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The article discusses the call for social work professionals to develop their Disability cultural competence with priorities on inclusion and antiableism as of January 2023. Topics covered include social work's alignment with the intersectional Disability Justice movement, ableism integration with social work education, and four steps to realize antiableism. Also noted are the steps of ableism recognition, generation of relevant data, supporting leadership, and promoting partnerships.

Drawing on national, longitudinal Adoption and Foster Care Analysis, and Reporting System data (2005–2015), demographic, health, foster care, and geographic characteristics of decedents (N = 3653) aged 1–17 years were examined. On average, decedents were 6 years old, the highest proportion died as infants, and experienced significant trauma in their short lives either through maltreatment or exposure to parental substance use. A noted increase in Medicaid coverage among decedents over time suggests critical access to concurrent treatment and hospice care, but this is unavailable to children with private insurance. This study has policy implications related to the 2010 Affordable Care Act. [ABSTRACT FROM AUTHOR]

Abstract That parents with intellectual disabilities are noted to be involved with child protection systems at disproportionate rates is well documented. Drawing on national-level data from the United States' child protection system, this study examines the prevalence of substantiated child protection cases involving a parent with an intellectual disability as well as information about demographic characteristics, risk factors, child maltreatment types and services provided at the start of a child protection case. Cases involving parents with intellectual disabilities were more likely to involve psychological or emotional abuse, but not other types of abuse and neglect. Problematic disproportionalities in the provision of service types specific to identified risk factors were noted. Implications for casework in both the child protection and disability service systems are discussed. Highlights • Disproportionalities in the provision of service types for identified risk factors were noted, especially for behavioral health • Parents with intellectual disabilities were less likely than parents without intellectual disabilities to have child sexual abuse cases • Parents with intellectual disabilities were equally likely as parents without intellectual disabilities to have child neglect or abuse cases • Parents with intellectual disabilities were more likely than parents without intellectual disabilities to have emotional or psychological child abuse cases. [ABSTRACT FROM AUTHOR]

Context: Children in foster care suffer with serious illness at end of life. However, the relationship between prior trauma exposure and serious illness has received little empirical attention.Objectives: The objectives were to examine the prevalence and type of trauma exposure and investigate the relationship between prior trauma and serious illness among foster children at end of life.Methods: We used national longitudinal foster care data. We included children who were younger than 18 years with residence in the U.S. Serious illness (i.e., physical health, mental/behavioral health, developmental disabilities) was measured via the foster care files. Three measures of prior trauma exposure (i.e., maltreatment, drug/alcohol exposure, psychosocial stressors) were created. Using multivariate logistic regressions, we evaluated the influence of prior trauma on serious illness at end of life, while controlling for demographic, geographic, and foster care support characteristics.Results: Sixty-eight percent of children experienced maltreatment, 28% exposure to parental drug/alcohol misuse, and 39% psychosocial stressors before entering foster care. Maltreatment was positively associated with physical health and developmental disabilities, whereas parental drug/alcohol exposure was inversely related to developmental disabilities. Psychosocial stressors contributed to the prediction of poor physical, mental, and developmental health.Conclusion: These findings suggest that trauma-informed end-of-life care may be a critical need among children in foster care with serious illness. Future directions are discussed, including collaboration between end-of-life clinicians and social service workers and the importance of future research to understand and improve the quality of health at end of life for this underserved population. [ABSTRACT FROM AUTHOR]

Disability communities engaged with social work recognize how critical feminist inquiry and disability justice principles often overlap to promote anti-ableist theorizing, research, practice, and education. Both the feminist scholarship and the disability justice movement center the voices and perspectives of those most excluded, reflecting the intersectional experiences of disability communities in social work. In this brief, we draw on significant events, such as the impact of climate change and criminal legal systems on disabled people, to map connections between critical feminisms, disability justice principles, and social work values. In re-imagining disability justice as a form of critical feminism, we highlight parallels in their guiding principles and explore how their multi-issue frameworks interrogate the same systems of power and oppression. Through this re-envisioning, we build upon the knowledge offered by intersectional disability communities that center interdependence as practices of survival and resistance. The authors suggest that social workers engaged with principles of disability justice and critical feminisms would do well to consider interdependence, collective care, and mutual aid as pathways toward inclusive and anti-ableist professional praxis. [ABSTRACT FROM AUTHOR]

