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Round Table on Information Access for People with a
Print Disability
2010 Annual Conference, 23-25 May 2010
Heritage Auckland, Auckland New Zealand
THIRTY YEARS OF PROGRESS IN
AUSTRALIAN DISABILITY POLICY
Dr Mike Steer
RIDBC Renwick Centre &
The University of Newcastle
Burton Blatt, 1927-1985
Christmas in Purgatory:
A photographic essay on mental retardation
Burton Blatt & Fred Kaplan (1974)
There is a hell on earth, and in America there is a special inferno.
We were visitors there during Christmas 1965
Originator of Citizen Advocacy and Social Role Valorization,
Foremost propagator of normalization in North America.
Wolf Wolfensberger
THE PRINCIPLE OF NORMALIZATION, 1972
The use of culturally normative means to enable
persons to have & maintain life conditions that
are at least as good as those of average citizens
and as much as possible: enhance or support
their
• BEHAVIOUR
• APPEARANCE
• EXPERIENCES
• STATUS & REPUTATION
VALUE
FRIENDLESS
DISCONTINUOUS
EXPERIENCES
MATERIALLY
POOR
LOW SKILLS
LIFE-WASTING
SEGREGATED
APPEARANCE
SKILLS
VALUED
RELATIONSHIPS
LIVING
ARRANGEMENTS
INCOME
ETC
SRV
Instruments for evaluating human
services in terms of SRV:
PASS (Wolfensberger & Glenn, 1975)
PASSING (Wolfensberger & Thomas,
1983).
Foundations Forum (NSW)
Babies &
Infants
Boys
Girls
Young Adult
Males
Young
Adult
Females
Females
L
a
u
n
d
r
y
Males
Geriatric Centre
SONYEA CENTER
The Early Days
Newfoundland
Childrens Home
Exon House
Victoria
Gold Rush Legacy
St Nich’s Hospital
Colanda- electronics
Dax Homes & MR Nurses
Beechworth- Cages & Rotting floors
MRD Admissions & Discharge Committee
From Health to Community Services
The Early Days in Australia
• 1811: First institution, Castle Hill Asylum,
established in NSW
• 1852: Adelaide Lunatic Asylum
established
• 1860 Royal NSW Institute for Deaf & Blind
Children established
• 1866: Royal Victorian Institute for the Blind
established
TIMELINE
1901 — Alice Betteridge born: first deafblind person to receive
education in Australia.
1910 Invalid Pension introduced
1933 — First folding, tubular steel wheelchair was invented.
1941 — Discovery of link between rubella in pregnant women
and blindness in newborn babies
1945 —Sickness benefit introduced
1948 — Helen Keller visits Australia.
1950s — First sheltered workshops for children with disabilities
1952 — First guide dog training centre in Australia established in
Perth
1960s — Text telephones invented
1969 — Vaccine for Rubella became available.
Milestone 1975
UN Declaration on the Rights of Disabled Persons,
Adopted 9 December 1975
• Disabled persons are entitled to same political & civil
rights as others, including measures necessary to enable
them to become self-sufficient.
• Reiterated rights of disabled persons to education,
medical services, & placement services.
• Recognised right to economic & social security, to
employment, to live with their families, to participate in
social and creative events, to be protected against all
exploitation, abuse or degrading behaviour, & to avail
themselves of legal aid
Milestone - 1981
International Year of Disabled Persons
UN General Assembly: Themes = equalisation of opportunities,
rehabilitation & prevention
Planning began1976 with National Advisory Council for the Handicapped
(NACH) and the Standing Interdepartmental Committee on Rehabilitation
(SIDCOR).
National IYDP Unit established Canberra in Department of Social Security
Strategies integrated into national policies
for socio-economic development,
preventive activities include development &
use of technology for prevention,
legislation eliminating discrimination on access to facilities, social security,
education and employment.
MILESTONE 1987
Disability Council of NSW
Established by Act of Parliament,
The Community Welfare Act of 1987.
