First posted Facebook 21st February 2017
The Delusion of Inclusion – will it be exposed in time to reverse the ultimate termination of care in the community?
And so we roll into 2017 with daily debates reminding us constantly of the chaos that surrounds social care funding, and the seemingly total failure of the NHS/local government organisations to identify a clear strategy to enable inmates in NHS and ATUs to escape from truly segregated establishments.
Every week that goes by ensures that carers and their families become more entangled in the web of duplicity that current policy makers have created to meet their own agendas – yet, amongst the carers there are sadly “none so blind as those who do not want to see”!
Those people most profoundly and severely affected still have most to lose as the “delusion of inclusion” continues to control policy direction. This is inevitable until the historic values preached and practiced by the original pioneers of rational care in the community policies are resurrected and valued for what they can offer – especially to those in ATUs and NHS beds.
So far, I have only drawn attention to the bizarre intervention of the King’s Fund Centre (KFC)I in 1984 that gave extreme normalisation/ inclusion dogmas unjustifiable and irresponsible credibility. This has grown so much out of proportion internationally there is need to look closer at its origins. The KFC document at the time was so irrational that it would have been treated with contempt and bypassed had it not received highly dubious and unwarranted support and publicity. Mencap and other local authorities have much to answer for in this respect. More tomorrow.
In closing today, I must mention a positive aspect of social history which will have a great deal of relevance with regard the information that is yet to follow. It is significant to note that whilst the proposals of the KFC were based on fantasies and conjectures, the successful development of day services in the 1980s was based on extensive research much of which was carried out at the Hester Adrian Research Centre, Manchester University in the 1970s under the supervision of Professor Peter Mittler.
Two highly important publications that followed were ‘A national survey of Adult Training Centres in England and Wales, (1977), and National Development Group Pamphlet 5 (1977) which gave extensive and detailed advice regarding the future modernisation of day centres.
This advice was warmly welcomed and acted upon by progressive day centre management with remarkable results. The negative outcome and the consequences that were to arise through the intervention of the King’s Fund Centre and its manipulation of the role of the National Development Group are open to question.