Rehabilitation for people with visual impairment: reflections on possible obstacles to access and motivations for early dropout

Abstract

The aim of this article is to discuss the factors that may be related to difficulties in access and early dropout of visually impaired users in rehabilitation programs. Rehabilitation services for visual impairments can be offered by both special education institutions and specialized centers linked to the Care Network for People with Disabilities of the Unified Health System (UHS), with problems related to access and dropout being underexplored phenomena. Through an experience report of a psychology service within a special education institution that provides care to this population, this article examines institutional data that point to elements that can contribute to understanding the obstacles to access and early dropout from the program, intertwining this with theoretical frameworks from the perspective of the social model of disability. Quantitative and qualitative data on the general profile of those enrolled in the program in 2019 and 2023, along with information from difficulties encountered in the process discussed in group psychology sessions, were used to understand characteristics that may be linked to potential obstacles in the process and contribute to dropout. The text highlights the need for institutional services to better address the potential difficulties faced by people in rehabilitation, both of whom are subject to specific problems. The discussion emphasizes that the topic requires careful consideration as it is a multifactorial issue, best understood from an intersectional perspective. The importance of institutional procedures that allow for an understanding of the causes of early dropout and the adoption of monitoring and supporting strategies for users is also highlighted.