The Promise of Assistive Technology to Enhance Activity and Work Participation (2017) / Chapter Skim
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2 Environmental Facilitators Framework
2 Environmental Facilitators Framework
Pages 25-34
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(see Box 1-1 in Chapter 1) , the committee was asked to "provide definitions and explanations of relevant terms, including assistive technology and workplace reasonable accommodations." To meet this objective, the committee, in addition to providing definitions of the terms identified by SSA in a glossary (see Appendix B)
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Its revised classifications of disability are body structure and function at the organ level, activity at the person level, and participation at the societal level. Environmental factors are incorporated into the conceptualization of disability, and the term "handicap" is eliminated to expand the scope of the model and allow for the description of positive experiences (WHO, 2001)
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. Examples of environmental factors include job market, geographic location, noise level, built environment, and transportation.
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that act on the interactions among the ICF domains to enhance activity and participation. ENVIRONMENTAL FACILITATORS FRAMEWORK In the context of the evolution of the understanding of disability described above, it is evident that SSA's approach to disability is based on a medical model rather than a biopsychosocial model that stresses the importance of environmental factors.
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Framework Description The environmental facilitators framework illustrated in Figure 2-3 is a conceptual model showing potential relationships. It builds on the ICF to identify specific environmental interventions and the pathways along which
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As shown in Figure 2-3, environmental factors include physical environmental interventions, social environmental interventions, and other
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serve solely to mitigate performance barriers to participation in the workplace. They include both physical environmental interventions -- such as environmental modifications, workplace reasonable accommodations, accessible design, and universal design products and technologies -- and social environmental interventions, including assistive technology services, caregiver support, and workplace attitudes.
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However, capacity and performance do not necessarily imply participation, nor are they necessarily sufficient for predicting work performance. Work participation and performance are directly related to environmental factors beyond the personal assistive products and technologies individuals may use when their ability to execute a particular task or function is being assessed during a disability determination.
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2-4. Environmental factors such as job market, geographic location, and built environment can influence how an individual experiences disability.
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1995. Documenting environmental factors for preventing the handicap cre ation process: Quebec contributions relating to ICIDH and social participation of people with functional differences.
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