title: Utility, economic rationalism and the circumscription of agency.
abstract: BACKGROUND
  Great strides have been achieved over the past few decades in service provision for people with intellectual disability (ID). However, there has also been a growth in the use of economic rationalism and a related rise in managerialism in forming service provision outcomes.
  
  
  METHODS
  An account of the focus on process and means of provision directed within the managerialist agenda to determine how individual authority has become subsumed within patterns of dependence.
  
  
  RESULTS
  An underlying influence of utilitarianism has led to a focus on servicing the average through service provision trajectories which in turn have weakened the pace for social change and perpetuated a vulnerable conception of people with ID.
  
  
  CONCLUSIONS
  There has been a qualification of the idealised intent of providing individualised support, choice and recognition of the moral worth of people with ID into relative features of equality. There remains an overriding static conception of the person with ID within funding frameworks and service provision which relies on economic and rationalist depictions of the individual.
authors.affiliation: University of Sydney, Sydney, Australia. peter.dirita@crowlefoundation.org
authors.forename: P A
authors.initials: PA
authors.lastname: Dirita
authors.forename: T R
authors.initials: TR
authors.lastname: Parmenter
authors.forename: R J
authors.initials: RJ
authors.lastname: Stancliffe
mesh_terms: D001315:Australia; D003156:Community Mental Health Services / Q000191:economics; D003362:Cost-Benefit Analysis; D003858:Dependency, Psychological; D028663:Ethical Theory; D005380:Financing, Government; D006301:Health Services Needs and Demand / Q000191:economics; D006801:Humans; D008607:Intellectual Disability / Q000191:economics* / Q000534:rehabilitation; D008329:Managed Care Programs / Q000191:economics*; D028681:Moral Obligations; D026684:Personal Autonomy; D011640:Public Policy; D011787:Quality of Health Care / Q000191:economics; D012922:Social Change; D012935:Social Justice; D012944:Social Support; D012947:Social Work / Q000191:economics*