Independent living

Independent living, as seen by its advocates, is a philosophy, a way of looking at disability and society, and a worldwide movement of people with disabilities working for self-determination, self-respect and equal opportunities. In the context of eldercare, independent living is seen as a step in the continuum of care, with assisted living being the next step.

In most countries, proponents of the IL Movement claim preconceived notions and a predominantly medical view of disability contribute to negative attitudes towards people with disabilities, portraying them as sick, defective and deviant persons, as objects of professional intervention, as a burden for themselves and their families, dependent on other people’s charity. These images, in the IL analysis, have consequences for disabled people's opportunities for raising families of their own, getting education and work, which, in turn, result in persons with disabilities making up a large portion of the poor in any country.

History

With origins in the U.S. civil rights and consumer movements of the late 1960s, the Independent Living Movement grew out of the Disability Rights Movement, which began in the 1960s. The IL Movement works at replacing the special education and rehabilitation experts’ concepts of integration, normalization and rehabilitation with a new paradigm developed by people with disabilities themselves. The first Independent Living ideologists and organizers were people with extensive disabilities (e.g., Ed Roberts, Judith Heumann, Peg Nosek, Lex Frieden) and of course, early friends and collaborators in the 1970s (Julie Ann Racino) and university and government supporters throughout the 1980s and 1990s. Still, the movement’s message seems most popular among people whose lives depend on assistance with the activities of daily living and who, in the view of the IL Movement, are most exposed to custodial care, paternalistic attitudes and control by professionals. In 2015, independent living centers are codified in law throughout the US, and offer a variety of "professional services" (i.e., independent living) under government payment structures in the US.

Philosophy

The Independent Living philosophy postulates that people with disabilities are the best experts on their needs, and therefore they must take the initiative, individually and collectively, in designing and promoting better solutions and must organize themselves for political power. Besides de-professionalization and self-representation, the Independent Living ideology comprises de-medicalization of disability, de-institutionalization and cross-disability (i.e. inclusion in the IL Movement regardless of diagnoses).

In the Independent Living philosophy, people with disabilities are primarily seen as citizens and only secondarily as consumers of healthcare, rehabilitation or social services. As citizens in democratic societies, the IL Movement claims, persons with disabilities have the same right to participation, to the same range of options, degree of freedom, control and self-determination in everyday life and life projects that other citizens take for granted. Thus, IL activists demand the removal of infrastructural, institutional and attitudinal barriers and the adoption of the Universal Design principle. Depending on the individual’s disability, support services such as assistive technology, income supplements or personal assistance are seen as necessary to achieve equal opportunities. As emphasized by the IL Movement, needs assessment and service delivery must enable users to control their services, to freely choose among competing service providers and to live with dignity in the community. Cash benefits or Direct Payments are favored by IL activists over services in kind in terms of the outcomes for users’ quality of life and cost-efficiency.

Over the years, the IL Movement has spread from North America to all continents, adapting itself to and getting enriched by different cultures and economic conditions in the process. A considerable body of research, training materials and examples of good practice exists on such themes as transition from institutional to community living, transition from school to employment or self-employment, community organizing and advocacy, disability culture, girls and women with disabilities as well as disability and development. Supporting the movement and utilizing its work has become an important ingredient of many countries’ social policy.

"Independent Living does not mean that we want to do everything by ourselves, do not need anybody or like to live in isolation. Independent Living means that we demand the same choices and control in our every-day lives that our non-disabled brothers and sisters, neighbors and friends take for granted. We want to grow up in our families, go to the neighborhood school, use the same bus as our neighbors, work in jobs that are in line with our education and interests, and raise families of our own. We are profoundly ordinary people sharing the same need to feel included, recognized and loved." Dr. Adolf Ratzka,

In Germany

In the 1970s/1980s, in Germany, the autonomous disability rights movement, also called the cripples movement, claimed for themselves the word cripple in the sense of a reappropriation.
The cripple tribunal in Dortmund on 13 December 1981 was one of the main protest actions of the autonomous German disability movement (in confrontation with the established disability assistance) against human rights abuses in Nursing homes and Psychiatric hospitals, and as well against deficiencies of the local public-transport. Analogous to the Russell Tribunal by Amnesty International, the cripple tribunal has denounced human rights violations of disabled people.

In Europe

In 1989 over 80 disabled persons and supporters coming from the Independent Living movement gathered in Strasbourg, France for a conference on personal assistance. The conference was funded by the German Green party and was an opportunity for members of the Independent Living movement to meet. This meeting resulted in the founding of ENIL - The European Network on Independent Living. This network includes members from the European Union and its neighbors. ENIL promotes Independent Living at the European level but also at national and regional levels.

Centers for Independent Living

In 1972, the first Center for Independent Living was founded by disability activists, led by Ed Roberts, in Berkeley, California. These Centers were created to offer peer support and role modeling, and are run and controlled by persons with disabilities. According to the IL approach, the example of a peer, somebody who has been in a similar situation, can be more powerful than a non-disabled professional's interventions in analyzing one’s situation, in assuming responsibility for one’s life and in developing coping strategies.

According to the IL Movement, with peer support, everyone - including persons with extensive developmental disabilities - can learn to take more initiative and control over their lives. For example, peer support is used in Independent Living Skills classes where people living with their families or in institutions learn how to run their everyday lives in preparation for living by themselves.

There is a fundamental set of services found in all of the Centers, but there is some variation in the programs that are offered, the funding sources, and the staffing, among other things. Depending on the public services in the community, Centers might assist with housing referral and adaptation, personal assistance referral, or legal aid. Typically, Centers work with local and regional governments to improve infrastructure, raise awareness about disability issues and lobby for legislation that promotes equal opportunities and prohibits discrimination. Effective centers have proven to be in states like California, Massachusetts, New York, Pennsylvania, and Illinois.

See also

• Independent senior living
• Social model of disability
• Aging in place
• Accessibility
• Disability rights movement
• Post-Polio Health International
• Intellectual disability
• Person Centred Planning
• List of disability rights activists
• Self-advocacy
• Occupational Therapy
• Visitability - Social Integration Beyond Independent Living
• E-Inclusion

External links

Independent living at DMOZ