Duties
• To advise Government on disability matters;
• To raise community awareness about people
with disability and their aspirations; and
• To promote participation by people with disability
MILESTONE
CS(T)DA 1991
• Sets out responsibilities of Commonwealth, States &
Territories Governments & types of supports to be
provided
National Goals
• Provide range of innovative services
• Shift as far as possible to funding non-government
services
• Simplify service access arrangements
• Promote access to generic services, including transfers
of existing services to generic services
• Reduce administrative overheads, streamline
administration
CS(T)DA SCOPE OF SERVICES
Accommodation Support
Advocacy
Competitive Employment
Independent Living Training
Information Services
Print Disability Services
Recreation Services
Respite Care Services
Supported Employment Services
Early Intervention (Therapy) Services
Other Therapy Services
Research & Development, Assessment, Case Management, Staff
Training
COMMONWEALTH
STATES &
TERRITORIES
NGOs etc
Recipients of
Government $$$
COMMUNITY
GROUPS
,
ODD MAN OUT
ACROD/NDS
www.dsa.org.au/life_site/text/intro/
Medical Advances & Health
Technical Innovation
Education
Participating in Community Life
Employment Opportunities
The Arts
Sport
Finding a Voice
MEDICAL ADVANCES, HEALTH, SAFETY
Development of vaccines to prevent serious
illnesses that cause disability
Improvements in care of accident victims
Education about safety on roads & workplace
Education to reduce risks of birth defects caused
during pregnancy
Recognising importance of care & understanding
for people with disabilities
Technology, Communication & Mobility
• Touch replaces sight: Mountbatten Brailler
• CCTVs (Opticon)
• Talking Computers (JAWS)
• Talking Books (Books in the Sky)
• Sign language (Auslan)
• Hearing Aids
• Text telephones
• Guide Dogs, Wheelchairs, Long canes
Community Participation
• NSW HomeCare
• Meals on Wheels
• Carers
• Disability Standards for Public Transport
• Building Standards/Codes
• Captioning
• Holidaying
• Wheelchair access
• Awareness Events
Advocacy
HUMAN RIGHTS & EQUAL OPPORTUNITY COMMISSION
(HREOC, 1981)
Purpose: To eliminate discrimination against people with
disabilities and promote wider acceptance and inclusion.
NATIONAL DISABILITY SERVICES
(NDS, 1963)
National industry association for disability services in
Australia. It established as ACROD with today over 600
NGO’s as members. NDS plays a critically important role
in influencing government legislation and funding with
regard to quality services for people with disabilities
Employment Opportunities
• Business Services (House with No Steps)
• Open Employment Services (CentreLink)
Employer Obligations
• Human Rights & Equal Opportunity Act (1986)
• Disability Discrimination Act (1993)
• Employers required to make adjustments to workplace
unless it caused unjustifiable hardship to business
• Workplace Modifications Scheme of Dept of Health &
Family Services, businesses eligible for Govt funding to
offset cost of adjustments
Australian Greats
1967, Professor Graeme Clark, University of
Melbourne, began research on hearing devices
surgically implanted in the ear (Cochlear
Implants)
http://www.cochlear.com
1970’s Professor Hollows at UNSW. pioneers
treatment of trachoma
http://www.hollows.org
LEGISLATION
PHILOSOPHY IMPLEMENTATION
LEGISLATION + PHILOSOPHY – IMPLEMENTATION =
FRAGMENTATION
LEGISLATION + IMPLEMENTATION – PHILOSOPHY =
MALADAPTATION
PH ILOSOPHY + IMPLEMENTATION – LEGISLATION =
UNEMPOWERMENT
Commonwealth Agencies
• CentreLink
• Commonwealth Care Link
• Department of Employment & Workplace
Relations (DEWR)
• Department of Families, Housing, Community
Services & Indigenous Affairs (FaHCSIA)
• Human Rights & Equal Opportunities
Commission (HREOC)
• NSW Disability Discrimination Legal Centre
NSW STATE GOVERNMENT
BIG BUSINESS
COMPLEX STRUCTURE
HUGE BUDGET
150 Government agencies
130 required under Section 9 DSA to produce
formal disability plans
NSW Government Agencies
• Anti- Discrimination Board (1977 Act)
• Dept of Ageing, Disability & Home Care
• Public Trustee NSW
• Office of the Protective Commissioner
(merger?)
