Independent Living Indicators (ILI) for evaluating policies and actions developed under the philosophy of Independent Living January 2008 Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy Authors1: Antonio Centeno Manuel Lobato Javier Romañach CopyRight This information is free. You can redistribute it and/or modify it under the terms of the GNU General Public License as published by the Free Software Foundation, either version 2 of the License, or (at your option) any later version. Note: This document must be always distributed with an Excel © spread sheet (ILI.xls) that enables the fast and efficient use of the Independent Living Indicators to evaluate Independent Living projects. 1 The authors greatly thank corrections and contributions of Gregory corners, Mariola wheel, Vicente Valero, Carmen Morales, Jose Antonio Nóvoa and Luis Miguel Bascones, all members of the Independent Living Forum. Page 2 / 35 TABLE OF CONTENTS INTRODUCTION ....................................................................................................................... 5 1. THE NEED FOR AN OBJECTIVE INDICATOR ........................................................... 5 2. THE RIGHT TO LIVE AN INDEPENDENT LIFE ........................................................ 6 3. BASIC PRINCIPLES TO ACHIEVE INDEPENDENT LIVING ...................................7 3.1 Independent Living and human rights .............................................................................................. 7 3.2 The principles in the Spanish legal system ....................................................................................... 7 3.2.1. Discrimination ................................................................................................................................ 8 3.2.2. Equal opportunities ..................................................................................................................... 10 3.2.3. Law for the promotion of personal autonomy and care for people in a situation of dependency: bad principles, bad tools ........................................................................................................................ 11 4. SPECIFIC INDEPENDENT LIVING PRINCIPLES .................................................... 12 5. CLAIMS OF THE INDEPENDENT LIVING FORUM ................................................ 13 6. LIST OF PRINCIPLES AND DEMANDS..................................................................... 14 6.1 Principles ....................................................................................................................................... 14 6.2 Demands ........................................................................................................................................ 15 7. THE CONCEPTS NEEDED FOR AN INDEPENDENT LIVING PROJECT............ 16 7.1 Participation in the Community Life ............................................................................................... 17 7.1.1. Definition ..................................................................................................................................... 17 7.1.2. Justification .................................................................................................................................. 17 7.1.3. Indicators: .................................................................................................................................... 17 7.1.4. Supported principles and demands ............................................................................................. 18 7.2 To Prevent and compensate the deficits of citizenship................................................................... 18 7.2.1. Definition ..................................................................................................................................... 18 7.2.2. Justification: ................................................................................................................................. 18 7.2.3. Indicators ..................................................................................................................................... 19 7.2.4. Supported principles and demands ............................................................................................. 20 7.3 Person centered ............................................................................................................................. 20 7.3.1. Definition: .................................................................................................................................... 20 7.3.2. Justification: ................................................................................................................................. 20 7.3.3. Indicators: .................................................................................................................................... 21 7.3.4. Supported principles and demands ............................................................................................. 22 8. PRIORITIZATION, WEIGHTING AND EVALUATION OF INDICATORS ......... 22 8.1 Indicators ....................................................................................................................................... 22 Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy 8.2 Types of indicators and their values ............................................................................................... 24 8.3 Indicators Weighting ...................................................................................................................... 27 8.4 Justification of the weighting ......................................................................................................... 28 9. INDEPENDENT LIVING INDICATOR ....................................................................... 29 10. THE TOOL..................................................................................................................... 29 10.1 Basic structure ............................................................................................................................. 30 10.2 Use of this tool ............................................................................................................................. 34 11. BIBLIOGRAPHY .......................................................................................................... 34 Page 4 / 35 Introduction In recent months, is observed the landing of legal measures, initiatives and projects based on the philosophy of Independent Living in Spain2. The first experience in this line was held in San Sebastian in 2004 and was followed by pilot projects in Madrid (July 2006), Barcelona (November 2006), Andalucia (March 2007), Cataluña (April 2007) and Galicia (October 2007). Several initiatives are emerging, like in Valencia, and others to come. In addition, throughout the year 2007 is expected the development of article 19 of law 39/2006, of 14 December, of Promotion Of Personal Autonomy And Care For People In A Situation Of Dependency, which establishes the Personal Assistance as a subjective right, and is expected, in 2008, the recognition of the figure of the Personal Assistant and the gradual extension of the so-called National System For Autonomy And Attention To The Dependency. To ensure that these projects and initiatives will serve de facto to accomplish the objectives of equal opportunities and elimination of discrimination, which are pursued by the philosophy of Independent Living, is essential the development of indicators that allow us to evaluate them objectively. This document is the first proposal of concepts and indicators that enables the citizens, politicians and professionals of this sector to dispassionately evaluate in which measure some of the social policies and their concrete actions, in this case Independent Living projects, approach us to the objectives established in the Spanish legislation by the Law 51/2003, of 2 December on Equal Opportunities, Non-Discrimination And Universal Accessibility For People With Disabilities. 1. The need for an objective indicator The need for an objective indicator arises from several circumstances: 1. The philosophy of independent living, despite its simplicity, is a profound change in the way of carrying out social policies, completely different from the traditional one, based on a medical-rehabilitation model; still in force. The inertia of the past often makes difficult to adopt new ways of thinking. Therefore, this indicator can be helpful to all persons and institutions interested in the concept of Independent Living, even though they lack the necessary experience to assess or evaluate initiatives and activities in this area. 2. The people involved in the movement of Independent Living, even those that have launched projects based on it, have doubts regarding the 2 The elaboration of this document is based in precepts contained in the Spanish Constitution and the principle of 'civil dialogue' (article 2. Principles. LAW 51 of December 2, 2003, on equal opportunities, nondiscrimination and universal access of people with disabilities) and in articles 1 and 2 of the "Declaration on the Right and Responsibility of Individuals, Groups and Organs of Society to Promote and Protect Universally Recognized Human Rights and Fundamental Freedoms" of the UN (1998)": "Everyone has the right, individually and in association with others, to promote and to strive for the protection and realization of human rights and fundamental freedoms at the national and international levels."