Treat me Right, Treat me Equal: Using National Policy and Legislation to Create Positive Changes in Local Health Services for People with Intellectual Disabilities

Authors

  • Amanda Roberts,

    1. Doctorate in Clinical Psychology Programme, Division of Clinical Psychology, The University of Liverpool, Brownlow Hill, Liverpool, UK
    Search for more papers by this author
  • Samantha Townsend,

    1. Doctorate in Clinical Psychology Programme, Division of Clinical Psychology, The University of Liverpool, Brownlow Hill, Liverpool, UK
    Search for more papers by this author
  • Jennifer Morris,

    1. Doctorate in Clinical Psychology Programme, Division of Clinical Psychology, The University of Liverpool, Brownlow Hill, Liverpool, UK
    Search for more papers by this author
  • Elizabeth Rushbrooke,

    1. Doctorate in Clinical Psychology Programme, Division of Clinical Psychology, The University of Liverpool, Brownlow Hill, Liverpool, UK
    Search for more papers by this author
  • Beth Greenhill,

    1. Doctorate in Clinical Psychology Programme, Division of Clinical Psychology, The University of Liverpool, Brownlow Hill, Liverpool, UK
    Search for more papers by this author
  • Richard Whitehead,

    1. Doctorate in Clinical Psychology Programme, Division of Clinical Psychology, The University of Liverpool, Brownlow Hill, Liverpool, UK
    Search for more papers by this author
  • Tim Matthews,

    1. Doctorate in Clinical Psychology Programme, Division of Clinical Psychology, The University of Liverpool, Brownlow Hill, Liverpool, UK
    Search for more papers by this author
  • Laura Golding

    1. Doctorate in Clinical Psychology Programme, Division of Clinical Psychology, The University of Liverpool, Brownlow Hill, Liverpool, UK
    Search for more papers by this author

Abstract

Background

Creative use of legislation can produce positive change in the lives of people with intellectual disabilities. This may be ‘bottom-up’ or ‘top-down’ or at multiple levels and with multiple stakeholders.

Method

Using a human rights–based approach (HRBA), four initiatives to improve services for people with intellectual disabilities in the UK are described.

Results

The first example explains the process of co-producing a DVD and board game to enable people with intellectual disabilities to understand their human rights. The second example considers the impact of organizational culture in the process of embedding a pilot evaluation of practical, human rights–based risk assessment and management tools. A third pilot project examines how the guiding principles of Mental Health Act (MHA) (2007) for England and Wales can be operationalized using an HRBA. Finally, improving equitable access to health care through a ‘top-down’ process of change involving the Green Light Toolkit is reported.

Conclusion

The authors consider how to approach the process and where to focus in the system, to realize meaningful change.

Ancillary