The Americans With Disabilities Act as Engine of Social Change: Models of Disability and the Potential of a Civil Rights Approach

The Americans With Disabilities Act, based on the civil rights/minority group and independent living models of disability, may enhance access to health care, personal assistance, employment, the electoral process, and smoke-free environments for people with disabilities. However, this essential law cannot resolve these key issues. Supplemental theoretical and policy approaches will be necessary to promote fundamental change.     

Political Decoupling: Private Implementation of Public Policy

Where policy goals can be achieved through regulation of private firms, private provision of public services allows governments to separate public policies from their political costs by shifting those costs to the private sector. Over the past three decades, financial decoupling has emerged as a regulatory strategy for promoting conservation, especially in the energy sector. Decoupling refers to the separation of a firm’s revenues from the volume of its product consumed, which allows companies to pursue resource efficiency free from financial risk. Similarly, when private firms provide public services, they separate public policies from their political costs. This political decoupling allows governments to pursue controversial policies while avoiding their attendant political risks. Applied to environmental policy, this theory implies that potentially unpopular conservation policies are more likely to be adopted and succeed when implemented through private firms. As an initial test of the theory, we analyze California water utilities and their responses to that state’s drought from 2015–2017. Analysis shows that, compared with those served by local government utilities, private utilities adopted more aggressive conservation measures, were more likely to meet state conservation standards, and conserved more water.     

Third-world development: urbanizing for the future

This article reviews some issues reflected in the 1996 UN Habitat II agenda and recent research on urbanization. The themes of the 1996 Habitat conference were urban development, urban poverty, and governance, civil society, and social capital. It is expected that over 50% of total world population will live in cities in the year 2000. Cities are viewed both as engines of economic growth and centers of severe economic, environmental, and social problems. There is some disagreement about whether cities are rational economic structures or what the World Bank's urban agenda is and its relationship with macroeconomic policy. Discussions of global urban issues are criticized for their neglect of issues of equity and poverty, cultural diversity, and identity and representation. Habitat II also stressed urban sustainability. There is growing recognition that urban management involves more than the "Brown Agenda" of environmental and physical aspects of urban growth. Recent studies identify how politics and power affect people's access to basic urban services. Urban economic activity can also contribute to environmental problems. Urban growth affects the provision of health services. Although there is not a consensus on the role of cities in expanding economic and social development and the best management practices, there is sufficient evidence to indicate that urban processes are varied throughout the developing world. The links between urban and rural areas differentiate cities and expose the need to understand the role of intermediate urban areas surrounding and between larger cities. Poverty has become increasingly urbanized, but the extent of poverty is unknown. Habitat II was an unprecedented effort to engage nongovernment groups, local government staff, trade unions, and the private sector and to emphasize community participation. Networks of trust and reciprocity are key to solving poverty, inequality, and disempowerment problems.     

International cooperation and the inclusion of persons with disabilities: the Italian system

Two key themes emerging from recent studies on disability are the shift in the conception of persons with disabilities, expressed in the UN Convention on the Rights of Persons with Disabilities (CRPD), from objects to subjects of policies concerning them and the recognition of the close interconnections between disability and poverty. Both themes have clear implications for international development cooperation. It is essential that the high number of persons with disabilities in developing countries is recognised and that the programmes implemented by non-governmental organisations (NGOs), including those in emergencies and disasters, are made fully inclusive of them. Community-based rehabilitation (CBR) programmes are important in achieving inclusiveness and fulfilling the rights of persons with disabilities. Italian NGOs such as AIFO (Associazione Italiana Amici di Raoul Follereau) have played an important role in helping launch CBR, most notably in Mongolia. Two sets of research data published in 2008 have measured the impact of Italian action on disability in international development cooperation. The reports on the one hand reveal inadequate levels of funding in general, and funding by banks and private companies in particular, and insufficient involvement of disabled persons' organisations, but on the other suggest that Italy's domestic experience of advanced disability legislation can be productively applied in international contexts to include and empower persons with disabilities.     

