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 standards were also subject to a further cycle of consultation and improvement through 2023 and were published in 2024.

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.

Global Standards for Self-Directed Support

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 disability or chronic illness. To ensure human rights for all, we must organize systems that maximize autonomy of the person to make choices and exercise control over their supports.

The following are essential elements of a self-directed support system:

  1. A dedicated budget, individualized and controlled by the person with any support they choose, used flexibly and creatively to promote 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 on self-directed supports, beginning in early childhood
  4. Clear and simple information on self-directed supports, 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 demonstrates a commitment to peoples’ capacity and value
  7. No cost assistance with technical aspects of self-directed supports, including help meeting program requirements and assistance with locating, hiring, and managing staff
  8. Information and resources for families, friends, and other allies to support the person
  9. Respectful employment practices that recognize the rights of staff to a fair wage and to be free from exploitation
  10. Peer support – mutual aid for wellbeing and navigating the system – bolsters participation, promotes equitable access, and drives innovation
  11. Transparent, sufficient, fair resource allocation based on a person’s priorities and needs
  12. Portability of self-directed funding and eligibility across jurisdictions within a country
  13. Comprehensive and genuinely independent advocacy to protect human rights, privacy of personal information, freedom to make big and small life decisions, and safeguarding from harm
  14. 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
  15. Quality practices and outcomes measurement that support continuous learning and improvement and hold systems accountable to the principles of self-directed support
  16. An orientation toward equity in access, respect for people’s cultural identities, and positive outcomes with particular attention to groups that are historically marginalized and underserved
  17. Disabled people and those with chronic illnesses are fundamentally trusted and have principal roles in the oversight, governance, and administration of support systems

Download a pdf version of the Global Standards for Self-Directed Support here.

Our thanks to Clare Tarling for her support in producing an easy read version of the Global Standards for Self-Directed Support, download the pdf here.

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