title: Making space for belonging: critical reflections on the implementation of personalised adult social care under the veil of meaningful inclusion.
abstract: This paper critically reflects on the way in which recent adult social care reform has been evolving beneath the alleged policy goal of prioritising the cultivation of meaningful inclusion and 'belonging' in the community. With this goal, there has been a focus away from 'services' for persons with intellectual disabilities, to supporting natural connections within the community. This paper draws on a grounded theory study of the perspectives of those responsible for overseeing community living arrangements for persons with disabilities, drawing on interviews and focus groups with service providers and relevant government officials. It examines the socio-spatial implications of the gradual shift towards 'belonging' as a disability policy goal, as it has evolved in two discrete settings - British Columbia, Canada and Ireland. The findings identify the complexities involved in facilitating active community connection for persons with intellectual disabilities and reveal important cautionary lessons for other jurisdictions where community living policy has arguably been moving away from communal services towards self-managed supports in 'real' communities through personal budgets in an effort to remove barriers to participation. The paper thus critically reflects on the rapid pursuit for transformation in personalised adult social care in government policy, arguing that the process of fostering meaningful community inclusion will and should take time.
authors.affiliation: Geography and Environment, University of Southampton, Hampshire SO17 1BJ, UK. a.power@soton.ac.uk
authors.forename: Andrew
authors.initials: A
authors.lastname: Power
mesh_terms: D000328:Adult; D001955:British Columbia; D006233:Persons with Disabilities / Q000534:rehabilitation*; D017144:Focus Groups; D018166:Health Care Reform; D006291:Health Policy; D006801:Humans; D007494:Ireland; D057285:Precision Medicine; D036301:Qualitative Research; D058992:Social Participation; D012947:Social Work / Q000458:organization & administration*