The Return to Social Policy and the Persistent Neglect of Unpaid Care

The failure of orthodox economic policies to generate growth and eradicate poverty has led to renewed interest in social policies. The return to ‘the social’ has seen contending conceptualizations of social policy, premised on different values, priorities and understandings of state responsibility, vying for influence. This article argues that the currently dominant agenda of social sector restructuring is likely to entrench gender inequalities in access to social services and income supports because of its failure to recognize the structures that underpin those inequalities, which are pervasive across labour markets and the unpaid care economy. Despite the ‘pro‐poor’ and occasionally ‘pro‐women’ rhetoric, the design of social policies remains largely blind to these gender structures. Addressing them would require a major rethinking of dominant approaches, placing redistribution more firmly at the heart of policy design, valuing and supporting unpaid care, and providing incentives for it to be shared more equally between women and men, and between families/households and society more broadly.     

Toward a Research and Training Capacity in Disability Policy

This paper describes the research and training infrastructure that is needed if disability policy is to flourish as a viable field of inquiry. Due to its interdisciplinary character, no one discipline or academic field has adopted disability policy as its own, and as a result, has not developed the infrastructure needed to give disability policy the visibility and focus it deserves. This paper explores the reasons for the field's underdevelopment and proposes several developmental steps essential to its future success, Inparticular, the paper proposes (a) an academic home for disability policy, (b) the development of curriculum, (c) graduate and post-doctoral research opportunities, (d) recruitment of students with disabilities, and (e) the establishment of policy research centers. The paper notes achievements already in place, such as a policy journal and the development of professional organizations. Finally, the paper notes the important role of both private and public funding.     

The neoliberalization of water in Lima,Peru

Neoliberalization of the water sector in Lima, Peru, is analyzed using an innovative conceptual framework with three interrelated dimensions: techno-environmental improvements, the monetization of water services and the search for political legitimacy. Application of this conceptual framework to the recent reforms of the public water services of Lima, a city historically fraught with social inequalities and water management problems, shows that there have been two distinctive phases: firstly, emphasis on techno-environmental improvements and monetization in the 1990s (when the privatization of the local water utility was the ultimate, but unfulfilled, goal); secondly, a focus on monetization and legitimization in the 2000s (marked by more flexible mechanisms of private sector involvement). Fieldwork in Lima reveals that positive results from increased investment in water services have been undermined by the discriminatory and short-term basis of neoliberalization of water. Problems of debt financing, neglect of equity of access to services and weak environmental sustainability threaten the long-term future.     

Audit Bodies: Embodied Participation,Disability Universalism,and Accessibility in India

Abstract: In this article we think critically about the role of the “access audit” in creating new forms of embodied participation, experiential and technical expertise, and imaginaries of what the modern Indian city should be. We analyze how disability activists make claims about the relationship between subjective bodily experiences and bodies of objective knowledge. We also explore the emergence of a professional access audit apparatus focused on technical standards. As neither volunteer nor professional access audits result in significant architectural or structural changes, we are interested in what other effects and affects these audits produce and what discursive authority claims of inaccessibility have. This article analyzes the practice of conducting “access audits” by lay and professional disability rights activists and organizations in urban India. We argue that access audits are overly focused and that they have limited impact. In overly focusing on physical and technical access, auditors miss the importance of programmatic and policy interventions as well as the need for a more collective contentious politics. Our research illustrates that the contested field of access auditing appears to prevent a unified disability coalition from forming. In addition, it is important for auditors to think critically about the concept of “access” and ask what social, economic, and political processes are embedded within the concept.     

Go East,Young Cadre: Experiments in Inter‐Provincial Training of Party and State Managers in China

This article situates China's local policy experimentation in the broader context of policy experiments in decentralized political systems, through a case study which represents a local state response to China's transition to a market economy. With growing regional and urban–rural inequalities evident after the initial reform period (1978–1994), local party leaders of inland provinces devised strategies for addressing these inequalities and encouraging public–private sector mobility among party officials. County and township‐level leaders pursued local policy experiments in which they selected and sent officials to find private‐sector work in China's booming coastal cities. Initiated in the 1990s and peaking in the 2000s, these policy experiments and inter‐provincial transfers demonstrate the discretion that local officials possess to conduct programmatic/policy experiments in a unitary political system and show how officials resort to extra‐institutional strategies in order to bridge perceived knowledge gaps. The ultimate demise of these programmes illuminates the challenges to extra‐institutional policy innovations in transitioning states.     

