Aims of the study

1
12 18 October 2013Beijing, China
Poster Number WHO/CTS to insert
Authors C.Arnould (Belgium), C.Barral (France),
E.Bouffioulx (Belgium), P.Castelein (Belgium),
D.Chiriacescu (Romania), A.Cote (US)
Aims of the study
- Development of ICF- and CRPD-based guidance
templates, discussed in focus groups with
disabled persons and their representative
organisations in 7 countries (India, Nepal,
Philippines, Romania, Rwanda, Tunisia and
Uganda), and final versions tested in India and
the Philippines.

• Associated CRPD articles (12, 15, 19, 20, 24,
  25, 26, 27, 30). Example of question linked to
  CRPD art.20 Does the assessment procedure take
  into account the needs of the person in terms of
  mobility and the necessary supports?
• Guidance template 2 Sectorial
• assessment of social participation. This template
  focuses on assessment mechanisms for the
  allocation of specific types of benefit intended
  to improve a given domain of social participation
  (such as access to employment, to education, to
• housing ...). As in template 1, a series of
  questions referring to the CRDP allows the user
  to identify adjustments and recommendations to be
  made.
• Guidance template 3
• Assessment by benefit meant to identify (1) the
  concerned population, (2) existing benefits and
  (3) to describe the steps of the assessment
  process.
• Guidance template 4
• Estimated impact of benefit on participation of
  disabled persons, optional for users interested
  in analyzing further the impact of allocated
  benefits on the participation of a given group of
  persons, the quality of the whole process of
  assessment and amendments to be recommended.
•  

• Eligibility criteria and access procedures to
  disability benefits (indemnities and support
  services), therefore to public resources, are at
  the core of disability policies. Developing
  disability assessment mechanisms, in line with
  the principles of the UN Convention on the Rights
  of Persons with Disabilities (CRPD) and allowing
  equal access to services and benefits, compliant
  themselves to the CRPD is a complex process,
  facing which a majority of stakeholders feel in
  dire need of support, particularly in low-income
  countries. A study supported by FIRAH was
  carried out in 2011-2012 by a research team of
  disability studies scientists, occupational
  therapist and disability policies analysts from
  Belgium, France, Romania and the US. The aims of
  the study were
• - to identify the main issues countries face in
  designing or reforming their disability policy in
  light of the CRPD
• to develop a guiding tool usable by
• all stakeholders (public authorities, disabled
  persons and their representative organisations
  and professionals) (1) to collect information on
  existing disability assessment mechanisms and
  benefits allocation procedures in high-, middle-
  or low- income countries (2) to analyze to which
  extent these assessment and eligibility
  mechanisms are effective leverages for
  participation and social justice consistent with
  CRPD requirements.
• http//www.firah.org/index.php

Results

• Development of 4 guidance templates intended as a
  progressive training for stakeholders (1) to
  collect countries appropriate information on
  disability identification and assessment
  mechanisms, (2) to analyze them in regard with
  CRPD requirements.
• Guidance template 1Processes
• of disability assessment and
• eligibility for the status of disabled person
  (disability card type). It comprises 22 opened
  questions divided into 6 sections (1.Legal frame
  2.Access to assessment process 3.Assessment
  procedure 4.Decision process 5.Centralization
  and processing of information 6.Implementation
  of assessment process). In order to train the
  user to refer to the CRPD and to lead him to
  examine whether the answer to a question complies
  with the CRPD, each question is linked to one or
  several articles of the CRPD turned into
  questions.
• Ex. Has your country a legal definition of
  disability? If Yes, which is it? Associated CRPD
  question Do you consider that your countrys
  definition reflects that in CRPD Art.1 Persons
  with disabilities include those who have
  long-term physical, mental, intellectual or
  sensory impairments which in interaction with
  various barriers may hinder their full and
  effective participation in society on an equal
  basis with others.
• Other ex. What type of assessment is used to
  establish a person is disabled?
• - Assessment of impairments as defined in ICF?
  (Body Functions 1st level listed)
• - Assessment of activity limitations as defined
  in ICF (i.e. capacity)
• - Assessment of participation restrictions as
  defined in ICF (i.e.performance in environment)
  (AP domains 1st level listed)
• - Assessment of environmental factors as defined
  in ICF? (Environmental domains listed)

Title
Conclusion
Conclusion
This methodological tool has proved efficient to
sensitize stakeholders to the change of paradigm
promoted by CRPD and to the reforms of national
policies necessary for a full and effective
participation and inclusion of disabled persons.
The tool is usable by national disability
stakeholders (whether disabled persons and their
organisations, public authorities or
professionals) in high-, middle- and low-income
countries. It raised major interest in middle-
and low-income countries who either do not have
formal disability policies or need to reform
their policy according to the CRPD. But it needs
to be circulated and used! The final report is
available in French. A 10p. summary and the
guidance templates are available in French and
English. Catherine.barral_at_ehesp.fr Reference
Mécanismes dévaluation du handicap quels
enjeux pour lélaboration des politiques sociales
aujourdhui, à la lumière de la Convention des
Nations Unies relative aux droits des personnes
handicapées ? Rapport final. Nov.2012, 232 p.
Methodology

• A literature review focused (1) on
• disability definitions, legislations and
  components of disability (impairment, activity,
  participation) included in assessment procedures
  in 36 countries of Asia and Pacific Ocean region
  and 30 European countries (2) on disability
  definitions in disability surveys or censuses
  that included disability questions in 192
  countries.
• The literature review is presented in 2 forms
  text and templates.