The Delusion of Inclusion – Catch Up No.3

 

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.

Author: charlesahenley

Following a varied career starting with 4 years as a city office worker, 4 years service in the RAF both as ground staff ad flying duties, 16 years working for IBM Time systems division as a service engineer, a short spell as a production line supervisor, before returning as service manager to another US business machines corporation who had taken over IBM Time systems division in the UK. The nature of this work brought into contact with day centre establishments for people with learning disabilities and in 1966 when radical and progressive policies were awakening I changed career direction. In the years that followed I worked for five different authorities at centres ranging in size from 24 to 190 attendees of all levels of ability and saw remarkably progressive policies being introduced in the first 20 years for the benefit of the attendees and their carers. Sadly, as a consequence of local authorities gaining full control of policy implementation from 1990 onwards, service support went into a spiral of decline that has made debacle of the rational principles of care in the community. There is now a vital need to take responsibility for service implementation away from local authorities and the NHS and grant it to a single service agency under the direction of its own Minister. Without an urgent change of direction, the current dire situation can only worsen.

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