Community‐based cooperative ventures for adults with intellectual disabilities

When people with intellectual disabilities gain some influence over the running of their own households and the organisation of their workplaces, their lives can improve markedly. But success depends on community support not only from their families and social workers, but also from nonprofit groups and public services such as social housing and public transit. Dominant trends among institutions in the social sector responsible for meeting the needs of people with intellectual disabilities have produced models that focus on deficiencies, individualisation and service. Through cooperative structures and entrepreneurial activity, projects in community economic development have attempted to replace these models with an emphasis on capacities, collectivisation and care. We describe projects engaged in by community‐based cooperatives in Toronto that demonstrate this approach and encourage those with disabilities to live interdependently and to participate as partners in their own businesses.     

A Grassroots Developmental Strategy for Africa: Towns as Agents of Growth Through Financial Credit

Since independence, governmental leaders in Africa have not pursued the policy option of making towns, represented as incorporated units, borrowers of commercial credit. To improve the quality of life among rural populations, governments in Africa should pursue the development strategy of making financial credit available to the towns located in those communities, because there is a high distribution of managerial expertise and material resources among the population. This article considers how African governments may adopt a development strategy that will encourage towns to borrow financial credit to engage in various economic and social activities, just like private companies. If these activities become viable, they may be a useful start in reversing the deterioration in economic and social well-being that several rural communities in Africa have suffered.     

The Implications of Parenting Standards in Child Protection: A Paradox in Disability Policy

Contemporary parenting standards in the field of child protection produce a paradox in disability policy. Focusing on the protections necessary for child safety, child protection workers are apt stereotypically to discount the abilities of parents with disabilities to raise their children. This situation runs a wide spectrum. It includes parents fully capable of parenting with no outside assistance who are nevertheless denied their children on the basis of completely baseless stereotypical assumptions. It includes parents who are mentally fully capable of parenting, but who are denied the necessary personal assistance services to perform the physical tasks of child care. This article, however, focuses on yet another situation: parents with mental, emotional, or cognitive disabilities who, without assistance to perform the cognitive tasks necessary for safely raising children, could neglect their children. It discusses this situation in light of the Americans with Disabilities Act and various state laws that protect the civil rights of persons with disabilities.     

Introduction: Disability Policy as an Emerging Field of Mainstream Public Policy Research and Pedagogy

The purpose of this two-part symposium of the Policy Studies Journal is to broaden theconcept of disability policy from one that has relevance onlyforpeople interested in that substantive area to that of a major field of social policy having ramifications for the study and teaching of public policy broadly construed. The goal is for experiences in disability policy to be regarded in the same way that experiences in Other substantive areas, such as environmental policy, other social services, and civil rights, illustrate broader themes in areas such as public management, policy analysis, or ethics.     

Disability and work inclusion in Italy: between unfulfilled promises and new disability culture

This article outlines the existing provisions in Italy for inclusion in workplaces for persons with disabilities. It reports available statistics on the numbers of persons with disabilities in paid employment by sector, those seeking work and drawing pensions and those employed according to educational qualification. It considers the different channels, both formal and informal, through which persons with disabilities are able to gain access to paid employment and the concrete effects of Law 68/1999 on access to work and collocamento mirato (targeted work placement). One of the problems with the Italian legislation on compulsory work placement of disabled persons is that it applies only to employers who have at least 15 employees, whereas the vast majority of employers in Italy have fewer than 10. Lastly, the article reflects on the current situation and the challenges posed by new ways of conceiving of disability and of work. Work needs to be understood not simply as an occupation or position for which one receives payment but as a set of social relations between people, which has value in itself.     

Stabilizing neoliberalism in Bolivia: popular participation and privatization

Neoliberal theorists and development practitioners contend that economic liberalization and privatization lead to increased private sector productivity and decentralization accompanied by administrative reforms lead to greater democracy, more efficient public sector investment, and faster local development. Examination of the Bolivian case, which has been promoted as a global model for neoliberal restructuring, presents a different picture. There, economic restructuring and privatization have led to a decline in government revenues and a continuing economic crisis. Privatization of public services has led to rate hikes, which, in turn, have generated massive social protests. Political restructuring through decentralization has as often resulted in the entrenchment of local elites as in increases in truly democratic control of resources and social investments. This economic and political restructuring has also served to territorialize opposition to privatization and neoliberal economic policies and, in some areas, reinforce regional social movements. When examined together, it becomes clear how economic and administrative restructuring has sought to provide transnational firms both access to Bolivian natural resources as well as the social stability necessary in which to operate. As privatization through the Law of Capitalization further opened the country’s borders to global capital, the decentralization program through the Law of Popular Participation served to focus the attention of popular movements from national to local arenas. While foreign investment has increased, the lack of benefits for the majority of the country has led to mounting regional social protests in the face of reduced government spending on social programs and increased prices for basic services.     