(article 1)." Each State has a prime responsibility and duty to protect, promote and implement all human rights and fundamental freedoms, inter alia , by adopting such steps as may be necessary to create all conditions necessary in the social, economic, political and other fields, as well as the legal guarantees required to ensure that all persons under its jurisdiction, individually and in association with others, are able to enjoy all those rights and freedoms in practice." (article 2). Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy extension and intensity of the implementation of the fundamental principles of Independent Living. 3. In Spain, the Independent Living philosophy has arrived very recently and poses a new and innovative vision to understand the functional diversity (disability). Many entities have got into the "truck of modernity" which stands for the Independent Living, releasing proposals and projects that, however, don’t do more than put the new label and keep the old principles. This document can help detect this type of "cheats". 4. Part of the spirit that inspires the Law Of Promotion Of Personal Autonomy And Care For People In A Situation Of Dependency (LEPA) 3 is corresponding very timidly with the philosophy of Independent Living. This document can help public administrations to develop those aspects in the best possible way. 2. The right to live an independent life Given that the Independent Living movement started with force very recently in Spain, at the end of 2001, there is a deep ignorance about their roots, their support and their scope. However, the right to develop policies based on this philosophy is reflected in article 19 of the U. N. Convention on the rights of persons with disabilities, adopted on 6 December 2006 and signed by the Government of Spain, along with other 80 countries, on March 30 2007: "Article 19. Right to live independently and be included in the community" Also in the Spanish legislation, in the Law 51/2003 of 2 of December On Equal Opportunities, Non-Discrimination And Universal Accessibility Of Persons With Disabilities (LIONDAU), specifies that one of the principles of this law is the principle of Independent Living: "(Article 2.a) Principles." Independent living." Therefore, when talking about initiatives in the field of Independent Living, we are talking about respecting the Human Rights of disabled persons and to develop policies in line with the Spanish legislation. 3 For example, in the text of the ACT 39/2006 its provided that: Article 3. Guiding Principles of the Act. The guiding principles of this Act are as follows: e) Assessment of people’s needs, according to equity criteria in order to guarantee actual equality. f) Personalised care, paying special attention to the situation of those that require greater positive action as a consequence of suffering a higher degree of discrimination or less equal opportunities. i) The dependent persons shall remain, wherever possible, in the setting in which they live. Article 4. Rights and duties of the dependent persons. 2. Similarly, the dependent persons shall enjoy all of the rights that are set out in standing legislation, and especially the following: a) To enjoy the fundamental human rights and liberties, with full respect for their dignity and intimacy. e) To participate in the formulation and application of the policies that affect their wellbeing, either on an individual basis or by means of association. k) To equal opportunities, non-discrimination and universal accessibility, in any of the spheres of implementation and application of this Act. Page 6 / 35 3. Basic principles to achieve independent living Policies and initiatives developed under the philosophy of Independent Living are based on two pillars: on a general and basic principles set out and defined both in the UN Convention, and in the LIONDAU, and on some specific demands developed by the Independent Living movement. These demands consists in more practical and practicable elements in order to ensure the compliance of the basic principles in a way defined by the people with functional diversity. Let's first analyze the general principles: 3.1 Independent Living and human rights The Independent Living Model and its modern development, the diversity model4, presumes that the people with functional diversity are people with the same dignity and, therefore, their life should be valued as equal to other citizens’ life, so this group have to be recognized to have the same rights (and obligations) as other citizens. The Support of this conception lies mainly in the Human Rights system and specifically in the U. N. Convention on the rights of persons with disabilities, aproved on 6th December 2006 and signed by the Government of Spain, along with other 80 countries on March 30th, 2007. The principles of the Convention are specified in article 3 thereof: " Article 3. General principles (a) Respect for inherent dignity, individual autonomy including the freedom to make one’s own choices, and independence of persons; (b) Non-discrimination; (c) Full and effective participation and inclusion in society; (d) Respect for difference and acceptance of persons with disabilities as part of human diversity and humanity; (e) Equality of opportunity; (f) Accessibility; (g) Equality between men and women; (h) Respect for the evolving capacities of children with disabilities and respect for the right of children with disabilities to preserve their identities. 3.2 The principles in the Spanish legal system Focusing on the Gordian core provided by the United Nations we can see that, in essence it was already formally referred in the Spanish legislative system, in the provisions of the Law 51/2003 of 2nd December on equal opportunities, non-discrimination and universal accessibility of persons with disabilities (LIONDAU) . 4 PALACIOS, A., ROMAÑACH, J. «El modelo de la diversidad. La Bioética y los Derechos Humanos como herramientas para alcanzar la plena dignidad en la diversidad funcional». Ediciones Diversitas - AIES. 2006. Available in Web: http://www.asoc-ies.org/diversitas/docs/modelo%20diversidad.pdf Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy This Act focuses on eradicating the permanent discrimination suffered by this group of people and taking the appropriate measures to ensure their equal opportunities, giving preponderant importance to accessibility. Both principles, non-discrimination and equal opportunities, are often confused as being the same, but are in fact complementary and is needed the accomplishment of both to achieve an independent life. 3.2.1. Discrimination A person with functional diversity is permanently discriminated, regardless of their diversity. To give some examples: the absence of subtitles discriminates the person with hearing diversity, educational systems discriminates people with intellectual diversity, the absence of information systems and acoustic guidance discriminates persons with visual diversity, the labour systems discriminates persons with mental diversity, the steps discriminates the majority of people with physical diversity, etc. Eradicating discrimination is not an easy task and requires actions of the society, which are slow to be established, as can be testified by other discriminated groups like women or homosexuals, since most of the discriminatory elements are part of the mentality of the people that make up a society. In the LIONDAU, these measures are established in articles 6 and 7. "Article 6. Measures against discrimination . 1. Measures against discrimination are defined as those whose purpose is to prevent or correct the fact that a person who is disabled is being directly or indirectly treated less favorably than another person who is not, in an analogous or comparable situation. 2. It shall be considered that indirect discrimination exists whenever a legal or regulatory provision, a conventional or contractual clause, an individual agreement, a unilateral decision, a criterion or practice, or an environment, product or service, which is apparently neutral, may cause a specific disadvantage to a person compared to others as a result of a disability, provided that, objectively viewed, they were not created for some legitimate purpose and the means for achieving that purpose are not adequate and necessary. Article 7. Content of anti-discrimination measures. Measures against discrimination may consist of prohibiting discriminatory behaviors and harassment, accessibility requirements and requirements to eliminate obstacles and make adjustments within reason. For these purposes, the above terms are defined as follows: a) Harassment: All behavior related with the disability of a person, the objective or results of which are to attack the person’s dignity or create an intimidating, hostile, degrading, humiliating or offensive environment. b) Accessibility Requirements: The requirements that must be met by environments, products and services, as well as the conditions of nondiscrimination in rules, criteria and practices, in accordance with the principles of universal accessibility in design for all. Page 8 / 35 c) Adjustment Within Reason: The measures for adaptation of the physical, social and attitudinal environment to the specific needs of people with disabilities that, in an effective and practical manner and without placing a disproportionate