Contrast of Disability Paradigms "Old" Paradigms "New" Paradigms Definition of Disability: An individual is limited by his/her impairment or condition An individual with an impairment requires an accommodation to perform functions required to carry out life activities Strategy to Address Disability: Fix the individual, correct the deficit Remove barriers, create access through accommodation and universal design, promote wellness and health Method to Address Disability: Provision of medical, vocational, or psychological rehabilitation services Provision of supports, e.g., assistive technology, personal assistance services, job coach Source of Intervention: Professionals, clinicians, and other rehabilitation service providers Peers, mainstream service providers, consumer information services Entitlements: Eligibility for benefits based on severity of impairment Eligibility for accommodations seen as a civil right Role of Disabled Individual: Object of intervention, patient, beneficiary, research subject Consumer or customer, empowered peer, research participant, decision-maker Domain of Disability: A medical "problem" A socio-environmental issue involving accessibility, accommodations, and equity Note: Adapted from materials prepared for the National Institute on Disability Rehabilitation Research’s Long-Range Plan by Gerben DeJong and Bonnie O'Day.(2006) ?? ?? ?? ?? 200 Portland Street, Boston, MA 02114 • 617-695-1225 v/tty • 617-482-8099 fax • www.AdaptiveEnvironments. org