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Inclusive Communities = Stronger Communities<br />

GLOBAL REPORT ON ARTICLE 19: THE RIGHT TO LIVE AND BE INCLUDED IN THE COMMUNITY<br />

103<br />

including second order deinstitutionalization (See Table 10<br />

below). Another challenge is the separation from<br />

determining what a person wants and needs from the<br />

provision of those services and supports. In far too many<br />

places, eligibility and design of services and supports are<br />

made by the same entity providing them. This is clearly a<br />

conflict of interest. In other places people who have an<br />

intellectual disabilities risk losing their place to live if they<br />

don’t “behave”. This is entirely at the discretion of those in<br />

charge and with no recourse. In yet other places, people<br />

with intellectual disabilities remain segregated in large<br />

workshops or day programmes which are dependent upon<br />

the income from contracts for services with<br />

businesses or income from government for<br />

that person; thus the person who might want<br />

to do other things with their life is denied the<br />

choice and control to do so. For services and<br />

supports to be truly person centric, money<br />

from governments must be in tune with the<br />

wants and needs of the person. The CRPD is<br />

about the rights of persons with disability,<br />

not the rights of organizations providing<br />

services and supports. There is a big<br />

difference.<br />

In countries without institutions, efforts should<br />

be made to help policymakers, advocates and national and<br />

local governments determine and implement the path to<br />

fulfillment of the promises of Article 19 without resorting to<br />

building institutions. The temptation of creating large<br />

places for people with intellectual disabilities to live is great<br />

and on the surface a ready solution to supporting people.<br />

However we know from countless studies, exposés, the<br />

experience of policymakers and experts and conversations<br />

with people who were previously institutionalized that<br />

regardless of the amount of money spent, that institutions<br />

by their very existence, separate and segregate people with<br />

intellectual disabilities from their community, and from their<br />

family. In addition, once an institution is built or remodeled<br />

it takes decades, not years to build community capacity and<br />

to get people out and eliminate the institution as an option.

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