burden, facilitate the accessibility to or participation by a person with a disability under equal conditions to all other people. In order to determine whether a burden is or is not proportionate, the costs of the measures shall be taken into account, as well as the discriminatory effects entailed for people with disabilities if it is not adopted, the structure and characteristics of the person, entity or organization that must be put into practice and the possibility of having to obtain official financing or any other aid. For this purpose, the competent bodies of the Public Administration may create a public aid system to contribute to paying the costs which result from the requirement to make adjustments within reason. Any discrepancies between the person who requests the adjustment within reason and the required party shall be settled through the arbitration system foreseen under Article 17, of this law, without prejudice to the protection of the Administration or court, as appropriate in each given case." As can be seen, to eradicate discrimination requires a large and complex set of actions, not all of them simple. What is more simple is to determine if an Act, policy, action or omission is directly or indirectly discriminatory. For example, if a person with physical diversity cannot travel by train, on any train, at any time, because the train is not accesible, that person is being discriminated compared to the rest of the citizenry. Is it conceivable today not to allow anybody, from another group traditionally discriminated against as a woman, to travel on any train, for the simple fact of being different? Given that there are discriminated groups that have had many more years of struggle for their rights, such as women, that progress can be used to help on the detection of discrimination. So, the key question to find out whether exists or not discrimination could be: what would happen if that fact, action or omission had happened to a woman by the simple fact of being a woman? Following the example of the train, although all trains were accessible and anyone could travel at any time, there are people who may need to travel accompanied because of its diversity, as persons in constant need of support or persons with visual diversity, just to give a few examples. To travel, they must pay for two tickets instead of one, in inequality of opportunities with the rest of the citizenry when it comes to travel. Therefore, it would not be enough to have a train without barriers, intended for all, non-discriminatory, to ensure equal opportunities for a person with functional diversity. The same thing would happen with a fully accessible environment as an adapted bathroom, it wouldn't be enough to ensure equality of opportunities for people who, because of their diversity, requires assistance of another person to go to the bathroom. Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy Therefore, in the case of people with functional diversity, we must go beyond the absence of discrimination and ensure equal opportunities. 3.2.2. Equal opportunities In the Spanish legal system, the vulneration of the equality of opportunities for people with functional diversity is expressed in the LIONDAU: "Article 4. Violation of the right to equal opportunities. A disabled person’s right to equal opportunities shall be regarded as violated when direct or indirect discrimination occurs, or there is harassment, failure to fulfill the accessibility requirements and make adjustments within reason, as well as the failure to carry out the legally established positive action measures." As you can see, to have equal opportunities depends on four fundamental concepts: Absence of discrimination, direct or indirect Harassments Accessibility Positive action measures So, it is not enough that there is no discrimination, but it is also required an accessible environment and the existence of positive actions5. The question that now arises is: who must guarantee that opportunities? The answer appears in article 5 of the own LIONDAU: equal "Article 5. Guarantees of the right to equal opportunities. In order to guarantee the right to equal opportunities of people with disabilities, the public powers shall establish measures to fight discrimination, as well as positive action measures." Public authorities will establish such measures (anti-discrimination and positive actions) and, therefore, will avoid further discriminatory measures for people with functional diversity, although already exists gaps in the compliance of this article, and by extension of this law6. The measures provided in the LEPA, should have been part of the positive action measures of public administrations to ensure equality of opportunities for persons with functional diversities who live in a situation of "inDependence", but this was not the approach chosen by the Spanish Government, so now is in the hands of the autonomous regions governments to adopt measures of this kind, through Independent Living programs aimed to eradicate discrimination and to guarantee equality of opportunity for people with functional diversity in an effective way. 5 Harassment is less relevant for the purpose of this document, although we should not forget that many of the proposals emanating from the independent living philosophy have proven to be very useful to combat it. 6 As it is the case of the co-payment depending on income in the LEPA. In this case, people with functional diversity living in a situation of "inDependence" are forced to contribute to the payment of the services or benefits because they are different to the rest, since payment depending on income is already done via direct taxes. This discriminatory measure has been adopted by the Spanish Government in the year 2006. Page 10 / 35 These two principles: equality of opportunities and non-discrimination, that basically supports the philosophy and Independent Living projects, but there are some other principles that are specific of this philosophy. 3.2.3. Law for the promotion of personal autonomy and care for people in a situation of dependency: bad principles, bad tools It is obvious that the enactment of the LEPA has been an important milestone in the landscape of social policy in the Spanish State.This law responds to a insistent demand of society and to the need to "approve" a pending subject which, for one reason or another, has been left to the end of a political process that began with the end of the dictatorship and the construction of a democratic society and laws, more than 30 years ago. Therefore, there are social reasons (blatant and persistent social demand and a large historic debt owed to more than three million of our citizens discriminated because of their functional diversity), as well as legal reasons (a strong legislative framework at the national and international level), that should have made the LEPA to be not only a mere system of reorganisation and cataloguing of social products and services and their financing, more similar to a law for the promotion of employment and social marketing, than to a tool for the effective fight against the systematic, permanent discrimination of our collective. It is true that, after an arduous process of negotiation, the LEPA recognizes the subjective right to the benefits and services established on this law, the principles on which it is based prevents the generation of tools at the disposal of the citizens of our country in accordance with the legal framework (at national and international level). These principles can be summarized as follows: 1. The ideology that lies behind the term "basic activities of daily life" which is only refered to the activities of personal care, hygiene and household, ignoring others that today are fundamental in Western technological societies, such as the leisure, the enjoyment of leisure time, personal relationships, etc., this ideology place us at the level of creatures who only aspire to mere survival. This ideological principle promotes the "farmerization" of people with functional diversity. a. It explains that the vast majority of the offered services are caring services (daycare and nursing centres, homecaring services). b. It explains the absence of the concept of Independent Living as an inspiring element of the law, ignoring the provisions of other regulations (UN Convention, LIONDAU). c. It explains the excessive delay in the formal and official recognition of the figure of the personal assistant7. d. It explains that the LEPA excludes from the economic provision for personal assistance activities of relationship, personal and with the environment, as important, or even more, than the basic activities. 7 In fact, to date January 7, 2008, one year after entering into force the LEPA, it has not been recognized yet, by the General Administration of the State, the figure of the Personal Assistant. Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy e. Explains the inconsistency of the LEPA with European directives in the field of social services (European Commission, economic and Social Committee). 