The essential
structure of individualized funding is simple, and its logic is compelling. It
gives people the freedom to develop their lives, using allocated public funds
in the way that they consider best. It provides a means to ensure that plans
and services will not be imposed upon them by community service providers and
public officials. It provides for a process of negotiation between the
individual and the holder of public funds. It also obliges service providers to
treat the users as valued customers, and encourages the emergence of innovative
services to meet their requirements.
- Steve Dowson and
Brian Salisbury
Key features of an “individual
budget” are:
- a specific amount of money is
identified to be used by the person for purchasing services based on
eligibility
- the amount of money is
disclosed to the person and his/her family or support system
- the person has control over
how that amount of money is spent every year on the specific services or
products allowed by the funding agency
- the money is allocated to the
person, not an agency or “slot”, and the person can choose to change the way he
or she spend the money as needs or desires change
Individual budgeting is a
central component of a “self-directed” or “participant-directed” model of
support delivery. Individual budgeting provides a level of autonomy and control
to the person receiving supports that is not achievable in any other way.
Having control of how resources are spent encourages the person to determine
what is most important to his/her quality of life. It provides opportunities
for inclusion in community life that systems are incapable of achieving on
their own. The process of individual budgeting creates opportunities for
professionals to see the person in new ways.
Decisions about how to spend
the money are often made jointly with a person’s family or other trusted
friends and are most often paired with authentic person-centered planning in
order to learn, over time, how to move toward attaining personal goals and
dreams. Individual budgeting creates the
opportunity for community members to support the person in real life decisions,
based on strengths and gifts and moves people away from a medical or needs-based
service system.
While the benefits of
individual budgeting are clear, the reality of implementing a process of
individual budgeting are complex requiring coordination between federal and
state/provincial agencies in cooperation with local service providers. However,
local service providers are encouraged to explore ways to give all the people they
serve more control over the specific supports and services they receive in the
spirit of individual budgeting until the reality of individual budgeting is the
norm.
Andre Robinson, a
community development assistant at CLS, says, "Self determination for
people like me with disabilities is about freedom - pure and simple – freedom
to decide how to live your life." Andre, who has cerebral palsy and uses a
wheelchair, continued, "Yeah, I need support with some aspects of my daily
life; don't you? We need to stop funding the 'system' and … start funding
people with disabilities – to meet their needs.
A few resources for more
learning:
Pointers for Families and
Individuals Who Want to Manage Their Own Services – By John Agosta
http://ici.umn.edu/products/impact/171/over4a.html
Individual Budgeting, Control
and Support: What Systems Need to Tell People
http://ici.umn.edu/products/impact/171/over3a.html
Beyond Cash and Counseling: An
Inventory of Individual Budget-based Community Long Term Care Programs for the
Elderly
http://www.kff.org/medicaid/upload/7485.pdf
Self Directed Services
http://www.cms.gov/CommunityServices/60_SelfDirectedServices.asp
Those with disabilities deserve
same freedom to choose as everyone
http://www.centerforself-determination.com/docs/news/confeditorial1.pdf
Individualized Funding: Emerging
Policy Issues
http://www.communitylivingbc.ca/what_we_do/innovation/pdf/IF_Policy_Implementation_issues.pdf