Community – a Disability Perspective #2 #cong19

Synopsis:

Community can have a profoundly positive impact on people living with disability but current structures and vocabulary needs rethinking.

4 Key Takeaways:

  1. 1 in 7 people in Ireland live with a disability and most of them acquired that disability at some stage in their lives. Any person who is disability-free today may have a life-long disability starting tomorrow. That is a fact of life.
  2. Once you have a disability, “community” is a much harder thing to access for a whole host of reasons ranging from physical access to prejudice. For people with intellectual disabilities – be they congenital or acquired – it is even harder still.
  3. In endeavoring to support people with intellectual disabilities, we as a society, take away the very things we ourselves most cherish in our lives. Most of these things come about through, and because of, community

About Sean McGrath:

Sean McGrath is a 35+ year veteran of the IT industry. He holds a first class honours degree in computer science from Trinity College Dublin. He is co-founder and CTO of Propylon, where he now heads up the R+D group focusing on computational solutions in the legal and regulatory domains.

He is the author of three books on markup languages published by Prentice Hall and has lectured in Trinity College Dublin and with the Open University.

He runs one of Ireland’s longest lived blogs at: seanmcgrath.blogspot.com. Sean lives in Galway with his wife and three children. When not working in IT he is an avid amateur musician.

Contacting Sean McGrath:

You can contact Sean by email.

By Sean McGrath

According to the WHO about 15% of the worlds population lives with some form of disability. According to the National Disability Authority of Ireland, 1 in 7 people in Ireland has a disability. That’s about 13%.

It may come as a surprise to learn that the majority of that 1-in-7 number represents acquired disabilities. i.e. once healthy people who became disabled people at some point in their lives. It can happen to any of us at any time and will happen to a goodly proportion of us at some time in our lives.

For anyone living with a disability “community” often means something very different than what it means to the rest of the population. For people with intellectual/cognitive disabilities – be they congenital or acquired (e.g. brain injuries, dementia etc.) – the difference is often even more striking. Once you have a disability, “community” is a much harder thing to access for a whole host of reasons ranging from physical access to prejudice.

Let us play a game. Let us pretend for a moment that I have control over your future life. Now, think about the five most important things in your life in order of priority. The things you think of as the good things in life. The things that really make life worth living. Possible entries on your prioritised list include money,  vacations, health, family, a job you enjoy, independence, better looks, friends, a place to call your own. etc.

Now, what if I tell you that I am taking away two of them. What two do you want to give up out of the five? Not easy it is? Take a moment…

Which three did you decide to keep and which did you decide to give up?

I’ll bet you chose not to keep the vacations or the money-related items. I’ll bet you chose to keep family, a soul mate, your independence, friends, a place to call your own. Am I right?

Now here is the two part kicker of this thought experiment. Firstly, the very things you chose to keep above all else, are the very things we as a society tend to take away from people with intellectual disabilities. Secondly, those very things you chose to keep above all else, are found mostly in, and through, community.

For people with an intellectual disability, we take the word “community” and we redefine it. We label it “special needs” and until very recently we even used that abhorrent word “retarded”. We segregate these people from the rest of the population. We congregate these people into institutions “for their own good”. Sure, we see the odd “special bus”. We see the odd group of “special needs” going bowling at 11 a.m. on a Monday morning, but mostly we don’t see them at all. They do not live in our communities. They are not living with us.

We take away from them the very things we hold most dearly for ourselves. Do people with intellectual difficulties not value friends? Do they not value being able to make decisions for themselves? Have a place to call “home”? Of course they do but we mostly take these things away from them. We apply a so called “medical model” in supporting them. We keep them safe above all else. Quality of life? Less of a concern.

This is tragic. All the more so because it is an unintended side-effect of mostly well meaning people and systems that have evolved over centuries. Thankfully, change is afoot in Ireland – albeit very slowly.

The HSE’s New Directions policy[1] sets out a vision for how the lives of people living with intellectual disabilities can be transformed through community integration and through decongregation[2].