2. Ignores the social responsibility in the social phenomenon of the functional diversity, which generates discrimination, and situates the ‘problem’ in the person. a. It explains that the concept of normalization mentioned in the LIONDAU is almost absent because of an overwhelming majority of institutionalized services, which are in themselves exceptional and anti-normalizers. b. Explains the penalty faced by people with functional diversity having to co-pay the services depending on their income, causing a violation of equal opportunities and discourages the access to the labour market of people with functional diversity. c. It explains that is avoided the incorporation into the law an authentic system of provision of technical and accessibility to housing aids, leaving things as they are. d. It explains that people with functional diversity are, if they are lucky, heard, without providing them resources to defend their personal life projects and needs involved. 4. Specific Independent Living principles The Independent Living philosophy has a specific mention in the two documents mentioned above: the UN Convention and the LIONDAU. Their own principles had been also defined in several documents, from which we take as a reference the Manifest of the Independent Living Forum . The Independent Living philosophy is one of the basic principles of the LIONDAU, as established in article 2: "Article 2. Principles . This law is inspired by the principles of an independent life, normalization, universal accessibility, design for all, civil dialogue and the multi-disciplinary nature of policies regarding disability." And establishes in its article 2.a what, for the purposes of that Act, is understood as Independent Living: " a) Independent Life: A situation in which the disabled person exercises the power to make decisions about his or her own existence and actively participates in the life of his or her community, in accordance with the right to free development of personality." In addition, the UN Convention, has an article that talks specifically about independent living: “Article 19. Living independently and being included in the community. States Parties to the present Convention recognize the equal right of all persons with disabilities to live in the community, with choices equal to others, and shall take effective and appropriate measures to facilitate full enjoyment by persons with disabilities of this right and their full inclusion and participation in the Page 12 / 35 community, including by ensuring that: (a) Persons with disabilities have the opportunity to choose their place of residence and where and with whom they live on an equal basis with others and are not obliged to live in a particular living arrangement; (b) Persons with disabilities have access to a range of in-home, residential and other community support services, including personal assistance necessary to support living and inclusion in the community, and to prevent isolation or segregation from the community; (c) Community services and facilities for the general population are available on an equal basis to persons with disabilities and are responsive to their needs.” Turning now to the principles defined in the Independent Living movement itself, established in Spain by the Manifesto of Independent Living Forum, we find: "The basic principles of the Independent Living philosophy are: human and civil rights, self-determination, self-help, the possibility to exercise power, responsibility over their own lifes and actions and the right to take risks." 5. Claims of the Independent Living Forum In addition to the principles on which to base the analysis, there are also the demands of Independent Living Forum, expressed in its manifesto8: "1. Our voice to be listened in all discussions on topics that affect our lives, especially on the issue of bioethics. Special emphasis has to be put on persons with cognitive deficiencies or mental illness, in the sense that other people watch over their interests and make decisions for them. 2. The model of Independent Living as the inspiration of all initiatives and services for people with functional diversity. Similarly, resources and services, public or private, must be managed, as far as possible, by people with functional diversity and, without exception, it must be given the ability to influence and control them. 3. The conditions necessary so that we can be able to direct our lives and take care of ourselves. To do so, it should be ensured the accessibility and must be established a true system of provision of technical aids, non-existent today, which ensures people with functional diversity to get devices or necessary adaptations. 4 Services of personal assistance really useful for us and where we can select, train and pay our personal assistants and that provides the necessary funds so that no person who needs it could be deprived of it for economic reasons. 5. The education in equal opportunities as a fundamental tool so that we can develop ourselves and live in an environment designed by and for persons without functional diversity. 6. The right to sexuality and to raise a family." 8 Are exposed only the claims, the remaining contents of the manifest is already reflected in the previous documents documents. Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy On the basis of all these arguments, we are ready to deal with the definition of the criteria that determine whether a particular project follows the philosophy of Independent Living and compare it with other similar projects. 6. List of principles and demands Bearing in mind the analyzed concepts so far, we can arrange a table to summarize the principles on which any initiative of Independent Living should be based on and what has been already sued in public documents by the movement itself, so that can be articulated in a more practice way in the next chapter, already thinking of some way of measuring the degree of fulfilment of the different projects of Independent Living and to make available an indicator that allows to measure them: 6.1 Principles Abbreviated concept Principle UN LIONDAU FVI manifesto Dignity Inherent dignity, same value of life Self-determination Independence and freedom to make decisions Non-discrimination Non-discrimination. Full status citizenship Community life Participation and full and effective inclusion in society Right to live independently Diversity Acceptance of people with functional diversity as part of the diversity and human condition Equal opportunities Absence of direct or indirect discrimination, of any failure to comply with the accessibility requirements and with the reasonable adjustments, as well as the positive actions legally established Accessibility Accessibility to the entire environment, housing and the necessary technology Gender Equality between men and women Children Respect to the faculties of children, facilitating individual process of development and their specific identity Independent living Table 1. Principles of independent living Page 14 / 35 6.2 Demands Abbreviated concept Demand UN LIONDAU FVI manifesto Public voice Participation in public debates Political voice The policies should be based on principles of independent living Co-decision Determination of the PIA9 (needs and supports) by the person with functional diversity, being essential the mutual agreement in cases of discrepancy with the administrations and/or the acceptance of an independent arbitration system. 10 Self management Resources and services managed by own people with functional diversity. 11 Personal Assistance Assistance personnel. Freedom to be able to select, direct hire / dismiss the own personal assistants (PAs) 12 Peer Support (emancipation) Training for the emancipation process carried out by people with actual experience in IL Control of Resources (direct payment) Direct control of resources, especially economic ones (direct payment in its different forms), by the person with functional diversity user of personal assistance. This requires, for consistency, the customization of resources, i.e., benefits and services according to the needs of each individual in intensity and budget PAs training training of personal assistants. Freedom to choose the training of each PA, including the training carried out by the Workleader based on his own life experience Technical aids System of Provision of technical aids, which ensures that people with functional diversity have devices or adaptations needed 13 9 Individual Attention Program (PIA), using the terminology of the LEPA. In the terminology used in the environment of the Spanish independent living movement would be "Individual Plan of IL" (PIVI). 10 For your interest, see article 12, paragraphs 4 and 5 of the UN Convention on the rights of persons with disabilities. 11 This demand is not explicitly in the LIONDAU but emerges from his spirit. The LIONDAU pursues that people with functional diversity have power of decision about its own existence and actively participate in the life of their community, in accordance with the right to the free development of personality (article 2. Principles). The concept of free development of the personality is crucial, and in this right it’s framed the demand that the resources and services will be managed and controlled by the person with functional diversity. How could the right to the free development of personality be ensured without having control over those resources that are basic, fundamental and essential to the existence of people with functional diversity? 12 Personal assistance, within the framework of the LIONDAU, is established in its article 9: "Content of positive action measures". This is of great importance because it is legally recognized that personal assistance is a positive action for non-discrimination and equal opportunities. 13 Idem to the footnote number 11. Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy Housing Provision of affordable housing, with cost depending on the level of disposable income Weighted adequacy income Ensure enough income bearing in mind the extraordinary expense that entails a discriminatory environment (including products and services) Family Right to sexuality and to raise a family Table 2. Demands of the Independent Living collective 7. The concepts needed for an Independent Living project After the analysis and compilation of principles and demands needed to ensure that any social policy conforms to the Independent Living philosophy, we continue below making an analysis and relocation of concepts, so that beginning on the current reality, widely discriminatory, and through Independent Living projects, it can be adjusted to achieve full citizenship for all people with functional diversity. In the Spain of the year 2007, as evidenced by the LEPA and its regulatory development, policies on functional diversity are made in a way that: Do not guarantee full participation in community life and still forces people with functional diversity to choose between living with their families or in an institution Extend the historical citizenship debt Are based in the "coffee for all" principle rather than providing solutions focused on the person. With the goal of eradicating those mistakes, we are going to define now each of the three fundamental changes that must be pursued by Independent Living projects : Participation in community life To Prevent and to compensate the deficits of citizenship To Focus the actions on the person For each expected change, further on are specified the indicators that should be used, so that can be established checkpoints that helps to measure the contribution of each action of the Independent Living projects to generate these three changes. The horizon of these changes is to comply with the basic and specific principles of the Independent Living philosophy. For each change, it is also provided a box with the principles and demands supported. These principles and demands are those that were presented in tables 1 and 2 (pages 15, 16 and 17) and that arise from an in-depth analysis of the three documents (UN, LIONDAU and manifesto of the FVI) on which we have been based for the preparation of this document. The purpose of these Page 16 / 35 boxes is to highlight the benefits provided by the social changes that we are proposing. 7.1 Participation in the Community Life 7.1.1. Definition Independent Living projects should provide tools to the people with functional diversity (PFD) so that they can ACTIVELY participate in the community where they live or where they undertake activities, according to the parameters that determine the own PFD and in keeping with his individual and personal life plan. 7.1.2. Justification The project must be consistent with the social principles in which it is immersed. In general, modern societies guarantee citizens access to products, goods and services so they can make decisions, fundamental to enable them to develop personally, socially and laborly, in freedom. People who are not discriminated by their functional diversity are not isolated in their homes or parked at residences, instead of this, the society, through education, leisure and work, adopts measures that ensure their members a place in their community. 7.1.3. Indicators: This change has to be achieved by making Independent Living projects to ensure that: 1. Personal assistance (PA) hours have to be aimed at the realization of all kinds of activities not only to the "basic activities of daily living" (BADL). The Activities are determined and delimited by the criterion of being the usual from any citizen belonging to the community that the PFD belongs. 2. Personal assistance (PA) hours have to be those needed by the PFD so, a priori, must not exist any limitation on the number of hours per day destined for personal assistance (see also footnote 15 on page 26). 3. Are opened to any PFD, regardless of their life project. It is the responsibility of individuals, including people with functional diversity, to choose the orientation given to their life projects. Personal assistance is a basic tool for the personal development of some PFD and should not depend on life projects that are considered best for other person apart from the own PFD. We Must not deny personal assistance to anyone if they do not study or work or, in general, to require a particular life project. 4. Support actions to obtain a home must be taken. This tool can be materialized in actions to influence housing policies in the environment where the project is located, or practical support measures in the searching for housing. 5. Support actions to achieve technical aids. This tool can be materialized in actions to influence the policies of the technical aids Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy provision services in the environment where the project is located, or through practical measures of support in finding and obtaining of technical aids. 7.1.4. Supported principles and demands Self-determination Non-discrimination Community life Independent living Equal opportunities Children Public voice Political voice Self management Personal assistance Resources managementt (direct payment) PAs training peer Support (emancipation) Technical aids Housing Family 7.2 To Prevent and compensate the deficits of citizenship 7.2.1. Definition The Independent Living projects must take measures to prevent and compensate the effects of the medical-rehabilitation model that still influences policies and social services aimed at people with functional diversity. 7.2.2. Justification: The Medical-rehabilitation model centers the object of its activity in the PFD, through their diagnosis. As a result, the "active" players in the system are the profesionals through the institutions (including the family). This causes many PFD to be 'passive', which has led in many cases to deficits in personal development that places the PFD, when it comes to decision making, in a clear "disadvantage" and "dependency" respect to the rest of our fellow citizens without functional diversity, which is translated into a deficit of citizenship. On the other hand, the system acts making the PFD responsible of the situation and ignoring its own responsibility (as is recognized in the LIONDAU 14). This responsibility is derived from the fact that the dependency is produced by a physical and ideological environment which discriminates, because of its design, the PFD, ostensibly reducing its level of citizenship, caused by the indifferent performance of public administrations. One consequence of this responsabilization towards the people, is that the system forces the PFDs to participate in the costs of the tools they need (goods or services) by applying different principles than to the rest of the citizens, despite the fact that the environment is discriminatory, environment created by the society and whose design rules are responsibility of public administrations. 14 See LAW 51 of December 2, 2003, on equal opportunities, non-discrimination and universal access of people with disabilities, in its explanatory statement: "nowadays, it is known that the disadvantages suffered by a person with a disability originate from their personal difficulties, but also and above all from the limiting obstacles and conditions which, in society itself, having been conceived to fit the pattern of the average person, impede full participation by these citizens". Page 18 / 35 This loss of economic resources of the PFD limits their opportunities for social participation on equal terms, so that its status as a citizens, compared to the rest, is restricted. 7.2.3. Indicators This change of concept has to lead the Independent Living projects to meet the following conditions: 1. To be opened to the participation of all people with functional diversity, any kind of it (physical, sensorial, psychic or mental). They should be based on the idea that the PFD is a citizen with full rights and this rights are not determined depending on the functional diversity. In the absence of moral autonomy, as in the case of children, or in some cases of intellectual or mental functional diversity, the management of personal assistance will fall on fathers, mothers, guardians appointed by the judge, or a person chosen by the PFD. 2. To be opened to the participation of all the PFD without taking their age into account. The children and the older person are also full-right citizens. Personal assistance services, as well as any others that could be implemented, must be adapted to their activities and life plans, from an individual point of view. 3. To offer training in the philosophy of diversity and independent living. Often, the PFD are hostages of the medical-rehabilitator speech. This discourse turns them into passive individuals, with a diffuse identity and ignorant of the rights which they are entitled with, and a tendency to delegate into others the fight for their rights. Training in topics related to the concept of citizenship, diversity, dignity and rights, is a powerful tool to create or restore the skills and abilities to take and hold the place that corresponds to them in our community. This training also has to include the rights of the personal assistants. Users of personal assistance must know and defend the labour rights of their assistants (security and hygiene, social insurance, collective agreements, etc.). 