• Department of Community Services
• Legal Aid NSW
• NSW Dept of Education & Training
• NSW Ombudsman
DEALING WITH GOVERNMENTS
POLITICAL ARM
BUREAUCRATIC
ARM
SUPPLICANTS
GOVERNMENT INTERESTS
THE PARTY
SPECIAL INTEREST GROUPS
THE PUBLIC
THE MEDIA
THE OPPOSITION
NATIONAL TRENDS
REGULATIONS
COMMUNITY VOICES
• The Physical Disability Council of NSW
Inc (PDCN), the peak body representing
people with physical disability across NSW
•
Aboriginal disability
Network
Sexual Assualt
in Disability &
Aged Care
Disability Studies
& Research
Institute, UNSW
Technical Aid to the Disabled NSW
The Charities
• Northcott Disability Centre
• The Deaf Society
• Spastic Centre
• Forsight Foundation
• Vision Australia
• Royal Institute for Deaf & Blind Children
• Brain Injury Association
• Down Syndrome NSW Inc
Some early 10 Year Plans
• Calgary Plan (mid-1970’s)
• Victorian 10 Year Plan 1987
(Neilson Report)
• Disability Directions: Tomorrow’s Blueprint
NSW 1993-4
Provide a Priorities Framework
Promote Optimism
Attempt to address policy drift
NSW Disability 10 Year Plan
Stronger Together
Launched by Premier, 26 May 2006
NSW annual expenditure over $1.2 billion on
disability access to public transport, specialist Health services,
Housing & Education
• $1.3 Billion in first five years
• Intensive consultation process
Minister attended 9 regional consultation meetings
• Strengthening families
• Promoting community inclusion
• Improving system capacity & accountability
DISABLED PEOPLE
NEED
specialised
treatment &
services delivered in
controlled
environments
to minimise contact
with
others
Unless RIGHTS
of PwD
are
focus of service
delivery
People will lead
DEVALUED LIVES
PARADIGM SHIFT
Delivery Pattern Changes Across Time
1960 2009
NEGLECT
SCANDAL
REFORM
COMPLACENCY
NEGLECT
TIME
Human
Services
Going well
No worries
Importance of the Community Voice

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11 mike steer

  • 1. Round Table on Information Access for People with a Print Disability 2010 Annual Conference, 23-25 May 2010 Heritage Auckland, Auckland New Zealand THIRTY YEARS OF PROGRESS IN AUSTRALIAN DISABILITY POLICY Dr Mike Steer RIDBC Renwick Centre & The University of Newcastle
  • 3. Christmas in Purgatory: A photographic essay on mental retardation Burton Blatt & Fred Kaplan (1974) There is a hell on earth, and in America there is a special inferno. We were visitors there during Christmas 1965
  • 4. Originator of Citizen Advocacy and Social Role Valorization, Foremost propagator of normalization in North America. Wolf Wolfensberger
  • 5. THE PRINCIPLE OF NORMALIZATION, 1972 The use of culturally normative means to enable persons to have & maintain life conditions that are at least as good as those of average citizens and as much as possible: enhance or support their • BEHAVIOUR • APPEARANCE • EXPERIENCES • STATUS & REPUTATION
  • 7. Instruments for evaluating human services in terms of SRV: PASS (Wolfensberger & Glenn, 1975) PASSING (Wolfensberger & Thomas, 1983). Foundations Forum (NSW)
  • 9. The Early Days Newfoundland Childrens Home Exon House Victoria Gold Rush Legacy St Nich’s Hospital Colanda- electronics Dax Homes & MR Nurses Beechworth- Cages & Rotting floors MRD Admissions & Discharge Committee From Health to Community Services
  • 10. The Early Days in Australia • 1811: First institution, Castle Hill Asylum, established in NSW • 1852: Adelaide Lunatic Asylum established • 1860 Royal NSW Institute for Deaf & Blind Children established • 1866: Royal Victorian Institute for the Blind established
  • 11. TIMELINE 1901 — Alice Betteridge born: first deafblind person to receive education in Australia. 1910 Invalid Pension introduced 1933 — First folding, tubular steel wheelchair was invented. 1941 — Discovery of link between rubella in pregnant women and blindness in newborn babies 1945 —Sickness benefit introduced 1948 — Helen Keller visits Australia. 1950s — First sheltered workshops for children with disabilities 1952 — First guide dog training centre in Australia established in Perth 1960s — Text telephones invented 1969 — Vaccine for Rubella became available.
