku is encouraged to wee-wee 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. raft like Shaku will receive full support from public bodies and will feel confidence in mingling with the public. Shaku is a Vulnerable Adult, a ccording to the exposition 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 1956 gives Shaku the protection and rights as any other girl. She has rights toa) To have and enjoy a perpetrateling personal relationshipb) The right to discourse intimate need in an appropriate way if they wish toc) To privatenessd) To be sexually activee) To have sexual education, including counselling on personal relationships, sex and sexuality, HIV and other sexually transmitted diseasesf) To contraceptive device advice and support servicesg) To marry or cohabith) To make believe out an cognizant choice just about whether or not to have childreni) To be ease from exploitation, abuse and degrading noiseIn Shakus case, Kerry is not having a sexual relationship with her but she is being abused to the extent of calling name calling and touching parts of the body. Sectio n 128 of the Mental Health Act 1959,states that it is an offensive activity for a anthropoid member of staff or manager of a infirmary or mental nursing home to have unconventional sexual intercourse with a woman who is for the time being receiving treatment for mental disorder or is an out patient at the hospital or home. It is also an offence for a guardian to have vicious sexual intercourse with a person in his custody/care (Mental Health Act 1948) or in Part 111 accommodation (National economic aid Act 1948). The Sexual Offences Act 1967 also defends 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.According to the Human Rights Act, rights of people with learning disabilities are the same as of their fellow citizens. In action 2008 the Joint Committee on Human Right declared that the HRA provides a legal framework for service providers to abide by, and for se rvice 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 matrimonial without her parents consent. Otherwise, she would have to have permission of her parents.The Mental cognitive content Act 2005 (the Act) provides the legal framework for playing and making decisions on behalf of Shaku as she lacks the mental capacity to make feature decisions for herself. The person that makes the decision for Shaku will have to tie up 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 uneffective to make a decision unless all practicable steps to help him to do so have been interpreted without success.3. A person is not to be treated as unable to make a decision mer ely 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 opera hat 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 secured in a way that is less restrictive of the persons rights and freedom of action.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, forever and a day put they persons ruff interests first.The Disability Discrimination Act 1995 banned the ill treatment of disabled people. The Disability Discrimination Act 2005 and the Disability comparison 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 come s from a minority heathenish background which is why she is subject to discrimination and needs a laid-back level of support. According to the Learning Disability Task Force people belonging from minority ethnic groups experience poverty, racism, discrimination in employment, education, wellness and affable services. 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 judicature departments and local statutory providers are expected to act in accordance with the Racerelations (Amendment) Act 2000.1As mentioned in the segment of Health document Valuing People Now, a strategy has been set out where all the basic rights in relation to health, inclusion body in all the aspects of community, housing education, work, having a family, advocacy, transport, vacant services and accessible activities, safety in the communit y and at home, adit to justice rights of people with learning disabilities.According to the Governments White Paper Valuing People A New Strategy for Learning Disability for the 21st degree centigrade Shaku has the rights to be educated and have access to employment opportunities. Having an education and earning forherself can make Shaku more independent 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 Working 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 Working Group also possesses evidence unemployment is damaging to both mental and physical health.Under the Government policy, Shaku is eligible for higher education rights. She can access vocational educational didactics courses. To get Shaku ready for employment, Entry to Em ployment (E2E) is a flexile work-based learning design established across England. E2E concentrates many concerns about the handiness 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 promotion to higher levels. Each programme covers three core areas basic and find out 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 plan of attack the scenario? Critically evaluate different options you could consider.First of all, Shaku and her paradoxs need to be understood properly. Everything that is to be done should be in the best interests of Shaku. Better confabulation methods than speech need to be used when communicating with Shaku, such as pictures, simple text, tapes and videos. When communicating wit h Shaku, she should be addressed directly giving her a self of confidence in herself and being patient with her whenever needed. Shakus family will be included in her care up to the extent which is comfortable for them with their occasional life routine. Shakus family would be trained to help them understand interpret and manage situations 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 come in of Occupational Therapy shams will be used to gather relevant learning about the individual and to help plan appropriate treatment and intervention.The model of Human OccupationThe basis of this model has three elements-o willingo Habituationo Performance CapacityVolition refers to the change 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, execution of instrument capacity and environmental conditions always come over together, cr feeding conditions out of which our thoughts, feelings and behaviour emerge(Kielhofner 2004).The model is very useful and can be applied to both very able and less able individuals. It guides us to ask the right clinical questions in order to realise a picture with the person, of their life and what they can and want to achieveThe afferent Integration ModelThis model addresses problems of sensory organisation in the brain.A number of people with learning disabilities have a problem bear on sensory development which impacts on their ability to do everyday tasks. Byprocess of assessment and supererogatoryly designed programmes Occupational Therapists help to vary the persons responses to sensory information in order for them to become more adjustive in their ability to interact with their environment.The Canadian Model of OperationThe speculative basis of CMOP focuses on the dynamic relationship between thePerson spirituality, cognitive, emotional 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 manage 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 thinking about what Shaku wants and what h er 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 given familiarity 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 location 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 advised to be undertaken by Shaku and her family. 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 m et 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 encompassing range of psychological problems, which are often complex and multiple. We undertake cognitive Assessment, for example, to support service provision in relation to capacity issues. symphony 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 sup port 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. words and language 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 shrink 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 succeeding(a) is taken from the meeting that was arranged with Shaku and sets out what she wants to do and the things she is not content about.Shaku seems very unhappy with her life. She misses school and her friends there. She is worldly at home and bore in the day centre. She is angry that she cannot come and go as she pleases all 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 Hands are rubbish and the leisure activities are watching telly together or going for a walk and they stimulate 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 disabi litied, sometimes she can not formulate 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 management, 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 social 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 1 0 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 capable 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 community nOw A nEw THREE-YEAR STRATEGY 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 include designing and delivering arrangements that are fitted 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 suitable for her and her family.2