Exploitation!

For the many #neurodiversity activists who claim Exploitation! with regards to honoring a person’s choice, we are going to quote some definitions we found for exploitation:

  • The act of using someone unfairly for your own advantage
  • The use of something in order to get an advantage from it
  • The use or development of something for profit or progress in business

(from Cambridge Dictionary.org)

  • unfair treatment of someone, or the use of a situation in a way that is wrong in order to get some benefit for yourself.
  • the process of making use of something so that you gain as much as possible from it

The Macmillion Dictionary.com

  • use or utilization, especially for profit:  the exploitation of newly discovered oil fields.
  • selfish utilization:  he got ahead through the exploitation of his friends.
  • the combined, often varied, use of public-relations and advertising techniques to promote a person, movie, product, etc.

Dictionary.com

Yes, I understand that someone’s making a buck somewhere – that’s business and like it or not, it’s pretty much how things work.

  • Business make decisions on business needs not on vocational rehabilitation needs. Businesses do not necessarily see themselves as employers but as businesses making or producing a product  or service to be sold in the marketplace.
  • We must not convey the notion that business is expected to create a job where one does not exist but we need to look at what tasks they need done and figure out how we can do them to the the business.  This process can serve both the needs of the  individual and the business.

There are new CMS guideline for HCBS waivers – first and foremost Federal policy makers focused the new HCBS regulations on the quality of life of individuals, and emphasized the importance of a person-centered plan and an annual review of that plan in order to make sure their support needs and life goals are being met.

Policy alone will not improve employment outcomes for those with IDD, and in the case of Maine, it can actually decrease employment rates. Across the country, local communities are trying to create employment opportunities that are created around the interests and abilities of those who have not found meaningful work.  These efforts to increase the variety of employment options should not be thwarted by well-intentioned, yet inflexible policy.  One’s choice of where and with whom one would like to work should be guided by the goals, interest, and support needs of each unique individual with IDD as outlined in their person-centered plan.

Also, in case one may not be familiar with person-centered planning – here is a quote taken from the Administration for Community Living website:

Person-centered planning (PCP) allows individuals to be engaged in the decision making process about their options, preferences, values, and financial resources. Individuals in need of services or who are planning for the future have access to one-one-counseling in a variety of settings, including within the home, community residence, acute care hospital, school settings, or several other settings based on the individual’s needs. PCP is a valuable tool for the aging and disability networks that can improve access to care through streamlined partnerships, technology, and resources that put the focus on the needs of people and their caregivers.

The PCP approach identifies the person’s strengths, goals, preferences, needs, and desired outcomes. The role of staff, family, and other team members is to enable and assist the person to identify and access a unique mix of paid and unpaid services to meet their needs, and to provide support during planning and implementation.

When done thoughtfully, PCP creates a space of empowerment—a level playing field—that allows for consideration of personal preferences as well as health and safety needs, without unnecessarily restricting freedoms. The best person-centered planning helps people to live better lives, with support to do the things most important to them.

PCP is a cornerstone of the No Wrong Door systems model.

By the way – advocates – are you being paid for your advocacy work? Is advocacy your employment?   We are a fully volunteer organization doing this work for free on our own time.  We are committed to making services and supports better for each person, as they choose.