  • 12. Milestone 1975 UN Declaration on the Rights of Disabled Persons, Adopted 9 December 1975 • Disabled persons are entitled to same political & civil rights as others, including measures necessary to enable them to become self-sufficient. • Reiterated rights of disabled persons to education, medical services, & placement services. • Recognised right to economic & social security, to employment, to live with their families, to participate in social and creative events, to be protected against all exploitation, abuse or degrading behaviour, & to avail themselves of legal aid
  • 13. Milestone - 1981 International Year of Disabled Persons UN General Assembly: Themes = equalisation of opportunities, rehabilitation & prevention Planning began1976 with National Advisory Council for the Handicapped (NACH) and the Standing Interdepartmental Committee on Rehabilitation (SIDCOR). National IYDP Unit established Canberra in Department of Social Security Strategies integrated into national policies for socio-economic development, preventive activities include development & use of technology for prevention, legislation eliminating discrimination on access to facilities, social security, education and employment.
  • 14. MILESTONE 1987 Disability Council of NSW Established by Act of Parliament, The Community Welfare Act of 1987. Duties • To advise Government on disability matters; • To raise community awareness about people with disability and their aspirations; and • To promote participation by people with disability
  • 15. MILESTONE CS(T)DA 1991 • Sets out responsibilities of Commonwealth, States & Territories Governments & types of supports to be provided National Goals • Provide range of innovative services • Shift as far as possible to funding non-government services • Simplify service access arrangements • Promote access to generic services, including transfers of existing services to generic services • Reduce administrative overheads, streamline administration
  • 16. CS(T)DA SCOPE OF SERVICES Accommodation Support Advocacy Competitive Employment Independent Living Training Information Services Print Disability Services Recreation Services Respite Care Services Supported Employment Services Early Intervention (Therapy) Services Other Therapy Services Research & Development, Assessment, Case Management, Staff Training
  • 17. COMMONWEALTH STATES & TERRITORIES NGOs etc Recipients of Government $$$ COMMUNITY GROUPS , ODD MAN OUT ACROD/NDS
  • 18. www.dsa.org.au/life_site/text/intro/ Medical Advances & Health Technical Innovation Education Participating in Community Life Employment Opportunities The Arts Sport Finding a Voice
  • 19. MEDICAL ADVANCES, HEALTH, SAFETY Development of vaccines to prevent serious illnesses that cause disability Improvements in care of accident victims Education about safety on roads & workplace Education to reduce risks of birth defects caused during pregnancy Recognising importance of care & understanding for people with disabilities
  • 20. Technology, Communication & Mobility • Touch replaces sight: Mountbatten Brailler • CCTVs (Opticon) • Talking Computers (JAWS) • Talking Books (Books in the Sky) • Sign language (Auslan) • Hearing Aids • Text telephones • Guide Dogs, Wheelchairs, Long canes
  • 21. Community Participation • NSW HomeCare • Meals on Wheels • Carers • Disability Standards for Public Transport • Building Standards/Codes • Captioning • Holidaying • Wheelchair access • Awareness Events
  • 22. Advocacy HUMAN RIGHTS & EQUAL OPPORTUNITY COMMISSION (HREOC, 1981) Purpose: To eliminate discrimination against people with disabilities and promote wider acceptance and inclusion. NATIONAL DISABILITY SERVICES (NDS, 1963) National industry association for disability services in Australia. It established as ACROD with today over 600 NGO’s as members. NDS plays a critically important role in influencing government legislation and funding with regard to quality services for people with disabilities
