Global Standards for Self-Directed Support

The SDS Network has drafted a statement for consultation on best practice on self-directed support.

Self-Directed Support means organising help and assistance so that people who need help are able to live with freedom and are included as full and valued citizens within the community. This document provides a set of standards based on global learning.

Background to the statement

During 2021 to 2022, a small group of self-direction advocates (who identify as people with disabilities, researchers, and providers) met regularly to plan an international gathering to expand and enhance self-directed support. The event was part of the International Initiative for Disability Leadership and built from a previous events in 2019. The goal of the convening was to develop a statement describing the essential elements self-directed support. Over several virtual meetings in 2022, 30 participants from New Zealand, Australia, the United States, Canada, Ireland, Finland, and England engaged in discussion and sharing and reviewed, discussed, and amended the draft standards. The standards were then presented during the IIDL Learning Exchange in Washington, D.C. in October 2022 with additional discussion amongst participants.

The SDS Network has been established to publish this statement and to revise and improve it over time. You can find out more about the SDS Network here.

Draft Standards (last amended 18th November)

We all have the right to live a life of freedom and full community inclusion. These fundamental rights were articulated in the Universal Declaration of Human Rights in 1948. The 2006 Convention on the Rights of Persons with Disabilities underscored that human rights apply to all people regardless of the challenges they face. To ensure human rights for all, we must organize systems that maximize autonomy, choice, and control. The following are essential elements of a robust self-directed support system:

  1. Dedicated resources, individualized and controlled by the person, used flexibly and creatively to support the person’s best life.
  2. Access to legally recognized supported decision-making that minimizes substitute decision-making and the loss of legal agency
  3. Outreach and education, beginning in early childhood.
  4. Clear and simple information, widely available in the mainstream, tailored for cultural responsiveness and relevance, and fully accessible.
  5. Practical administrative processes that minimize participant burden.
  6. Person-centered planning - a process of identifying what is important to a person with strategies to support what’s important - that supports a commitment to peoples’ capacity and value.
  7. Freely available assistance with technical aspects of self-directed support, including assistance to ensure good employer and employee relationships, fair and rewarding work, and effective hiring and retention practices.
  8. Peer support - mutual aid in understanding and navigating the system – at the person, community, and system levels that bolsters participation, drives innovation, and holds the system accountable to its values.
  9. Transparent, fair resource allocation based on a person’s priorities and needs.
  10. Portability of self-directed funding and eligibility across jurisdictions within a country.
  11. Comprehensive and genuinely independent systems of advocacy to protect human rights, privacy of personal information, freedom to make big and small life decisions, and the prevention and safeguarding from harm.
  12. Practices that ensure all people have the option to control as much or as little of their supports as they choose, based on the presumption of personal capacity.
  13. Quality practices and outcomes measurement that support continuous learning and improvement and hold systems accountable to the principles of self-directed support.
  14. An orientation toward equity in access and respect for people’s cultural identities, with particular attention to groups that are historically marginalized and underserved.
  15. People with lived experience of disability or ill health have principal roles in the oversight, governance, and administration of support systems

Next steps for the statement

We are looking to members of the broader global self-direction community to review and comment on the standards. Eventually, we would like to engage signatories across all contributing countries and ratify these standards so that they can be used as a reference point for what constitutes a robust and high-quality self-directed support system.

Please take a look at the one-page statement we developed and share your impressions, ideas for improvement, and thoughts about whether and how this statement could be helpful in advancing self-directed supports globally. 

This is a draft statement and we would welcome your views on how we can improve it by 31st January 2023. Please contact any of the SDS Network Board members (listed below) with your comments.

Documents

Article | 17.11.22

disability, Self-Directed Support, social care, Global, Article

Bevin Croft

USA

Senior Research Associate and Director of the Behavioral Health team at the Human Services Research Institute

Chris Watson

England

Founder of Self Directed Futures

Simon Duffy

England

President of Citizen Network

Tim Stainton

Canada

Co-Director of the Centre for Inclusion and Citizenship & joint coordinator of Citizen Network Canada

Also see