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Factor Three - Supports and Services

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There are many stories of success for people with disabilities.  For example, the woman who was recently appointed to the President’s Council on People with Intellectual Disabilities and the man who achieved his personal goal of working with the Red Sox.  There are more common stories like the woman who grew up in a ward in an institution and now lives in an apartment she decorated herself with the money she earned working at a local restaurant … or the young man who no longer takes psychotropic medications or is subjected to physical restraint because someone listened and designed his services and supports.   

Unfortunately, there are far too many stories about people who are not leading self-directed lives with services and supports that are flexible and responsive to their changing circumstances. 

Our goal for person-centered supports and services is to support people to have autonomy and control over their lives.  Self-Advocates Becoming Empowered (SABE) has described it this way "speaking up for our rights and responsibilities and empowering ourselves to stand up for what we believe in. This means being able to choose where we work, live, and our friends; to educate ourselves and others, to work as a team to obtain common goals; and to develop the skills that enable us to fight for our beliefs, to advocate for our needs, and to obtain the level of independence that we desire." (1996)

Sometimes even the most successful organizations are challenged in everyday practice to meet their mission and values of being person-centered.  The use of language and policy can provide clues to the gaps between vision and practice

Do staff sometimes explain that their job is to “allow” people to make choices?  The word “allow” is not empowering, it is limiting.  The real intent of person-centered supports and services is to embrace the fundamental premise that people are capable and willing to make the best decision for themselves.

Do people sometimes have behavior support plans to address behaviors that someone else determines are problematic, defines success and provides reinforcement? Actually, person-centered behavior supports are in response to behaviors the person genuinely wants to change and/or are clearly dangerous or interfere with the opportunities for participation in community life.

Do staff sometimes identify someone as “my person” or “DD individual”? Person-centered supports and services recognize that people are unique and valued  community members who are in charge of their own lives.

Consider other organizational practices and whether they are in line with person-centered values:

  • Keys—Who has a key to the person’s home?  Who uses the key? 
  •  Money—Does the person have the same access to their money that most people have?  Can they get their money when they want… or do they have to ask and then wait until the next day?
  •  Telephone—Who answers the phone?  What do they say when they answer—Hello? Or the Organization’s name?  Who checks the messages?  Who carries the cell phone?
  • Food - Who prepares the menu?  Who approves the menu?  Who changes the menu? Who shops?
  • Staff—Who hires the staff?  Who trains the staff?  Who evaluates the staff?

Being a person-centered organization that supports people to lead enviable lives is challenging.  It requires more than changing language and practices, but changing language and some common practices is a start to changing attitudes.

Watch your thoughts; they become words. Watch your words; they become actions. Watch your actions; they become your habits. Watch your habits; they become your character. Watch your character; it becomes your destiny.

- Unknown

Resources

www.disabilityisnatural.com founded by Kathie Snow, this website focuses on new ways of thinking, language, and common sense.

http://www.rwjf.org/pr/product.jsp?id=17885 Robert Wood Johnson Foundation; Self Determination for Persons with Developmental Disabilities.

http://www.sabeusa.org/Self Advocates Becoming Empowered (SABE)is the self-advocacy organization of the United States.

http://www.normemma.com/nkevbio.htm Norman Kunc and Emma Van der Klift have spent the last 25 years working to ensure that people with disabilities are able to take their rightful place in schools, workplaces, and communities.

 

 

 


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