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The successes and challenges of implementing individualised funding and supports for disabled people: an Irish perspective
Authors:Padraic Fleming  Sinead McGilloway  Sarah Barry
Institution:1. Mental Health and Social Research Unit, Maynooth University Department of Psychology, National University of Ireland Maynooth, Maynooth, Co. Kildare, Ireland;2. Centre for Health Policy and Management, Trinity College Dublin, University of Dublin, College Green, Dublin, Ireland
Abstract:‘Individualised funding’, which is rooted in the Independent Living Movement, has formed part of a global paradigm shift in support services for disabled people. Against the backdrop of international experience, a political system aligned with the United Kingdom and emergent critics of individualised funding, this article presents findings from an evaluation of four pilot programmes in Ireland. Exemplified by independent-skills development and community integration, these initiatives have been welcomed as a progressive development beyond traditional service provision, with perceived improvements across a range of organisational, personal, health and social care domains. The article explores the importance of ‘natural supports’ and how overly protective behaviour may unintentionally act as a barrier to full implementation. The findings also indicate that unnecessarily complex systems can lead to individual burn-out. Furthermore, a national resource allocation system working in partnership with existing social care professionals and the wider community is recommended, as is learning from overly simplified, group-based ideologies.
Keywords:Disability  individualised funding  self-directed support  circle of support  implementation  resource allocation system
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