Disability and Social Work Reflective Journal 2pages

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CH_7_CommunicationandEngagement.pptx

Communication and Engagement

Chapter 7

Communication

Is a fundament component of human existence

“at the heart of being human”

Relies on:

Body language

The way one dresses

Physical contact

Communication

Goes beyond mere transmission of information between people and enables us to express:

Feelings

Needs and desires

To develop our identity

To form and sustain relationships with others

To maintain quality of life

Social Workers

Good communication skills are central to positive social work practice

Communication enables us to engage and form positive working relationships with:

Service users

Care-givers

Families and colleagues

Address sensitive issues

Respond to conflict and distress

Person’s Communication

Affected by illness or impairment

Parkinson’s disease

Stroke and health injury

Cerebral palsy

Sensory impairments

Deafblindness

Dual sensory loss

As many as 10% of all children have long-term speech, language and communication needs, some of which are linked to physical impairment.

Barriers to communicating

Failure to meet communication needs

A lack of skill

Knowledge or communicative ability on the part of the practitioner

Failure to make reasonable adjustments

Providing interpreters

Negative assumptions about the value of what individuals with disabilities have to say*

People speak on the individual with disabilities behalf*

https://www.ted.com/talks/stephen_hawking_asks_big_questions_about_the_universe?language=en

Language

Language is inherently powerful

How is language used in media, academic publications and political speeches about individuals with disabilities.

http://ncdj.org/style-guide/

Language can be used to

Attack and destroy

To belittle

Undermine

Incite hatred

Poor communication can result in discriminatory and oppressive practices

Language

Language has also been used, whether intentionally or not, in ways that dehumanized disabled people.

Downgrading human life

“wheelchair bound”

“special needs”

Degrading

Patronizing

dehumanizing

Language

Be sensitive to the terms individuals with disabilities use themselves and ensure that they have the “final word” on preferred terminology.

Be mindful of what is “outsider” words and what are “insider” words

Social isolation and limited participation

Communication is key to:

Establishing, developing and maintaining personal relationships

A quality social life

Engagement in civic participation

Communication and isolation are intrinsically linked.

High levels of social isolation among deafblind

Social Inclusion

Excluded from participation in decision-making forums concerning care and support.

Those with communication impairments as being at particular risk of exclusion from participatory activity

Limited engagement in groups

Why is this?

People with disabilities are afforded insufficient time to contribute to the conversation

Consequently are spoken over or have their sentences finished for them.

Barriers to achieving increased self-determination and autonomy

How to we improve this problem?

Ensure additional time

Communication facilitators

Communication aides

Attachment and Communication Needs

Research suggests that higher number of children with disabilities than non-disabled children are insecurely attached.

Communication difficulties impact

Parents stress and caregiving quality

Therefore, attachment security.

Parents may become less emotionally available and offer less responsive caregiving

Risk of insecure attachments

Social Workers

Need to be trained in positive communication

Proper language

Terminology

Quality of support offered

Need to get to know the individual

Service users

Communication preferences

Augmentative and Alternative Communication (AAC)

https://youtu.be/-Z-ul0GzzM4

Range of techniques, systems, aids and equipment used with or instead of spoken communication to support those with oral communication impairments.

2 categories

Unaided communication:

feature that do not involve spoken language, such as body language, facial expression, gesture and signing

Aided communication:

makes use of aids or equipment, from simple tools such as pens and paper, writing boards, wipe boards and communication charts to electronic equipment and high-tech devices such as voice-output communication aids (VOCAs)

AAC devices

Multi-message devices

Voice amplification systems

Synthetic voice aids

Real-time communication systems controlled by eye gaze and eye movement

“Mobile Lorm Glove” makes use of pressure sensors to enable deafblind tactile alphabet users to send and receive text messages

Why are AAC devices so important

May prevent communicative dependency on others

Increases participation

Promotes interpersonal interaction

Reduced the marginalization of those with communication impairments

https://youtu.be/d38LKbYfWrs

Barriers to using AAC Devices

Cost of the equipment/financial barriers

Equipment design and operational limitations

What are these?

Lack of training or poor quality training of devices

Lack of ongoing human support

Self-consciousness of the users

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