The basic requirement for Aid to the Disabled assistance is the presence of physical/mental impairment. The effect of this impairment upon the individual's performance in his usual or indicated role is generally what must be considered when making an eligibility decision. The resultant effect of this impairment is a combination of both medical and social factors. Information relating to the physical/mental impairment is important because it gives an indication of what the person's body will allow him to do, what tasks he can perform, what amount of activity he can exert, under what conditions he can perform and what is his medical prognosis.

The social factors brought out by the Social Summary are equally important (refer to Appendix A—Social Summary at the end of this chapter). The Summary conveys basic information about the applicant which will have bearing on the type of activity a person with his impairment can or cannot realistically perform or be trained to perform. For example:

1. a. 

   The person's age and actual educational level will give some idea of the amount of time that will be necessary to involve him in some type of useful occupation within his competence.

2. b. 

   The individual's education and employment background will give an indication of the person's drive and achievement level.

3. c. 

   The client's attitude toward and acceptance of his disability as well as his desire and plans for rehabilitation will give a suggestion as to his prognosis and advisability of services.

4. d. 

   When possible some idea of the type of employment available in the community and the person's attitude toward moving to an area more favorable for employment is helpful when determining the individual's eligibility.

When we speak of useful occupation in terms of employment, we refer to a marketable effort in demand in the community, that can compete with others on the market, that is extended in normal working conditions and that requires no special considerations. In regard to this area, the Summary will be useful in conveying the applicant's feelings concerning his ability to work consistently without long rest breaks, special equipment or any special consideration.

As mentioned in our definition, useful occupation can also refer to homemaking. If this is the individual's accustomed or expected role, the summary will indicate the problems preventing the applicant from assuming this role.

All of the social factors in the Social Summary are important in indicating how much of a handicap the disability is to this particular individual.

In view of the previous discussion, if a person has a physical/mental disability which prevents him from engaging in a useful occupation consistent with his expected role and competence, and if the social and disabling factors present indicate that rehabilitation would be a relatively long, indefinite or unpredictable process, the individual would be eligible for Aid to the Disabled.