Areas of Social Work Practice I (Older Persons, Disability and Gender): Theories of Ageing, the Needs and Rights of Older Persons and the 2007 Act; Models of Disability, the Disability Movement and Milestones from Welfare to Rights, the RPwD Act 2016; and Gender and Development, Disparities, Gender-Based Violence and Safeguards

This chapter takes three more of the ninth unit's areas of practice: theories of ageing and vulnerability, the psychological, social and physical needs and problems of older persons, their rights against neglect, abuse, violence and abandonment and social work interventions; persons with disabilities, the models of disability, the disability movement, national and international milestones from a welfare to a rights-based approach, legislation and interventions; and gender and development, the expressions of gender disparity in education, health, property, employment, livelihood and decision-making, the feminisation of poverty, gender-based violence, and constitutional and legislative safeguards with social work interventions. The laws are taught as they stand, including the Rights of Persons with Disabilities Act 2016 and the Maintenance and Welfare of Parents and Senior Citizens Act 2007.

1. Theories of ageing and the needs of older persons

India had about 104 million persons aged 60 and above in the 2011 Census, 8.6 per cent of the population, and the share is projected to rise to around a fifth of the population by the middle of the century. Ageing in India is increasingly feminised (women live longer and are more often widowed) and rural, and it coincides with smaller families, migration of the young and a largely informal workforce without pensions. Psychological theories of ageing include Erikson's final stage of integrity versus despair; Robert Peck's three tasks of old age (ego differentiation versus work-role preoccupation, body transcendence versus body preoccupation, and ego transcendence versus ego preoccupation); and Paul and Margret Baltes's selective optimisation with compensation, in which older people select priorities, optimise their resources and compensate for losses.

Sociological theories of ageing
Sociological theoryKey namesCentral claim
DisengagementElaine Cumming and William Henry, Growing Old (1961)Older people and society withdraw from each other, mutually and functionally
ActivityRobert Havighurst and colleaguesSuccessful ageing means staying active and replacing lost roles
ContinuityRobert AtchleyPeople maintain their earlier patterns, identities and relationships
Age stratificationMatilda White Riley (1972)Society is stratified by age; cohorts age differently in changing structures
ModernisationDonald Cowgill and Lowell Holmes (1972)Modernisation lowers the status of older people
ExchangeJames Dowd (1975)Older people lose power as their exchangeable resources decline
Political economy (structured dependency)Peter Townsend; Carroll EstesDependency in old age is produced by retirement, pension and welfare policies

The needs and problems of older persons are psychological (loneliness, loss of role and purpose, bereavement, depression, anxiety and dementia), social (isolation, changing family structures, migration of children, widowhood, ageism and exclusion), physical (chronic diseases, sensory loss, falls, disability and the need for long-term care) and economic (lack of income security, dependence on children, medical expenses and loss of control over property). Vulnerability is sharpest for older women, the rural and urban poor, older persons with disabilities and those without family support. Elder abuse takes physical, psychological, financial and sexual forms, as well as neglect and abandonment, and is often committed by family members, which makes it under-reported.

2. Rights of older persons and social work interventions

Internationally, the UN Principles for Older Persons (1991) set out five groups of principles: independence, participation, care, self-fulfilment and dignity. The first World Assembly on Ageing (Vienna, 1982) and the second (Madrid, 2002), which adopted the Madrid International Plan of Action on Ageing, framed ageing as a development issue, and 2021 to 2030 is the UN Decade of Healthy Ageing; 1 October is the International Day of Older Persons. India adopted a National Policy on Older Persons in 1999. The Maintenance and Welfare of Parents and Senior Citizens Act 2007 obliges children and, for childless senior citizens, relatives who would inherit their property, to maintain parents and senior citizens who cannot maintain themselves. Maintenance Tribunals decide claims summarily and may order a monthly allowance of up to ₹10,000; a transfer of property made on condition that the transferee will provide basic amenities can be declared void if that condition is not met; abandoning a senior citizen is an offence punishable with imprisonment of up to three months or a fine of up to ₹5,000, or both; and the state is to provide old-age homes and medical care. Parents may also claim maintenance under the maintenance provision of criminal procedure law.