4. To provide opportunities and resources for peer support and peer consulting. The own people with functional diversity experienced in IL, are in the best disposition to understand and, therefore, to help others to begin the road of independent life. An Independent Living project has to be based on the experience of the PFD, whether they are included into the project or external to it. The support (Optional) or the consulting (formal and remunerated) provided by PFD must be the counterpoint to the predominance of the professionals in the medical model, which does not mean that they can not participate, but that they have to leave leadership to the PFD. The existence of peer consulting is, also, a guarantee of quality to make that the determination of hours and the personal assistance management be adequate and accurate and to avoid fraud. 5. The freedom that provides personal assistance should not be financially assumed by the person with functional diversity. Although it may seem strange, is not a question of economical nature but of equal opportunities. If the resources needed to obtain freedom and equality that others enjoy "costs money", the person is placed in a starting point that is not equal to the rest of the people. The goal is Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy reaching the point where the PFD are in comparable conditions to the rest of the community. From there, will be the responsibility of the PFD, their interests and subjective ambitions, that will determine the course of their lives. Starting from a situation in which, to be free, the economic capacity of the person is undermined, it has the consequence of a clear inequality of conditions and opportunities. 6. Must be balanced the economical benefits in order to compensate the extraordinary expense that involves a discriminatory environment. Even once covered the most "obvious" extraordinary expenses which involves functional diversity (personal assistance and technical aids), many PFD are still subject to a permanent economic suffocation, since "ordinary" expenditure, that also have other citizens, are much higher. This is because the access to goods and services (transport, accommodation, clothing, food,...) is restricted by the lack of accessibility and universal design, dramatically decreasing the PFD options, which often are doomed to the most expensive in the market. This tool can be materialized in actions aimed to influence the policies of economic benefits of this nature in the environment where the project is located, or through practical measures of support in searching for obtaining this type of economic benefits. 7.2.4. Supported principles and demands Dignity Self-determination Community life Independent living Equal opportunities Children Public voice Political voice Self management Personal assistance Control of Resources (direct payment) PAs training peer Support (emancipation) Balanced adequacy income Non-discrimination (age, type of diversity) 7.3 Person centered 7.3.1. Definition: Independent Living projects are mere instruments at the service of the PFD, they are not goals in themselves. The PFDs must be owners of their lives in the same way (no more, no less) than the rest of their peers without diversity. Therefore, it has to be ensured that they must and they can make decisions and that the control of projects, services, and organization are in hands of the PFDs. 7.3.2. Justification: There is a tendency to take care and protect the PFDs. Even in initiatives developed by the collective itself, there is a classification between those who are "able" and those who are not. It is very common to disallow that the decision of "being able" or "wanting to" can be taken by the own person, but by those who have assigned themselves that capacity. In terms of personal development this behaviour is devastating. The responsability is a learned Page 20 / 35 ability which involves the risk of making mistakes and the obligation to assume the consequences. 7.3.3. Indicators: This concept has to lead the Independent Living projects to meet the following conditions: 1. The entity that manages and coordinates (offices of independent living, cooperatives or any other formula), if any, must be led by people with actual experience in IL. This does not imply that there are no people without functional diversity working or collaborating. This is a condition which is consistent with the concept of Independent Living and with what happens in other areas of society (women, gays). 2. The person who coordinates the services has to be user of them. This is especially relevant in the case of personal assistance services, because that allows understanding and, therefore, managing situations that others might consider irrelevant or incomprehensible. 3. Control of Resources (direct payment). The PFD should be free to choose the provider that administratively manage his individual budget and, above all, to decide how and when it is used this budget. In particular, must always be the PFD decision the selection, training, direction, organization and hiring/dismissal of their PA's. The payment of the benefit has to be received by the PDF or, when appropriate, by the father, mother, mediator or any other figure. Must exist alternatives to this modality, as it may be the case of cooperatives of users. Anyway, the truly important thing is to make sure that the person with functional diversity is recognized in fact to have the control over his personal assistance in any case. Direct payment has to be considered more than a question of economic management, which also it is, but a control tool that allows decision and management over personal assistance, basically. 4. Codecision: self-determination of the needs and the needed supports. The PFD Should be recognized as the best (if not the only) expert on his assistance needs and on what resources are most suitable to meet these needs. In particular, must be the own PFD which determines how many hours of PA needs, subsequently establishing a process of co-decision with the administration. The arguments of both parties to clarify the appropriate number will be based on the principles and demands that must collect any Independent Living project, in any case one of the parties may make the final decision in the absence of an agreement with the other party. 5. Participation mechanisms. In addition to the direct presence of people with functional diversity in the control and management, must exist mechanisms for users of the services to actively participate in them. This is to minimize the delegation in others of Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy the responsibilities of the users themselves. A project of Independent Living is not a project of someones for another ones. The own users of services should participate in them. 7.3.4. Supported principles and demands Self-determination Non-discrimination Community life Independent living Equal opportunities Self-management Control of Resources (direct payment) peer Support (emancipation) PAs training Codecision 8. Prioritization, weighting and evaluation of indicators If an independent life project does not manage services of personal assistance to children or elderly people, or if only manages personal assistance for persons with visual functional diversity, can not be catalogued as "independent life"?. Logically this should not be so. However, there are indicators that, if not present, increase the distance of a project or initiative to an ideal "independent living" project. Not all indicators are of equal significance. Thus, in the absence of Control of Resources (direct payment) and an amount of hours enough for the person, drastically diminish its ability to decide about his life and to live in equal opportunities, while the fact that mechanisms are not adopted to achieve technical aids may be less relevant, if such a mechanism is already covered by other means (health systems, traditional associations, etc.). Therefore, some indicators must have a weight greater than others. On the other hand, these indicators should have different values, depending on how close they are from the ideal value that should have every indicator. Two things concerning the indicators should therefore be defined: Set different types of indicators, and the value that can be taken respect to the ideal value, defined as 100 for each of them. Prioritize and give a relative weight to indicators, based on its importance to guarantee the principles and demands exposed previously. 