228991 Abuse in the health provider's office: Challenging the monolithic conceptualization of disability

Tuesday, November 9, 2010

Marjorie McGee, MS , School of Social Work Research, Portland State University, Portland, OR
Abuse is a public health concern; abusive life experiences increase risk factors for adverse health outcomes. While some research has been conducted to understand the nature and extent of abuse experienced by women with disabilities, little is known about the abuse experienced by men with disabilities (MWD). In addition, few studies have explored variations in the experience of abuse by length or severity of disability. The Personal Assistant Services Abuse (PASA) study explored the experience of abuse of 342 MWD age 18 and over who use personal assistant care at least 3 times a week. A secondary analysis of a sub-set of the data focused on respondents' experience of 14 negative behaviors by health care providers and their perceptions of the harmfulness of such behaviors. Analysis of the data suggests that the perception of harm and experience of abuse by MWD varies according to the duration and severity of the disability; men who had acquired their disability more recently were more likely to report abuse and perceive harm. In this presentation, participants will become familiar with the results of the analysis and explore their implications for public health practitioners. Specifically, participants will be challenged to question their assumptions about: 1) behaviors that MWD might perceive as harmful, and 2) conceptualization of disability as a monolithic category.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related research

Learning Objectives:
Identify the types of abuse by health care providers most likely to be reported by men with disabilities. Explain how duration and severity of disability are associated with self-reported experience of abuse. Identify two implications of this research for promoting equitable health care among people with disabilities. Describe how a monolithic conceptualization of disability obscures the varied experiences of people with disabilities and complicates the design of interventions.

Keywords: Health Care Quality, Disability

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted the secondary analysis that is the basis for this presentation, under the supervision of Laurie E. Powers Ph.D., the Associate Dean for Research, and Director, Regonal Research Institute for Human Services Portland State.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.