Deinstitutionalisation Under Siege: A network for deinstitutionalisation of persons with disabilities in the Middle East

Lead Research Organisation: University of Birmingham
Department Name: Education

Abstract

It is estimated that up to 15% of people with disabilities live in institutional care globally - 150 million people (UN, 2018), and this is likely to be an underestimate. Empirical evidence has shown that institutionalisation results in negative outcomes for children and adults, which has been further heightened during the Covid-19 pandemic, where there were disproportionate numbers of deaths of persons with disabilities in care institutions. The issue of deinstitutionalisation is of pressing global importance as highlighted at the Global Disability Summit 2022. The proposed network, 'De-institutionalisation Under Siege', a network on deinstitutionalisation for people with disabilities in Lebanon and Palestine (West Bank and Gaza) is timely given the UN's work since 2020 on developing guidelines on deinstitutionalisation for persons with disabilities. In June 2022, a call was issued for submissions on guidelines on deinstitutionalisation including in emergencies Committee on the Rights of Persons with Disabilities, with a particular interest in obtaining evidence from persons with disabilities through representative civil society organisations. There is, however, a tension between the international impetus to deinstitutionalise and insufficient infrastructure within communities, particularly in Global South contexts, to support people with disabilities remaining with their families and living in communities. Our proposed network is unique and innovative in that it will use creative arts and humanities methods to capture lived experiences and views on disability, and leverage a range of existing international partnerships, whilst building new ones with specific expertise on deinstitutionalisation, and collecting data in an under-researched but highly significant and timely topic. This proposed network will be led by Professor Dina Kiwan (University of Birmingham, UK) in conjunction with Centre for Lebanese Studies (Dr. Maha Shuayb), Birzeit University (Professor Rita Giacaman) and Islamic University of Gaza (Dr. Nazmi al-Masri) which will build on the work of our current AHRC GCRF Network 'Disability Under Siege' (DUS), funded by the AHRC (£2M; 2020-2024), where we are addressing the challenge that most children with disabilities in the region never go to school. This new network's added value is to focus specifically on the topic of deinstitutionalisation, bringing in additional specialist project partners with expertise in this area. It is anticipated that the network will be made up of a range of stakeholders, enabling dialogue between policymakers including, UN organisations, disability activists and NGOs, people with disabilities, family members, and institutions themselves.
 
Description The project has produced three literature reviews providing an overview of the evidence on institutionalisation of persons with disabilities in the target countries and territories (West Bank, Gaza, and Lebanon). These highlight the lack of data on institutions, particulary for people who have impiaments other than mental health conditions. It also found that there was a lack of legal framework to govern conditions in institutions and where policy existed, there were usually not enforced. The reviews found a significant lack of capacity in providing community services for people with disabilities, and that stigma and stereotypes contributed to institutionalisation. This was compounded by deinstitutionalisation agendas not considering local contexts.
Exploitation Route The literature reviews highlight key research priorities which can be taken forward either by members of the network, or other researchers, activists, and NGOs. The project plans on building on these findings through pilot projects and cultural activities to draw attention to the topic of deinstitutitionalisation, and these conversations can be taken forward by stakeholders involved in the activities in their own practice.
Sectors Communities and Social Services/Policy

Creative Economy

Healthcare

Government

Democracy and Justice

Culture

Heritage

Museums and Collections

URL https://disabilityundersiege.org/reources-publications/