National Housing Strategy for People with a Disability 2011 - 2016

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‘Accommodation tends to be in open wards and dormitories offering little privacy toresidents who are likely to spend much of their lives there…Even for the younger and moremobile residents, there are few opportunities to leave the confines of the home and thisserves to heighten boredom and frustration…Residents have little if any say in the day today operation of what for many is the only homes they will ever know.’ 18Since 1990 in particular, the movement towards community inclusion for people withdisabilities has had a strong impetus, drawing especially on American influence, and theemergence of the disability rights movement in Ireland and internationally. The advent ofCentres for Independent Living in the early 1990s and the beginning of availability ofpersonal supports spearheaded the movement by people with physical disabilities to takecontrol over their lives and choices, including their choice of accommodation.The redirection of policy towards community based living arrangements was clearly evidentin the 1990s. In 1990, The Report of the Review Group on Mental Handicap Services, ‘Needsand Abilities’ made comprehensive recommendations on the need to move from largecongregated settings to domestic scale accommodation and access to community basedhealth services. It recommended that families should be supported to enable adults withintellectual disabilities to live at home; where a person must leave home, the substitutehome should have all the characteristics of a good family home, other family care schemessuch as adult foster care should be initiated. The Report proposed that large numbers ofhighly dependent intellectually disabled people should not be placed in one location. Smallgroup homes should be provided where a small number of adults are supported to share ahome, and also that existing residential centres that were not domestic in scale should bediscontinued as soon as possible, and replaced with appropriate provision. 19In 1996, “Towards an Independent Future”, the Report of the Review Group on Health andPersonal Social Services for People with Physical and Sensory Disabilities, maderecommendations about residential provision. As the extract below shows, this Review Bodysignalled a move away form large institutions, towards small living units and use ofmainstream housing provision:‘Developments of new homes and independent living should be located in urban areasor easily accessible to retail and leisure facilities.’‘Each health board, in consultation with the co-coordinating committee, should examinethe viability of establishing in its area small independent domestic dwellings withsupport …Health Boards and voluntary bodies providing services to people withdisabilities should liaise closely with Social Housing organisations and local authorities toensure that an adequate number of accessible houses is available to people withdisabilities who wish to pursue this option.’ 20 .166
The Commission on the Status of People with Disabilities (1996) proposed that, as part of amainstreaming agenda, the Department of the Environment should formulate a nationalpolicy on housing for people with disabilities. The Commission proposed that people living inresidential centres should be provided with income supports in a way that promotesautonomy and choice, and that payments be clearly defined as between accommodation,personal assistance and care elements. The proposals also included provision for advocacy,quality standards and monitoring of standards.The most recent policy initiative in relation to people living in institutions was the decision bythe Department of Health and Children in 2002 to adopt a programme to transfer peoplewith intellectual disabilities or autism from psychiatric hospitals and other inappropriatesettings. The aim of that programme was to provide more appropriate care settings and anenhanced level of services for:• People with an intellectual disability and those with autism accommodated inpsychiatric hospitals;• Those accommodated in de-designated units which were formerly designated aspsychiatric services;• Others who moved some years previously from psychiatric hospitals to alternativeaccommodation now unsuitable for their needs.In response to public policy and investment, the numbers in the congregated settings havebeen declining. The survey of congregated settings conducted for the Working Group(Chapter 3) shows that 619 people had been transferred out from the settings covered bythis Report between 1999 and 2008, and that 46 of the 72 centres had made arrangementsfor service users to transfer to the community. However, reported admissions to congregatesettings in the same period at a total of 692 had exceeded the reported numbers transferredto the community over that period.Footnotes15McCormack, B. (2004) ‘Trends in the Development of Irish Disability Services’ in Lives and Times:Practice, Policy and People with Disabilities. P.N.Walsh and H. Gash (eds). Rathdown Press.16Department of Health. Commission on Mental Handicap. Stationery Office, 1965.17Department of Health. ‘Towards a Full Life’: Green Paper on Services for Disabled People, 1984,p94.18‘Towards a Full Life’, p106.19Needs and Abilities Report, Chapter 9.20Department of Health. (1996) Towards an Independent Future, Summary of the Review GroupReport on Health and Personal Social Services for People with Physical and Sensory Disabilities p8167167
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National Housing Strategy for Peopl
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Index of Tables, Charts andCase Stu
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ForewordThe ‘National Housing Str
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implementation progress reports whi
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6. To consider good practice in the
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needs. Furthermore, the potential f
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centred responses, information prov
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The full set of actions underpinnin
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Strategic Aim 3To support people wi
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Strategic Aim 5To address the speci
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Strategic Aim 6To consider good pra
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Strategic Aim 8To improve the colle
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Chapter 1Introduction1.1 The Nation
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Chapter 2Context and BackgroundIntr
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• To ensure a high level of aware
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the phased closure of admissions to
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• Service users who have been ina
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Chapter 3Vision and Strategic AimsV
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SA7 To facilitate people with a dis
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Chart 4.aProportion of the Populati
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Local AuthorityAreaPopulationPopula
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Living arrangements of people with
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4.9 Based on the analysis above, it
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Table 4.3: Type of Living Arrangeme
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Chapter 5Housing Services5.1 The ob
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extended to include approved housin
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Rental Accommodation Scheme (RAS)5.