Existing research suggests a majority of faculty include social justice content in research courses but not through the use of existing quantitative data for in-class activities that foster mastery of data analysis and interpretation and curiosity about social justice–related topics. By modeling data-driven dialogue and the deconstruction of quantitative meaning making related to social justice in and around social work practice topics, we can prepare our students to be agents of change in their social work careers and possibly engage our students in an often difficult course. Specifically, I provide examples for how discussions about socioeconomic justice can be infused in teaching about univariate, bivariate, and multivariate statistical analyses from the perspectives of critical consumption and the production of research. [ABSTRACT FROM AUTHOR]

The promotion of speedy, permanent outcomes for foster children is a central child welfare policy goal. However, while children with intellectual disability (ID) are at greater risk for child welfare involvement, little is known about their case outcomes. This cross-sectional national study explores between-group foster care outcomes. Foster children with intellectual disability were more likely to have experienced an adoption disruption or dissolution but less likely to be reunified with a parent, primary caretaker or other family member. Implications for interagency collaboration in support of pre and post-foster care discharge support services are discussed. [ABSTRACT FROM AUTHOR]

People with intellectual disabilities (ID) have experienced increasing levels of community participation since deinstitutionalization. This freedom has facilitated community inclusion, access to alcohol and drugs, and the potential for developing substance abuse (SA) disorders. People with ID, who are known to have high rates of co-occurring serious mental illness (SMI), may be especially vulnerable to the consequences of this disease and less likely to use SA treatment. Using standardized performance measures for SA treatment access (initiation, engagement), rates were examined retrospectively for Medicaid beneficiaries with ID/SA/ SMI ages 12 to 99 (N = 5,099) and their counterparts with no ID/SA/SMI (N = 221,875). Guided by the sociobehavioral model of health care utilization, age-adjusted odds ratios and logistic regression models were conducted. People with ID/SA/SMI were less likely than their counterparts to access treatment. Factors associated with initiation included being nonwhite, living in a rural area, and not being dually eligible for Medicare; factors associated with engagement included all of the same and having a fee-for-service plan, a chronic SA-related disorder, or both. Social work policy and practice implications for improving the health of people with ID/SA/SMI through policy change, cross-system collaboration, and the use of integrated treatment approaches are discussed. [ABSTRACT FROM AUTHOR]

People with mental retardation have experienced increasing levels of freedom and access to community living over the past 40 years. This has included access to alcohol, illicit drugs and the potential for developing substance abuse and related problems. The manner in which people with mental retardation have handled this access has been recognized since the de-institutionalization era began. Despite this recognition, documented barriers to accessing substance abuse treatment tbr people with mental retardation exist and there is an overarching lack of knowledge about accessible treatment approaches for this population. Policy and practice recommendations are presented for disability and rehabilitation social workers in order to better understand and combat barriers to substance abuse treatment. [ABSTRACT FROM AUTHOR]

Substance abuse (SA) is a documented issue for many people with mental retardation/developmental disabilities (MR/DD). However, little empirical data exist regarding the appropriateness or effectiveness of prevention or treatment approaches for this population. Compounding this issue, access to SA treatment for this population is also limited, making social work case management a challenge. For social workers, the problem of SA among people with MR falls into a gray area between the facilitation of the "dignity of risk" and risk management. Discussions of Deborah Stone's commentary on balancing liberty, equality, and security in social policy are presented in light of ways to encourage the implementation of the "dignity of risk." Linking theory to practice, a baseline framework is provided for planning individualized, self-determination-oriented case management approaches for people with SA who have MR. [ABSTRACT FROM AUTHOR]

Childhood injuries lead to increased morbidity and result in significant costs to public insurance programs. People with mental retardation, most of whom are covered by Medicaid, are at high risk for injury, which has implications for community inclusion, a central policy goal. Medicaid data from inpatient, outpatient, and long-term care settings represent an important new resource for injury surveillance in this population. Injury prevalence for 8.4 million Medicaid-eligible children in 26 states was measured using 1999 eligibility and claims data; 36.9% Medicaid beneficiaries ages 1 to 20 with mental retardation had at least one injury claim as compared with 23.5% of those without mental retardation. Prevalence rates are reported by gender and age for a variety of injury types. [ABSTRACT FROM AUTHOR]