Evidence briefs

12 results
Recommendations
  • Explicit inclusion of people with psychosocial disability in all national policies and programmes on disability within the UNCRPD framework.
  • Address workplace stigma and discrimination around people with psychosocial disability using social contact interventions.
  • Affirmative action such as workplace reasonable accommodation should be individualised based on the needs of people with psychosocial disability.
  • People with psychosocial disability should have access to effective and affordable mental health services. Multi-stakeholders should co-ordinate their efforts to support people with psychosocial disability in employment opportunities.
  • Allocate funding to implement Supported employment (SE), particularly ‘Individual Placement and Support’ (IPS), for people with psychosocial disability.
  • Further develop the evidence base to inform and guide policymaking.

How can health and social care services promote the safety and well-being of people with intellectual disabilities during the COVID-19 pandemic in LMICs?

Globally, there are 108 million people living with intellectual and development disabilities (IDD). Evidence repeatedly shows that people with IDD are more likely to experience co-morbidities, yet tend to face several barriers to access health care services. This has resulted in a widespread health inequality, with evidence from high-income countries indicating that people with IDD live on average 20 years less compared to those without intellectual disabilities. It is clear that people with IDD are also at substantially higher mortality risk from COVID-19, particularly people with Down Syndrome. The global COVID-19 pandemic has also contributed to further challenges to the physical and mental well-being among people with IDD as well as people with disabilities in general. In this brief, we have summarised the current evidence on strategies that would facilitate the safety and well-being of people with IDD.

  • Health
  • Livelihood & Social Protection
  • COVID-19
SignificanceFeasibilityApplicabilityEquity
Recommendations
  • People with IDD should be prioritised for COVID-19 vaccination, in particular people with Down Syndrome.
  • Vaccine promotion campaigns for people with IDD should be inclusive, person-centred, and focussed
  • Reasonable adjustments should be made to clinical policies and practices to ensure equity of access and provision for people with IDD
  • Robust behaviour support response plan should be put in place for people with IDD, particularly those with behaviours of concern
  • Strengthen data collection to assess the impact of COVID-19 on people with IDD as well as their caregivers
  • Take a collaborative approach including people with IDD and civil society organisations to inform all policies and programmes that facilitate their safety and well-being during the COVID-19 pandemic

How can we promote access to assistive technology for individuals with disabilities in Low- and Middle-Income Settings

About 800 million people live with disability in low and middle-income countries (LMICs). Only 10-15% of people with disabilities who require assistive technology have access to them, especially in LMICs settings. The United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) mandated the provision of assistive technology as a fundamental right of people with disabilities. However, despite the ratification of the UNCRPD by most countries including LMICs, the issue of limited access to assistive technology among people with disabilities in LMICs remains unresolved. The assistive technology delivery process typically involves multiple steps including taking initiative, assessment of needs, selecting the assistive solution, authorization, implementation, management, and follow-up in each setting. Any challenge along the delivery process could be problematic. This brief aims to identify strategies that promote access to assistive technology in LMICs.

  • Health
  • Livelihood & Social Protection
SignificanceFeasibilityApplicabilityEquity
Recommendations
  • Increase awareness about assistive technology and service delivery methods, especially among people with disabilities and their families.
  • Integrate assistive technology services into the universal health system
  • Provide client-centred services and assistive technology.
  • Set up robust training and assessment for assistive technology service providers.
  • Provide adequate financial support to enhance affordability.
  • Remove barriers and provide individual support for assistive technology use.
  • Set up effective collaboration among stakeholders of assistive technology.

How can we promote the effective implementation of Legal Capacity as outlined in Article 12 of the UN CRPD in LMICs?

The Convention on the Rights of Persons with Disabilities is valued as one of the most revolutionary human rights legal instruments. The CRPD follows decades of work by the United Nations to change attitudes and approaches towards persons with disabilities, from viewing persons with disabilities as “objects” towards viewing persons with disabilities as “subjects” with rights. The development of the CRPD involved close consultation and active participation of persons with disabilities and their allies, which resulted in an advanced and innovative human rights treaty.  Article 12 in the CRPD focussed on legal capacity and challenged the very idea of what it means to be a person: to have rights and to be able to exercise those rights. However, doctrine remains uncertain about the real consequences of the implementation of Article 12 in the CRPD. Most of these discussions have been conducted by Global North scholars on their practices and policies. Policies and practices from the Global South are rarely included in these discussions. However, countries in the Global South have started Reforms (radical legislative changes) on the matter: comprehensive reforms (on several aspects of life) or specific reforms (on certain issues, like mental health). It is necessary to take into account their experiences and discussions in order to implement correctly Article 12 CRPD, having in mind their socio-economic context and the realities of their legal systems.

  • Cross-cutting
  • Health
  • Livelihood & Social Protection
SignificanceFeasibilityApplicabilityEquity
Recommendations
  • Promote law reforms that recognize and regulate the legal capacity of persons with disabilities, in accordance with the “standards” of the CRPD
  • Train public officers in the use of CRPD “standards” or guidelines
  • Provide alternative support approaches that engage with social services and community mental health services
  • Monitor and report on the experiences of support and implementation promoted by state funded initiatives and civil society funded initiatives, irrespective of their size and scope
  • Monitor and report on the implementation of the reforms
  • Raise awareness about the importance of legal capacity with different key actors for the Reform

Remaining questions

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