Inclusive tourism development

ABSTRACT

In the light of growing inequality globally, it is important to consider how to make tourism, one of the world's largest industries, more inclusive. This concern is set in the context of, first, the growing use of tourism as a tool for social integration in Europe, not least in relation to making refugees welcome, and second, new expectations in the sustainable development goals (SDGs) that development should be inclusive and that the Global North and the private sector will take more responsibility for this. We provide a definition and suggest elements of an analytical framework for inclusive tourism, and note where inclusive tourism sits in relation to other terms that engage with the social and economic development potentials of tourism. Elements of inclusive tourism are illustrated with reference to a range of examples from around the world. This illustrates how marginalized people might be ethically and beneficially included in the production and consumption of tourism. However, it also demonstrates how formidable the challenges are to achieve substantial social change through inclusive tourism given constraints both within the sector and in the wider political economy.     

Fourth World Conference on Women. Seeking action for equality,development, peace

There is a strong international push to secure broader rights for women. In the 20 years since the first global conference on women's issues was held in Mexico City, governments have adopted legislation which promotes equal opportunity, treatment, and rights, and women are entering the labor market in unprecedented numbers. There is evidence that investments in women have had an enormous impact upon society overall, but millions of individual women continue to face discrimination in social, economic, political, and cultural spheres. They are disproportionately denied access to positions of leadership, undereducated, underpaid, die from complications related to childbirth and unsafe abortions, and are battered and killed by men. The Fourth World Conference on Women will be held September 4-15, 1995, in Beijing, to allow participants to assess the progress and shortfalls of the past two decades and identify action to be taken into the next century. The UN-sponsored global meeting will offer governments, nongovernmental organizations, the private sector, and individuals the opportunity to review their efforts and renew their commitment to improve the equality and conditions of women and defend their human rights. The main objectives are to adopt a plan of action against obstacles to the advancement of women worldwide, to determine priority actions to be taken by the international community over the period 1996-2001, and to mobilize men and women at the grassroots level to achieve those objectives. A parallel nongovernmental organization forum on women will be held August 30 - September 8, also in Beijing.     

Politically Engaged Geographical Research with the Community Sector: Is It Encouraged by Australia's Higher Education and Research Institutions?

With the application of neoliberal thinking to the higher education sector, measures of research quality and utility have proliferated in efforts to increase academic accountability, innovation, and contributions to public policy. We intend to reignite discussion about community activism and the role of the academic in response to trends in higher education policy and recent debate in Australia about research quality assessment and policy relevance. We challenge the common portrayal of the public sector as the sole locus of policy‐making and argue the case for greater recognition of the role of the community sector and its research partners in policy development and implementation – one that is not given due attention in the discourse on or in measures of research value and impact. Informed by recent literature on governance and interpretative approaches to policy analysis, we draw on our combined experience conducting research with two Australian movements at the forefront of reforms to property rights institutions, legal standards, and norms relating to social and economic equity to outline the institutional tensions and structural impediments facing researchers working with the non‐government sector. The paper documents the progressive roles the academic can play in such work, arguing that institutional change is required within the tertiary sector to support researchers to build closer, more trusting research partnerships in which due attention is given to social impact and relevance.     

Adapting Antonak and Harth's Mental Retardation Attitude Inventory for Kuwait's Culture

