Dunn Peter
Wilfrid Laurier University, Waterloo, Ontario, Canada.
Int J Rehabil Res. 2002 Sep;25(3):215-24. doi: 10.1097/00004356-200209000-00007.
Government policies and programmes in Canada have been slowly evolving from a focus on institutional care to traditional programmes in the community. Now, a new paradigm of services is emerging which emphasizes the concepts of independent living. This study collected extensive information from government officials and consumer groups across Canada regarding the trends in barrier-free housing, accessible transportation and personal supports from 1980 to the present time. The research documents some of the major issues with government initiatives as well as promising innovations. Although many positive changes were made during the Decade of Disabled Persons (1983-1992), many of these initiatives were eroded with major funding cutbacks in the mid- to late 1990s. This paper concludes with ways to change the present service delivery system to ensure that everyone can live independently in the community.
加拿大的政府政策和项目一直在缓慢演变,从专注于机构照料转向社区传统项目。如今,一种强调独立生活概念的新服务模式正在兴起。本研究收集了加拿大各地政府官员和消费者团体关于1980年至今无障碍住房、无障碍交通和个人支持方面趋势的广泛信息。该研究记录了政府举措中的一些主要问题以及有前景的创新。尽管在残疾人十年(1983 - 1992年)期间有许多积极变化,但其中许多举措在20世纪90年代中后期因大幅削减资金而受到侵蚀。本文最后提出了改变当前服务提供系统的方法,以确保每个人都能在社区中独立生活。