Tw institutions, restraint/seclusion, self injury
Iām really frustrated about how intensive support for mental illness and developmental disabilities is always tied to limiting peopleās autonomy under our current system. If someone needs 24/7 support to get their needs met and be safe the only options that exist in most cases that are formalized supports are institutions and group homes. Some group homes function like institutions but with less people. Itās almost impossible for a single person to get 24/7 paid support in their own home.
Institutions and group homes often have very strict schedules that the individuals receiving support have little to no control over. Grown adults may be in bed by 8pm because they are on heavily sedating medication. Or the staff may force people to be in their rooms by 8 for staff convenience. Adults without disabilities can choose their own bedtimes even if they make bad decisions. Why are adults who need 24/7 support not given those same opportunities?
Institutions and group homes also give you very limited control over your diet. In institutions you get what is served and you are only able to eat at specific times. In group homes you may only be able to eat when staff chooses to feed you. Sometimes fridges and cabinets are locked so you cannot try to get food without staff knowledge and permission.
Restraint and seclusion is also used as a punishment for not complying or being unsafe. They say itās only used as a last resort, but thatās not always the case. Sometimes itās used as the first thing to try if someone is self injuring or being aggressive in any way. Instead of redirecting or deescalating the situation, restraint immediately escalates. It is traumatic for the person being restrained to have their autonomy physically limited and grabbed without consent. It can also be extremely physically dangerous to the person being restrained. Sometimes even more dangerous than the reason they were forcibly restrained in the first place.
But thatās the only way 25/7 support is available currently outside of family. Which isnāt an option for many people. There is help with showering and toileting. There is constant support with supervision and help to keep the person safe. Food prepared for the person at every meal. Support with medications to make sure that the person takes them. All this support literally saves peoplesā lives if they have access to it. Someone could literally die if they canāt feed themselves without help and they live on their own with no support.
Group homes may be the only option for someone to get their needs met and stay safe. But why is someone getting their needs met dependent on them having their rights restricted? A person should be able to get 24/7 care in their own home or apartment paid for by the government. Itās more expensive than warehousing people into institutions and group homes, but itās the ONLY way to give people the support they need without limiting their rights and autonomy. Itās so important that people are able to have safety and support without giving up their freedom.









