Delayed deinstitutionalisation in post-socialism

Zaviršek, Darja

doi:10.1080/13691457.2017.1344623

Cited by 9 publications

(11 citation statements)

References 14 publications

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“…While Western countries closed large institutions for persons with disabilities in recent decades, the countries of the former Yugoslavia opened new, larger institutions for children, adults, and older persons with disabilities and long-term mental health problems. This time-lag and the culture of paternalism are reflected today in the delayed deinstitutionalisation processes in several post-socialist countries (Zaviršek, 2017a).…”

Section: From a Historical Perspective: Establishing A General Framew...mentioning

confidence: 99%

Independent Living in Post-Socialist Countries

Zaviršek

Fischbach

2023

IJDSJ

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This article considers how, as a result of the persistence of familialism and paternalism, the legislative changes made in some Central and Eastern European countries (CEE), all of which have ratified the UN CRPD, mainly aim to: (a) incorporate the work of relatives in the home care of people with long-term disabilities and (b) place people who previously lived in large welfare institutions into smaller facilities (either in residential units for at least 25 persons or in group homes). None of these changes enables a radical shift toward independent living, and conversely, independent living as a philosophy and way of life is not yet a real alternative to family-based and paternalistic welfare provision in CEE. By extension, the social model of disability, which promotes dignity, respect, and self-determination to improve the lives of people with disabilities, remains an ‘alternative’ and a ‘radical way of thinking’ rather than being mainstream.

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Section: From a Historical Perspective: Establishing A General Framew...mentioning

confidence: 99%

Independent Living in Post-Socialist Countries

Zaviršek

Fischbach

2023

IJDSJ

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“…Central and Eastern European post-socialist countries are highlighted in the literature as laggards in developing person-centred disability supports, despite the signing of the CRPD by most of these countries (Mladenov and Petri, 2019;Zaviršek, 2017). This is evident, for example, in the UN Committee on the Rights of Persons with Disabilities' recent inquiry into progress in implementing the CRPD in Hungary, in which it is clear that institutionalisation continues to be relied on and to receive public investment.…”

Section: Post-socialist Central and Eastern Europementioning

confidence: 99%

“…More broadly, the inquiry notes that disability inclusion has yet to become mainstream in general policies in Hungary on education, health, employment and housing (UN Committee on the Rights of Persons with Disabilities, 2019). In addition to deinstitutionalisation only beginning to expand to these countries after the fall of communism at the end of the 1980s, studies point to underlying attitudinal differences; for example, the predominance of a home care model in which care is almost exclusively provided by family members, and usually by women (Zaviršek, 2017). Under the definition of disability in state socialism, the productivity-enhancing function of segregated provision is emphasised, such that the rationale for institutional care is to release relatives from care obligations (Mladenov and Petri, 2019).…”

Section: Post-socialist Central and Eastern Europementioning

confidence: 99%

“…Zaviršek (2017) also notes an apprehension in post-socialist countries that deinstitutionalisation would represent an expensive change to the existing welfare system that would in turn result in unemployment, and that a paradigm shift from a medical model of care to community services has thus not materialised. The example of post-socialist countries in Central and Eastern Europe indicates that the process of deinstitutionalisation is 'culture-specific, contextual and dependent on traditions, politics and financial means' (Zaviršek, 2017).…”

Section: Post-socialist Central and Eastern Europementioning

confidence: 99%

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Specialist support for persons with disabilities living in the community: Review of international practice

Domhnaill¹,

Lyons²,

McCoy³

2020

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The mission of the Economic and Social Research Institute is to advance evidencebased policymaking that supports economic sustainability and social progress in Ireland. ESRI researchers apply the highest standards of academic excellence to challenges facing policymakers, focusing on 12 areas of critical importance to 21st Century Ireland. The Institute was founded in 1960 by a group of senior civil servants led by Dr T. K. Whitaker, who identified the need for independent and in-depth research analysis to provide a robust evidence base for policymaking in Ireland. Since then, the Institute has remained committed to independent research and its work is free of any expressed ideology or political position. The Institute publishes all research reaching the appropriate academic standard, irrespective of its findings or who funds the research. The quality of its research output is guaranteed by a rigorous peer review process. ESRI researchers are experts in their fields and are committed to producing work that meets the highest academic standards and practices. The work of the Institute is disseminated widely in books, journal articles and reports. ESRI publications are available to download, free of charge, from its website. Additionally, ESRI staff communicate research findings at regular conferences and seminars. The ESRI is a company limited by guarantee, answerable to its members and governed by a Council, comprising 14 members who represent a cross-section of ESRI members from academia, civil services, state agencies, businesses and civil society. The Institute receives an annual grant-in-aid from the Department of Public Expenditure and Reform to support the scientific and public interest elements of the Institute's activities; the grant accounted for an average of 30 per cent of the Institute's income over the lifetime of the last Research Strategy. The remaining funding comes from research programmes supported by government departments and agencies, public bodies and competitive research programmes.

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“…Without this, people organise care privately, often informally and with large defects regarding quality. These phenomena have been described not only in Poland, but also in other post-socialist countries (see: Kubalčíková & Havlíková, 2016;Zaviršek, 2017;Kuuse & Toros, 2019).…”

mentioning

confidence: 99%

On the concept of deinstitutionalisation of care and the measures undertaken. Possibilities and limits.

Golinowska¹

2023

Problemy Polityki Społecznej

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The article is a voice in the debate regarding the effect of deinstitutionalisation on of the lives of dependent people who require care: children without parental care (foster children and those deprived of their parents' care), people with disabilities and people experiencing mental health crises, and the elderly needing long-term care. The article is both illustrative and review-based. It uses historical knowledge and the results of comparative studies, as well as the knowledge of the practice of the functioning of care institutions for many categories of dependence not only in Poland but also in other countries of Central and Eastern Europe. It draws attention to the limitations of the deinstitutionalisation process and the necessary preparation of local authorities and local communities to create conditions for taking dependent people from large institutions of collective living to smaller ones, open to the support of local social communities. It draws attention to the fact that deinstitutionalisation policy is in fact a long-term process of re-institutionalisation, which may be socially beneficial under defined conditions, but requires investment

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Delayed deinstitutionalisation in post-socialism

Cited by 9 publications

References 14 publications

Independent Living in Post-Socialist Countries

Independent Living in Post-Socialist Countries

Specialist support for persons with disabilities living in the community: Review of international practice

On the concept of deinstitutionalisation of care and the measures undertaken. Possibilities and limits.

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