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136<br />

Inclusive Communities = Stronger Communities<br />

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

not been developed in “family friendly” ways; they<br />

receive little or no information or emotional support<br />

in caring for their family member; they do not receive<br />

compensation for lost income due to caregiving<br />

responsibilities; they have little access to services<br />

which provide short breaks in their caregiving<br />

responsibilities and as they age and become unable<br />

to provide care and support, they have no access to<br />

supports to plan for the future of their family<br />

member. Many of these supports can be developed<br />

in both low and high income countries at the<br />

community level through investments in community<br />

based organizations and existing mainstream services<br />

and programmes. Where some good examples in<br />

public policy have been developed to support the<br />

role of families, concerns have been raised about<br />

reinforcing the dependence of adults with intellectual<br />

disabilities on their families. It must be absolutely<br />

clear that supports to families are not to be used as a<br />

substitute for supports to the individual but rather<br />

without both, inclusion in the community cannot be<br />

achieved.<br />

‰ Even when people with intellectual disabilities live<br />

in the community they are often isolated and<br />

excluded from the community.<br />

In high income countries where service<br />

infrastructures have been developed they continue to<br />

be professionally driven, modelled after institutional<br />

care; segregated and isolating. Governments must<br />

introduce a reorganization of the service delivery<br />

system which requires a paradigm shift by all actors<br />

(disability and other service providers, public policy<br />

actors, families, employers, educators etc.) towards a<br />

system which is directed by the needs and aspirations<br />

of people with disabilities. This shift will mean<br />

changes in a service industry which has been<br />

entrenched in a way of working for many years, but as<br />

with the processes of deinstitutionalization and<br />

inclusive education have taught us, progress requires

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