Social work interventions with older persons include casework and counselling for loneliness, bereavement and family conflict; family counselling and mediation to prevent abuse and abandonment; help with maintenance claims, pensions (such as the old-age pension under the National Social Assistance Programme), health insurance and legal aid; day-care centres, senior citizens' associations and intergenerational programmes; home-based care and support for caregivers; the management of old-age homes to standards that protect dignity and autonomy; dementia care and palliative care; elder-abuse helplines, including the national helpline for senior citizens, Elderline (14567); and advocacy for income security and accessible services. The strengths perspective matters here: older persons are resources for their families and communities, not only dependants.

⚠️ Disengagement versus activity versus continuity
Disengagement says withdrawal is natural and functional; activity says staying active is the key to satisfaction; continuity says people do best when they keep their earlier patterns, whether active or quiet. A question describing an older man who keeps gardening and meeting old friends as he always did is describing continuity, not activity.

3. Persons with disabilities: models, movement and milestones

Models of disability shape practice. The charity or moral model treats disability as misfortune or the result of past deeds, and persons with disabilities as objects of pity and alms. The medical model locates disability in the individual's impairment, to be diagnosed, treated and cured by professionals. The social model, set out by the Union of the Physically Impaired Against Segregation in its Fundamental Principles of Disability (1976) and named by Mike Oliver in 1983, distinguishes impairment (a condition of the body or mind) from disability (the disadvantage created by a society that fails to remove barriers of access, attitude and organisation); the remedy is to change society. The human rights model, embodied in the UN Convention on the Rights of Persons with Disabilities, treats persons with disabilities as rights-holders entitled to equality, participation and dignity. The biopsychosocial model of the WHO's International Classification of Functioning, Disability and Health (2001) integrates body functions and structures, activities and participation, and environmental and personal factors.

The disability movement drove the shift from welfare to rights. The independent living movement began with Ed Roberts and others at Berkeley, where the first Center for Independent Living opened in 1972, and its slogan "Nothing about us without us" became the motto of disability rights worldwide. International milestones include the International Year of Disabled Persons (1981), the World Programme of Action (1982) and the UN Decade of Disabled Persons (1983 to 1992), the Standard Rules on the Equalization of Opportunities for Persons with Disabilities (1993), the Asian and Pacific Decades of Disabled Persons with the Biwako framework (2002) and the Incheon Strategy (2012), and the Convention on the Rights of Persons with Disabilities, adopted in 2006 and in force from 2008, which India ratified in 2007; 3 December is the International Day of Persons with Disabilities. National milestones include the Rehabilitation Council of India Act 1992; the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act 1995, which recognised seven disabilities; the National Trust Act 1999 for persons with autism, cerebral palsy, intellectual disability and multiple disabilities; the National Policy for Persons with Disabilities (2006); the Rights of Persons with Disabilities Act 2016; and the Accessible India Campaign (Sugamya Bharat Abhiyan) launched in 2015.

The Rights of Persons with Disabilities Act 2016, which replaced the 1995 Act and came into force in April 2017, recognises 21 specified disabilities, including locomotor disability, blindness and low vision, hearing impairment, speech and language disability, intellectual disability, specific learning disabilities, autism spectrum disorder, mental illness, cerebral palsy, muscular dystrophy, multiple sclerosis, dwarfism, acid attack victims, chronic neurological conditions, blood disorders such as haemophilia, thalassaemia and sickle cell disease, Parkinson's disease and multiple disabilities. A "person with benchmark disability" has at least 40 per cent of a specified disability. The Act raised reservation in government posts to 4 per cent and in higher education seats to 5 per cent, provides free education to children with benchmark disabilities from 6 to 18 years, requires accessibility in buildings, transport and information, sets up the Chief Commissioner and State Commissioners and special courts, and creates offences for atrocities against persons with disabilities. Social work interventions include community-based rehabilitation (whose WHO guidelines of 2010 cover health, education, livelihood, social and empowerment components), certification and the unique disability identity card, inclusive education, family support, vocational rehabilitation, and support to self-advocacy groups.

