Enhancing independent community access and participation Services, technologies, and policies
Despite regulations and major efforts aimed at protecting the rights of people with disabilities, there are still huge challenges to ensure community access and full participation of persons with disabilities in society, in a context where the prevalence of disability will increase over the next decades. In this chapter, we examine three aspects of the community access issue—access to services, the value of both existing and emerging technologies, and social and economic policymaking. In addition to an efficient rehabilitation process focusing on physical and mental capabilities, enhancing community access and social participation will require the optimization of access to services such as primary healthcare, family support, the home environment, and job training, which currently are highly variable between jurisdictions. Key concepts in this regard include the notion of resiliency—support for both individuals and their families as well as their communities should aim to enhance the ability of these to rebound from challenging situations and create new ways of functioning. Technologies that enhance mobility, communication, and home adaptation also play an increasingly important role in favouring community access and participation. While these are essential to compensate various forms of disabilities, the current rapid evolution of technologies does not allow adequate efficacy testing, limiting the establishment of best practices or recommendations regarding these products and often overestimating their benefits. Finally, better community access and participation, supported by an enabling environment should not be based on a culture of disability but a culture of ‘ability’ that impacts all citizens regardless of their life situation.