The purpose of this research was to adapt Antonak and Harth's (1994) Mental Retardation Attitudes Inventory for the Kuwaiti culture and to investigate its four‐dimensional structure. The study also aimed at identifying a unidimensional subset of items besides examining the quality of the identified items and the overall inventory. The 34 ‐item adapted inventor y was administered to 56 4 college students. Item analysis indicated that 29 items have had good psychometric characteristics. However, the exploratory factor analysis, cross‐correlations of scale and item scores, and correlations among scales did not support the four‐dimensional structure of the adapted inventory. Further, the sample was split into two random halves. A uni‐dimensional subset of 20 items was identified in one sample by iterative factor analyzing the item data and discarding items with small loadings. The other sample was used to cross‐validate uni‐dimensionality of the identified items. Analysis indicated that scores of the 20‐item inventory have high Cronbach coefficient alpha, and high stability and generalizability coefficients. Partial support for the validity of the scores had been ascertained by comparing the scores of male and female students, and by regressing the inventor y scores on indicators of familiarity with individuals with mental retardation. Findings were discussed with reference to Kuwaiti culture. Over the last two decades, inclusion has internationally become a critical part of the reform efforts to improve the delivery of services to individuals with Mental Retardation (MR). This trend focuses on increasing the opportunities for the placement of these individuals in the same social and educational set tings as individuals without MR. The new arrangements for providing services have created challenges to people without disabilities concerning acceptance, integration, and inclusion of individuals with MR into the mainstream of society (Praisner, 2003). Many researchers (e.g. Priestly, 1998; Yazbeck McVilly & Parmenter, 2004) have convincingly argued that these challenges have their roots in the societal norms and values that concurrently developed throughout the unfolding history of the meaning of MR. As Priestly (1998) noted, although people with differences have existed in all societies, the degree to which they were integrated or excluded varied according to predominant cultural perceptions. Yazbeck, McVilly and Parmenter (2004) suggested that people's attitudes toward individuals with MR are socially constructed and are acquired through experience over time. Individuals with MR are often judged by people based on their disability instead of their whole lives and what they may accomplish and experience during their life (Blatt, 1987). Consequently, People may rely on false generalization and develop negative attitudes towards individuals with MR. Makas, Finnerty‐Fried, Sugafoos, and Reiss (1988) noted that for nondisabled persons, positive attitude toward people with disability is usually conceptualized as being ‘nice’ and ‘helpful’, whereas for a person with a disability, the attitude would be dispensing with the category of disability entirely. A study of community attitudes in one state of Australia found that up to 86% of respondents reported feeling ‘uncomfortable’ when interacting with individuals with disabilities (Enhance Management, 1999). Another study (European Commission, 2001) found that 40% of Europeans reported feeling ‘uneasy’ in the presence of people with disabilities. Attitudes manifest themselves as positive or negative reactions toward an object, driven by beliefs that impel individuals to behave in a particular way (Yuker, 1988). They comprise a complex of feelings, desires, fears, convictions, prejudices, or other tendencies learned through varied experiences that give rise to a set or readiness to act toward a person in a certain way (Chaiken & Stangor,1987). This means that attitude is not behavior, but the precondition of behavior. In addition, Myers, Ager, Kerr, and Myles (1998) identified three types of attitudes that influence how non‐disabled people interact with, and include or exclude people with disabilities: (1) A preparedness to engage with people as consumers, neighbors, or friends; (2) a lack of awareness about individuals with MR; and (3) a wariness or hostility regarding the idea of community integration. Research has shown that the third type of attitudes, which represents negative and non‐acceptance of individuals with MR is commonly observed (Gething, 1994; Schwartz & Armony‐Sivan, 2001). Such negative attitudes in a society may present people with MR as a burden on the welfare system. Moreover, people might not see individuals with disabilities as possessing a valuable social role or possessing the same abilities and characteristics that the majority of people possess. Tus, individuals with MR may not be accepted or included in society and may often be treated badly. In turn, Wolfensberger (1988) indicated that individuals with MR, being in a devalued position, would behave badly as they think that this is what is expected of them. As integration of persons with MR is increasingly becoming a global reality, Kuwait has designed social policy aimed at promoting acceptance and inclusion of people with disabilities into the mainstream of society. To implement the policy of integration, the Kuwaiti government is continually forming inclusive services for individuals with MR. The recent policy of inclusion (law 13/96), which has been adopted in 1996, asserts that people with disabilities have a fundamental right to live and grow within their local communities. This law has spawned an expanded system of services to encourage