Disability and healthy life in the capability approach.

Addabbo, Tindara; Biggeri, Mario; Ciani, Federico; Sarti, Elena; Sciulli, Dario; Starace, Fabrizio (2014). 'Disability and healthy life in the capability approach.' Paper presented at the annual conference of the HDCA, 2-5 September 2014, Athens, Greece.

Healthy life, social interaction and disability: Tindara Addabbo, Elena Sarti, Dario Sciulli

Focussing on the well being of people with disability this paper aims at analysing two relevant dimensions: the capability of living a healthy life and the capability of social interaction. The model assumes that both these concepts are latent and manifest themselves through a number of indicators. The indicators adopted are those available in the 2011 ISTAT Survey on social inclusion of people with disability in Italy by comparing the well-being attainments with respect to the different levels of functional limitations. In this paper we propose to use the available indicators simultaneously to study the level of social interaction for people with disability, through a MIMIC (multiple indicators multiple causes) model. Women are found to have a lower achievement in social interaction and are more negatively affected if single or if they live in a family with a perceived lower level of economic resources. Both men and women's social interaction is lower with limitations and disability though the effect of disability is much more relevant for men than for women.

Key words: disability, well-being, social interaction, capabilities, health.

A Capabilities Approach Based Rehabilitation for Acquired Brain Injuries:

a Mixed Methods Impact Evaluation. MarioBiggeri & Federico Ciani.

In Italy each year about 24,000 persons starts experiencing some form of permanent disability because of the acquisition of a brain Injury. Acquired Brain Injuries (ABI) is an health shock (both not foreseeable and not excludable) which determines very often physical and cognitive impairments. A severe brain lesion potentially affects each sphere of human life of the person: from practical abilities and daily activities, to the cognitive or psychological sphere and interpersonal relations and thus very often shrinking person's capability set dramatically. The Capability Approach (Sen, 1999) has been applied quite recently in health and disability studies (Mitra, 2006; Dubois and Trani, 2009; Trani et al., 2011). In particular, Bonfanti and Biggeri (2012) published a report dealing with the Exaptation rehabilitation model for ABI verifying its connection with a Capability Approach. This Exaptation rehabilitation model for persons with ABI and their families is an ongoing health care services provision scheme promoted by the ASL 10 (Florence) of the Tuscany Region Health Care System (HCS) in collaboration with the voluntary association ASS.C.A (Associazione Cerebrolesioni Acquisite). In particular, the Rehabilitation Strategy for Human Development Project started in September 2009 and it is still ongoing. Considering its structure based on the integrated project of life and an organization centered on a case manager, this rehabilitation model represents a relevant application of the Capability Approach in the field of health and disability. The aim of this study is to present and to evaluate this type of rehabilitation models based on the Exaptation Protocol and the Capability Approach by applying a mixed impact evaluation approach consisting of quantitative and qualitative methodologies. The results  underline the relevant role of the Exaptation rehabilitation model for persons with ABI and their caregivers from a CA perspective by using both components of the mixed methods analysis.

Key words: disability, exaptation, capabilities, Acquired Brain Injuries, rehabilitation.


Public policies to address the costs of the crisis in terms of mental health in the capability approach.The case of Italy. TindaraAddabbo, Elena Sarti & Fabrizio Starace

The Great Recession has caused tangible costs in terms of cuts in employment and income in European countries. The uncertainty connected to the increased joblessness and spread of precarious employment have been found in the literature as possible determinants of bad mental health.

This paper addresses the topic from a capability approach perspective by using national and local microdata to measure the impact of the crisis on mental health and to simulate the impact of public policies.

Preliminary results based on the 2012 Survey on income and living conditions of households (Icesmo) living in Modena district in the North Italy (that allows comparison with pre-crisis microdata) and administrative source of data on the effect of active labour market policies on mental health disabled highlight a decrease in mental health more accentuated for women and a positive impact of active labour market policies in addressing the lack of employment with special reference to mental disabilities.

Key words: mental health, well-being, public policies, work.

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