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本文引用的文献

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"Just trying to adjust to the new reality that seems to be changing every hour": Lessons learned from nation-wide peer meetings on COVID-19 with rural disability service providers.“只是试图适应似乎每小时都在变化的新现实”:从与农村残疾服务提供者举行的全国性新冠疫情同行会议中汲取的经验教训。
Community Dev (Columb). 2024;55(2):271-288. doi: 10.1080/15575330.2023.2244573. Epub 2023 Aug 11.
2
Exploring Access to Independent Living Services for People With Disabilities Through a Transportation Network Analysis.通过交通网络分析探索残疾人获得独立生活服务的途径。
J Disabil Policy Stud. 2021;33(2):103-111.
3
Intersections of Personal Assistance Services for Rural Disabled People and Home Care Workers' Rights.农村残疾人个人援助服务与家庭护理人员权利的交叉点
Front Rehabil Sci. 2022 Apr 25;3:876038. doi: 10.3389/fresc.2022.876038. eCollection 2022.
4
Response to the COVID-19 Pandemic: Comparison of Strategies in Six Countries.对新冠疫情的应对:六个国家的策略比较
Front Public Health. 2021 Sep 30;9:708496. doi: 10.3389/fpubh.2021.708496. eCollection 2021.
5
COVID-19 outcomes among people with intellectual and developmental disability in California: The importance of type of residence and skilled nursing care needs.加利福尼亚州智障和发育障碍人群的 COVID-19 结局:居住类型和熟练护理需求的重要性。
Disabil Health J. 2021 Apr;14(2):101051. doi: 10.1016/j.dhjo.2020.101051. Epub 2020 Dec 5.
6
A call to action to address rural mental health disparities.解决农村心理健康差距的行动呼吁。
J Clin Transl Sci. 2020 May 4;4(5):463-467. doi: 10.1017/cts.2020.42.
7
No body is expendable: Medical rationing and disability justice during the COVID-19 pandemic.无人可被牺牲:新冠疫情大流行期间的医疗配给与残疾正义
Am Psychol. 2021 Apr;76(3):451-461. doi: 10.1037/amp0000709. Epub 2020 Jul 23.
8
The public health response to the COVID-19 pandemic for people with disabilities.应对新冠肺炎大流行中的残疾人士的公共卫生对策。
Disabil Health J. 2020 Jul;13(3):100943. doi: 10.1016/j.dhjo.2020.100943. Epub 2020 May 24.
9
COVID-19 and people with intellectual disability: impacts of a pandemic.2019冠状病毒病与智障人士:大流行的影响
Ir J Psychol Med. 2020 Sep;37(3):231-236. doi: 10.1017/ipm.2020.45. Epub 2020 May 14.
10
The relationship between disability prejudice and disability employment rates.残疾歧视与残疾就业率之间的关系。
Work. 2020;65(3):591-598. doi: 10.3233/WOR-203113.

“我们在关于‘给予帮助’和‘提供支持’的措辞上一直存在内部冲突”:新冠疫情期间的独立生活理念与农村残疾服务

'We kept having this internal conflict around the language of handout and hand-up': independent living philosophy and rural disability services during the COVID-19 pandemic.

作者信息

Sage Rayna, Standley Krys, Greiman Lillie, Mashinchi Genna M, Willard Mary

机构信息

Rural Institute for Inclusive Communities.

Research and Training Center on Disability in Rural Communities (RTC:Rural).

出版信息

Community Dev J. 2024;2024:1-19.

PMID:40568539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12189485/
Abstract

In the United States, Centers for Independent Living (CILs) staff were at the frontlines of responding to the impact of the COVID-19 pandemic on rural people with disabilities. Growing out of the Independent Living (IL) Movement, CILs emphasize independence, autonomy, choice, and control for disabled people and do not typically have financial or other resources to give away. To better understand the experiences of CIL staff in using the CARES Act monies and serving rural people with disabilities, researchers at the Rural Institute for Inclusive Communities in collaboration with the Association for Programs in Rural Independent Living (APRIL) used thematic coding to analyze the transcripts of eight national online peer support meetings that were facilitated by APRIL. We found CIL staff described distributing financial assistance to cover essential household needs such as rent, utilities, internet access, and various items. In turn, they also shared that they grappled with conflicts created by the influx of CARES Act funding, which put CIL staff in the position of providing what some described as 'handouts' rather than CILs' usual work of providing consumers with a 'hand-up' through training and other non-financial supports. This project highlights a unique challenge CIL staff faced as they attempted to stay true to IL philosophy while concurrently meeting the needs of rural people with disabilities in crisis during the pandemic.

摘要

在美国,独立生活中心(CILs)的工作人员处于应对新冠疫情对农村残疾人影响的第一线。独立生活中心源自独立生活运动,强调残疾人的独立性、自主性、选择权和控制权,通常没有资金或其他资源可供分配。为了更好地了解独立生活中心工作人员使用《新冠病毒援助、救济和经济安全法案》资金以及为农村残疾人提供服务的经历,包容性社区农村研究所的研究人员与农村独立生活项目协会(APRIL)合作,采用主题编码分析了由APRIL主持的八次全国在线同伴支持会议的记录。我们发现,独立生活中心的工作人员描述了分发财政援助以满足基本家庭需求,如房租、水电费、互联网接入和各类物品。反过来,他们也分享了因《新冠病毒援助、救济和经济安全法案》资金涌入而产生的冲突,这使独立生活中心的工作人员处于提供一些人所说的“救济品”的境地,而不是独立生活中心通常通过培训和其他非财政支持为消费者提供“帮助”的工作。该项目凸显了独立生活中心工作人员在疫情期间试图忠实于独立生活理念,同时满足处于危机中的农村残疾人需求时所面临的独特挑战。