Oral Health Care for Persons with Disabilities

B. People with Disabilities

Society's Attitude toward People with Disabilities:
Changing Attitudes

Many legislative and societal changes occurred in the 1960's and 70's which had a great influence on the treatment of and attitudes toward people with disabilities.

     
  • A Presidential Panel established by President John F. President KennedyKennedy, affirmed that mental retardation is not a hopeless condition; it is subject to prevention and amelioration.
  • President Kennedy passed the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963.  This fostered the establishment of University of Affiliated Facilities which provided care to people with disabilities.
  • Medicaid and Medicare were established in the mid-1960's, making it possible for many developmentally disabled persons and their families to secure medical and other long-term care in their communities.
  • President Lyndon Johnson established a permanent presidential committee on mental retardation in 1965.
  • The Civil Rights Act was passed in 1964; tenets of which wereA disabled woman subsequently applied to many disadvantaged groups, including people with developmental disabilities.  The civil rights movement spread and consumers began to organize.
  • Legal Advocacy by groups such as the ACLU in the "public interest" resulted in numerous judicial decisions expanding the rights of people with developmental disabilities.
  • President Nixon established a goal of moving 1/3 of the nation's 200,000 institutionalized individuals with mental retardation into supportive community living.   He issued presidential directives that required the Attorney General enforce the rights of mentally retarded and that the Department of HUD create ways to improve their housing.
  • A mandate included in the Rehabilitation Act of 1973 required states to address the vocational rehabilitation problems of the severely disabled as a first priority.
  • Creation of Supplemental Security Income (SSI) and US Capitolsupportive social services (Title XX of the Social Security Act) provided federal aid for services for the developmentally disabled.
  • Section 504 of the Rehabilitation Act of 1973 prohibits discrimination against "otherwise qualified" handicapped persons in any federally supported program.
  • New standards were created for Intermediate Care Facilities for the Mentally Retarded (ICF/MR facilities) receiving Medicaid support.
  • The Education for all Handicapped Children Act (PL 94-142) was passed in 1975.
  • The Air Carrier Access Act of 1986 prohibited discrimination in the air travel industry.
  • Amendments to the Fair Housing Act prohibited discrimination in selling and renting of public and private housing.  Landlords required to make accessibility modifications at their own expense.
  • Finally, the Americans with Disabilities Act was passed in JulySupporters of the ADA 26, 1990.   Essentially, this law is civil rights legislation for persons with disabilities.  The ADA attempts to guarantee the rights of full inclusion into the mainstream of American life for all persons with disabilities.
As a result of these changes in the management of people with disabilities during the 1970's and 80's, tow of Florida's six large institutions for people with developmental disabilities were closed.  Although there are 4 remaining institutions, they have been significantly downsized.  For example, one these institutions had approximately 2,500 residents in 1960, today, however, only 540 people reside there.

Disabled Barbie news articleA Lou Harris poll conducted in 1991 was revealing and positive.   For example, 98% of individuals questioned believe that all people, regardless of one's ability, should have an opportunity to participate in mainstream society.   Furthermore, there was a strong sentiment toward increased employment of persons with disabilities; 92% polled believed that employment of persons with disabilities would be economically beneficial to society. People discussing employment of disabled personsThere is a strong trend toward acceptance.   These attitudes are in sharp contrast to the prevailing attitudes of the first half of this century.
 
 
 
 

Changed Terminology

Special OlympicsThe terminology used to describe people with disabilities has been changing along with changes in society's attitudes.  Very old terms include; idiot, imbecile and moron.  These terms were replaced with "mentally retarded" and "disabled".  In recent years, it has become important to emphasize the individual, not the person's disability; e.g., "individuals with mental retardation" rather than "mentally retarded people."  People with disabilities want to be recognized for their abilities, not their disabilities.  Some individuals prefer the term "differently abled" rather than disabled.

Several years ago the Academy of Dentistry for the Handicapped changed its name to the Academy of Dentistry for Persons with Disabilities.
 

Previous Page Next Page