Employment for people with intellectual disability in Australia and the United Kingdom

Australia and the United Kingdom have implemented similar policy and legislative initiatives designed to enhance the participation of people with intellectual disability in the workforce. However, the results of these initiatives have differed across these two countries because of historical and administrative differences in the management of government-funded employment services for people with a disability. Similarities across both countries include increased funding for employment services for people with a disability, strong policy statements on the inclusion of people with a disability in the workforce, a dearth of meaningful data on the employment of people with intellectual disability, continuing high unemployment rates for this population, and the lack of an outcomes-focused approach to evaluating whether employment services are meeting the needs of people with intellectual disability and their families

Closing the Gaps: competing estimates of Indigenous Australian life expectancy in the scientific literature

Objective: Closing the gap in life expectancy between Indigenous and other Australians within a generation is central to national Indigenous reform policy (Closing the Gap). Over time, various methods of estimating Indigenous life expectancy and with that, the life expectancy gap, have been adopted with differing, albeit non-comparable results. We present data on the extent of the gap and elucidate the pattern of use and interpretations of the different estimates of the gap, between 2007 and 2012. Methods: An extensive search was conducted for all peer-reviewed health publications citing estimates of and/or discussing the life expectancy of Indigenous Australians, for the period 2007-2012. Results: Five predominant patterns of citation of the gap estimates were identified: 20 years, 17 years, 15-20 years, 13 years, and 11.5 years for males and 9.7 years for females. Some authors misinterpret the most recent estimates as reflecting improvement from the 17-year figure, rather than the result of different methods of estimation. Support for the direct methods used to calculate Indigenous life expectancy is indicated. Conclusions and Implications: A specific estimate of the life expectancy gap has not been established among stakeholders in Indigenous health. Agreement on the magnitude of the gap is arguably needed in order to evaluate strategies aimed at improving health outcomes for Indigenous Australians. Moreover, measuring progress towards closing the gap' depends on the availability of comparable estimates, using the same techniques of measurement to assess changes over time