Ireland has finally enacted the UN Convention on the Rights of People with Disabilities[3] and has begun rolling out the Assisted Decision Making Act[4].

Grass roots initiatives are afoot such as the Inclusive Living Network [4] which aims at informing and supporting people living with disabilities to live their lives the way the “rest of us” want to live ours : in communities, accessing the simple things in life that are worth more than any amount of money to all of us.

[1] https://www.hse.ie/eng/services/list/4/disability/newdirections/

[2] https://www.hse.ie/eng/services/list/4/disability/congregatedsettings/

[3] http://www.inclusionireland.ie/content/page/united-nations-and-disability

[4] https://www.findersinternational.ie/news/lunacy-act-replaced-assisted-decision-making-provisions/

[5] http://inclusivelivingnetwork.ie/

Communities of Excellence #1 #cong19

Synopsis:

There is a lack of awareness of what quality and excellence are and their potential for communities and society in general. This is a great loss that is even more amazing when we see many members of a community working in organisations that embrace excellence as the way they do business in achieving quality outcomes. Yet it seems that very little of this excellence leaks out into community and everyday life.

Communities are not organisations and we need new images and vocabulary that facilitates everyone in a community to appreciate quality and practise excellence.

This paper draws from a four-year primary research study of the village of Grange Co. Sligo which sought to bring organisation based quality principles into all aspects of community life.

The presentation of findings will arm you with the vocabulary, images and confidence to bring the concepts of quality and excellence into your life and your community.

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4 Key Takeaways:

To help you in your own endeavours or as you work with others or communities you will leave this presentation with:

  1. A universally acceptable and readily understood definition of quality.
  2. An explanation of excellence as the desired way of achieving a quality outcome.
  3. A graphic and terminology describing fit for purpose human activity systems.

As we all become more aware and demanding of a quality outcome we must deepen our understanding of what it is and how it is achieved.

About Bob Kennedy:

Bob Kennedy is a retired lecturer from the Institute of Technology Sligo. His career in industry and academia was primarily concerned with manufacturing, mechanical engineering and design. From the mid 1990s the emphasis shifted to Quality and particularly Quality Management Systems in manufacturing industry.

The rest of Bob’s career was spent exploring how other sectors of society could benefit from the adoption of these quality principles. This culminated in a four year research project in the village of Grange, Co. Sligo to explore the practicalities of practising ‘quality’ at all levels of society. The challenge was to match the many endeavours going on in the community with the most appropriate and beneficial quality tools and techniques used in industry.

The outcome of the research unlocks the potential of quality and excellence for every individual and group in any community.

Contacting Bob Kennedy:

You can contact Bob on LinkedIn

By Bob Kennedy

Every community regardless of its size is a hive of activity. It will have families, clubs, societies, shops, businesses etc. All are pursuing their own unique endeavours but all share a common desire. They all want to succeed. They all want to achieve a quality outcome.  Unfortunately, few if any will have the vocabulary, skills or resources to achieve this in a harmonious way.

Firstly, they will find it difficult to agree on what is a quality outcome. Then of course there is the problem of how it should be achieved. Finally, they will have little appreciation that they are part of a system that will either facilitate or frustrate them depending on its makeup.

These impediments can be overcome if we can embed the following mantra into the psyche of every individual, interest-group, industry and institution in the community.

This mantra is:
“To achieve quality outcomes we must practise excellence and maintain systems that are fit for purpose”

Communities who embrace this mantra will become known as ‘communities of excellence’ communities where excellence is practised. Few people would complain about living in such a community even if they didn’t have a clue what excellence entailed. The challenge is to unlock the mantra’s potential using terminology and images that everyone in a community can relate to and encourages them to be brave and experiment with it.

This paper draws from a four-year primary research study based in the village of Grange Co. Sligo, Ireland which sought to bring organisation based quality principles into all aspects of community life.

But communities are not organisations and new images and vocabulary were needed to facilitate everyone in a community to appreciate quality and practise excellence.

