Disability Politics and Community Care

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Macmillan, 1999 - Medical - 256 pages

Mark Priestley addresses the relationship between the politics of disability and community care policies. Guided by his direct work with representatives of the disabled people's movement, he argues that although the ideas behind social policy and practice have started to reflect values such as participation, integration and equality, the current policy and its implementation often undermine those goals. `Community care' still contributes to the view of disabled people as dependent and different, thus reinforcing their social exclusion and marginalisation.

Disability Politics and Community Care encourages health and welfare professionals and policy makers to start working much more closely with disabled people themselves. Priestley argues that involving disabled people in the design and production of their own welfare will break down the disabling boundary between service `provider' and `user' and will result in the reality of integrated living. He presents practical suggestions for the changes necessary for the proposed reorganisation of service provision which will re-define direct work with disabled people.

 

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Contents

ACKNOWLEDGEMENTS
10
Disabling Policies
27
An Enabling CounterCulture
55
From Principles to Practice
81
Marketing the Social Model
110
Improving Services
137
Beyond Services
168
Barriers and Strategies
193
Summary and Conclusions
218
Copyright

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About the author (1999)

Part 1 Some general hypotheses; some specific questions; towards a model for disability research; case study methods versus structure of the book. Part 2 Disabling values - disabling policies: disabling values; an agenda for change? disabling values and community care. Part 3 An enabling counter-culture: social movements; the disabled people's movement; the movement for independent living. Part 4 From principle to practice: personal assistance and independent living; care assessments and self-assessment; care management and self-management. Part 5 Marketing the social model: a market for independent living; the politics of contracting; the impact of contracting. Part 6 Improving services: in search of standards; some experience of quality; improving service quality; towards a measure of participation. Beyond services: what kind of outcomes? some examples of service outcomes; quality of life; quality and equality. Part 8 Barriers and strategies: bridging the implementing gap; the scope of legislative change; social change.

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