A/HRC/34/58
disseminate information about the obligations of States and service providers, provide
assistance in recruitment and budgeting, facilitate support groups and train those who wish
to become assistants. They can also foster participatory processes for developing ethical
principles and practice guidance. While personal assistants may not require specialized
preparation, States should ensure they have adequate training in order to provide safe and
quality support. For example, in the Republic of Korea, the Act on Personal Assistance
Services for Persons with Disabilities specifies the qualifications, human resources and
service providers relating to the provision of personal assistance.
5.
Living independently in the community
84.
Under article 19 (2) of the Convention States are required to ensure access to a range
of in-home, residential and other community support services for persons with disabilities.
The ultimate aim of this provision is to support living and inclusion in the community, and
to prevent isolation or segregation from the community. Persons with disabilities should
have the opportunity to choose where and with whom to live, and not be obliged to live in a
particular living arrangement such as psychiatric hospitals, nursing homes or other
institutions. Moreover, States have an obligation to facilitate the transition of persons with
disabilities from those facilities to home- and community-based residences and to provide
urgent aid to persons with disabilities who are at risk of becoming homeless or being
institutionalized.
85.
Persons with psychosocial disabilities can benefit significantly from community
support services. Peer support, for example, is an effective tool to support people
experiencing severe emotional distress and prevent coercion in mental health services, as
well as providing them with community-based support. In the case of persons with
albinism, the provision of adequate housing and community support are essential protection
measures to prevent abductions and attacks. Contributions to the present report show a
growing interest on the part of States in community support. In Chile, for example, the
State created a programme that funds civil society organizations to provide support services
for independent living. During its first year of existence, 40 projects were financed in 13 of
the 15 regions of the country.
86.
States should close all group living arrangement for persons with disabilities of any
size that do not allow residents to participate in the community on an equal basis with
others. In particular, States must establish an immediate moratorium on new admissions to
institutions and set up a policy framework to guide deinstitutionalization processes. This
framework should include the adoption of a plan of action with clear timelines and concrete
benchmarks, the redistribution of public funds from institutions to community services and
the development of adequate community support for persons with disabilities such as
housing assistance, home support, peer support and respite services. Evidence shows that,
when adequately planned and resourced, community services are much more cost-effective
than institutional care.20
6.
General services
87.
General services, such as education, employment, justice and health, as well as other
community services and social protection programmes, must consider the provision of
support to persons with disabilities. Similarly, programmes to end domestic violence should
include appropriate forms of gender- and age-sensitive assistance and support for girls and
women with disabilities. States should budget and plan for such measures when designing
20
20
WHO and World Bank, World Report on Disability, p. 149.
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents