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Persons with disabilities have been very critical of both the medical model and the rehabilitation model.
For the individual with a disability, this model is particularly burdensome.
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The charity model led to the promotion of institutionalization during the Renaissance, as a method of doing 'what is best" for those with disabilities.
Historically, it gained acceptance after World War II when many disabled veterans needed to be re-introduced into society.
The current Vocational Rehabilitation system is designed according to this model.
It is no accident that these questions are emerging at the same time that the status of persons with disabilities in society is changing dramatically.