Maintaining Vision
The challenge of maintaining a vision driven system in
other western democratic countries.
Dr Simon Duffy ■ The Centre for Welfare Reform
■ 8th May 2013 ■ NASDDDS Directors Forum, Oklahoma
City
Maintaining vision
Key variables include...
• Funding levels
• Local government
• Culture - S. vs N.
• Religion - Cath. vs. Protestant
• Party politics - 2 Party vs. Multi-party
• Disability politics and self-advocacy
• Service structures - Intellectual disability or not...
• Peak bodies
• Cold war - W vs. E
• Welfare state models...first impressions are not always reliable
Introductory remarks
North America has had a big influence on UK
thinking and on many other countries...
... and there is also a corresponding fear or
suspicion.
The problem of filtration (or editing out the
difficult bits)...
...and the problem of respecting our diversity
in order to sharing our learning
Self-Directed Support
Person Centred Planning
Personalisation
Personal
Budgets
Brokerage Individual
Budgets
Support
Plans
Essential Lifestyle Planning
Personalised Support
Supported
Living
Keys to Citizenship
Inclusion
Community
Connecting
Individual
Service Funds
Home
Ownership
Self-determination
Supported
Employment
MAPS
& PATH
Normalisatio
n
Social Role
Valorisation
Social Model of
Disability
Circles
Maintaining vision
Maintaining vision
Thoughts I want to share
Vision is not about what you want to see, but
being clear about what is really there.
The threats faced by people with intellectual
disabilities are not receding.
Current strategies are necessary, but have some
serious limitations.
New strategies need to be more philosophical,
personal, political and peer-focused
The Official Story
through rose tinted spectacles
through rose tinted spectacles
“We realised that institutions were wrong and so
we set about closing the institutions. At first people
were moved into group homes and into day
centres. But today people are increasingly able to
control their own support, have real homes, real
jobs and be in real relationships. We are entering
an era of disability rights, where where families
are properly supported and people with disabilities
are seen as full and active citizens .”
Disturbing facts that do not fit the official story
• Resistance is not futile - it is nearly 40 years since
Christmas in Purgatory - i.e. two generations
• Funding is still primarily locked in segregated
(community) services
• Eugenic practices are continuing or increasing:
genetic testing, pro- abortion, neo-natal deaths
• Rights often exist on paper - but they lack
substance
• Austerity has led to cuts that target disabled
people (although not in Spain, I hear)
Maintaining vision
We’ve been here before...
Maintaining vision
What can we learn from our best
achievements so far...
Maintaining vision
Social innovations develop...
• Through passionate engagement with real
problems and aspirations
• Inspired by powerful values - making
citizenship real
• Shared through peer networks
• Significant political implications, but
problematic engagement with forces of
power and commerce
Maintaining vision
Self-directed support...
• USA and Canada - early progress...
• England - radical policy shift, emerging problems
• Scotland - early innovation, recent policy shift
• Finland - early pilots, de-institutionalisation on-
going
• Australia - big new funding system - ‘Disability
Care’ - major structural change
• Europe - various early experiments
The way we make good things
happen (innovation) does not fit
well with our normal strategies
of implementation
and we don’t know how to be
effectively political
Primary forms of strategic action:
• Leaders - managing, guiding and controlling
• Money - funding, rewarding, constructing
• Experts - advising, informing and training
• Rules - laws, regulation and procedures
Important, but not central to the
development of social innovations...
Maintaining vision
Do we need to live our values more fully?
Is it time to think more deeply?
The Unmaking of Man
by Simon Duffy
Can we work together as peers?
• Human rights at heart of
system
• Minimum universal securities
as rights
• Fair and integrated tax-benefit
system
• Individual freedom for all
• Families and communities
respected
Is it possible to be more politically savvy?
• Human rights at heart of
system
• Minimum universal securities
as rights
• Fair and integrated tax-benefit
system
• Individual freedom for all
• Families and communities
respected
Maintaining vision
Can we redefine welfare reform?