🧠 The numbers of the 2016 Act
21 disabilities (up from 7 in 1995); benchmark disability at 40 per cent; 4 per cent reservation in government posts (up from 3); 5 per cent in higher education (up from 3); free education from 6 to 18 for children with benchmark disabilities. The 1995 Act's seven were blindness, low vision, leprosy-cured, hearing impairment, locomotor disability, mental retardation and mental illness.

4. Gender and development: disparities and the feminisation of poverty

Approaches to women in development have changed. Women in Development (WID), influenced by Ester Boserup's Woman's Role in Economic Development (1970), sought to integrate women into development programmes. Women and Development (WAD) argued that women were already part of development but on unequal terms. Gender and Development (GAD), from the 1980s, focused on the social relations of gender and the power structures that produce inequality, and on changing them. Caroline Moser (1989), building on Maxine Molyneux, distinguished practical gender needs, arising from women's existing roles (water, fuel, health care), from strategic gender needs, which challenge women's subordinate position (legal rights, control over property, freedom from violence, political voice). The Beijing Platform for Action (1995) made gender mainstreaming the global strategy.

Gender disparity in India is expressed across domains. In education, the 2011 Census recorded literacy of 82.1 per cent for men and 65.5 per cent for women. In health, it appears in maternal mortality, anaemia (which NFHS-5, 2019–21, found in 57 per cent of women aged 15 to 49), and in the sex ratio, 943 women per 1,000 men overall and 918 girls per 1,000 boys aged 0 to 6 in 2011, which reflects sex-selective practices. In property, the Hindu Succession (Amendment) Act 2005 made daughters coparceners with equal rights by birth, a position the Supreme Court confirmed in Vineeta Sharma v Rakesh Sharma (2020), but women still own a small share of land. In employment and livelihood, women's labour force participation is low, much of their work is unpaid or informal, and they face wage gaps and occupational segregation. In decision-making, one-third reservation in panchayats and municipalities has brought women into local government, and the 106th Amendment (2023) provides for reservation in legislatures after delimitation. Diana Pearce (1978) coined the "feminisation of poverty" for the growing share of women among the poor, linked to female-headed households, unpaid care work, lower wages and weaker entitlements.

🎯 Why practical and strategic needs both matter
A hand pump near the house meets a practical need and saves women hours each day; it does not change who fetches water. A women's water committee that controls the pump, and a campaign for women's names on land titles, address strategic needs. Social workers usually begin with practical needs, because they are urgent and build trust, and use them as a route to strategic change.

5. Gender-based violence, safeguards and interventions

Gender-based violence takes many forms across the life course: sex-selective abortion and neglect of girls; child marriage; dowry harassment and dowry deaths; domestic violence (NFHS-5 found that about 29 per cent of ever-married women aged 18 to 49 had experienced physical or sexual violence by a husband); sexual harassment at work and in public; rape and sexual assault; trafficking; so-called honour crimes; acid attacks; and online abuse. The constitutional safeguards are equality (Article 14), non-discrimination with special provisions for women (Articles 15(1) and 15(3)), equality of opportunity in employment (Article 16), the directive principles on adequate livelihood and equal pay (Article 39(a) and (d)) and maternity relief (Article 42), the fundamental duty to renounce practices derogatory to the dignity of women (Article 51A(e)), reservation of not less than one-third of seats for women in panchayats and municipalities (Articles 243D and 243T), and the 106th Amendment.

Legislative safeguards for women
LawYearWhat it does
Dowry Prohibition Act1961Prohibits giving and taking dowry
Maternity Benefit Act (amended 2017)1961Paid maternity leave, raised to 26 weeks in 2017; crèche facilities
Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act1994Prohibits sex determination and sex selection
Protection of Women from Domestic Violence Act2005Civil remedies: protection, residence, monetary relief, custody; Protection Officers
Hindu Succession (Amendment) Act2005Daughters made coparceners with equal rights by birth
Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act2013Internal Committees in workplaces of ten or more; Local Committees; builds on Vishaka (1997)
Criminal Law (Amendment) Act2013Widened sexual offences after the Justice Verma Committee; now carried into the Bharatiya Nyaya Sanhita 2023