people with disabilities to live like people without disabilities. Inclusion policies give individuals with MR the right to be involved in the same situations as people without MR. For example, more individuals with MR, for example, are being employed. Moreover, most children with Downs syndrome now attend Kindergarten and are included in social programs for children in the general population. The general goal of all types of services provided for individuals with MR is to improve their participation in society. Although the Kuwaiti government has shown a growing interest in the integration of individuals with MR, the chances of these individuals being able to integrate into mainstream society would depend on the attitude of others, such as students, teachers, coworkers, social workers, professionals, towards them. These attitudes, as found in many Western studies (Antonak & Harth, 1994; Gordon, Tantillo, Feldman & Perrone, 2004) are, for the most part, negative, which may contribute to negative outcomes on the part of individuals with MR (Byon, 2000). According to Wright (1983), disability situations are vulnerable to fundamental negative attitudes, and this would seem to be even truer in the culture found in Kuwait. In Kuwaiti culture, disability has stigmatizing effect on members of the immediate and extended family; families tend to keep members with MR out of the sight of other people. This contributes to social exclusion of people with MR. There is also the traditional common belief that disability is related to (1) God's willing that the parent should have a child with a disability, (2) God is punishing the parent, (3) God is testing the parent, or (4) God is selecting the parent for an unknown reason. Commonly, persons with MR have been considered burdensome and shameful, because they are incapable of contributing to traditional social obligations and roles. While those traditional beliefs still exist, the law 13/96 was legislated to support the integration of persons with MR into various aspects of life. Consequently, we expect that people in the society would react to this trend with frustration, anger, or refusal. Usually, people in Kuwait have little or no information about individuals with MR; thereby uninformed determinations, such as stereotypes, reflect their attitudes toward these individuals. According to Blatt (1987), a stereotype will fill in the cracks and unanswered questions in a situation with which people are not familiar. Langer (1989) in her theory of ‘mindfulness’ also shows that stereotype is ‘premature cognitive commitments’ that leads people to make judgments without enough information and reflection. Moreover, the society labels given to individuals with MR are often accompanied with stigma and negative connotations. This situation makes it difficult for those individuals to be included into society and be accepted for what they actually are and not for what others assume them to be. According to Biklen and Bogdan (1977), this type of discrimination is called ‘handicapism’ and is defined as‘…a set of assumptions and practices that promote differential and unequal treatment of people because of apparent or assumed physical, mental, or behavioral differences’ (p.206). These perceptions may prevent individuals with MR from being accepted, and they might be viewed, based on Erikson's theory, as a pseudo species, or as less than human (Smith, 1981). Furthermore, professionals', leaders', and students' views and beliefs about the integration of individuals with MR into society may result in slowing the process of inclusion and discouraging people from accepting these individuals as what they are. For example, though senior staff in Kuwait's Ministry of Social Affairs succeeded in including children with Downs syndrome into public kindergarten, no other effort has been made since 1996 to integrate other children with disabilities into inclusive educational settings. More critical is that, while leaders make efforts toward inclusion, they continue to support the permanent residence of individuals with MR in social welfare institutions and urge the government to provide free health, social and educational services for the residents. Ahmad (2004) found that between 1992 and 2002, there was an increase in the number of children, and males and females adults with MR who live in the Social Welfare Institution for permanent care. The number of residents with MR has increased from 223 to 296. According to Philips (1992), leaders' and professionals' beliefs about individuals with MR could have commenced with the industrial revolution that brought with it the practice of classifying people who were different, and who were not able to pursue personal dreams or act as the industrial society required. Leaders and professionals may perceive individuals with MR, as Blatt (1987) stated, blessed innocents or surplus population that is unnecessary and expendable. These beliefs may never give the individuals with MR an adequate opportunity to present themselves and their abilities to others. Praisner (2003) suggested that leaders' attitudes are the key factor in successful inclusion. Due to leadership position, leaders' and professionals' attitudes about inclusion either could result in increased opportunities for individuals with MR to be served in different settings or increased efforts to support the segregated special education services. According to Goodlad and Lovitt (1993), leaders and professionals have the decision to develop an inclusive setting, if they (1) make and honor commitments, (2) do what they say in formal and informal settings, (3) express interest in inclusion, (4) act and make their actions known, and (5) organize their