Institutions for persons with disabilities Principle of normality is no justification for lack of preparation Second, the principle of normality cannot be justification for a forced relocation or change in type of care for financial reasons. The principle of normality requires that the clients are not denied access to any fields of life outside of the facility. They have to receive the support necessary to enable them to lead a life that is as self-determined and individually organised as possible. According to information from the commission, the preparation in the facility was insufficient. But there are only few incentives for independence in many other institutions and facilities too. Without the relevant planning that has the wellbeing of those affected as its exclusive focus as well as support and preparation, reference to the principle of normality is not appropriate and can only be seen as cynical. It is not compatible with the principles of the UN CRPD that persons with chronic mental illnesses with increased care and nursing needs have been losing their home due to staff shortages without sufficient preparation and without being offered alternatives. Inclusion must be considered in budget planning Economic grounds may therefore not result in the restriction of necessary services and measures. It is even more important to emphasise this, as further cost cuts cannot be ruled out in the near future. Awareness of the fact that inclusion may not leave any person behind must be the basis of all budget planning. XX  Cost cuts may not be allowed to result in persons with mental illness being moved to other institutions and facilities against their will. XX  In order to enable the affected persons to live a more independent life, they have to be prepared as well as possible and supported accordingly. XX  The inclusion of persons with disabilities must be considered as a basic principle in all budget planning. 2.4.5 Pain in persons with disabilities When persons without disabilities feel pain, they can take painkillers, consult a doctor, avail of physiotherapeutic help, go to therapy or communicate their pain to their surroundings. Pain is perceived less by others 94 Persons with complex or multiple disabilities are often denied this. Even though according to one study, approx. 60% of children and approx. 75% of adults with severe and multiple disabilities suffer from chronic pain, there is still the widely held view that persons with disabilities are less sensitive to pain than others. As a consequence, persons without cognitive impairments receive analgesics three times more often than persons with cognitive impairments.