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Rehabilitation of the Severely Disabled, vol 1: Evaluation of the Disabled Living Unit

Sedgwick Mead, MD
JAMA. 1971;218(4):600-601. doi:10.1001/jama.1971.03190170078042.
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The Disabled Living Unit (a rehabilitation center in American usage) was set up at Oxford in 1960 with 12 beds (later expanded to 18) plus a research cottage. Volume 1 records follow-up experience with 267 patients admitted in a two-year period (1964-1966).

The study is concerned with the longitudinal social and health history of persons with catastrophic disabilities involving poliomyelitis, muscular dystrophy and atrophy, spastic hemiplegia (from various causes), severe arthritides, tetraplegia (usually from diving or vehicular accidents), multiple sclerosis, and cerebral palsy. The test battery covered intellect and personality; impairment (14 subheadings); appliances, equipment, and aids; social and welfare services; mobility; personal care; work, hobbies, and interests; education.

Volume 2 deals with an expanded period, 1964-1968, and an augmented patient group, 1,200 in number. Its approach is not comparative or statistical, as is volume 1, but is an exposition of actual techniques found successful in dealing with the physically


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