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Under CAS, approved housing bodies
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5.27 The total number of units prov
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Private Housing5.34 While many peop
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5.41 The key issues identified from
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eviewed maximum rent limits to refl
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6.4 Previously, under Section 9 of
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and in the context of Government pr
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Database (NIDD) and the National Ph
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6.25 The Act provides powers for th
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Chapter 7Interagency CooperationInt
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advocates (where appropriate) and d
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integral support to the housing fun
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Case Management Subgroup7.15 It is
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Chapter 8HousingPhysical Accessibil
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8.4 In Ireland, the increasing dema
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Current Legislative / Policy Contex
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Table 8.3 Disabled Persons / Essent
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persons with moderate disabilities,
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Table 8.4: Lifetime Homes Standard
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undertaking a review in 2010, to as
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8.32 In assessing and planning to m
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• Development of an integrated ca
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• Further to consideration by the
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Census did not provide details of c
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9.11 A Vision for Change contains t
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9.3 and 9.4 76 . A Vision for Chang
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• Most service users currently re
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9.20 The phased timescales for tran
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9.24 The transition of people with
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medical certificates. Their applica
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eing appropriately housed 84 . This
Page 118 and 119: 9.36 The following factors are reco
Page 120 and 121: message through a series of communi
Page 122 and 123: During regular visits support staff
Page 124 and 125: mainstream housing, the scheme prov
Page 126 and 127: Table 10.1: Main Residential Circum
Page 128 and 129: 10.8 The guiding principle of the w
Page 130 and 131: Table 10.2: Congregated Settings -
Page 132 and 133: Name of CentreNo. of long-termresid
Page 134 and 135: 10.16 The NIDD noted that of the pe
Page 136 and 137: Case Study - Jimmy’s Story10.23 T
Page 138 and 139: Chapter 11 Information, Advice andA
Page 140 and 141: 11.6 While it is clear that there a
Page 142 and 143: • Providing information in an acc
Page 144 and 145: advocacy role for all citizens over
Page 146 and 147: Appendix 1 Membership of NationalAd
Page 148 and 149: Appendix 2 Membership of MentalHeal
Page 150 and 151: (d)The housing needs of people with
Page 152 and 153: Appendix 5 Results of 2008Assessmen
Page 154 and 155: The table below shows levels of inc
Page 156 and 157: • The Director of Services of the
Page 158 and 159: 4. Confirmation of the approval in
Page 160 and 161: Appendix 1Information required for
Page 162 and 163: Appendix 8 Individual Assessmentof
Page 164 and 165: the housing authority will advise t
Page 166 and 167: UnitsHighSupportMediumSupportLowSup
Page 170 and 171: Bibliography• Access to Informati
Page 172 and 173: • Housing (Standards for Rented H
Page 174 and 175: • Trends in the Development of Ir
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National Housing Strategy for People with a Disability 2011 - 2016

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