A cacophony of protocol: Disability services in the context of the Covid-19 pandemic

Doyle, Laura; O’Brien, John

doi:10.1177/0791603520942681

Cited by 5 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the context of people living with disabilities, in addition to concerns about the inclusivity and accessibility of digital health, there have been broader concerns that the COVID-19 pandemic could lead to regression from the social model of care that prioritizes individual rights and preferences, back to an institutionalized, medical model of care (5). In disability service organizations, exacerbating the risk of moving away from individual rights is what Doyle and O'Brien (6) termed the "cacophony of protocol" that has escalated during the pandemic. This comprises increased administrative and regulatory burdens, everchanging and often conflicting guidelines, and significant organizational risk if interpretation and implementation of guidelines are deemed "incorrect" after the fact.…”

Section: Introductionmentioning

confidence: 99%

Adaptation among aged care and disability service providers in response to the COVID-19 pandemic: Lessons for the future

Seivwright¹,

Kaleveld²,

Meltzer³

et al. 2022

Front.Health Serv.

View full text Add to dashboard Cite

Aged care and disability service organizations are critical infrastructure. However, in 2020, restrictions were introduced to reduce the infection risk of the coronavirus disease 2019 (COVID-19), and these organizations needed to quickly devise COVID-safe ways of working to continue to meet the needs of their clients. To investigate how these organizations adapted their service delivery and which innovations they felt were worthwhile for sustaining beyond the COVID-19 pandemic, interviews were undertaken with representatives from 26 aged care and disability service organizations across three states in Australia (Western Australia, New South Wales, and Victoria). Findings revealed that organizations adapted their practices across three key innovation areas: (1) developing new approaches or expanding existing services, particularly around food provision, social connection, information dissemination, and technology support; (2) modifying the mode of service delivery, through safe in-person contact or offering alternative online services; and (3) reducing bureaucracy and introducing remote working. A common theme across all service innovations was the strong focus on providing clients and staff with choice and control. Moving forward, many organizations wanted to integrate and maintain these innovations, as they were associated with additional benefits such as increased client health and safety, service flexibility, and sufficient human resources to serve clients. However, continued maintenance of some initiatives require additional resourcing. The continuation of COVID-19 pandemic adaptations and, indeed, ongoing innovation, would therefore be facilitated by greater flexibility of funding to allow organizations and their clients to determine the service types and modes that best meet their needs. Further, these innovations have implications for sector-wide best practice.

show abstract

Section: Introductionmentioning

confidence: 99%

Adaptation among aged care and disability service providers in response to the COVID-19 pandemic: Lessons for the future

Seivwright¹,

Kaleveld²,

Meltzer³

et al. 2022

Front.Health Serv.

View full text Add to dashboard Cite

show abstract

“…Ireland's service provision was originally rooted in the medical model which then began to move towards the social model that started to reflect the different societal responses to disability. In Ireland we have seen disability services undergo different transformations throughout the years; from people with disabilities being supported through placement in large, congregated settings and community based sheltered workshops, to the more current person-centred, human rights-based approach emerging in services (Doyle and O'Brien 2020).…”

mentioning

confidence: 99%

‘All in this together?’ A commentary on the impact of COVID-19 on disability day services in Ireland

Doyle

2021

Disability & Society

Self Cite

View full text Add to dashboard Cite

Disability services in Ireland faced a financial crisis which was exacerbated by the impact of the COVID-19 pandemic. The resumption of day services for people with disabilities placed the bulk of the financial burden on these disability services following initial non-committal governmental support. Disability day services closed in March 2020 with services operating at a much-reduced capacity since this date. This reduction of services has negatively impacted people with disabilities who were already experiencing inequalities in Irish society pre-COVID-19. Will the commitment of financial provision to support resumption of services positively impact on people with disabilities, or are historic inequalities faced by disabled people likely to continue in Ireland?

show abstract

“…More broadly, the use of PPE, whilst necessary to prevent infection, has further emphasized how for many people with disabilities, whilst they live in 'their' homes, institutional/clinical practices and objects enter these spaces and in doing so subtly or more obviously transform them. Concerns have been raised that, whilst crucial, measures to protect people with disabilities, as noted above, have meant that public health regulations are increasingly 'in tension' with the established norms of a rightsbased person-centred approach to decision-making about delivery of care and support (Doyle and O'Brien, 2020).…”

mentioning

confidence: 99%

COVID-19 and Similar Futures

2021

Global Perspectives on Health Geography

View full text Add to dashboard Cite

The COVID-19 pandemic has had a series of significant and complex impacts on the lives of people with disabilities. A disproportionate number of people with disabilities have become ill and died; established inequalities in health and social care provision have been highlighted and exacerbated. The periods of 'lockdown' and ongoing restrictions have meant fewer social contacts and reduced care provision for many people with disabilities living independently, with impacts on physical and mental wellbeing. Telephone and online communication has been very effective for many, opening up new opportunities for social activities and receipt of care; for some, availability of and accessibility to technology have been challenging. Many community-based activities used by people with disabilities have been suspended, with concerns for provision in the longer-term. People with disabilities will be significantly affected by the economic and employment fallout of COVID-19; for some, the switch to working from home has meant more opportunities. COVID-19 has transformed social environments; mask wearing and social distancing, and one-way systems and restricted parking, present challenges for some people with disabilities. Geographers can make a significant contribution to the study of the impact of COVID-19 on people with disabilities, and the building of an equal and inclusive post-pandemic future.

show abstract

A cacophony of protocol: Disability services in the context of the Covid-19 pandemic

Cited by 5 publications

References 6 publications

Adaptation among aged care and disability service providers in response to the COVID-19 pandemic: Lessons for the future

Adaptation among aged care and disability service providers in response to the COVID-19 pandemic: Lessons for the future

‘All in this together?’ A commentary on the impact of COVID-19 on disability day services in Ireland

COVID-19 and Similar Futures

Contact Info

Product

Resources

About