  • 23. Employment Opportunities • Business Services (House with No Steps) • Open Employment Services (CentreLink) Employer Obligations • Human Rights & Equal Opportunity Act (1986) • Disability Discrimination Act (1993) • Employers required to make adjustments to workplace unless it caused unjustifiable hardship to business • Workplace Modifications Scheme of Dept of Health & Family Services, businesses eligible for Govt funding to offset cost of adjustments
  • 24. Australian Greats 1967, Professor Graeme Clark, University of Melbourne, began research on hearing devices surgically implanted in the ear (Cochlear Implants) http://www.cochlear.com 1970’s Professor Hollows at UNSW. pioneers treatment of trachoma http://www.hollows.org
  • 25. LEGISLATION PHILOSOPHY IMPLEMENTATION LEGISLATION + PHILOSOPHY – IMPLEMENTATION = FRAGMENTATION LEGISLATION + IMPLEMENTATION – PHILOSOPHY = MALADAPTATION PH ILOSOPHY + IMPLEMENTATION – LEGISLATION = UNEMPOWERMENT
  • 26. Commonwealth Agencies • CentreLink • Commonwealth Care Link • Department of Employment & Workplace Relations (DEWR) • Department of Families, Housing, Community Services & Indigenous Affairs (FaHCSIA) • Human Rights & Equal Opportunities Commission (HREOC) • NSW Disability Discrimination Legal Centre
  • 27. NSW STATE GOVERNMENT BIG BUSINESS COMPLEX STRUCTURE HUGE BUDGET 150 Government agencies 130 required under Section 9 DSA to produce formal disability plans
  • 28. NSW Government Agencies • Anti- Discrimination Board (1977 Act) • Dept of Ageing, Disability & Home Care • Public Trustee NSW • Office of the Protective Commissioner (merger?) • Department of Community Services • Legal Aid NSW • NSW Dept of Education & Training • NSW Ombudsman
  • 29. DEALING WITH GOVERNMENTS POLITICAL ARM BUREAUCRATIC ARM SUPPLICANTS GOVERNMENT INTERESTS THE PARTY SPECIAL INTEREST GROUPS THE PUBLIC THE MEDIA THE OPPOSITION NATIONAL TRENDS REGULATIONS
  • 30. COMMUNITY VOICES • The Physical Disability Council of NSW Inc (PDCN), the peak body representing people with physical disability across NSW •
  • 31. Aboriginal disability Network Sexual Assualt in Disability & Aged Care Disability Studies & Research Institute, UNSW Technical Aid to the Disabled NSW
  • 32. The Charities • Northcott Disability Centre • The Deaf Society • Spastic Centre • Forsight Foundation • Vision Australia • Royal Institute for Deaf & Blind Children • Brain Injury Association • Down Syndrome NSW Inc
  • 33. Some early 10 Year Plans • Calgary Plan (mid-1970’s) • Victorian 10 Year Plan 1987 (Neilson Report) • Disability Directions: Tomorrow’s Blueprint NSW 1993-4 Provide a Priorities Framework Promote Optimism Attempt to address policy drift
  • 34. NSW Disability 10 Year Plan Stronger Together Launched by Premier, 26 May 2006 NSW annual expenditure over $1.2 billion on disability access to public transport, specialist Health services, Housing & Education • $1.3 Billion in first five years • Intensive consultation process Minister attended 9 regional consultation meetings • Strengthening families • Promoting community inclusion • Improving system capacity & accountability
  • 35. DISABLED PEOPLE NEED specialised treatment & services delivered in controlled environments to minimise contact with others Unless RIGHTS of PwD are focus of service delivery People will lead DEVALUED LIVES PARADIGM SHIFT
  • 36. Delivery Pattern Changes Across Time 1960 2009

Editor's Notes

  1. The model shows a triangular responsibility-deflection model in which, when there is disagreement, the odd man out can be an easy scapegoat. It’s critically important to agencies that are recipients of federal funding and that wish their agendas to be noticed, that they keep community pressure groups at the centre of the triangle and use the power of ACROD.
  2. When dealing with Governments, a two pronged approach aimed at exploiting Government interests is necessary Approach 1: Aimed at the Political Arm Approach 2: Aimed at the Bureaucratic Arm