pros/cons of CBR, &

In this post you will find the pros, cons, and mix of operating a CBR. There are some things that are out of control like the political climate, the global economy now that more and more countries are embracing the market economy, and the weather. The collaborative purpose of the community is to work together (both disabled and able bodied) and protect themselves and to alleviate problems to the best to their ability. Thesemay be considered case studies but avoid making judgments.

CONS of CBR

Community-Based Constraints and Challenges and Ethical and Social Dilemmas Surrounding Community-Based Rehabilitation in Costa Rica academic papers present a series of procedures for operating a CBR and maintaining its goals to fully service recipients (I hesitate to use the word "patients").

The first article addresses the sectoral and facilitation aims and needs, the dangers of losing its true objective aims and becoming responsive to a top-down approach (the needs of national government and its ministries) instead of maintaining its ability to be flexible and meet community needs.

The second article gives the drawback of a CBR's (for mentally ill) dependence on funding from a national healthcare system. There are programs within CBRs under that particular system that are self-sustainable but the theme may be all too common - cutting back on vital funds when the system feels they cannot obtain successful data about a community CBR. Due to lack of funds and psychiatric professionals, the healthcare system may choose to opt out on funding and leave CBRs with less resources and the capability for recipients to maintain their mental health. There is also discrimination by community members and society in general when there is not enough information and exposure. This results in a lack of understanding of the positive benefits an intellectual disabled person (also considered mentally ill) to contribute to society.

PROs of CBR

This type of CBR model has many successes in Latin America and some countries in Africa: PROJIMO, mostly run by disabled persons themselves, working with other disabled themselves, and using existing and discarded items to construct walkers, a swing, and so on. The website provides much useful information. This shows that persons with disabilities have capacities to retain abilities and do things themselves.

The reality of needing a CBR in post conflict regions such as Western and Southern Africa, parts of the Balkan region, Central Asia, several Latin American and Asian countries - this fascinating article is based on a presentation given at a United Nations Experts on Youth meeting in Nambia. Violence and wars are often based in poverty, and even people with disabilities are not immune to it. I had a Deaf classmate from Nambia who was a former child soldier. He was bright but his social skills were awkward due to missed childhood years. The classmate, sent by his government for education, has had to make up for a lost time in an unfamiliar Western country.

I wish to add my insight that no one is immune to what happens in other parts of the community, the country, and around the world. Not even persons with disabilities. Poverty is key to ignorance and fear of the unknown and strange (clubbed foot or weird hand signals), preventing people with disabilities from contributing to society, that therefore leads to further poverty.