staff and their physical surroundings to implement inclusive programs. As Praisner (2003) stated, the success of inclusion depends on how leaders exhibit behaviors that advance the integration, acceptance, and success of individuals with disabilities in general settings. Researchers (e.g., Horne, 1985) have also shown that students' positive attitudes may increase their willingness to work with individuals with MR, and lead to removal of barriers to integrate them into society. The positive attitudes of students may help to encourage the establishment of policies and the allocation of resources to increase the integration of individuals with MR into different settings in the society (Yazbeck, et al., 2004). To enhance the policy of inclusion in Kuwait, society needs to evaluate some of its structures and change people's attitudes to fit the needs of individuals with MR instead of making these individuals fit society's structures. Helping individuals with MR to be included into society and establish socially valued roles would not be difficult if the attitudes of society are less restrictive and less resistant to change. As Kuwait continues to develop social and educational policy about inclusion, researchers must pay attention to the connection between integration and attitudes. The provision of educational and social opportunities for individuals with MR can be legislated by Kuwait's government, but acceptance from other people cannot be ensured without knowing people's beliefs and thoughts about persons with MR. Developing an understanding of the attitudes that is predominant in society, which in turn influences the actions of its members, is critical if we plan for social changes and for evaluating the effectiveness of public policy on promoting an inclusive society (Schwartz & Armony‐Sivan, 2001). Given that there are negative attitudes toward people with MR, particular care must be taken to monitor changing social attitudes toward these individuals to identify any serious impediment to the progress of their inclusion in different settings: schools, workplace, and the wider community. Research that is relevant to individuals with disabilities (e.g. Geskie & Salasek, 1988; Antonak & Harth, 1994) has revealed the need for researchers to investigate the attitudes of people toward MR. Wolfensberger (1983) suggested that the key to changing how people are valued socially is to change the perceptions people have about individuals who may differ from the norm. Research, however, has indicated that the investigation of attitudes toward individuals with MR requires a psychometrically sound instrument. It is crucial to conduct research to gather accurate information about these attitudes; it would clarify people's awareness of persons with MR, and assist in evaluating intervention programs and developing appropriate course work for special education fields. Further, it would inform public policy decisions, funding priorities, and service delivery, which in turn, enhance the likelihood of achieving successful integration and improving qua lit y of life for persons with MR (Antonak & Harth, 19 94; Schalock, 1990). Accurate measurement of attitudes could also lead to early detection of negative attitudes, such as personal prejudices, misconceptions, and irrational fears of professionals, social workers, and teachers when they first get involved in disability work settings. Furthermore, it would help in providing a baseline for monitoring changes in their attitudes over time (Byon, 2000). Changing attitudes would help in supporting efforts of individuals with MR to become autonomous (Philips, 1992), and help to decrease the resistance of others to allow people with MR to make decisions about their own lives and to be independent (Schalock, 1990). As the history of the deinstitutionalization movement has shown, becoming autonomous and independent are not as simple as releasing people from state facilities and hoping they survive on their own. Autonomy and independence are based upon choice‐making, and choice‐making must be taught to people with MR, as they have never been allowed to make their own choices and do not know how to rationally choose for themselves. However, as Crutcher (1990) noted, personal choice is based on opportunity, and opportunity is accessible only when society decides it should be. Therefore, in order for individuals with MR to have the opportunity to make their own decisions and be successfully included in society, special effort must be taken to change peoples' attitudes towards them. Moreover, a psychometrically sound instrument of attitudes helps researchers to assess with known precision respondents' feelings about individuals with MR (affective aspect of attitudes), and their conceptions about them (cognitive aspect of attitudes). On the affective side, there are feelings of approval or disapproval of individuals with MR in the society. On the cognitive side, there are beliefs, knowledge, and expectations that affect people's behavior towards individuals with MR. The affective and cognitive aspects affect the respondents' opinions of what services should be provided for individuals with MR and what policy should be adopted. These also assist in the design, implementation, and evaluation of social intervention program and strategies geared toward removing barriers to integration (Geskie & Salasek, 1988). The present study focused on adapting, for use in Kuwait, the Mental Retardation Attitude Inventory‐Revised (MR AI‐R) of Antonak and Harth (1994). The MRAI‐R was chosen because of the limitations of the MR attitudes' instruments in the Gulf States, and in particular the lack of such an instrument in Kuwait. After reviewing literature, it