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Enabling Good Lives: Transforming Disability Support System in Japan

This program aims to transform the disability support system, providing greater choice and control to disabled individuals and their families. It focuses on person-centered support, community building, and systems change. The program includes elements such as self-determination, cross-government individualized funding, and strengthening families/whanau. The transformation process will be implemented regionally, starting with the mid-Central region.

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Enabling Good Lives: Transforming Disability Support System in Japan

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  1. Prepared for the Japanese Young Core Leaders Programme, Oct 2017

  2. Background • Started with Select Committee Inquiry 2008 • In 2011, the Minister for Disability Issues asked an independent group from the disability sector to report to her on the current function and operation of disability day services. • That group proposed that rather than focusing on ‘special’ places or activities for disabled people, it would encompass a person’s whole life, not just one part of it.

  3. This was called Enabling Good Lives (EGL) with a vision that: In the future, disabled children and adults and their families will have greater choice and control over their supports and lives, and make more use of natural and universally available supports. EGL is an approach led by disabled people and families

  4. 2012 - long term change to disability supports signalled by Government • Demonstrations - 3 years in Christchurch and 2 years in the Waikato • The demonstrations themselves are not EGL because they’re narrowly focussed • The EGL demonstrations are trying new ways of doing things. It’s about systems change and is across the Ministries of Health, Social Development and Education

  5. The EGL report made a number of key recommendations including: • A fundamental set of principles that underpins future disability supports: • self determination • beginning early • person centred • ordinary life outcomes • mainstream first • mana enhancing • easy to use • relationship building

  6. Self-directed facilitation-based support and planning that actively supports disabled people to have greater choice and control over their lives and supports • Cross-government individualised and portable funding to provide disabled people with personal allocations that can be used more flexibly to purchase supports and services • Considering the person in their wider context, not just formal support.

  7. Strengthening families/ whanau so people know how to maximise their choice and control • Community building to assist disabled people to be active and valued citizens with an everyday life in everyday places and the natural support this brings

  8. Elements for Systems Change • Building knowledge and skills of disabled people • Investment in families • Changes in communities • Changes to service provision • Changes to government systems and processes

  9. Outcomes • Control • Increased Choice • Diversity • Participatory citizenship • Joined-up system that is easy to use • Personal budgets • Independent Navigation/ Facilitation • Facilitated support • Joint governance

  10. Key Cabinet Decisions – 15 February 2017 • The Ministry of Health and Ministry of Social Development worked alongside the disability community to design a process for a nationwide transformation of the disability support system. The first step of this was a high level co-design process, involving representatives of the disability community and officials • The first region to go through the full change process will the mid-Central region – Waikato and Christchurch will be the next regions • The National Enabling Good Lives Leadership Group will promote and safeguard the EGL vision and principles

  11. Key Cabinet Decisions cont… • The transformation in each region will be supported by a local leadership group from the disability community • There will be significant changes required – including to the existing funding allocation services • EGL will continue, with current arrangements, in Christchurch and the Waikato until the full transformation starts in those areas

  12. Building Blocks for System Design • Disabled people and families being able to access independent facilitators who walk alongside people and help them build a good life • Having a single point of entry for funded support • A strengths based assessment • A personal budget to spend flexibly • A range of options for managing a personal budget • Capacity building for disabled people, families and providers • Improved accountability arrangements that monitor quality of life

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