Active support研習講義一：為何需要積極性支持？

Why Do We Need Active Support?

Why Do We Need Active Support?

Professor Trevor R Parmenter AM PhDCentre for Disability Studies (CDS)

Sydney, NSW., Australia.CDS is an affiliate to the Faculty of Medicine, University of Sydney.

為何需要積極性支持 ?為何需要積極性支持 ?

Professor Trevor R Parmenter AM PhDCentre for Disability Studies (CDS)

Sydney, NSW., Australia.CDS is an affiliate to the Faculty of Medicine, University of Sydney.

Why do we need Active Support?


● Historical Factors

● Evidence of Community Living Outcomes

● Trends in Philosophies

● UN Conventions


● 歷史因素

● 社區居住與生活的成效實證

● 哲理的趨勢

● 聯合國宣言



● Historical Factors

● The principle of normalisation

● The deinstitutionalisation era

● Movement from a Medical to a Social Model of disability


● 歷史因素

● 正常化原則

● 去機構教養化時代

● 對障礙者從醫療模式到社會模式的社會運動



● Historical Factors continued

● Independent Living Movement

● The impact of the WHO International Classification of Functioning, Disability and Health (ICF)

● The concept of ‘participation’


● 歷史因素 ( 續 )

● 獨立生活運動

● 世界衛生組織對障礙者健康功能分類的影響 (ICF)

● “參與”的概念



● Evidence from Studies of Community Living

● Not all people living in community residences have a good quality of life

● Staff focus on a “hotel style” home

● People with disability often lead a passive life


● 社區居住與生活研究的實證

● 並非所有住在社區的人都有好的生活品質

● 工作人員的焦點在 “旅館式”的家

● 障礙者通常過著被動的生活



● Evidence from Studies of Community Living

● People with a disability do not participate in genuine community life

● An institutional mentality remains in a community-based home


● 社區居住的研究實證

● 障礙者並未參與在真正的社區生活中

● 在社區本位的居住家庭 , 教養式的心性仍存在



● Contemporary Trends in Philosophies and

Practices

● Self-determination

● Empowerment of people with a disability and their families / carers


● 現今理論與實作趨勢

● 自我決策

● 障礙者與家人 / 照顧者的充權



● Contemporary Trends in Philosophies and

Practices

● Assess support needs rather than impairments

● Person-Centred Planning with the wishes of the person with a disability being fully recognised


● 現今理論與實作趨勢

● 評估支持需求而非損傷

● 開始全面性重視以障礙者的希望作為個人為中心的計畫



● UNITED NATIONS CONVENTION ON THE RIGHTS

OF PERSONS WITH A DISABILITY● What is a disability?

Disability is an evolving concept, and that Disability is an evolving concept, and that

disability results from the interaction between disability results from the interaction between

persons with impairments and attitudinal and persons with impairments and attitudinal and

environmental barriers that hinders full and environmental barriers that hinders full and

effective participation in society on an equal effective participation in society on an equal

basis with others.basis with others.


● 聯合國的障礙者宣言● 身心障礙是什麼 ?

身心障礙是一個仍在演變的概念，障礙是身心障礙是一個仍在演變的概念，障礙是身他們在態度和環境方面遇到的各種障礙身他們在態度和環境方面遇到的各種障礙相互作用的結果，這些障礙阻礙他們與其相互作用的結果，這些障礙阻礙他們與其他人在平等的基礎上切實全面地參與社會他人在平等的基礎上切實全面地參與社會



● UNITED NATIONS CONVENTION ON THE RIGHTS OF PERSONS WITH A DISABILITY

● General principles:

● Respect for inherent dignity, individual autonomy including the freedom to make one’s own choices, and independence of persons

● Non-discrimination

● Full and active participation and inclusion in society

● Respect for difference and acceptance of persons with disabilities as part of human diversity and humanity


● 聯合國障礙者宣言● 我們如何看待障礙者 ?

障礙者不應被視為慈善 /醫療處置 /社會保護的對象 ,他們應該視為有權的國民 ,有能力行使權利 ,能自由的為自己的生活做決定 ,並且積極成為社會的一份子 .



● UNITED NATIONS CONVENTION ON THE RIGHTS OF

PERSONS WITH A DISABILITY● How should we view people with a disability?

Persons with disabilities are not viewed as “objects” of

charity, medical treatment and social protection;

rather as “subjects” with rights, who are capable of

claiming those rights and making decisions for their

lives based on their free and informed consent as well

as being active members of society.


● 聯合國障礙者宣言● 原則 :

● 尊敬對待其與生俱來的尊嚴 , 自律包含可為自己做選擇 , 以及個人的獨立性

● 無歧視

● 全面積極的參與和融入社會

● 尊重與接受障礙者的個別差異 , 視其為多樣與人性的一部分



● UNITED NATIONS CONVENTION ON THE RIGHTS OF PERSONS WITH A DISABILITY

● General principles:

● Equality of opportunity

● Accessibility

● Equality between men and women

● Respect for the evolving capacities of children with disabilities and respect for the right of children with disabilities to preserve their identities


● 聯合國障礙者宣言● 通則 :

● 機會均等

● 可親性

● 男女平等

● 尊重障礙兒童持續不斷發展的能力 , 並尊重保有他們對自己認同的權利

SUMMARYSUMMARY

● Active support provides an enriched environment in which people with a disability can learn and grow their skills.

● It alleviates boredom from a sterile environment● It helps people look forward to each day in their lives● It provides an opportunities for people to engage with

others in mutually satisfying activities● It provides a way for people to become involved in the

rhythms of the day, the week, the month and the year-the basis of the normalization principle

總結總結

● 積極性支持提供豐富的環境 , 讓障礙者可以學習與提升他們的技能 .

● 減低對貧乏環境的無聊感● 幫助對每日的生活有所期待● 提供機會與他人一起從事相互滿意的活動● 提供方式融入每日 / 每週 / 每月 / 每年的正常

化生活節奏

Thank YouThank You

Contact Details:

Centre for Disability Studies (CDS)

Tel: +612 8878 0500Fax: +612 9807 7053

Email: [email protected] Web: www.cdds.med.usyd.edu.au

感謝您感謝您

聯絡方式 :

Centre for Disability Studies (CDS)

Tel: +612 8878 0500Fax: +612 9807 7053

Email: [email protected] Web: www.cdds.med.usyd.edu.au

Active support研習講義一：為何需要積極性支持？

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