Family Movement

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The Family Movement, [1] also known in the past as the Parent Movement, is an arm of the disability rights movement, a larger social movement. The Family Movement advocates for the economic and social rights of family members with a disability. Key elements include: social inclusion; active participation; a life of meaning; safety; economic security; accessibility and self-determination. The family movement has been critical in closing institutions and other segregated facilities; promoting inclusive education; reforming adult guardianship to the current supported decisionmaking; increasing access to health care; developing real jobs; fighting stereotypes and reducing discrimination.

Contents

The Parent/Family Arm of the Disability Movement

In the late 1940s and early 1950s families spontaneously across Canada, the US, [2] England, France, Scandinavia, Australia and New Zealand began asserting a different vision, a different lifestyle and a different future for their sons and daughters with intellectual disabilities, mental handicaps and developmental disabilities. These isolated, independent developments eventually coalesced into the first wave of the 'parent movement'. They organized and demanded services for their sons and daughters. Their efforts eventually resulted in the UN Declaration on the Rights of Disabled Persons, December 9, 1975. [3] (Note: while this terminology is not used today it was the commonly accepted terminology 6 or 7 decades ago.) This has subsequently been eclipsed by the UN Convention on the Rights of Persons with Disabilities which was equally influenced by the emerging and now very strong consumer 'independent living' arm of the disability movement.

In those early formative days families around the world began to question the accepted wisdom that they should institutionalize their son or daughter with a disability. [4] [5] But parents were isolated from each other. They had no way of knowing who else felt the same way. It was not easy for parents to get to know each other. Some resorted to placing ads in newspapers. Even here they faced challenges as some newspapers felt it was inappropriate to advertise the fact you had a child with a disability. It is hard to understand today but this was the accepted wisdom of the time.

As they started coming together families began to create opportunities, programs and supports for their sons and daughters. They created programs with few resources. Taking over church basements to set up schools; borrowing chalk, discarded books from school boards who would not accept educational responsibility for educating their sons and daughters.

These parents and their community supporters formed the Associations for Retarded Children. These organizations are now called Associations for Community Living in Canada. [6] Following their example organizations for people with cerebral palsy (concurrent time period of the Arc), hearing and visual impairments, autism and other handicapping conditions were started. Parents were also involved as parent-professional partners at university centers, and were given additional funds to begin cross-disability offices, and even family support agencies with preferential hiring practices.

Three famous Americans (two parents and one brother) had a major impact on public perceptions of disability in the 1950s and 1960s. One was Nobel Prize winner Pearl Buck who wrote about her daughter Carol in the book The Child Who Never Grew . The other was Dale Evans who starred with her husband Roy Rogers in a popular television western wrote Angel Unaware about her daughter with Down Syndrome. The third was President John F. Kennedy, whose sister Rosemary had a mental handicap. In 1961 he launched the President's Panel on Mental Retardation which became the President's Committee on Mental Retardation. These three combined with the work of parents and family members brought the issue out of the closet, eased the stigma of having a child with a disability and became a major source of hope for families. [2]

In 1961 the International League of Societies for the Mentally Handicapped was formed. This organization is now called Inclusion International.

The UN Declaration on the Rights of Disabled Persons was adopted by the United Nations General Assembly on December 9, 1975.

One of the most important contributions to the parent/family movement was the introduction of the concept of Normalization (people with disabilities). Originating in Denmark with Erik Bank-Mikkelsen and Bengt Nirjeit normalization principles were adapted in North America by Wolf Wolfensberger. Dr. Wolfensberger fully supported families, and to some extent, parental control in decisionmaking. Wolfensberger wrote his seminal work in Toronto in the early 1970s as a visiting scholar to the Canadian Association for the Mentally Retarded and the National Institute on Mental Retardation  – the national bodies for the local parent founded organizations. Wolfensberger's theory is now called Social Role Valorisation.

Eventually with persistence, patience and ingenuity the government funded system of social, educational and health programs and services took shape.

By the 1980s the parent/family movement had successfully established a comprehensive program and service infrastructure which was court-mandated in some states and developed through major state and regional governmental offices. It was natural for them to support their sons and daughters who were creating their own movements, including the Independent Living movement which had strong roots in the 1970s laws (e.g., Rehabilitation Act of 1973) and self-advocacy movement which obtained university parent-professional support in its inception.

