The director of an agency for the blind and visually impaired examines the service-delivery dilemma of funding versus placement decisions. Three program areas demonstrate this dilemma: (1) Social Security Disability Insurance disincentives to competitive placement; (2) the private agency's role when the educational system falls short; and (3)…

This article explores issues related to the use of supported employment and time-related transitional employment for blind and visually impaired persons. It defines the concepts; describes the characteristics that distinguish these services from others; and discusses the need for these services from ecological, philosophical, fiscal, and learning…

The efforts of Sight Savers, a service program of the Royal Commonwealth for the Blind, to stem the outward flow of hard currency from developing countries are described. Sight Savers furthers program sustainability by emphasizing local manpower development, selecting equipment that requires less and cheaper maintenance, and using local currency…

The paper contrasts the traditional model of referral for rehabilitation services for blind and visually impaired persons in Israel with a new model--the rehabilitation information station, which links administrative, social, medical, and functional rehabilitation and results in faster receipt of services and increased ophthalmologists' awareness…

The article traces the experiences of the Malaysian Association for the Blind in developing rehabilitation services for rural blind persons. It explains the rationale for a community-based approach to rehabilitation and concludes that center-based and community-based approaches to rehabilitation complement each other in bringing services to rural…

The advantages and disadvantages of placing outside staff to represent international aid agencies in developing countries' service programs for blind persons are explored. Alternative models are offered, and sustainability through empowerment is presented as an approach to ensure long-term benefits from the services offered by the international…

Nongovernment organizations providing services to visually handicapped persons in developing nations should direct increased efforts toward project evaluation, monitoring, documentation, and dissemination, to ensure that innovative, flexible strategies direct self-help information to the "grassroots" level in forms that are familiar,…

This article identifies current problems that act as barriers to improved and expanded services and opportunities for blind and visually impaired people and their families, such as detachment of medical profession from service delivery, automatic student promotions, expectation of specialized programs in every district, parental choice of schools,…

A survey of recipients of 51 technical assistance projects addressing needs of children with sensory impairments in 18 states and territories resulted in identification of desired individual, programmatic, and systemwide changes in provision of technical assistance services. (Author/DB)

This article proposes that residential schools for children with visual impairments provide direct services to mainstreamed children, including occasional withdrawal to the residential school for instruction in specific skill areas unique to visual impairment including sports, computer training, tactile graphics, Braille music, and daily living…

Establishing community-based rehabilitation projects for visually impaired populations in developing countries in the South Pacific presents challenges in communication, logistics, security, and other factors. Program development must consider differences in geography, population distribution, resources, cultural and religious values, and needs.…

Programs serving young people with visual impairments should ensure that young people receive opportunities for personal development that will enable them to become self-directed, articulate, and flexible. Factors impacting on rehabilitation policies are noted. Cooperation among organizations is encouraged to promote clients' personal development…