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Deinstitutionalization and community living: outcomes and costs: report of a European study: volume 1: executive summary
- Authors:
- MANSELL Jim, et al
- Publisher:
- University of Kent. Tizard Centre
- Publication year:
- 2007
- Pagination:
- 14p.
- Place of publication:
- Canterbury
This project aimed to bring together the available information on the number of disabled people living in residential institutions in 28 European countries, and to identify successful strategies for replacing institutions with community-based services, paying particular attention to economic issues in the transition. The goal was seen as the provision of a flexible range of help and resources which can be assembled and adjusted as needed to enable all people with disabilities to live their lives in the way that they want but with the support and protection that they need. This is characterised by several features: separation of buildings and support; access to the same options as everyone else; choice and control for the disabled person and their representatives. Recommendations included: The European Commission should promote joint work between Member States and Eurostat to define a minimum data set for residential services for people with disabilities. The data set needs to be workable both for countries which still have services largely based in institutions, where the distinction between institutional care and care at home is very clear, and for countries which are in the advanced stages of replacing institutions with community-based services and independent living.
Deinstitutionalization and community living: outcomes and costs: report of a European study: volume 2: main report
- Authors:
- MANSELL Jim, et al
- Publisher:
- University of Kent. Tizard Centre
- Publication year:
- 2007
- Pagination:
- 134p.
- Place of publication:
- Canterbury
This detailed project aimed to bring together the available information on the number of disabled people living in residential institutions in 28 European countries, and to identify successful strategies for replacing institutions with community-based services, paying particular attention to economic issues in the transition. The overall aim of the project was to provide scientific evidence to inform and stimulate policy development in the reallocation of financial resources to best meet the needs of people with disabilities, through a transition from large institutions to a system of community-based services and independent living. The reports includes: the identification and collation of existing national data sources; description of the sequence and process of service development; comparison of the costs of community-based vs. institutional services; identification of transitional costs; and the analysis of political and economic strategies used to manage costs. Major recommendations included the harmonised data set at a European level, the publication of statistics demonstrating progress in each country, and the cost- effectiveness of community versus institutional models of residential care and change over time.