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Overview Of Rural Health, Vincent Francisco, Craig Ravesloot Ph.D., University Of Montana Rural Institute
Overview Of Rural Health, Vincent Francisco, Craig Ravesloot Ph.D., University Of Montana Rural Institute
Independent Living and Community Participation
Ultimately, the challenge of health care reform is the challenge of building community (Shortell et al., 1996). It makes little sense to discuss health without also discussing environment. Environments may be toxic physical environments due to pollution, noise and crime, or toxic social environments that promote health risk behavior like smoking and sedentary living. Alternatively, environments may be constructed to promote health behavior (e.g., physical activity) or reduce health risks (e.g., indoor smoking policy). In either case, the population’s health status is shaped by their environment. Rural people are less healthy than urban people (Institute of Medicine, 2005). Rural environments …
Rural Independent Living And Physical Therapy: Exploring Collaborations, Craig Ravesloot Ph.D., University Of Montana Rural Institute
Rural Independent Living And Physical Therapy: Exploring Collaborations, Craig Ravesloot Ph.D., University Of Montana Rural Institute
Independent Living and Community Participation
Traditional rehabilitation services are often assumed to be incompatible with independent living (IL) philosophy, but perhaps rural individuals with disabilities might benefit from a collaboration between Centers for independent living (CILs) and rehabilitation services providers. IL philosophy emphasizes improving opportunities for community participation by people with disabilities.1,2 Ecological models of disability emphasize that community participation results when the environment interacts with a person’s capacity to access that environment.3 Participation may increase if environmental accessibility improves, and/or if the individual’s capacity increases. For people with mobility impairments, technology (e.g. wheelchairs) frequently improves individual capacity. Less frequently, changes in a person’s health …