seemed that there was only one measure of attitudes; an inventory developed by Qaryauti (1988). Despite the claimed appropriateness of Qaryauti's scale, we decided to use the MRAI‐R of Antonak and Harth for several reasons. First, Qaryauti's scale was based on Western instruments that Antonak and Harth criticized and motivated them to construct the MRAI‐R. In contrast, Antonak and Harth constructed the MRAI‐R based on a review of more than 50 years of the attitude literature, and developed their inventory on the most available valid instrument. Second, by reviewing the items of the MRAI‐R and Qaryauti's scale, it was clear to us that the MRAI‐R is more consistent with the requirements of the law 13/96 that was mandated in Kuwait to assure the right of individuals with MR to be included into public schools, workplace, and the wider community (see Table 1). Third, the MRAI‐R, unlike Qaryauti's scale, incorporates several components of attitudes: (1) the integration‐segregation of individuals with MR in various school programs, workplace, and community; (2) the willingness of people to be associated with individuals with MR (Social Distance); (3) the rights of individuals with MR to be included in schools, communities, and the workplace (Private Rights); and (4) the derogatory beliefs of people about the moral character and social behavior of individuals with MR. Of the 22 items in Qaryauti's scale, 13 were related to derogatory beliefs, six to social distance, and only three to private rights and integration‐segregation. Fourth, many transcultural researchers have used the MRAI‐R in populations as diverse as the United States, Australia, and Korea. In the US, Ward (1998) used the MRAI‐R to explore relationships between empathy and attitudes among 200 parents and adult consumers with developmental disabilities. Also, Yozwiak (2002) utilized the MRAI‐R to examine the beliefs and attitudes of 210 community members toward a child with MR who was a witness to a sexual abuse case. In an Australian study, Yazbeck and others (2004) used MRAI‐R to examine differences in attitudes between students and professionals in disability services, and persons in the general community (N=492). In Korea, Byon's study (2000) used the MRAI‐R to investigate the effect of social desirability on attitudes toward MR, and to compare the relationships between attitude measures (both direct and indirect measures) and behavioral outcome indicators. Obviously, findings from a large number of studies using the MRAI‐R contribute to its validity. In contrast, we failed to find any study in which Qaryauti's scale was used. Based on the above arguments, it seems that the MRAI‐R would be useful in needs assessments, especially in schools and mental health clinics. For example, when the ministry of education decides to implement the inclusion policy in schools, there would be a need to assess attitudes of teachers and students towards students with MR. The results of such assessment would help in designing programs that improve attitudes as needed. The MRAI‐R can also be useful for social workers, professionals, and researchers who work in a variety of primary social welfare settings. It helps them to identify and target those people who are the most in need of training and preparation to change their attitudes toward MR. In a wider scale, non‐profit organizations can use results of assessing attitudes in advocating the rights of those individuals. In general, the primary usage of the MRAI‐R could be: (1) screening for early identification of negative attitudes; (2) assessing attitudes of specific groups toward persons with MR; (3) pre‐ or post‐ measurement in intervention studies; and (4) helping researchers who aim at studying the effects of attitudes on different variables in the life of people with MR (i.e. job satisfaction, life satisfaction, family relationship, social support), or the relationship between attitudes and demographic variables (i.e. gender, age, marital status, employment, educational status, familiarity with individuals with MR). Following the recommendation of Antonak and Livneh (1988) that researchers should use the existing instruments and stop creating new ones, the purpose of the present study is to develop an Arabic inventory of attitudes toward individuals with MR by adapting the MRAI‐R to be suitable for use in Kuwait. Specifically, the study aimed at: (1) revising the MRAI‐R items to make them suitable to Kuwait's culture; (2) investigating the suitability of the four‐factor‐structure of the MRAI‐R for measuring attitudes toward individuals with MR in Kuwait; (3) selecting a uni‐dimensional subset of items, if the four‐factor‐structure was not confirmed; and (4) examining the psychometric characteristics of the adapted inventory. We decided to carry out this study on college students for various reasons: (1) college students are prospective educators or professionals who will be either dealing with people with MR or making decisions that affect their lives; (2) college students in Kuwait play an active role in social change and in changing public opinions;(3) they are representative cross‐section of Kuwaiti society; (4) a sample of college students is more easily acquired than a sample from the general population.     

The Future of Disability Policy as a Field of Research

Although the opportunities for research in disability policy are increasing, they remain considerably fewer than in adjacent areas, notably in policy for health, social services, and education. This article explores the new salience of research on disability policy, describes why its importance is likely to increase, and then explores some issues that reveal the under development of the field.