8.1 Indicators First let's see again the summary list of indicators and let’s put a short name to each indicator, to work with them with more comfort in the rest of the document: Page 22 / 35 Indicator Short name The PA hours have to be aimed at the realization of all kinds of activities Community life personal assistance (PA) hours have to be that the PFD will need Enough hours Be opened to any PFD, regardless of their life project Life project are taken Support actions to obtain a house. Housing are taken Support actions to achieve technical aids. Technical aids Be opened to the participation of all the people with functional diversity Transversality Be opened to the participation of all the PFD without taking their age into account. Age Offer training in diversity philosophy and Independent Living philosophy. Training Provide opportunities and resources for support and consulting among peers. Peer support Freedom that provides personal assistance should not be economically assumed by the person with functional diversity. No co-payment Economic benefits must be weighed to compensate the extraordinary expense which involves a discriminatory environment Financial benefit The entity that manages and coordinates (offices of independent living, cooperatives or any other formula), if any, must be led by people with actual experience in IL. Coordinated by PFD The person who coordinates the services has to be user of them. Participant Coordinator Control of resources (direct payment). Co-decision: Self-determination of needs and the necessary support. Participation mechanisms. Table 3. Short names of the indicators Control of resources Codecision Participation Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy 8.2 Types of indicators and their values We are based on the idea that the maximum value that can have a certain indicator is 100 points. However, when you try to give values to the indicators, can be seen straight away that there are different types of them by giving them a value relative to its ideal or maximum value. Proportional - indicators If the ideal or maximum number of hours of personal assistance that provides an independent life project is 24, and we assign to that number of hours the value of 100, the indicator takes a value of 50 if the maximum number is 12 or 66 if the maximum number of hours is 16. This type of proportional indicators varies between many possible values. Indicators with specific values -There are indicators that only take specific values. Thus, for example, the indicator Control of resources (direct payment) will take the value of 100 if the user can choose between receiving directly payment to hire himself their PA's, or receiving an individualized budget to hire them through a cooperative of users or similar. It will take a lower value if it remains in control but the user cannot choose how to hire their PA's, and another much lower if he/she don't have control over the personal assistance. The values that are assigned to each option are subjective and are decided in this same document, depending on the discretion of the authors. In this case, the three possible values are (100, 75, 0). These indicators, which can only have specific values are called indicators of specific values (ordinal measurement scale). Binary indicators - there are indicators that can only have a value: true or false. For example, it is true that an independent life project is coordinated by a PFD user of PA or not. This type of indicators will be called binary indicators, and its value will be 100 if they are true and 0 if it is false. Let’s move on to determine the type of indicator that corresponds to each of the fifteen in the list, and to make a proposal about how to calculate them or what specific values can they take. Page 24 / 35 Short name Indicator type Possible values or way of calculation 100 – Work, studies, leisure, other activities Community life Specific values 75 – Only three of the four concepts 50 – Only two of the four concepts 25 – Only one of the four concepts 100 – 24 hours or more Enough hours15 Proportional Life project Binary Housing Binary Technical aids Specific values (Nh/30) x 100 – being Nh the maximum number of hours 100 – Does not require a particular life project 0 – Requires a particular life project 100 – True 0 – False 100 – All kinds of technical aids 30 – Only some technical aids 0 – Without technical aids program 100 – Physical, mental, intellectual, visual and hearing diversity. Specific Transversality values 80 – Only four of the five diversities. 60 – Only three of the five diversities. 40 – Only two of the five diversities. 20 – Only one of the five diversities. 100 – No age limit Age Specific values 50 – Just above age of majority 0 – With more age restrictions 100 – Given by participants in the project Training Peer support 15 Specific values Specific 50 – Given by PFD's with experience in IL that does not participate in the project 0 – Without training or given by people without experience in IL 100 – Peer support and consulting Even when the indicator 'enough hours', theoretically, should not be limited, we have considered a practical limit of 30 hours, that will help us when performing calculations. Even though very few people are going to need 30 hours of attendance, if that cases may occur in which, for one reason or another, for a certain number of hours required the presence of 2 or 3 personal assistants at the same time. Therefore, the actual number of hours can be more than 24. The concept of 'hours' handled in this document refers to hours of personal assistance rather than ‘time hours’. Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy values 75 – Only peer consulting 40 – Only peer support 0 – None 100 – No co-payment No copayment Proportional Economical benefit Binary Coordinated by PFD Binary Participant Coordinator Binary 2 Points are subtracted for each 1% of copayment established 100 – True 0 – False 100 – True 0 – False 100 – True 0 – False 100 – Free choice to hire directly or through cooperative/entity Control of resources Specific values 50 – Forced hiring mode, can be decided the selection, training, organization and hiring/dismissal of PA's 25 – Forced hiring mode, and with some restriction in the selection, training, organization and hiring/dismissal of PA's 0 - Forced hiring mode, Without user control Codecision Participation Binary Specific values 100 – True 0 – False 100 – Clear, accurate and effective means of participation of the users in the IL project 40 – Participation of users but with limitations 0 – No means of participation Table 4. Types and range of indicators Page 26 / 35 8.3 Indicators Weighting As mentioned previously, not all the indicators have the same relevance, and should not weigh the same when pondering how much a project of independent living is close to the ideal IL project. To establish these weights must be taken into account how much such indicators support compliance with principles and demands, how much they contribute to the three proposed fundamental changes and, inevitably, what indicates the experience about the relevance of the weight of each indicator. The result, which is proposed below, can be refined in the future, as the experience in projects of independent living and its impact on the lives of the PFD will grow. First we establish its perceived priority: Short name Priority Community life 2 Enough hours 1 Life project 12 Housing 15 Technical aids 16 Transversality 11 Age 10 Training 4 Peer support 5 No co-payment 6 Economical benefit 14 Coordinated by PFD 9 Participant Coordinator 8 Control of resources 3 Codecision 7 Participation 13 Table 5. Priority of indicators Once priorities have been established, it’s perceived that the six early indicators are more focused on supporting basic principles, more important and easier to prioritize, while the rest are more oriented to meet demands of an importance not so high, also they can’t be prioritized among themselves. Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy Bearing in mind the foregoing, below they are sorted, by assigning them a specific weight based on that order and on if they support principles or demands: Priority Short name Specific weight or weight 1. Enough hours 150% (1.5) 2. Community life 150% (1.5) 3. Control of resources 100% (1.0) 4. Training 100% (1.0) 5. Peer support 100% (1.0) 6. No co-payment 60% (0.60) 7. Codecision 50% (0.50) 8. Participant Coordinator 50% (0.50) 9. Coordinated by PFD 40% (0.40) 10. Age 40% (0.40) 11. Transversality 40% (0.40) 12. Life project 40% (0.40) 13. Participation 40% (0.40) 14. Economical benefit 10% (0.10) 15. Housing 10% (0.10) 16. Technical aids 10% (0.10) Table 6. Weighting of indicators 8.4 Justification of the weighting In spite of looking for objective valuation elements, such as support to principles or demands, or the contribution of the support for the three proposed changes, in every prioritization is introduced a subjective element. However, is clear that the ultimate goal is equal opportunities, which implies that a person with functional diversity can bring, to the extent that their moral autonomy permittes, a life similar to the rest of the people. To achieve this goal, the hours of personal assistance must remain as much as needed by the PFD, depending on their life projects, which is usually linked to their age, and that the rest of the citizenry develop by living in community. This idea should be applicable to all types of diversity, because if not its violated the principle of non-discrimination and, for the same reason, to people of all ages. Page 28 / 35 In addition, given that the rest of the citizenry has control of his own life after a certain age, should be promoted the control, depending on the age and diversity, what is achieved through the control of resources (direct payment). On the other hand, if exists a co-payment, the person is being made responsible for its difference since, in addition to paying his taxes like the rest of the citizens, he is forced to repay for their difference, in a clear act of discrimination and contrary to the principle of equal opportunities. The other indicators serve as a support to the above, but do not contribute so strongly to the upkeep of the principles, equality of opportunities and nondiscrimination and therefore are weighted in a lower value, the same for all of them. Separate comment deserves housing, weighted adequacy income (economic benefit) and technical aids, although they are essential to be able to lead an independent life in equal opportunities, they are not direct responsibility of an independent life project because, at least in Spain, they must be provided (and in some cases it’s true) by housing, pension, health or social services policies. However, and waiting for these policies to reach all PFD, their indicators are weighted with lower value than the previous ones. 9. Independent living indicator The final indicator of an independent life project is obtained by following these steps: 1. Assign a value to each indicator individually, using for this purpose the concepts provided in table 4. "Types and range of indicators", thus obtaining the Valued Individual Indicator (Vii) . 