期刊
DISABILITY & SOCIETY
卷 31, 期 10, 页码 1369-1384出版社
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/09687599.2016.1261692
关键词
Disability; individualised funding; self-directed support; circle of support; implementation; resource allocation system
资金
- Genio
- HRB Scholar Programme in Health Services Research (SPHeRE) [PHD/2007/16]
'Individualised funding', which is rooted in the Independent Living Movement, has formed part of a global paradigm shift in support services for disabled people. Against the backdrop of international experience, a political system aligned with the United Kingdom and emergent critics of individualised funding, this article presents findings from an evaluation of four pilot programmes in Ireland. Exemplified by independent-skills development and community integration, these initiatives have been welcomed as a progressive development beyond traditional service provision, with perceived improvements across a range of organisational, personal, health and social care domains. The article explores the importance of 'natural supports' and how overly protective behaviour may unintentionally act as a barrier to full implementation. The findings also indicate that unnecessarily complex systems can lead to individual burnout. Furthermore, a national resource allocation system working in partnership with existing social care professionals and the wider community is recommended, as is learning from overly simplified, group-based ideologies.
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