POLICY IMPLICATIONS

Service providers and policy makers who wish to encourage the fuller participation of individuals with disabilities in community life can consider the following points.

Recognize the inherent limitations of policy. There are no regulations or practices which if implemented, would automatically result in people making more friendships and becoming members of groups. Policies can encourage relationships, but cannot mandate them. However, it is possible to reconsider those policy requirements which make if difficult for people with disabilities to interact with nondisabled people in typical settings.

Review regulations, policies, and practices to eliminate obstacles for friendships. Friendships between nondisabled individuals and people with disabilities may be disruptive to rigid and overregulated human service programs. Regulations, policies, and practices may interfere with the type and quality of interactions that individuals with disabilities may have with others. For examples, some may not be able to invite guests to their group home/residential facility for a cup of coffee or a meal. There may be restrictions on how many nights a person can be away, limiting the possibility of visits or trips with family and friends. Others may have no private space available to them in which they can entertain guests. Restrictive curfews and rigid scheduling of activities severely limits the opportunities that people have to get together.

By simply trying to get together, friends or family may be seen as disruptive to the "ongoing program" in some way. Agencies which are committed to fostering personal relationships will need to tolerate these "disruptions."

Learn how various social settings operate. Community settings do not operate in the same way as human service programs do. A role of policy makers, therefore, may be to allow time for staff members to come to know and understand a setting. For example, while the residents of a group home might be dropped off en masse at a recreation program for individuals with disabilities, this practice would not be appreciated at an aerobics class or pick-up basketball game. By learning the culture (routines, traditions, expectations, and rituals) of a particular setting, it becomes easier to facilitate a person's involvement there. This includes the more obvious things like wearing appropriate clothing, but also becoming aware of more subtle activities. At chorus activities, for example, members visit with each other 5-10 minutes before starting. If Joanne consistently missed that "visiting time," she would miss out on important opportunities for socializing with others.

Recognize the value of interdependence. Some of the expectations that human service providers make upon their clients may eliminate opportunities for individuals to interact with nondisabled citizens. For example, to achieve the goal of "independence," a staff person may require a person with a disability to arrange and take public or specialized transportation to an activity, rejecting a nondisabled participant's offer to car pool with the person and others.

Support long-term efforts and commitment>. Helping a person establish relationships or become part of a group may take a long time, and agencies should be prepared to provide support for as long as this takes. It is also important to recognize that when a person is reliant upon staff support, their involvement is vulnerable as the staff people change so frequently. The results of staff turnover may be devastating for someone who is dependent upon the support of one or a few people. Creating opportunities and providing support must be a long term, consistent effort.

Rethink the role of "volunteers." Many agencies recruit volunteers for individuals with disabilities and then call these people friends. Typically, volunteers make a commitment to an agency and not the individual to whom they are introduced. Volunteers may understand their roles in one way, and the individual with a disability, who has been told that the person is a "friend," may view them differently.

Additionally, agency personnel may believe that community members who volunteer may offer extensive informal supports for people with disabilities, taking over some staff and support functions, reducing the need for certain paid services. However, providers must not abdicate their responsibility to the people whom they are serving, and should not expect this to take place.

Establish examples of positive interactions. Professional training encourages a detachment between those who are staff and those who receive services. When relationships do form, each party must transcend the "staff" or "client" roles, and create a personal relationship where the primary commitment is to each other. When this occurs, the loyalty of the staff person switches from the agency to the person with a disability. This change may be threatening to the agency, which in turn, may discourage the relationships. Administrators may counter this trend by recognizing and celebrating the personal relationships that do develop and by forming personal relationships of their own with people supported by their agency.

Support efforts that assist people to develop social relationships. Agencies with funding responsibilities and service providers can support practices whose purpose is to explore community associations, help people to develop networks, and support friendships. For example, in a number of states, the Developmental Disabilities Planning Councils have funded demonstration projects that focus on social relationships. In other places, service agencies have reorganized so that relationship support can become a priority. The learnings from these projects need to be collected, disseminated, and made a part of the culture and practices of human service agencies. Anyone aware of such a project may write to us at the Center on Human Policy.


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