Research outcomes

The research outcomes develop the three stages of the mantra as follows:

To achieve quality outcomes we must practise excellence and maintain systems that are fit for purpose.
Research Outcome #1

Definition of Quality

Research Outcome #2

Excellence as the Methodology for achieving a Quality Outcome

Research Outcome #3

Model of Community viewed as a Human Activity System

What is Quality?

This is a legitimate question for anyone wishing to achieve some purpose. Such a person or group of people are engaged in purposeful activity. This activity might be the setting up of a group or the provision of some service. Regardless, they all want a quality outcome.

So what is a quality anything?

  • What is quality childcare?
  • What is a quality restaurant?
  • What is a quality leisure group?

Quality can be a very vague concept. Yet we all know it when we see it or even more readily when it is missing. The vague nature of quality can sometimes lead to the notion that quality is whatever you think yourself. This is how real life at community level sees quality and its ambiguity is not very helpful.  We must empower people to move their appreciation of quality to a more structured level.

All of us would agree that a quality outcome is achieved when the right things are done right.

This interpretation helps us when grappling with quality as it applies to: childcare, restaurant or leisure group? It’s liberating as everybody now knows what quality is as it applies to anything or to any activity. A quality outcome is achieved when the right things are done right.

Research outcome #1: A definition of quality that everybody can relate to.
A quality outcome is achieved when the right things are done right.

What is excellence?

Excellence was described earlier as the methodology for achieving a quality outcome. This is much more complex than quality since it is the alpha and the omega of quality. Excellence helps us flesh out our appreciation of a quality outcome and then makes it a reality for us. It is a methodology that facilitates our definition, realisation, delivery and evaluation of a quality outcome. Excellence creates the culture, the synergy that supports the emergence of a quality outcome.

Look again at our definition of quality “A quality outcome is achieved when the right things are done right”.

A cursory examination of this definition will solicit two obvious questions.
Q1: Who decides what is the right thing to do?
Q2: Who decides how it should be done?

A third less obvious question is “How do they make these decisions?” The answer to all these questions is that we must practise excellence, which is defined as follows:

Research outcome #2:  Excellence as the methodology for achieving a quality outcome.

Excellence is an evolving methodology for achieving a quality/better outcome.
It is based on voluntary on-going dialogue and agreement between the creators, consumers and complementors in the activity system, who define, realise, deliver and evaluate dynamic emerging expectations in an enlightened, effective, efficient, ethical, elegant and enjoyable manner.

This definition of excellence is of necessity long and at first glance complicated. Essentially it says that the clients involved in an activity will be the deciders of what a quality outcome is and how it is achieved. It identifies three categorises of clients [3Cs]:
1. Creators [those providing the service],
2. Consumers [those who use or are affected by the service] and
3. Complementors [regulators, interested parties etc.].
No one category can decide. These 3Cs must voluntarily engage in dialogue and agreement as they define, realise, deliver and evaluate dynamic emerging expectations. Expectations that they accept will change. Finally, they do all this in an enlightened, effective, efficient, ethical, elegant and enjoyable manner.

Practising excellence is not easy for any individual or group as most want to rush into activity and get things done. They do not want engagement or dialogue which they perceive as being problematic and time wasting. They effectively think they know best and should be allowed get on with it. But they are wrong. Excellence isn’t easy but it’s the right way to achieve a quality outcome.  It takes all three categories of client to practise excellence as well as a fit for purpose system.

It takes a system to practise excellence.

Obviously excellence cannot exist in a vacuum it needs us as creators, consumers and complementors to make this theory a practice, a way of doing things. Put another way excellence needs a fit for purpose system to adopt and practise it. What does a ‘fit for purpose system’ look like?

When a group of people come together for some purpose i.e. to achieve any task they can be described as a purposeful complex adaptive system. Figure 1 gives us an image of such a system which is fractal in nature applicable to all levels of society and complexity: individuals, interest-groups, industries and institutions and indeed entire communities. It is a surprisingly simple system of four elements: Context, Climate, Clients and Culture that operate in a dynamic flux of inter-dependency.