Cerebral palsy

===Participation and barriers===
Participation is involvement in life situations and everyday activities.<ref name="King" /> Participation includes self-care, productivity, and leisure. In fact, communication, mobility, education, home life, leisure, and social relationships require participation, and indicate the extent to which children function in their environment.<ref name="King" /> Barriers can exist on three levels: micro, meso, and macro.<ref name="Aitchison" /> First, the barriers at the micro level involve the person.<ref name="Aitchison" /> Barriers at the micro level include the child's physical limitations (motor, sensory and cognitive impairments) or their subjective feelings regarding their ability to participate.<ref name="imms_2008" /> For example, the child may not participate in group activities due to lack of confidence. Second, barriers at the meso level include the family and community.<ref name="Aitchison" /> These may include negative attitudes of people toward disability or lack of support within the family or in the community.<ref name="Specht" /> 

One of the main reasons for this limited support appears to be the result of a lack of awareness and knowledge regarding the child's ability to engage in activities despite his or her disability.<ref name="Specht" /> Third, barriers at the macro level incorporate the systems and policies that are not in place or hinder children with CP. These may be environmental barriers to participation such as architectural barriers, lack of relevant assistive technology, and transportation difficulties due to limited wheelchair access or public transit that can accommodate children with CP.<ref name="Specht" /> For example, a building without an elevator can prevent the child from accessing higher floors.{{citation needed|date=August 2021}}

A 2013 review stated that outcomes for adults with cerebral palsy without intellectual disability in the 2000s were that "60–80% completed high school, 14–25% completed college, up to 61% were living independently in the community, 25–55% were competitively employed, and 14–28% were involved in long term relationships with partners or had established families".<ref>{{cite journal | vauthors = Frisch D, Msall ME | title = Health, functioning, and participation of adolescents and adults with cerebral palsy: a review of outcomes research | journal = Developmental Disabilities Research Reviews | volume = 18 | issue = 1 | pages = 84–94 | date = August 2013 | pmid = 23949832 | doi = 10.1002/ddrr.1131 }}</ref> Adults with cerebral palsy may not seek physical therapy due to transport issues, financial restrictions and practitioners not feeling like they know enough about cerebral palsy to take people with CP on as clients.<ref name="Lawrence2016" />