Institutions for persons with disabilities
Deinstitutionalisation
facilitates individual
ways of liv
Customised ways of living are facilitated by inclusive types of housing close to
the local community. Commission 1 reported of examples of good practice. The
operator of a residential home moved the residents to a block of apartments
close to the local community. In this building, the clients now live right beside
other tenants. Customised support is provided and those being cared for can
decide on their daily routine themselves. There is also sufficient assistant staff
at the weekend. It is thus possible to go to festivals, discotheques or other
events. The residents drafted their own house rules.
In spite of some positive incidences, however, there is a lack of comprehensive
concepts for deinstitutionalisation in Austria. On the contrary, in some cases
institutions and facilities are extended and deinstitutionalisation is considered
to be difficult to implement. Sometimes the authorities also argue that persons
in care prefer existing institutions and facilities to types of housing close to
the local community. In this context, it is often overlooked that changing
the habits and socialisation that have been taught over years is combined
with fear. Deinstitutionalisation therefore requires cautious preparation and
extensive information on processes and opportunities.
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There is no change
without resistance
Just how difficult it is to bring about change in institutions and facilities is
illustrated by the case of a residential and day-care centre for persons with
disabilities in Salzburg, which is operated by the Land. The NPM criticised
many cases of maladministration in 2016 (completely inadequate buildings,
no barrier-free accessible places to be alone, missing therapy and rehabilitation
opportunities), which were vehemently refuted. A plot of land has since been
purchased on which a turnkey residential facility with therapy places will be
built in 2019. At the beginning of 2017, the documents presenting the rationale
and financing for the new building were submitted to the Diet by the Land
Government. In these documents the Land Government conceded that the
existing confined conditions made it impossible to provide contemporary care
for persons with disabilities. However, according to the lawyer of the facility,
the deterioration of development opportunities caused by this is attributed to
the peculiarities of the disabilities of persons living there, and not to insufficient
structures. In a debate in the Diet in January 2018, the NPM insisted that
it is necessary that the Land Government sits down with experts (e.g. selfadvocacies, monitoring committee) and defines an inclusive concept in order
to be able to provide persons with considerable support needs appropriate
living conditions as well as the necessary therapy, support and care services.
The opposite of
inclusion is isolation
Self-determination is also the condition for inclusion, in other words integration
in society. It does not exist when persons with disabilities live and work isolated
from the rest of society. This, for example, is the case when the only available
sheltered workshops and houses of the same operator organisation are run in
close proximity to each other. There are still regions in Austria where persons
with disabilities are dependent on one employer and have to act in closed
systems due to a lack of alternatives. One facility visited by Commission 3 in
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