Regional impacts

British Columbia, Canada

Closure of all 3 major institutions [7]
Closure of all segregated schools
Creation of innovative organizations
  • BC Association for Community Living (BCACL)
  • Family Support Institute
  • Vela Microboard Association
  • Planned Lifetime Advocacy Network (PLAN)
  • Community Living Society
  • BC Self Advocacy Foundation
  • Vancouver Adaptive Snow Sports
  • Tetra Society of North America
  • Kickstart Society for Disability Arts and Culture
  • Can Assist
  • Communitas Supportive Care Society
  • BC Initiative for Inclusive Post-Secondary Education (STEPS Forward)
Creating a unique alternative to legal guardianship
which includes establishing a test of legal capacity that recognizes caring trusting relationships
Pioneering individualized funding and service brokerage

New York, United States

Closure of major institutions
Creation of innovative organizations

Timeline

British Columbia

New York City

The AHRC New York City was founded in 1949. [11]

Related Research Articles

Disability rights movement Social movement seeking equal rights for disabled people

The disability rights movement is a global social movement that seeks to secure equal opportunities and equal rights for all people with disabilities.

Willowbrook State School Former state-supported institution for intellectually disabled children in Staten Island, New York

Willowbrook State School was a state-supported institution for children with intellectual disabilities located in the Willowbrook neighborhood on Staten Island in New York City from 1947 until 1987.

Walter E. Fernald Developmental Center United States historic place

The Walter E. Fernald State School, later the Walter E. Fernald Developmental Center, was the Western hemisphere's oldest publicly funded institution serving people with developmental disabilities. Originally a Victorian sanatorium, it became a "poster child" for the American eugenics movement during the 1920s. It later was the scene of medical experiments in the 20th century. Investigations into this research led to new regulations regarding human research in children.

Independent living, as seen by its advocates, is a philosophy, a way of looking at society and disability, and a worldwide movement of disabled people working for equal opportunities, self-determination, and self-respect. In the context of eldercare, independent living is seen as a step in the continuum of care, with assisted living being the next step.

Developmental disability is a diverse group of chronic conditions that are due to mental or physical impairments that arise before adulthood. Developmental disabilities cause individuals living with them many difficulties in certain areas of life, especially in "language, mobility, learning, self-help, and independent living". Developmental disabilities can be detected early on and persist throughout an individual's lifespan. Developmental disability that affects all areas of a child's development is sometimes referred to as global developmental delay.

In psychology, education and social work practice, social role valorization (SRV) is the name given to an analysis of human relationships and human services, formulated in 1983 by Wolf Wolfensberger, as the successor to his earlier formulation of the principle of normalization which is attributed to Nirje, Wolfensberger, and Bank-Mikkelsen worldwide. The theory is based on the idea that society tends to identify groups of people as fundamentally 'different', and of less value than everyone else. It catalogs the methods of this 'devaluation' and analyzes its effects. It may be used by those seeking to counteract these methods and effects. A recent compilation of normalization and social role valorization was by Flynn and LeMay (1999); their work remains important today in Europe, New Zealand and Australia among other countries.

"The normalization principle means making available to all people with disabilities patterns of life and conditions of everyday living which are as close as possible to the regular circumstances and ways of life or society." Normalization is a rigorous theory of human services that can be applied to disability services. Normalization theory arose in the early 1970s, towards the end of the institutionalisation period in the US; it is one of the strongest and long lasting integration theories for people with severe disabilities.

The term self-advocacy, which means speaking up for oneself and one's interests, is used as a name for civil rights movements and mutual aid networks for disabled people. The term arose in the broader civil rights movements of the 1960s and 1970s, and is part of the disability rights movement. In North America the self-advocacy movement is led by a national organization called Self Advocates Becoming Empowered (SABE) and is supported by organizations such as ACT in the United States, LiveWorkPlay in Canada and internationally through the organization People First.

Deinstitutionalisation

Deinstitutionalisation is the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability. In the late 20th century, it led to the closure of many psychiatric hospitals, as patients were increasingly cared for at home, in halfway houses and clinics, in regular hospitals, or not at all.

Wolf Peregrin Joachim Wolfensberger, Ph.D. (1934–2011) was a German-American academic who influenced disability policy and practice through his development of North American Normalization and social role valorization (SRV). SRV extended the work of his colleague Bengt Nirje in Europe on the normalization of people with disabilities. He later extended his approach in a radical anti-deathmaking direction: he spoke about the Nazi death camps and their targeting of the disabled, and contemporary practices which contribute to deathmaking.

A group home is a residence model of medical care for those with complex health needs. Traditionally, the model has been used for children or young people who cannot live with their families or afford their own homes, people with chronic disabilities who may be adults or seniors, or people with dementia and related aged illnesses. Typically, there are no more than six residents, and there is at least one trained caregiver there 24 hours a day. In some early "model programs", a house manager, night manager, weekend activity coordinator, and four part-time skill teachers were reported. Originally, the term group home referred to homes of 8 to 16 individuals, which was a state-mandated size during deinstitutionalization. Residential nursing facilities, also included in this article, may be as large in 2015 as 100 individuals, which is no longer the case in fields such as intellectual and developmental disabilities. Depending on the severity of the condition requiring one to need to live in a group home, some clients are able to attend day programs and most clients are able to live normal lifestyles.

