A/HRC/40/32 participation in mainstream education from primary level through to higher and further education, including resource teachers, in-school speech and language therapies, occupational therapies and assistive technology. 22. National practices show that some rehabilitation services can be integrated into the social protection system. For example, in Germany, distinctions are drawn between medical rehabilitation assistance, occupational integration assistance and social integration assistance. The latter includes the provision of non-medical and non-vocational aids, assistance in developing the practical knowledge and skills necessary for maximum participation in community life, and assistance in obtaining, adapting, furnishing and maintaining a home that accommodates specific requirements. 3. Rehabilitation as a component of community-based inclusive development 23. As stated above, it should be recognized that not all policies and services enabling the inclusion of persons with disabilities in the community amount to rehabilitation. The term “rehabilitation” has come to be used broadly to designate policies aimed at the inclusion of persons with disabilities or disability-related policies in general. This is linked to the context in which habilitation and rehabilitation emerged, whereby action and policies related to persons with disabilities were primarily focused on “fixing” a person’s impairment as a precondition for their participation in society. Using the term “rehabilitation” in this broad manner is a throwback to the medical model of disability: the application of the term in this manner is thus outdated and incompatible with the Convention, and risks perpetuating stereotypes relating to persons with disabilities. 24. In recent years, umbrella concepts such as disability-inclusive policies (A/71/314) and community-based inclusive development have been used to frame a broad range of disability-related policies and measures, of which rehabilitation in the sense of article 26 of the Convention is only one of its many elements. For example, community-based rehabilitation evolved from a strategy that focused on increasing access to rehabilitation services in the community for persons with disabilities in resource-constrained settings to a multisectoral strategy within general community development to achieve equity and social inclusion. While community-based rehabilitation is much broader than rehabilitation within the meaning of the Convention, the strategy continues to be identified with rehabilitation services. Community-based inclusive development builds on community-based rehabilitation, adopting the latter’s principles as the key tool for its implementation. 12 Further research and methodological frameworks from the perspective of the rights of persons with disabilities are required to better evaluate the outcomes of community-based rehabilitation and community-based inclusive development.13 III. Unpacking the obligation to provide habilitation and rehabilitation A. Elements of rehabilitation 1. An individualized approach to rehabilitation 25. Article 26 (1) of the Convention stipulates that rehabilitation services and programmes must be based on the multidisciplinary assessment of individual needs and strengths. Rehabilitation interventions should be based on individual rehabilitation plans 12 13 See www.cbm.org/Community-Based-Inclusive-Development-250825.php. See, inter alia, Valentina Iemmi and others, Community-based Rehabilitation for People with Disabilities in Low- and Middle-income Countries: A Systematic Review, Campbell Systematic Reviews, 2015:15 (Oslo, Campbell Collaboration, 2015); Marie Grandisson, Michèle Hébert and Rachel Thibeault, “A systematic review on how to conduct evaluations in community-based rehabilitation”, Disability and Rehabilitation, vol. 36, No. 4 (2014), pp. 265–275; and Sally Hartley and others, “Community-based rehabilitation: opportunity and challenge”, Lancet, vol. 374, No. 9,704 (28 November 2009), pp. 1,803–1,804. 7

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