Avoiding the Complexities - international perspective on self-directed support
-
Upload
the-centre-for-welfare-reform -
Category
News & Politics
-
view
345 -
download
0
description
Transcript of Avoiding the Complexities - international perspective on self-directed support
![Page 1: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/1.jpg)
an international perspective on self-directed support
Dr Simon Duffy ■ The Centre for Welfare Reform ■ 25th June 2013 ■ Sydney
Avoiding the complexities
![Page 2: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/2.jpg)
Two things to remember:
a) the goal is citizenship
b) the way is citizenship
![Page 3: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/3.jpg)
![Page 4: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/4.jpg)
![Page 5: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/5.jpg)
• always improves outcomes
• always increases demands
• sometimes reduces costs
• design is very important
40 plus years of self-directed support
![Page 6: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/6.jpg)
We’re not standing on giants’ shouldersWe’re not standing on giants’ shoulders
![Page 7: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/7.jpg)
![Page 8: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/8.jpg)
systems struggle to give up control
![Page 9: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/9.jpg)
![Page 10: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/10.jpg)
note for system designers
avoid fixing the details too tightly
allow lots of experimentation
a system with lots of local variations is more likely to throw up valuable lessons for the future.
![Page 11: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/11.jpg)
Control first, plan second - if at all
Control first, plan second - if at all
![Page 12: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/12.jpg)
![Page 13: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/13.jpg)
![Page 14: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/14.jpg)
“It’s my life, my human rights”
![Page 15: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/15.jpg)
note for system designers
avoid trapping people in plans
avoid ‘person centred planning’ craze
focus on giving people real control, flexibility and the ability to make immediate changes to their own plans
![Page 16: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/16.jpg)
It’s people’s money,not government
money
It’s people’s money,not government
money
![Page 17: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/17.jpg)
the government money fallacy...
...money can’t always be theirs
![Page 18: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/18.jpg)
![Page 19: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/19.jpg)
![Page 20: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/20.jpg)
note for system designers
avoid treating money as a gift or privilege - which can be just taken away or defined from ‘above’
avoid obscuring entitlements and complex assessment systems
create a robust legal framework of rights and responsibilities
![Page 21: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/21.jpg)
It’s not marketsit’s communityIt’s not marketsit’s community
![Page 22: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/22.jpg)
![Page 23: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/23.jpg)
![Page 24: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/24.jpg)
![Page 25: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/25.jpg)
note for system designers
don’t means-test love and community
don’t restrict money to services
let people use their money flexibly and pool it with their other resources
![Page 26: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/26.jpg)
If it movesindividualise it
If it movesindividualise it
![Page 27: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/27.jpg)
![Page 28: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/28.jpg)
![Page 29: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/29.jpg)
note for system designers
don’t stop providers from innovating
don’t encourage negative stereotypes
at their best providers are community organisations and can play a number of useful roles
![Page 30: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/30.jpg)
Only connect:What you need is
there
Only connect:What you need is
there
![Page 31: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/31.jpg)
O’Brien’s five basic tasks of support
![Page 32: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/32.jpg)
![Page 33: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/33.jpg)
note for system designers
don’t make community difficult
don’t punish communities for inclusion
ensure there are positive incentives for communities to invest in inclusion
![Page 34: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/34.jpg)
Not brokeragebut social workNot brokeragebut social work
![Page 35: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/35.jpg)
![Page 36: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/36.jpg)
![Page 37: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/37.jpg)
note for system designers
avoid institutionalising ‘brokers’
avoid new professional roles & structures, instead open up existing framework of supports
look beyond the ‘professional world’ for good support s
![Page 38: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/38.jpg)
Peer Power:the best money
can’t buy
Peer Power:the best money
can’t buy
![Page 39: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/39.jpg)
![Page 40: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/40.jpg)
![Page 41: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/41.jpg)
The Help and Connect Model
![Page 42: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/42.jpg)
note for system designers
avoid the ‘bias to professionals’
respect people with disabilities and their families
build in peer support at every point
![Page 43: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/43.jpg)
Control controlto keep people safe
Control controlto keep people safe
![Page 44: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/44.jpg)
We don’t know enough about abuse; but we do know institutions increase the risk of it and having relationships
reduces the risk of it.
![Page 45: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/45.jpg)
![Page 46: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/46.jpg)
note for system designers
avoid the ‘ever-plausible regulation’
focus on who controls the budget
get control as close as possible to the person and focus on real outcomes - not ‘process controls’
![Page 47: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/47.jpg)
Be the best that you can be
Be the best that you can be
![Page 48: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/48.jpg)
![Page 49: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/49.jpg)
![Page 50: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/50.jpg)
note for system designers
don’t join in the ‘blame game’
don’t close off roles and systems
it is the unconcious constraint we place upon ourselves which causes most of the damage - “We do what we don’t believe in - because the system says that’s what we’re meant to do.”
![Page 51: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/51.jpg)
We remain free to be the best that we can be and to do the right thing.
![Page 52: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/52.jpg)
the goal is citizenship
so, be a citizen
![Page 53: Avoiding the Complexities - international perspective on self-directed support](https://reader033.fdocuments.net/reader033/viewer/2022060107/554ae3dab4c905ba058b4ed9/html5/thumbnails/53.jpg)
Lots of free resources on all these topics and more:
@simonjduffy and @cforwr - follow
www.centreforwelfarereform.org.uk - subscribe
like The Centre for Welfare Reform on Facebook