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STATE OF THE SCIENCE IN RURAL DISABILITY AND REHABILITATION
Toward a Community Paradigm
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State of the Science
• Review the importance of disability in rural America
• Review our approach to research
• Reflect on what we have accomplished
• Consider future directions
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Sanders County Montana – One Rural Story
• Established in 1905 in Northwestern Montana• Encompasses the Cabinet Mountain Wilderness and two
National Forests. • 2,770 Square Miles • Population of 11,413 for 4.1 souls per square mile • Thompson Falls is county sear with a population of 1,321• To Missoula 96 miles • To Spokane, WA 125 miles
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Community InfrastructureStress
• Economically • Medically • Educationally• Housing
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So, given all of this, why, you might ask, would anyone choose to live in
Sanders County?
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Rural Visions Can Mask Rural Reality
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Environment and Community
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Role for Research and Knowledge Translation
• Identify and document issues • Develop an understanding of the
dynamics of rural communities and the life of people with disabilities
• Develop evidence-based policies and practices to solve problems and enhance participation
• Support the wide-spread dissemination and use of evidence-based practices
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Rural Opportunities
• 32,070 communities have less than 10,000 – half less than 1,000
• Their population is roughly equivalent to that of the top 97 cities – about 57 million
• Huge laboratory In
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Broad Research Agenda
• People with disabilities living in rural communities have many of the same concerns as their urban counterparts but experience them In different ways.
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Outcome Oriented Approach• Ecological view of disability
and of rural communities• Intervention bias• Social validity through PAR• Appropriate and
sustainable solutions • Design for major system to
increase the likelihood of wide-spread use.
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Selected Evidence Based Products
• Employment– Self-employment– Rural economic
development and job creation
– Health Plans for Employment
– Teleconferencing for Delivering VR Services
• Independent Living – Rural transportation– Monitoring community
accessibility– IL Outreach Models
• Rural Health– Secondary Conditions
Screening – Living Well with a Disability– Working Well with a
Disability
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The Future Of Disability In Rural America Is Tied To The Future Of
Rural America Itself• What is rural America? • What are the trends in rural America and how will they
influence disability and rehabilitation? • What is the role of disability and rehabilitation providers
in rural communities? • What can disability and rehabilitation service providers
and rural community developers learn from each other?
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Brian DabsonResearch Professor and Director of the Rural Policy Research Institute’s Rural Futures Lab at the Harry S. Truman School of Public Affairs, University of Missouri
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Integration
• Questions• Comments• Issues
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Some Stray Points
• While cities grow increasingly indistinguishable from one another, small towns and rural areas offer a diversity that still represents the laboratory of community.
• Practices that work in rural also are likely to work in cities , though the converse is not true.
• As cities move to create livable communities, they draw upon many of the principles at heart based in rural community development
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