CQL | The Council on Quality and Leadership is an American -based organization dedicated to the definition, measurement, and improvement of personal and community quality of life for people with disabilities and people with mental illness and substance abuse disorder and older adults. It has partnerships with organisations in Canada and the Republic of Ireland.

Intellectual disability Generalized neurodevelopmental disorder

Intellectual disability (ID), also known as general learning disability and formerly mental retardation (MR), is a generalized neurodevelopmental disorder characterized by significantly impaired intellectual and adaptive functioning. It is defined by an IQ under 70, in addition to deficits in two or more adaptive behaviors that affect everyday, general living. Intellectual functions are defined under DSM-V as reasoning, problem‑solving, planning, abstract thinking, judgment, academic learning, and learning from instruction and experience, and practical understanding confirmed by both clinical assessment and standardized tests. Adaptive behavior is defined in terms of conceptual, social, and practical skills involving tasks performed by people in their everyday lives.

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Mental Disability Advocacy Center

The Mental Disability Advocacy Center (MDAC) is an international human rights organisation founded in Hungary in 2002. It is headquartered in Budapest.

Family support is the support of families with a member with a disability, which may include a child, an adult or even the parent in the family. In the United States, family support includes "unpaid" or "informal" support by neighbors, families and friends, "paid services" through specialist agencies providing an array of services termed "family support services", school or parent services for special needs such as respite care, specialized child care or peer companions, or cash subsidies, tax deductions or other financial subsidies. Family support has been extended to different population groups in the US and worldwide. Family support services is currently a "community services and funding" stream in New York and the US which has had variable "application" based on disability group, administrating agency, and even, regulatory and legislative intent.

Gunnar Dybwad (1909–2001) was an American professor and advocate for the rights of people with disabilities, particularly developmental disabilities. He is best known for his support for the social model of disability, reframing disability accommodations as a matter of civil rights, not medical treatment. The American Association on Intellectual and Developmental Disabilities gives out the Dybwad Humanitarian Award annually in his honor.

According to a 2012 survey by Statistics Canada, around 3.8 million adult Canadians reported being "limited in their daily activities due to a disability". This represented 13.7% of the adult population. The three most-prevalent forms of disability in Canada are chronic pain issues, mobility, and flexibility limitations. Around 11% of Canadian adults experience one of these disability types, and 40% of those people have had all three at the same time. Disabled people in Canada have historically experienced many forms of discrimination and abuse, such as segregation, institutionalization, and compulsory sterilization. They were not given the same rights as non-disabled people until the end of the 1970s, when the Coalition of Provincial Organizations of the Handicapped initiated significant changes. Legislation intended to protect disabled Canadians include the Charter of Rights and Freedoms, the Canadian Human Rights Act, and the Employment Equity Act.

The United States has experienced two waves of deinstitutionalization, the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability.

References

  1. Groce 1996, pp. 5–7.
    Hughson 2007.
    Oshima & Nakai 1993.
    Glynn et al. 2005.
    Lefley & Johnson 2002.
    Smith 1980.
  2. 1 2 MGCDD.
  3. "UN Charter of Human Rights for the Mentally Retarded". United Nations. December 9, 1975. Retrieved January 6, 2012.
  4. NPR: A Mental Ward Exposed, Credit: Photos: Charles Lord; Producers: Maggie Starbard, Kathleen Masterson, Katie Hayes; Reporter: Joseph Shapiro; Editor: Vikki Valentine https://openlibrary.org/b/OL23079739M/Acts_of_conscience
  5. Acts of Conscience:World War II, mental institutions, and religious objectors by Steven J. Taylor Published in 2009, Syracuse University Press (Syracuse, N.Y)  https://openlibrary.org/b/OL23079739M/Acts_of_conscience
  6. Stainton 2006, pp. 135–145.
  7. Return to the community: the process of closing an institution by John Lord, Published in 1987, Centre for Research & Education in Human Services (Kitchener, Ont) https://openlibrary.org/b/OL19901007M/Return_to_the_community
  8. Woodlands Settlement, British Columbia Supreme Court http://www.bccpd.bc.ca/woodlandsupdate.htm Archived 2010-03-05 at the Wayback Machine
  9. Willowbrook: The Last Disgrace, The Minnesota Governors Council on Developmental Disabilities, Video http://www.mnddc.org/parallels/five/5f/5f_html/5f_1vid.html
  10. "About Us". AHRC. Retrieved January 3, 2012.
  11. 1 2 Goode 1998, pp. 38–39.
  12. "The 1950s". British Columbia Association for Community Living. Archived from the original on May 21, 2012. Retrieved January 3, 2012.
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