Saturday 22 February 2014

Youth, Disabilities and Transitioning into Adulthood



     Youth, Disabilities and Transitioning into Adulthood
    
       There is a long history of ignorance towards people who have been afflicted by a disability that has led to such cruel acts as lobotomies, sterilization, imprisonment, parent blaming and general isolation and segregation. An introduction to the culture of disability plays a key role in transforming the outdated ideas about disability by those without disability. It is important that a person with a disability is defined as a person first and the disability is second instead of being labeled as disabled where the disability defines the person (Tower, 2003). “People with disabilities want to be treated like ordinary people, not elevated or reduced in status in comparison to others” (Tower 2003, p. 15). Those with a disability are stepping out of stigmatization by redefining their disability as a culture and as having power because their power is in difference and in great numbers speak as one voice. Yet this culture is no different than any other race, culture or religion that is discriminated against in our society. Those with disabilities tend to be among the highest unemployed, at the highest rates of poverty, and facing stigmatization that affects socio-economic status and well being.
                If the ignorance, labeling and discrimination of disability are not enough, Mendes and Snow (2014) suggest that there is a widespread deficit in preparing, transitioning and sustaining those afflicted with a disability as they transition out of care or simply into adulthood at the age of 18. Most care leavers were put into care due to abuse and neglect so transitioning out of care is an important step.  Transitioning into adulthood is a difficult and scary time for all youth yet poor outcomes are all too common youth with disabilities where difficulties are magnified greatly by their vulnerability. However, instead of aiding them to be able to live fulfilling lives, often people with disabilities are placed inappropriately in old age homes due to a lack of accommodations, resources and support. Mendes and Snow (2014) suggest that transition planning should exist in many domains of life which include things like housing, health, education, employment and social networking. Instead, transitions are not well planned, are inadequate, and the response to need is repeatedly driven by crisis rather than preplanning. In fact many people with disabilities who transition out of state care have few options and very often ask to be reunited with their biological families, many of whom have abused and neglected them in the past, too often resulting in incarceration or homelessness. In addition, those who have loving families also struggle to find information, resources, accommodation, financial assistance and general aid to ensure an independent, fulfilling and happy life for their children with a disability. To make matters worse, Menes and Snow (2014) suggest that many people with disabilities also have additional mental health issues and yet they are not aided to receive needed treatment in adulthood. As a consequence they have difficulty with simple life tasks like cooking, shopping, finances or retaining support and medical services. Greater collaboration between agencies is needed, especially between child protection and disabilities services and to ensure those who are transitioning out of care have preplanned and ongoing support and care to ensure their well being into adult life. In addition organizations need to ensure that information about planning for the future needs to be communicated years before children, families and state care facilities are expected to send youths into adulthood and the adult world.
                Finally, narrative approach which is a post modern, social constructionist approach helps those with disabilities reinterpret their stories with new and empowering narratives. Lambie and Milsom (2010) suggest that young people with disabilities are at far greater risk for many things including risk taking, low self esteem, gang involvement, substance abuse, bullying, teasing and incarceration largely due to the defeatist language and hopelessness of their dominant negative self narratives. One of the major goals of narrative therapy is to help clients to realize that our knowledge and realities are socially constructed and thus are constantly subject to change where one truth is not the truth but only one possibility. Our job as a social worker is to help clients find the positive attributes and aspects of who they are and the strengths they possess in their lives and help them to retell their dominant negative narratives forged by past language, history and culture in light of those strengths and positive attributes. Lambie and Milsom (2010) suggest that we need to deconstruct the dominant story, help the client define and externalize the problem, objectify and separate it from the person, look for strengths and positive attributes and then empower the client to reconstruct a new narrative using these once hidden and unearthed strengths and attributes to allow them to look at their lives from a different and more positive perspective.
I believe that difference is important yet I also find it to be a dichotomy of concern. First, difference causes isolation, discrimination, anger, war and strife and from the beginnings of time has separated peoples, cultures, religions, skin color and appearances. However, difference also allows us as a human race to grow, develop and learn from one another. I truly wonder that if we were all the same would we, or could we, ever evolve into higher beings? The trouble with difference is that we place value on it instead of seeing it from a perspective of neutrality and as a resource for all. Those very differences cause us to separate ourselves, identify as groups, and confine ourselves from each other. Here is the concerning and current dichotomy I feel we have; Difference can aid us in becoming a better group of beings who together can do wondrous things and yet it also separates us and forms division and often animosity, suffering and death.
As a social worker, I feel it is my job, my duty and more important my moral obligation as a human being to see all people as different and yet not divided but rather playing different and essential parts in the whole of humanity, while advocating on behalf of humanity to help them see this truth. Everyone is equal because everyone is needed, everyone is important, everyone has a part to play and everyone has strengths, value and uniqueness that need to be combined to create a greater whole. No person is an island and no person was meant to be. We are all connected and that connectedness needs to be nurtured and sustained and enhanced.
So as a social worker, how do I help facilitate this? I believe that one of the most important skills and advocacy requirements is to ensure the well being of our children, all of our children, and then to establish a well-defined transition into adult hood where they are ready and well equipped for a sustained and happy life into old age. Additionally it is important for all transitioning youth to see their incredible worth and the worth of every other youth on our planet and that difference is not only okay but it is necessary. We currently do a very poor job of this. If there is one thing I have seen during my placement is the very dire need across this province, and no doubt across this country, to ensure our children are given the right tools, resources and support to make that important and crucial successful transition into adult hood. We do such a great job protecting and serving our children but we leave the vulnerable virtually abandoned when they turn 18. The frightening result is that many of these young adults who come from out of home care return to the same destructive lives we have saved them from, or we leave a struggling family with very little or no support and minimal resources left to take care of themselves and their child’s future. As parents we would never do that to our children and yet as a society we do this regularly to our disabled and needful children. Even those who have the means, still struggle for resources, information and support in moving forward in transitioning their child with a disability into a meaningful adult life. This makes me angry as a parent and as a social worker because we seem to discard or devalue much of our youth, who are our very future!
My belief is that we need to aid these children in their transition to adulthood much more than we currently do. I have found that many of our children relay narratives which communicate low self esteem, hopelessness and a sense of defeatism which compounds the existing transitioning problem. I feel very strongly that these narratives need to be deconstructed, we need to search for the many strengths and attributes found in every child’s daily living, and to reconstruct those narratives to show these children that they are indeed special, valued, and can accomplish great things once they have a narrative that exemplifies their strengths, attributes and unique characteristics.
                I look forward to many years as a social worker helping children see their incredible value, strength and much needed role in our every changing world and then help them transition into the best people they can be in their adult lives.





References
Lambie G.W., & Milsom, A. (2010). A narrative approach to supporting students diagnosed with learning disabilities. Journal of counselling & development, 88, 196-203.
Mendes, P., & Snow, P. (2014). The needs and experiences of young people with disability transitioning from out-of-home care: The views of practitioners in Victoria, Austraila. Child and youth services review, 36, 115-123.
Tower, K.D. (2003). Disability through the lens of culture. In: International perspectives on disability services: The same but different. Yuen, Francis K. O. (Ed.); Binghamton, NY, US: Haworth Maltreatment and Trauma Press/The Haworth Press, pp. 5-22.