Medical and charitable models

The charitable model portrays people with disability as needing ‘care’, often by segregating them in services or institutions. Advances in medicine saw a shift towards the medical model, which focuses on ‘curing’ or treating the illness, injury or impairment believed to be the cause of the disability. 

Last updated: 14 Nov 2025

"The medical model of disability says people are disabled by their impairments or differences, and focuses on what is ‘wrong’ with the person, not what the person needs. The medical model of disability creates low expectations and leads to people losing independence, choice and control in their lives."

Australian Federation of Disability Organisations
Slide 1

In the past, disability was mostly seen as a disadvantage. This meant people with disability were often excluded or kept separate from people without disability. 

The charitable model: under this model, people with disability were seen as unlucky and needing pity and charity. 

The medical model: this model saw people with disability as having a sickness or something broken that needed to be ‘fixed’ by doctors. It focused only on the person's body or mind, not the world around them. 

In an employment context, the medical model can create a situation where the focus on a person being ‘fit’ for a job depends on fixing or curing a person’s health condition or impairment before they are judged to be ready for work. This is a problem because it focuses solely on the person with disability instead of looking at ways that the workplace could change to be more inclusive.2