Uitgeverij nelissen | Geen verzendkosten: Social inclusion Dutch perspectives | Hans R. Th. Kröber | 9789024401093

Inclusion is an important component of quality of life. It  is linked to  issues such as participation in society, relationships, social networks and civil society. Viewed from this perspective, the social position of people with an intellectual disability in Europe in general and in the Netherlands in particular, still leaves much to be desired. Often segregation and marginalization still exist.

Social Inclusion focuses on the factors for success and failure that come into play when designing inclusion processes. The book examines the role of health care organizations and their contributions to inclusion. From the perspective of the health care organization, the following issues are explored:
• To what extent has the history of health care been obstructive for inclusion?
• Which roles do government, advocates and stakeholders play?
• Which roles are played by organizational features, the employees and those with an intellectual disability who are supported by a health care organization?
• Which implementation strategy would be the most appropriate when designing changes?

The book shows that important lessons can be learned from Dutch health care. It provides valuable insights  resulting from the research that lies at the basis of this publication.

Dr Hans R.Th. Kröber is the managing director of a support organization for people with learning disabilities and people with intellectual disabilities in the Greater Rotterdam area.

Hans J. van Dongen MBA is a consultant for strategic change management and communication in civil-society organizations. To date they have published four books, all of which focus on care and support for people with disabilities.

Introduction 9
Context
People with an intellectual disability in Europe 9
Purpose of the book 14

1 Socio-cultural context 15
The Netherlands
1.1 Not a trendsetter where inclusion is concerned 15
1.2 Private initiative, limited influence of government 16
1.3 Compartmentalized structure and set-up of care 17
1.4 Changing views 18
1.5 Advocates and opponents 19
1.6 Law of the restraining head start 21

2 Towards a social model 23
Definitions and concepts
2.1 People with a disability 23
2.2 Definition of ICIDH 24
2.3 Definition of AAMR 27
2.4 Personal and environment variables 28
2.5 Prevalence in Europe 28

3 Quality of living and inclusion 31
In – and with – society
3.1 Quality of living 31
3.2 Inclusion, a definition 34
3.3 Organizing around quality of living and inclusion 35
3.4 Institute paradigm and support paradigm 36
3.5 De-institutionalization as a condition for inclusion 42

4 Towards an interactive dynamic model 45
Theory, operationalization of factors
4.1 Organizational change 45
4.2 From rational linear to interactive dynamic 46
4.3 Various types of change with their own approach 47
4.4 Factors of success and failure in the literature 50
  4.4.1 Characteristics of the socio-political environment 50
  4.4.2 Characteristics of the organization and the employees 51
  4.4.3 Characteristics of the user 54
  4.4.4 Characteristics of the innovation and the implementation strategy 55
4.5 Operationalization of the conceptual model 56
  4.5.1 Socio-political environment 58
  4.5.2 Organization 60
  4.5.3 Employees 62
  4.5.4 People with an intellectual disability 63
  4.5.5 Implementation strategy 65

5 Practice in stories 67
Portraits and patterns
5.1 Eight portraits 67
5.2 Information to supplement the interviews 77

6 Findings 81
Factors of success and failure concerning inclusion
6.1 Data 81
6.2 Socio-political environment 82
6.3 Organizations 93
6.4 Employees 101
6.5 People with a disability 110
6.6 Organizational changes 125

7 Perspectives 131
Various angles of approach
7.1 Achieving inclusion, an unyielding process 131
7.2 Vision on effective elements 133
  7.2.1 The socio-political environment: pro-activeness contributes to success 133
  7.2.2 The care organization: complex but can be affected 135
  7.2.3 The employees: working on a new professionalism 136
  7.2.4 People with an intellectual disability: support from social networks 138
  7.2.5 The implementation strategy: gaining effectivity by having insight into the success and failure factors 139
  7.2.6 Which managerial tasks can be formulated? 141
7.3 What do experiences represent in regard to developing the theory? 144
7.4 Social relevance 144
7.5 Follow-up research 145
7.6 Striking issues and concerns 147

Appendices 153
1 Dutch organizations dedicated to inclusion 153
2 International interest organizations for people with a disability 156
3 Glossary 158

About the authors 161
References 163

Hans R. Th. Kröber

Hans R. Th. Kröber is gedragswetenschapper en directeur van een instelling die zich richt op de vermaatschappelijking van de dienstverlening aan mensen met een handicap. Hij heeft verscheidene functies uitgeoefend in de dienstverlening aan mensen met een handicap, mensen met een... lees meer

Hans J. van Dongen

Hans J. van Dongen is als zelfstandig communicatie- en beleidsadviseur intensief betrokken bij de veranderingen die plaatsvinden bij organisaties voor dienstverlening aan mensen met een verstandelijke handicap, in de sociale psychiatrie en lichamelijk gehandicapten. Hij is actief op nationaal... lees meer