Institutional support includes the National Commission for Women (1990 Act); Mission Shakti (from 2021–22), with its Sambal component for safety (One Stop Centres, the women's helpline 181 and Beti Bachao Beti Padhao, launched in 2015) and its Samarthya component for empowerment (including shelter homes, crèches and maternity benefit); and Protection Officers under the 2005 Act. Social work interventions with survivors include crisis support and safety planning, counselling, medical and legal aid, shelter, help with protection orders and maintenance, livelihood and housing support, and long-term empowerment through women's groups; preventive work includes gender sensitisation in schools and communities, work with men and boys, and campaigns against dowry, child marriage and sex selection. The worker respects the survivor's decisions, avoids victim-blaming and does not pressure reconciliation where violence continues.

Key takeaways

  • Ageing: 104 million aged 60+ (8.6 per cent, 2011), feminised and rural; theories of integrity (Erikson), Peck's tasks, SOC (Baltes), disengagement (Cumming and Henry 1961), activity (Havighurst), continuity (Atchley), age stratification (Riley 1972), modernisation (Cowgill and Holmes 1972), exchange (Dowd 1975), structured dependency (Townsend); needs psychological, social, physical and economic; abuse often by family.
  • Rights: UN Principles (1991: independence, participation, care, self-fulfilment, dignity), Vienna 1982, Madrid 2002, Decade of Healthy Ageing 2021–30, National Policy on Older Persons 1999; the 2007 Act: maintenance by children or heirs, tribunals, up to ₹10,000 a month, conditional transfers voidable, abandonment punishable with up to three months or ₹5,000; Elderline 14567.
  • Disability models: charity, medical, social (UPIAS 1976; Oliver 1983), human rights (CRPD) and biopsychosocial (ICF 2001); independent living (Berkeley 1972; "nothing about us without us"); milestones 1981, 1983–92, 1993, CRPD 2006 (India 2007); India's RCI Act 1992, PwD Act 1995 (7 disabilities), National Trust Act 1999, policy 2006, Accessible India 2015.
  • RPwD Act 2016 (in force April 2017): 21 disabilities, benchmark 40 per cent, 4 per cent reservation in posts and 5 per cent in higher education, free education 6–18, accessibility, commissioners, special courts; interventions through CBR (WHO 2010 matrix), UDID, inclusive education and self-advocacy.
  • Gender: WID (Boserup 1970), WAD, GAD; Moser's practical and strategic needs (1989); disparities (literacy 82.1 and 65.5 per cent; sex ratio 943, child sex ratio 918; anaemia 57 per cent); property after 2005 and Vineeta Sharma (2020); feminisation of poverty (Pearce 1978); GBV; safeguards in Articles 14–16, 39, 42, 51A(e), 243D, 243T and the 1961, 1994, 2005 and 2013 laws; Mission Shakti and One Stop Centres.

Practice questions (10)

Attempt each one before opening the answer. Every explanation names the tempting wrong option as well as the right one, because that is where marks are lost.

  1. Disengagement theory, which holds that older people and society withdraw from each other in a mutual and functional process, was proposed by:

    1. Elaine Cumming and William Henry
    2. Donald Cowgill and Lowell Holmes
    3. Robert Atchley
    4. Matilda White Riley
    Show answer

    Answer: A — Elaine Cumming and William Henry

    Cumming and Henry set out disengagement theory in Growing Old (1961). Atchley developed continuity theory, Cowgill and Holmes the modernisation theory of ageing (1972), and Riley age stratification theory.
  2. Under the Maintenance and Welfare of Parents and Senior Citizens Act 2007, the maximum monthly maintenance allowance a Tribunal may order is:

    1. There is no upper limit
    2. ₹10,000
    3. ₹5,000
    4. ₹25,000
    Show answer

    Answer: B — ₹10,000

    The 2007 Act caps the maintenance allowance at ₹10,000 a month. ₹5,000 is the maximum fine for abandoning a senior citizen under the same Act, which is why it is a tempting distractor.
  3. How many specified disabilities does the Rights of Persons with Disabilities Act 2016 recognise? Type the number.

