not able to practice his sexuality with sufficient self-determination. A
female resident told another commission that she wanted to have a
child; upon enquiry by the delegation, the staff stated that this wish was
not considered possible in the facility.
In its final document on the country review of Austria, the UN Committee
on the Rights of Persons with Disabilities articulated its concern
regarding reports that the number of persons with disabilities in
institutions and facilities has risen in the past 20 years and demanded
increased efforts to drive deinstitutionalisation forward. Therefore, the
Committee explicitly recommends deinstitutionalisation to the regional
governments as well.
UN expert committee
demands increased
efforts
Although there still are numerous facilities of significant size, during the
year under review, some of these facilities were closed or concrete
plans developed to create smaller, decentralised living units.
Nevertheless, the NPM found that there is a particular lack of
comprehensive overall concepts for deinstitutionalisation and that
personal assistance for persons with disabilities as an alternative to
institutional care has not been expanded. In the pursuit of the goals of
the National Action Plan on Disabilities, the concept for personal
assistance must be developed in cooperation between the Federal
Government and the Laender. Increased deinstitutionalisation would
finally be part of a paradigm shift that is particularly important to
increase awareness of equality and a positive perception towards
persons with disabilities. At the same time, this should include concrete
steps toward increased inclusion.
Overall concepts are
lacking
However, the prerequisite to develop such overall concepts is a
comprehensive understanding of the concept of deinstitutionalisation
and the requirements associated with it. The fundamental principle is
that persons with disabilities can choose a way of living that is suitable
for them individually and that they receive the necessary support and
services they need to do so. There is no differentiation here between
“serious” or “slight” disabilities. People who require a great deal of
assistance also have the right to a self-determined life in their own
residence.
Decentralisation is not
the same thing as
deinstitutionalisation
Implementing this principle requires taking the wishes of those affected
as a measure and recognising that they are the experts of their own
lives. In order to enable them to have a choice, it is necessary to make
diverse ways of living available and to enable people to have a personal
budget. Decentralisation of facilities, which has already taken place in
some cases, is an important step in this direction, but it is insufficient.
The wishes of the
persons affected are
decisive
Rather, people must be enabled to plan their everyday life according to
their own personal preferences and needs and to participate in society
at every level. The concept of social space and community issues should
be used.
74
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