A/HRC/43/41/Add.5 Page 13, Paragraph 62 Recommended language 42. The government of Nova Scotia is investing three times the amount of financial resources in delivering community services for independent living compared to institutional care. Programme funding is provided directly to participants or through non-profit organizations that are contracted to provide support services for persons with disabilities. The Disability Support Program determines eligibility and maintains waiting lists. While some of these programmes have shown their potential to transform service provision, the overall impact is limited. Consequently, institutionalisation of persons with disabilities in Nova Scotia remains a challenge, with more than 900persons with disabilities placed in institutions. Page 13, Paragraph 64 Recommended language 43. The Government of Ontario is supporting a Direct Funding program for self-managed attendant care services, administered by the Centre for Independent Living in Toronto, which enables adults with physical disabilities to become employers of their own personal assistants (attendants), determining how and when services are provided. Demand for the programme is strong, but, due to the limited resources, many people have been waiting for years to access it. Currently, applicants can expect to wait approximately one year before they are invited for an interview. Meanwhile, although institutions for persons with disabilities were closed in Ontario, many persons with disabilities are only being offered residential support in nursing homes due to the lack of community support. Comment/Rationale 44. Please note the Ontario Ministry of Children and Community and Social Services (MCCSS) also funds a range of person-centred residential supports through a province-wide network of developmental and community partners. Residential supports for people with developmental disabilities are provided in a variety of residential settings, including group living, supported independent living and host family residences. 45. The “self-managed attendant care services” reference is added to clarify that this is the Ministry of Health attendant care program and not MCCSS’s Passport program which is also a direct funding program. 46. The last sentence is factually inaccurate. Currently, people with a developmental disability confirmed eligible receive Passport funding for community participation supports and respite. Subsequent to being assessed for services, people could request residential services but they may be placed on a waitlist. Page 13, Paragraph 65 Recommended language 47. In British Columbia, Choice in Supports for Independent Living (CSIL) is a selfdirected option of Home Support for eligible persons with physical disabilities. This is a selfmanaged model of care whereby persons with disabilities receive funds and assume full responsibility in managing their own services. However, the amount of money provided is insufficient to cover all support needs. Often these services have to be supplemented with privately accessed services, paid out-of-pocket. Both Ontario and British Columbia selfdirected programmes are not portable, meaning that persons with disabilities risk losing their payments and access to services if they move to other parts of the country. 10