Siobhán Carey Assistant Director General, Social and Demographic Statistics Central Statistics Office 23 rd October 2008

 2006 Census included questions on disability  The National Disability Survey - a Census follow-up  Collaborative effort - Consultative Group  16,000 people interviewed  9 types of disability broader than in census thresholds of severity 3

 Seeing  Hearing  Speech  Mobility and dexterity  Remembering and concentrating  Intellectual and learning  Emotional, psychological and mental health  Pain  Breathing 4

Level of difficulty in every day activities Disability typeNo difficultyJust a little A moderate level A lot of difficulty Cannot do at all A.Seeing  B.Hearing  C.Speech  D.Mobility & dexterity  E.Remembering & concentrating  F.Intellectual & learning  G.Emotional, psychological, & mental health  H.Pain  I.Breathing  5

 Profile of people with a disability  Profile of people with each disability type  Illustrative population groups People aged 75 and over with a disability Children with a disability People with disabilities living in nursing homes, hospitals and children’s homes  Prevalence of disability in population as a whole  Questions 6

 52% female and 48% male Intellectual & learning (61% males) Speech (54% males)  22% aged 75 and over (but only 5% of population)  11% are children – aged 0-17 (25% of population)  8% are resident in nursing homes, hospitals or children’s homes  92% resident in private household 7

 Most commonly reported disabilities Mobility & dexterity – 56% Pain – 47% Remembering & concentrating – 35% Emotional psychological & mental health – 34%  Severity of disability “Cannot do at all” – 24% “A lot of difficulty” – 43% “Moderate” or lower – 33% 8

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 58% female, 42% male  36% of all persons with a Seeing disability are aged 75 and over  40% reported a lot of difficulty and 5% were unable to see at all  Older people more severe difficulty  Relatively small numbers of children (5%)  1 in 10 had disability from birth (11%)  Cause of seeing disability Two-fifths reported “Disease or illness” as main cause of their disability Just under one in five reported a hereditary or genetic condition The illness most commonly reported by persons with a Seeing disability was cataracts at 14% 10

 Equal proportions of males & females  38% aged 75 and over  36% reported a lot of difficulty and 3% could not hear at all Older age groups had higher levels of difficulty  Age of onset 11% had their disability from birth 11% acquired their disability before the age of 18 40% acquired their disability after the age of 55  1 in 5 reported a disease or illness as the cause of their disability 15% reported a hereditary or genetic condition 12% reported work conditions  Most commonly used aids Hearing aids without T-switch – 23% Mobile phones for texting – 22% Hearing aids with T-switch – 18% 11

 54% male, 46% female  Almost half were aged under 35  A third reported a lot of difficulty being understood and a fifth (18%) reported that their speech could not be understood by others at all  Little variation in severity by age group  Over 60% had their disability since childhood  36% reported a disease or illness as the main cause of their disability  1 in 5 five reported a hereditary or genetic condition  Specific illnesses Autistic Spectrum Disorders - 7% Deafness – 6% Cerebral Palsy - 6%  Speech and language therapy -most commonly used and needed aid 28% using 17% needing and not having 12

 57% female, 43% male  A third aged 75 and over, just 4% aged 0-17  34% “A lot of difficulty”  35% - “Cannot do at all”  Older people reported higher levels of difficulty half of those aged 75 and over reported “Cannot do at all”  37% cannot “Walk for about 15 minutes”  Age of onset 13% acquired their disability in childhood or from birth, 15% since age of 75 or over 13

 45% reported a disease or illness as the cause of their disability, one in six reported an accident, injury or fall  Arthritis most commonly reported illness – 24%  Most commonly used aid s Walking aids (45%) Grab bars (35%) Physiotherapy (31%) 10% needed a lift or stair lift 14

 51% female, 49% male  39% “A lot of difficulty” and 13% “Cannot do at all”  A quarter were aged 75 and over - higher levels of difficulty  Of those aged 0-17 with a Remembering and concentrating disability 87% reported difficulty with “Concentrating for 10 minutes Two-thirds had difficulty “Remembering to do important things”  Among those aged 75 and over 90% had difficulties due to forgetting where they had put things 80% had difficulty remembering to do important things 15

 14% had their disability from birth  One-third reported that their disability was caused by a disease or illness, about 10% reported a hereditary or genetic condition 9% stress  Alzheimer’s disease or dementia reported by 9%  Medication used by about 25% 16

 61% male, 39% female highest proportion of males of all nine disability types  Predominantly young – 38% aged 0-17, 25% aged  35% “A lot of difficulty”, 12% “Cannot do at all” 17% - “Just a little difficulty”, 36% “Moderate”,  70% diagnosed with Intellectual disability  77% had difficulty with Learning everyday skills  Almost 80% had their disability from childhood 17

 One-third reported a disease or illness caused their disability,  A quarter reported as caused by a hereditary or genetic condition  Dyslexia or Specific Learning Difficulties reported by 17%  5% cited Autistic Spectrum Disorder as cause  Most commonly used aids Additional special teaching - 28% Psychology service - 27% Occupational therapy - 23% 18

 53% female, 47% male  Two-thirds of people were of working age (18-64)  32% “A lot of difficulty”, 4% “Cannot do at all”  23% “Just a little”, 42% “Moderate”,  Age of onset 23% began to be affected by their disability between the ages of 18 and 34, 11% had been affected from birth almost 18% between the ages of

 40% reported a disease or illness as the cause  18% cited stress as the cause  Depression was the most frequently reported illness at 28%  Anxiety disorders were reported by 11%  90% used at least one aid highest proportion reporting use of aids for any of the nine disability types Medical services (77%) and medication (69%) Psychiatrist (32%) Exercise or relaxation therapies (29%) Counselling (25%)  Persons reporting higher levels of difficulty also reported greater frequency of occurrence of their disability 20

 57% female, 43% male  48% “A lot of difficulty”, 3% “Cannot do at all”  23% were aged 75 and over 22% were aged 55-64, and just 2% were aged 0-17 age  Age of onset 1 in 12 reported that their disability began before the age of 17 between 14% and 17% reported that their disability began in the different age groups between

 Just under half of people reported that their disability was caused by a disease or illness,  1 in 5 reported an accident, injury or fall  Arthritis was the most commonly cited illness at 34%  Just over two-thirds used at least one aid Pain management -most frequently used aid at 48%  The majority of those reporting the higher levels of severity of difficulty due to pain also reported that their disability was present most or all of the time 22

 51% female, 49% male  almost a quarter aged 75 and over  35% reported “A lot of difficulty” in everyday activities, 2% “Cannot do at all”  Younger people generally had lower levels of severity  One in five people had been affected since childhood and almost one in ten had their disability from birth 23

 Around 60% reported that it was caused by a disease or illness  Asthma was the most frequently reported illness at 31% followed by cardiovascular disease at 16%  More than half used at least one aid Most commonly used - nebulisers 42%  Over 60% of those reporting the higher levels of severity also reported that their Breathing disability affected them most or all of the time 24

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 62% in communal establishments are female (51% in private households)  62% aged 75 and over (19% in private households)  63% reported highest level of severity (21% for private households)  76% reported a Mobility & dexterity disability  61% reported a Remembering & concentrating disability  Higher levels of multiple disability average of 3.3 disabilities per person 2.5 for persons in private households 26

 36% of people with a disability were aged 65 and over (36%) 1 in 5 people with a disability were aged 75 and over (22%)  83% of those aged 75 and over with a disability reported a Mobility & dexterity disability 94% of these had difficulty walking for about 15 minutes 80% had difficulty going outside of home 65% had difficulty moving around their home  48% had a Pain disability  39% had a Remembering & concentrating disability 90% of these had difficulty due to forgetting where they had put things 81% had difficulty remembering to do important things  75 & over age group accounted for 38% of those with a Hearing disability 36% of those with a Seeing disability 33% of those with Mobility & dexterity disability 27

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 11% of all persons with a disability were aged 0-17  75% had an Intellectual & learning disability  50% had a Remembering & concentrating disability  28% had an Emotional, psychological & mental health disability  28% had a Speech disability 29

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Children accounted for  38% of all those with Intellectual and learning difficulties  29% of all those with Speech difficulties  16% of all those with Remembering and concentrating difficulties  They represented very small proportions within the other six disabilities Pain (2%), Mobility & dexterity (4%), Seeing (5%) 31

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 Census of Population - 93 persons per thousand  NDS used a broader spectrum (Breathing, Pain)  Introduced concept of severity  Dedicated disability survey  NDS total population estimate including broader spectrum – indicative level 185 persons per thousand 33

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Level of difficultyCensus Disability sampleTotal populations % Just a little23 Moderate level3144 A lot of difficulty4338 Cannot do at all2415 Total100 36

 Focus on people with a disability  Able to describe the characteristics of people with different disabilities  Further report on participation, care arrangements, employment, transport, environmental factors 37

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