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Making space for belonging: Critical reflections on the implementation of personalised adult social care under the veil of meaningful inclusion

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  • Power, Andrew

Abstract

This paper critically reflects on the way in which recent adult social care reform has been evolving beneath the alleged policy goal of prioritising the cultivation of meaningful inclusion and ‘belonging’ in the community. With this goal, there has been a focus away from ‘services’ for persons with intellectual disabilities, to supporting natural connections within the community. This paper draws on a grounded theory study of the perspectives of those responsible for overseeing community living arrangements for persons with disabilities, drawing on interviews and focus groups with service providers and relevant government officials. It examines the socio-spatial implications of the gradual shift towards ‘belonging’ as a disability policy goal, as it has evolved in two discrete settings – British Columbia, Canada and Ireland. The findings identify the complexities involved in facilitating active community connection for persons with intellectual disabilities and reveal important cautionary lessons for other jurisdictions where community living policy has arguably been moving away from communal services towards self-managed supports in ‘real’ communities through personal budgets in an effort to remove barriers to participation. The paper thus critically reflects on the rapid pursuit for transformation in personalised adult social care in government policy, arguing that the process of fostering meaningful community inclusion will and should take time.

Suggested Citation

  • Power, Andrew, 2013. "Making space for belonging: Critical reflections on the implementation of personalised adult social care under the veil of meaningful inclusion," Social Science & Medicine, Elsevier, vol. 88(C), pages 68-75.
  • Handle: RePEc:eee:socmed:v:88:y:2013:i:c:p:68-75
    DOI: 10.1016/j.socscimed.2013.04.008
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    Cited by:

    1. Schneider-Kamp, Anna & Fersch, Barbara, 2021. "Detached co-involvement in interactional care: Transcending temporality and spatiality through mHealth in a social psychiatry out-patient setting," Social Science & Medicine, Elsevier, vol. 285(C).
    2. Femmianne Bredewold & Alke Haarsma & Evelien Tonkens & Marja Jager, 2020. "Convivial encounters: Conditions for the urban social inclusion of people with intellectual and psychiatric disabilities," Urban Studies, Urban Studies Journal Limited, vol. 57(10), pages 2047-2063, August.
    3. Domenica Federico & Maria Adele Milioli & Antonella Notte & Lucia Poletti, 2020. "Financial and Social Inclusion and Financial Sector Development: An Outline in the EU28," American Journal of Economics and Business Administration, Science Publications, vol. 12(1), pages 14-35, January.
    4. Federico, Domenica & Grazioli, Riccardo & Milioli, Maria Adele & Notte, Antonella & Poletti, Lucia, 2021. "Financial and social inclusion in Europe," EIF Working Paper Series 2021/72, European Investment Fund (EIF).

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