A/HRC/40/32
and communications. All information and communications related to the provision of
rehabilitation services and assistive devices must also be made accessible through the use of
sign language, Braille, accessible electronic formats, alternative script, Easy Read formats
and augmentative and alternative modes, means and formats of communication, including
non-verbal communication. This includes awareness-raising campaigns and general
information about available services, instructions and forms to request services, the
websites of service providers, user manuals for assistive products, and communications
between rehabilitation personnel and individual users.
47.
Under articles 25 and 26 of the Convention, the need is emphasized for
rehabilitation services to be provided as close as possible to people’s own communities,
including in rural areas. In practice, however, rehabilitation services in communities are
often scarce or unavailable, and where they do exist they tend to be concentrated in urban
areas.32 Accessible transport must be guaranteed to bridge this gap. The pressing need to
develop community-based rehabilitation services with equitable geographic coverage
should be reflected in the allocation of financial resources, training programmes for
rehabilitation professionals and labour policies (for example, creating additional incentives
for rehabilitation professionals to stay in or relocate to rural or remote communities).
Community-based inclusive development has proven a successful strategy for improving
access to rehabilitation services and assistive products in low- and middle-income
countries, including in rural communities. Community-based inclusive development fosters
and relies on a participatory and inclusive approach to rehabilitation, in particular by
promoting peer support.
48.
States must be strategically committed to – and have a specific action plan for –
deinstitutionalization, which must include the creation and expansion of adequate and
appropriate community-based rehabilitation services. New investments in rehabilitation
services should be channelled into the development of rehabilitation services that are
human rights-based. The provision of high-quality community-based rehabilitation services
and assistive products must also be recognized as one of the positive measures that States
need to take in order to abolish these discriminatory practices. Those services should
include interventions specifically designed to help individuals overcome the negative
consequences of institutionalization, such as learned helplessness and psychological
traumas caused by psychological, physical or sexual violence experienced within the
institution. For instance, in the former Yugoslav Republic of Macedonia, rehabilitation is
integrated into deinstitutionalization programmes to prepare children and adults with
disabilities for living in the community.
5.
Participation
49.
In accordance with article 4 (3) of the Convention, States must actively involve and
closely consult organizations of persons with disabilities, including organizations
representing children with disabilities, in the development and implementation of
legislation, policies and other public measures. Participation by persons with disabilities,
however, is not only a legal obligation but also a matter of good governance
(A/HRC/31/62, paras. 25–33). It is an overarching principle whose application is not
limited to legislative and policymaking processes but extends to all aspects of the planning,
organization and delivery of rehabilitation services.
50.
Persons with disabilities can provide crucial first-hand information about their
rehabilitation requirements, the barriers that they face, their experience of rehabilitation
services and the effectiveness of proposed solutions and suggest alternatives that work for
them in their environment. Moreover, participation raises awareness about future and
existing laws and policies within the disability community, enabling more people to benefit
from them. Some States have established permanent mechanisms for involving persons
with disabilities in policymaking. For example, the Danish Parliament set up a disability
council that advises Parliament and other public bodies and monitors the implementation of
32
12
WHO, WHO Global Disability Action Plan 2014–2021: Better Health for All People with Disability
(Geneva, 2015), para. 40.
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