1. Environmental Factors SOCIAL PARTICIPATION Interaction Personal Factors Human Development Model (RIPPH, 1996) Intrinsical Extrinsical

2. Conceptual Scheme of the Disability Creation process Explanatory model of the causes and consequences of disease, trauma and other disruptions to a persons integrity or development Patrick Fougeyrollas

3. Environmental Factors SOCIAL PARTICIPATION Interaction Risk Factors Cause Personal Factors Organic Systems Capabilities Integrity Impairment Ability Disability Human Development Model (RIPPH, 1996)

4. Facilitator Obstacle Environmental Factors SOCIAL PARTICIPATION Interaction Risk Factors Cause Personal Factors Organic Systems Capabilities Integrity Impairment Ability Disability Human Development Model (RIPPH, 1996)

5. Life habits Social Participation Handicap Situation Facilitator Obstacle Environmental Factors Interaction Risk Factors Cause Personal Factors Organic Systems Capabilities Integrity Impairment Ability Disability Human Development Model (RIPPH, 1996)

6. CLARIFICATION of the DISABILITY CREATION PROCESS Interaction CAUSE Organic systems Capabilities Facilitator<>Obstacles Social Participation Handicap Situation Risk Factors Personal Factors Age, sex, sociocultural identity,... Environmental Factors Life Habits LETS DEFINE the concepts …

7. DISABILITY CREATION PROCESS CAUSE Risk Factors A risk factor is an element belonging to an individual or within the environment that is likely to provoke a disease, trauma or any other disruption to a persons integrity or development. Biological risks Physical environment risks (risks related to salubrity, technology,...) Social organisation risks (work conditions,...) Social and individual behaviour risks ( use of toxic substances,...)

8. DISABILITY CREATION PROCESS Organic Systems Ability Personal Factors An organic system is a group of bodily components all sharing a common function Impairment An impairment refers to the degree of anatomical, histological or physiological anomaly or alteration of an organic system Impairment

9. Disability Creation process Organic Systems Capabilities Personal Factors Capability is the potential of a person to accomplish mental or physical activities Disability Disability refers to the degree of capability loss Disability

10. CATEGORIES DES APTITUDES H Aptitudes reliées aux activités intellectuelles H Aptitudes reliées au langage H Aptitudes reliées aux comportements H Aptitudes reliées aux sens et à la perception H Aptitudes reliées aux activités motrices respiration H Aptitudes reliées à la respiration digestion H Aptitudes reliées à la digestion l'excrétion H Aptitudes reliées à l'excrétion reproduction H Aptitudes reliées à la reproduction protection et à la résistance H Aptitudes reliées à la protection et à la résistance

11. Disability Creation process Facilitator<>obstacle Environnemental Factors SOCIAL FACTORS P olitical economic factors Sociocultural factors PHYSICAL FACTORS Nature Development A facilitator refers to an environmental factor that A facilitator refers to an environmental factor that contributes to the accomplishment of life habits when interacting with personal factors

12. Facilitator<>obstacle Environmental Factors An OBSTACLE is an e An OBSTACLE is an environmental factors or situations that hinder the accomplishment of a daily activity or task. MEASURE OF THE QUALITY OF THE ENVIRONMENT Attitudes of the people around you Income (availability, financial programs and services) Community organisation services Physical accessibility Technology

13. DISABILITY CREATION PROCESS Social Participation Handicap Situation Life Habits H LIFE HABITS ? H Life Habit is a daily activity or a social role valued by the person or his/her sociocultural context according to his/her characteristics (age, sex, sociocultural identity etc…) which ensure his/her survival and well-being in his/her society throughout their lifetime. H RIPPH/SCCIDIH 98

14. HANDICAP SITUATION accomplishment of life habits personal factors environmental factors H A handicap situation refers to the reduced accomplishment of life habits, resulting from interaction between personal factors (impairments, disabi- lities and other personal characteristics) and environmental factors (facilitators and obstacles). RIPPH/SCCIDIH 1998

15. Users Guide MEASURE OF THE QUALITY OF THE ENVIRONMENT Patrick Fougeyrollas Luc Noreau Ginette St Michel

16. -3 +3 GREATER FACILITATOR GREATER OBSTACLE