NSW commences privatisation of group homes
Parents, guardians of intellectually disabled people and community groups are mobilising for a campaign against the NSW State Government's plans to contract out — put to tender — up to 75 per cent of publicly- owned group houses set aside for intellectually disabled people. The NSW Department of Community Services runs 255 such homes for 1,200 residents. Group homes usually accommodate three to six residents, with a support worker either living in or visiting regularly. Residents have the normal responsibilities of daily life, such as cooking and housework; but they also have assistance and access to medical facilities, help with budgeting, etc. Group homes can be expensive to run, as in some cases 24-hour supervision is needed to manage medication and handle behavioural and other problems. Helen Seares, chairwoman of the NSW Council for Intellectual Disability explained that the Department of Community Services (DOCs) is proposing to invite non-government organisations and anyone else who is interested to submit expressions of interest for up to half to three-quarters of the DOCS homes. "First of all, there has been no consultation with any of the people living in the group homes or their families or their guardians or advocates", said Ms Seares. "The second issue is that it would appear to be a purely cost-saving measure although the Minister says that it is not and that the money saved would be re-allocated to the disability sector." Despite these assurances it is understood the money would go back to Treasury. The amount of money being talked about is between $10 million and $12 million. The Council for Intellectual Disability doubts that non-government organisations can look after people with disabilities as well or as cheaply as the DOCS can. The DOCS has a big training budget for staff that non-government organisations do not have. Despite the fact that DOCS is still unable to provide all of its staff with adequate training, there is even less money available to NGOs to train staff properly. "There's no type of accreditation of workers there [private sector] and sometimes people like backpackers are being recruited to come in virtually off the street and work with people with disabilities", Ms Seares said. DOCS also has access to clinical resources and behavioural support resources that non-government organisations don't have. This is of vital importance as people may have multiple disabilities and easy access to medical professionals is absolutely necessary. It's an under-resourced service but it is still better than nothing. Ms Seares says that it will be those with the lowest support needs who are handed over to NGOs, leaving the DOCS to manage the group home residents with the most severe behavioural problems and/or high medical support needs. "DOCS will be left with the hardest cases and people will be labelled as `unteachable', etc, because they are in the DOCS service which adds to the stigmatisation of individuals." During the last term of the Carr Government the then Minister Ron Dyer gave a guarantee of "life-time support of service" to people in group homes. When these people's services are going to be `re-auspiced' the service providers are given an out if they consider they are not able to provide a service to a person any longer. They can just stop giving them the service. What happens then? If the DOCS downsizes considerably, will they be able to take people back? Will people be sent back to live with their families? Will they be fobbed off to boarding houses or institutions? And what if for-profit outfits move in? Will families be burdened with heavy fees? There is no guarantee from the Government that any of these issues will be resolved in the interests of the patients. "Real anger is coming from people in the community", says Ms Seares.