Enabling America:: Assessing the Role of Rehabilitation Science and Engineering

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National Academies Press, Nov 24, 1997 - Medical - 424 pages
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The most recent high-profile advocate for Americans with disabilities, actor Christopher Reeve, has highlighted for the public the economic and social costs of disability and the importance of rehabilitation. Enabling America is a major analysis of the field of rehabilitation science and engineering. The book explains how to achieve recognition for this evolving field of study, how to set priorities, and how to improve the organization and administration of the numerous federal research programs in this area.

The committee introduces the "enabling-disability process" model, which enhances the concepts of disability and rehabilitation, and reviews what is known and what research priorities are emerging in the areas of:

  • Pathology and impairment, including differences between children and adults.
  • Functional limitations--in a person's ability to eat or walk, for example.
  • Disability as the interaction between a person's pathologies, impairments, and functional limitations and the surrounding physical and social environments. This landmark volume will be of special interest to anyone involved in rehabilitation science and engineering: federal policymakers, rehabilitation practitioners and administrators, researchers, and advocates for persons with disabilities.
  

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Contents

EXECUTIVE SUMMARY
1
INTRODUCTION
24
MAGNITUDE AND COST OF DISABILITY
40
Costs of Disability and Rehabilitation
55
Conceptual Matrix for Rehabilitation Research
75
PATHOLOGY AND IMPAIRMENT RESEARCH
81
State of Knowledge for Selected Major Causes
87
Conclusions
97
Conclusions and Recommendations
167
Developing a Health Services Research Capacity
188
Presuppositions for Technology Transfer
194
Barriers to Information Transfer
200
Current Governmental Mechanisms
210
REHABILITATION SCIENCE
217
FEDERAL RESEARCH PROGRAMS
244
AND PRIORITIES
293

Functional Capacity Index and the 10 Dimensions
108
Conclusions
144
Impact of the Social and Psychological Environments
154
REFERENCES
299
INDEX
393
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