    Numerical answer — type the value.

    Show answer

    Answer: 21

    Twenty-one, up from seven under the 1995 Act; the list includes autism spectrum disorder, specific learning disabilities, mental illness, acid attack victims, blood disorders and Parkinson's disease. The central government may add further conditions.
  4. Which of the following statements describe the social model of disability? Select all that apply.

    1. Disability is the result of misdeeds in a past life
    2. It distinguishes impairment from disability
    3. Disability is created by social barriers of access, attitude and organisation
    4. Disability is a deficit in the individual to be cured by professionals
    Show answer

    Answer: B — It distinguishes impairment from disability; C — Disability is created by social barriers of access, attitude and organisation

    The social model, from UPIAS (1976) and Mike Oliver, separates impairment from the disability that social barriers create. The individual deficit to be cured is the medical model, and the idea of past misdeeds belongs to the charity or moral model.
  5. The distinction between practical gender needs and strategic gender needs is associated with:

    1. Ester Boserup
    2. Diana Pearce
    3. Caroline Moser
    4. Mike Oliver
    Show answer

    Answer: C — Caroline Moser

    Caroline Moser (1989) developed the distinction, building on Maxine Molyneux's gender interests. Boserup wrote Woman's Role in Economic Development (1970), Pearce coined the feminisation of poverty, and Oliver named the social model of disability.
  6. Assertion (A): The Rights of Persons with Disabilities Act 2016 raised reservation in government posts for persons with benchmark disabilities to 4 per cent. Reason (R): The 2016 Act recognises 21 specified disabilities. Choose the correct option.

    1. Both A and R are true, and R is the correct explanation of A
    2. Both A and R are true, but R is not the correct explanation of A
    3. A is true, but R is false
    4. A is false, but R is true
    Show answer

    Answer: B — Both A and R are true, but R is not the correct explanation of A

    Both statements are true, but the reason does not explain the assertion. The wider list of disabilities and the higher reservation are separate provisions of the Act; the number of conditions recognised does not explain why the reservation was set at 4 per cent.
  7. The term "feminisation of poverty" was coined in 1978 by:

    1. Ester Boserup
    2. Caroline Moser
    3. Amartya Sen
    4. Diana Pearce
    Show answer

    Answer: D — Diana Pearce

    Diana Pearce coined the term to describe the growing share of women, especially female heads of households, among the poor in the United States. Moser, Sen and Boserup made other contributions to gender and development.
  8. Which of the following are among the five groups of principles in the UN Principles for Older Persons (1991)? Select all that apply.

    1. Independence
    2. Disengagement
    3. Obedience
    4. Dignity
    Show answer

    Answer: A — Independence; D — Dignity

    The five groups are independence, participation, care, self-fulfilment and dignity. Obedience is not a principle, and disengagement is a contested sociological theory of ageing, not a UN principle.
  9. A retired teacher continues to read, garden and meet the same friends as he always has, neither increasing nor reducing his activities. Which theory of ageing best describes this?

    1. Continuity theory
    2. Disengagement theory
    3. Exchange theory
    4. Activity theory
    Show answer

    Answer: A — Continuity theory

    Maintaining earlier patterns, identities and relationships is continuity theory (Atchley). Activity theory would stress adding new roles to replace lost ones, disengagement would predict withdrawal, and exchange theory concerns declining bargaining resources.
  10. The Hindu Succession (Amendment) Act 2005 is significant because it:

    1. Created Internal Committees against workplace harassment
    2. Prohibited dowry
    3. Raised maternity leave to 26 weeks
    4. Made daughters coparceners with equal rights by birth in joint family property
    Show answer

    Answer: D — Made daughters coparceners with equal rights by birth in joint family property

    The 2005 amendment made daughters coparceners, confirmed by the Supreme Court in Vineeta Sharma (2020). Dowry was prohibited in 1961, Internal Committees came with the 2013 POSH Act, and the 26-week maternity leave with the 2017 amendment to the Maternity Benefit Act.