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  4. Community integration of adults with disabilities post discharge from an in-patient rehabilitation unit in the Western Cape

Community integration of adults with disabilities post discharge from an in-patient rehabilitation unit in the Western Cape

South African Journal of Physiotherapy, 2017 · DOI: 10.4102/sajp.v73i1.361 · Published: October 20, 2017

RehabilitationPublic Health

Simple Explanation

This study investigates how well adults with disabilities reintegrate into their communities after being discharged from a rehabilitation center. Community integration includes resuming normal life activities and roles. The study uses the Reintegration to Normal Living Index (RNLI) to measure community integration. This index assesses various aspects of daily living and social participation. The results show that participants experienced challenges in areas like mobility, work, recreation, and social activities, indicating poor community reintegration overall.

Study Duration
Not specified
Participants
59 adults with disabilities
Evidence Level
Cross-sectional study

Key Findings

  • 1
    The mean overall RNLI score was 66.3 (± 25.5), indicating relatively low community reintegration among participants.
  • 2
    Participants scored highest in ‘personal relationships’ and ‘presentation of self’ domains.
  • 3
    The lowest mean score was observed in the ‘work or meaningful activities’ domain, highlighting a significant challenge in this area.

Research Summary

This study assessed community integration among adults with disabilities after discharge from an in-patient rehabilitation unit using the Reintegration to Normal Living Index (RNLI). The findings indicated that participants achieved relatively low levels of community reintegration, particularly in areas such as mobility, work, recreation, and social activities. The study suggests that rehabilitation programs should focus more on enhancing participation in recreational, social, and work-related activities to improve community integration outcomes.

Practical Implications

Rehabilitation Focus

Rehabilitation programs should emphasize recreational, social, and work activities to improve community integration.

Environmental Adaptations

Address environmental barriers to enhance community mobility and access.

Individualized Support

Provide tailored support to address the specific needs of individuals with different diagnoses (SCI, brain trauma, peripheral impairments).

Study Limitations

  • 1
    Relatively low number of study participants
  • 2
    Exclusion of individuals unable to give informed consent
  • 3
    Lack of employment figures

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