Community Based Rehabilitation And Its Impact On Quality Of Life And Psychological Well-Being Among Persons With Disability
DOI:
https://doi.org/10.69980/ajpr.v28i1.503Keywords:
Community Based Rehabilitation (CBR), Mental Health, Quality of Life, Needs SatisfactionAbstract
Background: Community Based Rehabilitation (CBR) focuses on enhancing the quality of life of person with disabilities and their families; meeting basic needs; and ensuring inclusion and participation. In absence of such interventions person with disabilities (PWDs) may develop psychological, economic and social problems, which have an adverse effect on life satisfaction, psychological well-being and also on Quality of Life.
Objective: To assess the impact of livelihood component of CBR matrix on Psychological Well-Being and Quality of Life of PWDs.
Methods & Materials: The study comprises of 60 individuals with locomotor disability from two Blocks of Ranchi, Jharkhand, India. The impact of community-based rehabilitation (CBR) on individual’s life was examined using the Socio-demographic data sheet, WHO Quality of Life (Saxena et al. 1998) and Psychological Well-Being (Dupuy, 1984). Ethical issues were followed while conducting study.
Results & Conclusion: CBR programs are also considered to be the most cost-effective approach to improve the wellbeing and increasing satisfaction level, in comparison with care in hospitals or rehabilitation centres. This model can also be used as a mental health promotion strategy for the person with disabilities. Study results will be discussed at the time of presentation.
References
1. A handbook for parents of children with disabilities (2002). Planning Commission, Government of India, New Delhi
2. Alavi, Y. and Kuper, H. (Eds.) (2010), Evaluating the Impact of Rehabilitation in the Lives of People with Disabilities and their Families in Low- and Middle-Income Countries A Review of Tools, London School of Hygiene & Tropical Medicine - UK, CBM – Germany.
3. Abraham, S. (2013). Quality of life Among Adolescents with Physical Disability Undergoing Integrated Education. International Research Journal of Social Sciences. 2(5), 1-5.
4. Burns, T., Catty, J., Becker, T., Drake, R. E., Fioritti, A., Knapp, M., Lauber, C., Rössler, W., Tomov, T., van Busschbach, J., White, S., Wiersma, D., & EQOLISE Group (2007). The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial. Lancet (London, England), 370(9593), 1146–1152. https://doi.org/10.1016/S0140-6736(07)61516-5
5. Cornielje, H. (2009). The Role and Position of Disabled People’s Organisations in Community Based Rehabilitation: Balancing between Dividing Lines, Asia Pacific Disability Rehabilitation Journal. 20(1), 3-14.
6. Cummins, R., A., McCabe, M., P., Romeo, Y., Gullone, E. (1994). The comprehensive quality of life scale: Instrument development and psychometric evaluation on tertiary staff and students. Educational and Psychological Measurement, 54:372-382.
7. Diener, E., Suh, E., M., Lucas, R., E., Smith, H., L. (1999) Subjective well-being: Three decades of progress. Psychological Bulletin, 125, 276–302.
8. Dupuy, H. J. (1984). The psychological general wellbeing (PGWB) index. New York: Le Jacq Publishing.
9. Felce, D. (1997). Defining and applying the concept of quality of life. Journal of Intellectual Disability Research, 41(2), 126–135. doi:10.1111/j.1365-2788.1997.tb00689.x.
10. Finkenflügel, H., Cornielje, H. and Velema, J., (2008), The Use of Classification Models in the Evaluation of CBR Programmes, Disability and Rehabilitation, 30(5), 348-354.
11. Gardner, J.,F., Nudler, S., Chapman, M., S. (1997). Personal outcomes at measures of quality. Mental Retardation, 35:295-305.
12. Hetherington, R., Dennis M, Barnes M, et al. (2006). Functional outcome in young adults with spina bifida and hydrocephalus. Childs Nerv Syst., 22(2):117–24. [PubMed]
13. ILO, UNESCO & WHO., (2004).Joint position paper on community-based rehabilitation with and for people with disabilities. Geneva.
14. Mitchell, R. (1999). The research base of community-based rehabilitation, Disability & Rehabilitation, 21 (10 & 11), 459 – 468
15. Mitchell, R. (1999). Community-based rehabilitation: the generalized model. Disability and Rehabilitation, 21(10-11): 522-528.
16. Morris C, Kurinczuk JJ, Fitzpatrick R. (2005). Child or family assessed measures of activity performance and participation for children with cerebral palsy:a structured review. Child Care Health Dev., 31(4):397–407. [PubMed]
17. Njini, L., Goerdt, A., Hanekom, J., Lagerkvist, B. (1991). Evaluation of Rehabilitation Services in Zimbabwe. Report from a mission jointly commissioned by the Ministry of Health, Zimbabwe and SIDA. Published by Ministry of Health; VA?llingby: Swedish Handicap Institute.
18. Olivera, R. (2011). Knowledge and attitude of Mothers with Disabled Children towards Community based Rehabilitation. RGUHS Journal of Nursing Sciences. May.1 (1):28.
19. Powell A B, Mercer W S, Harte C. (2002) Measuring the Impact of Rehabilitation Services on the Quality of Life of Disabled People in Cambodia. Disasters, 26(2): 175-191
20. Rusch, F. R., H Hughes C, Hwang B. (1996). Attempts to conceptualize and measure quality of life. In R. L. Schalock (Ed.), Quality of life: Volume I. Conceptualization and measurement (pp. 51-61). Washington, DC: American Association on Mental Retardation.
21. Saxena, S., Chandiramani, K., & Bhargava, R. (1998). WHOQOL-Hindi: a questionnaire for assessing quality of life in health care settings in India. World Health Organization Quality of Life. The National medical journal of India, 11(4), 160–165.
22. Schalock, R. L., Brown, I., Brown, R., Cummins, R. A., Felce, D., Matikka, L. et. al. (2002). Conceptualization, measurement, and application of quality of life for persons with intellectual disabilities: Report of an international panel of experts. Mental Retardation; 40(6):457-470.
23. Sen, A., K. (1999) Development as Freedom (Oxford: Oxford University Press).
24. Sharma, S., (2007), Community participation in community-based rehabilitation programmes, Asia Pacific Disability Rehabilitation Journal, 18(2), 146-157.
25. Singh, R. (2011). Social Stigmas Associated with Physically Disabled People. Youth Ki Awaaz.
26. Vanneste, G. (2001). Editorial: Community Based Rehabilitation: What is it? Retrieved No. 6, fromhttp://www.disabilityworld.org/01-02_01/news/cbreditorial.htm
27. WHO, ILO, UNESCO and IDDC (2010), Community-based Rehabilitation: CBR Guidelines, Towards Community-based Inclusive Development, Geneva.
28. World Health Organization Quality of Life Group. The World Health Organization Quality of Life Assessment (WHOQOL): Position paper from the World Health Organization. Social Science Medicine, 1995;41(10): 1403-1409.
29. World Health Organization. Declaration of Alma-Ata: World Health Organization. 1978.
30. World Health Organization. Community Based Rehabilitation: Report of a WHO interregional consultation. Colombo, Sri Lanka, 28 June- 3 July. 1982. WHO (RHB/IR/82.1).
Downloads
Published
Issue
Section
License
Copyright (c) 2025 American Journal of Psychiatric Rehabilitation

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License permitting all use, distribution, and reproduction in any medium, provided the work is properly cited.