2. Multiply the value of each indicator by the weighting factor indicated in table 6. Weighting of indicators, thus obtaining the Weighted Individual Indicator (Wii) . 3. Add all the weighted values of each indicator, thus obtaining the NonHomogeneous Indicator Of The Independent Living Project (NHIPIL). 4. Knowing that the ideal maximum total value of a project of independent living is 990, divide the non-homogeneous indicator of the independent living project by 990, thus obtaining an Independent Living Indicator (ILI), that indicates a percentage of proximity to the ideal project. 5. If the above steps are repeated with various projects of independent living, you will be able to compare one initiatives with anothers. Note that Valued Individual Indicators (Viis) are very useful, since they can be used to detect the weaknesses of a given project. 10. The tool As already stated above, the objective of this document is to determine those key indicators that determine the degree of proximity of a project of independent living to one that the authors considered "ideal". Also a global indicator is obtained, the independent living indicator (ILI), which is intended to be a summary of the above. Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy To assist in this process, it has been designed a small calculation tool that helps to determine the values, This tool is located in the Excel file "Spreadsheet annexed to the document independent living indicators" which must always accompany this document. The general aspect of this tool is as follows: Illustration 1. Overall appearance of the spreadsheet 10.1 Basic structure There are basically two types of cells. Some, shaded in grey, generate values automatically, requires no data entry, others, do not allow user access to them. The ones with white background require user input. When you click on these latest a window is unfolded, with information of the kind of data that is required, as shown in the previous image. The excel file contains, in addition to the calculation tool, other information that facilitates the entry of data: A table with a summary of the "Types and values of the indicators", and another table with "Information on indicators". These sheets are accessed by clicking on the bottom of the worksheet. This information has been placed here to avoid having to read this document as a reminder. Page 30 / 35 Illustration 2. Tabs to open the other sheets In turn, there are two values that are "special": the co-paying percentage and the average maximum number of hours of personal assistance per day. These two values are entered in the first place, that’s why they are found at the beginning of the worksheet: Illustration 3. Two preliminary data that have to enter In the event presented in graphic 2, the user inputs a co-payment percentage of 0% and the maximum daily hours that allows the IL project in question is 10. Putting in these data, two of the indexes handled, takes a value based on a formula: Illustration 4. Values adopted by the indicators Valued Individual Indicator (Vii) and Weighted Individual Indicator (Wii) Then we ask for the name of the project that is being evaluated, i.e., to replace the name "Project X" included by default by the proper and complete name. It’s been attempted to make easier the introduction of data. When you click with the left button of the mouse on a cell with white background, a window appears with information about the data that must be entered and, in addition, appears to the right of the cell a small square with an arrow which, when you click on it, displays a list with all possible values supported in that cell. By selecting the desired value, it is inserted into the cell. Data can also be manually entered in the cell. In this case you have the risk of entering a value not allowed or erroneous. When this occurs an error message is displayed. Illustration 5. Entering a not allowed value Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy If you put 0 in the maximum hours, it comes out an error message and the introduction of this data is not allowed. It makes no sense that a project of independent living has 0 hours of daily personal attendance. Illustration 6. Example of error message Let's look at an example. If we click with the left mouse button on the cell relative to the "Transversality" indicator, appears an information box (as seen in illustration 7) and an arrow that displays a list with the values 100, 80, 60, 40 and 20. By selecting 20, this value is entered in the cell. Illustration 7. information window and list of data In this way we will introduce the needed data to fill every cell. As we complete the worksheet, the cells corresponding to the Non-Homogeneous Indicator Of The Project of Independent Living (NHIPIL) and the independent living indicator (ILI) changes their values. Page 32 / 35 Let's look at an example of full calculation worksheet: Illustration 8. Sample calculation sheet filled in In this case, we see that the overall evaluation of the project is 56,92%, i.e., despite having an acceptable daily number of personal assistance hours and a co-paying rate relatively low (15%), still exists a 43%, approximately, to become an ideal project. This is because the independent living indicator (ILI) pretends to have a globalizing character, and looks at the project from a perspective that goes beyond a simple supply of hours of personal assistance and the money for it. Training, transversality, participation, co-determination and other factors must Independent Living Indicators (ILI) for evaluating policies and actions developed under the IL philosophy also be present and play a role in the evaluation of an independent living project. 10.2 Use of this tool It is intended, as stated above, to hava a tool that allows to dispassionately evaluate an independent living project, and indirectly, to have a tool that helps to remember important aspects in the design phase of projects or services, both public and private initiative. For this purpose, a few indicators have been defined, that in their maximum values determine an ‘ideal’ project. Not to reach "perfection", i.e., a 100% ILI, doesn't mean that the project is bad or useless, means that there are aspects of it that might require an improvement or revision in the future. Anyway, there are aspects that the authors have tried to avoid: the possibility of playing with the numbers to obtain a high ILI, putting emphasis on less relevant aspects and "being mean" in most fundamental aspects. In this, an important role is played by the weighting, i.e. multiply valued Individual indicator (Vii) by a number (weighting index) to have certain values to give them more "importance" in the calculation of the ILI and that others, had less, giving as a result the different weighted individual indicators (Wii). Example of this are the indicators "Enough hours" and "Community life", to ensure them to acquire greater weight, they are multiplied by 1.5, or "Housing" and "Technical aids", multiplied by 0.1 to reduce his influence. During the creation of the tool, however, it was estimated that this was not enough. So we decided to "compensate" the Vii of the indicators 'Enough hours' and 'no co-payment", before calculating the weighted Individual indicator (Wii). It could be said that there is a double weighting in these two cases. However, it should not be forgotten that this is a proposal that will have to be tested and, we hope, it will open a process of reflection and new proposals that would substantially improve this initial work. 11. Bibliography «Declaration on the Right and Responsibility of Individuals, Groups and Organs of Society to Promote and Protect Universally Recognized Human Rights and Fundamental Freedoms». (1999). Document A/RES/53/144 from United Nations (UN). «Convention on the Rights of Persons with Disabilities and its Optional Protocol». (2006). United Nations (UN). «LAW 51 of December 2, 2003, on equal opportunities, nondiscrimination and universal access of people with disabilities». (2003). «ACT 39/2006, of 14th December, on the Promotion of Personal Autonomy and Care for Dependent Persons». (2006). «Manifiesto del Foro Independiente. (2002). «ECEPA National Policy Model for Personal Assistance». European Center for Excellence on Personal Assistance. (2004). Page 34 / 35 de Vida Independiente». Foro de Vida LOBATO M., ROMAÑACH J. (2005). «Diversidad funcional, nuevo término para la lucha por la dignidad en la diversidad del ser humano». Foro de Vida Independiente. PALACIOS A., ROMAÑACH J. (2006). «El modelo de la diversidad. La Bioética y los Derechos Humanos como herramientas para alcanzar la plena dignidad en la diversidad funcional». Ediciones Diversitas - AIES.