Inclusion is an important component of quality of life. It is linked to issues such as participation in society, relationships, social networks and civil society. Viewed from this perspective, the social position of people with an intellectual disability in Europe in general and in the Netherlands in particular, still leaves much to be desired. Often segregation and marginalization still exist.
Social Inclusion focuses on the factors for success and failure that come into play when designing inclusion processes. The book examines the role of health care organizations and their contributions to inclusion. From the perspective of the health care organization, the following issues are explored: • To what extent has the history of health care been obstructive for inclusion? • Which roles do government, advocates and stakeholders play? • Which roles are played by organizational features, the employees and those with an intellectual disability who are supported by a health care organization? • Which implementation strategy would be the most appropriate when designing changes?
The book shows that important lessons can be learned from Dutch health care. It provides valuable insights resulting from the research that lies at the basis of this publication.
1 Socio-cultural context | The Netherlands
1.1 Not a trendsetter where inclusion is concerned 1.2 Private initiative, limited influence of government 1.3 Compartmentalized structure and set-up of care 1.4 Changing views 1.5 Advocates and opponents 1.6 Law of the restraining head start
2 Towards a social model | Definitions and concepts 2.1 People with a disability 2.2 Definition of ICIDH 2.3 Definition of AAMR 2.4 Personal and environment variables 2.5 Prevalence in Europe
3 Quality of living and inclusion | In – and with – society 3.1 Quality of living 3.2 Inclusion, a definition 3.3 Organizing around quality of living and inclusion 3.4 Institute paradigm and support paradigm 3.5 De-institutionalization as a condition for inclusion
4 Towards an interactive dynamic model | Theory, operationalization of factors 4.1 Organizational change 4.2 From rational linear to interactive dynamic 4.3 Various types of change with their own approach 4.4 Factors of success and failure in the literature 4.5 Operationalization of the conceptual model
5 Practice in stories | Portraits and patterns 5.1 Eight portraits 5.2 Information to supplement the interviews
6 Findings | Factors of success and failure concerning inclusion 6.1 Data 6.2 Socio-political environment 6.3 Organizations 6.4 Employees 6.5 People with a disability 6.6 Organizational changes
7 Perspectives | Various angles of approach 7.1 Achieving inclusion, an unyielding process 7.2 Vision on effective elements 7.3 What do experiences represent in regard to developing the theory? 7.4 Social relevance 7.5 Follow-up research 7.6 Striking issues and concerns
Appendices 1 Dutch organizations dedicated to inclusion 2 International interest organizations for people with a disability 3 Glossary
Hans R. Th. Kröber is gedragswetenschapper en directeur van een instelling die zich richt op de vermaatschappelijking van de dienstverlening aan mensen met een handicap. Hij heeft verscheidene func...