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Self-Directed Support
international learning
Self-Directed Support
• It is not new - it has been
growing since the 1960s.
• It can be found in lots of
places around the world.
• It has been successful,
but slow to grow.
• It creates new
opportunities and new
risks.
Sami Helle at European
Parliament, November 2013
“We are obliged to
surrender to the will of
the strong. Big
companies, cities and
municipalities decide
what is best for us. This
is about power. Why do
I feel a lack of power
in my own life?”
Research
• Positive outcomes (often)
negative outcomes (never)
• Can cost less, can cost
more
• Tends to increase demand
• Design matters - there
are big differences
between different systems
English data 2003-2005, first In Control pilot
English data 2005-2007
Design Matters
1. Rights - secure foundations
2. Control - person focused
3. Clarity - transparent
4. Flexibility - high in options
5. Ease of use - low in burdens
6. Community - connectivity
7. Sustainability - evolving
1. Rights
Support should not be a professional gift -
it should be an entitlement
The government
money fallacy
it can’t always be
government money:
where did government get it from?
2. Control
The right person must have responsibility -
control as close to the person as possible
Needs are met - but met in ways that are
shaped by the person.
3. Clarity
Systems ration resources in different ways
!
1.by responding to crises or requests
2.by creating waiting lists for places
3.by professional assessment
4.by public rules for entitlements
5.by negotiation
Clarity about money seems to improve how
people plan and how willing the system is to
provide flexibility. But it can be corrupted.
4. Flexibility
Flexible funding helps promote greater
community involvement
5. Easy to use
Resistance to innovation often leads to
increases in complexity.
• Big support plans
• Complex resource assessments
• Lengthy processes for review and decisions
• Intrusive bureaucracy and monitoring
• Multiple and conflicting funding streams
• Weak incentives to take control
• Regulations and inspections
Trust is critical.
6. Community
Self-directed support seeks to move money
into community - in different ways.
This includes how people take control.
• Best support there is
• A flexible concept
• Facilitation is key
• Evolving
• NOT commissioned
7. Sustainability
Self-directed support demands a new way
of managing - NOT the middle
Its about citizenship - NOT services
For more information:
!
Web: www.centreforwelfarereform.org
!
Twitter: @CforWR and @simonjduffy
!
Blog: www.simonduffy.info
!
Facebook: centreforwelfarereform
!
Campaign: www.campaignforafairsociety.org
© Simon Duffy. Rights Reserved. Full copyright details at www.centreforwelfarereform.org

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International learning on Self-Directed Support