1.Visit our library or subscribe to The Centre for
Welfare Reform:
www.centreforwelfarereform.org
2.Twitter users can follow @cforwr and
@simonjduffy
3.Like The Centre for Welfare Reform on
Facebook

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Maintaining vision

  • 1. Maintaining Vision The challenge of maintaining a vision driven system in other western democratic countries. Dr Simon Duffy ■ The Centre for Welfare Reform ■ 8th May 2013 ■ NASDDDS Directors Forum, Oklahoma City
  • 3. Key variables include... • Funding levels • Local government • Culture - S. vs N. • Religion - Cath. vs. Protestant • Party politics - 2 Party vs. Multi-party • Disability politics and self-advocacy • Service structures - Intellectual disability or not... • Peak bodies • Cold war - W vs. E • Welfare state models...first impressions are not always reliable
  • 4. Introductory remarks North America has had a big influence on UK thinking and on many other countries... ... and there is also a corresponding fear or suspicion. The problem of filtration (or editing out the difficult bits)... ...and the problem of respecting our diversity in order to sharing our learning
  • 5. Self-Directed Support Person Centred Planning Personalisation Personal Budgets Brokerage Individual Budgets Support Plans Essential Lifestyle Planning Personalised Support Supported Living Keys to Citizenship Inclusion Community Connecting Individual Service Funds Home Ownership Self-determination Supported Employment MAPS & PATH Normalisatio n Social Role Valorisation Social Model of Disability Circles
  • 8. Thoughts I want to share Vision is not about what you want to see, but being clear about what is really there. The threats faced by people with intellectual disabilities are not receding. Current strategies are necessary, but have some serious limitations. New strategies need to be more philosophical, personal, political and peer-focused
  • 9. The Official Story through rose tinted spectacles through rose tinted spectacles “We realised that institutions were wrong and so we set about closing the institutions. At first people were moved into group homes and into day centres. But today people are increasingly able to control their own support, have real homes, real jobs and be in real relationships. We are entering an era of disability rights, where where families are properly supported and people with disabilities are seen as full and active citizens .”
  • 10. Disturbing facts that do not fit the official story • Resistance is not futile - it is nearly 40 years since Christmas in Purgatory - i.e. two generations • Funding is still primarily locked in segregated (community) services • Eugenic practices are continuing or increasing: genetic testing, pro- abortion, neo-natal deaths • Rights often exist on paper - but they lack substance • Austerity has led to cuts that target disabled people (although not in Spain, I hear)
  • 12. We’ve been here before...
  • 14. What can we learn from our best achievements so far...
  • 16. Social innovations develop... • Through passionate engagement with real problems and aspirations • Inspired by powerful values - making citizenship real • Shared through peer networks • Significant political implications, but problematic engagement with forces of power and commerce
  • 18. Self-directed support... • USA and Canada - early progress... • England - radical policy shift, emerging problems • Scotland - early innovation, recent policy shift • Finland - early pilots, de-institutionalisation on- going • Australia - big new funding system - ‘Disability Care’ - major structural change • Europe - various early experiments
  • 19. The way we make good things happen (innovation) does not fit well with our normal strategies of implementation and we don’t know how to be effectively political
  • 20. Primary forms of strategic action: • Leaders - managing, guiding and controlling • Money - funding, rewarding, constructing • Experts - advising, informing and training • Rules - laws, regulation and procedures Important, but not central to the development of social innovations...
  • 22. Do we need to live our values more fully?
  • 23. Is it time to think more deeply? The Unmaking of Man by Simon Duffy
  • 24. Can we work together as peers? • Human rights at heart of system • Minimum universal securities as rights • Fair and integrated tax-benefit system • Individual freedom for all • Families and communities respected
  • 25. Is it possible to be more politically savvy? • Human rights at heart of system • Minimum universal securities as rights • Fair and integrated tax-benefit system • Individual freedom for all • Families and communities respected
  • 27. Can we redefine welfare reform?
  • 28. 1.Visit our library or subscribe to The Centre for Welfare Reform: www.centreforwelfarereform.org 2.Twitter users can follow @cforwr and @simonjduffy 3.Like The Centre for Welfare Reform on Facebook