Madam, – I read with sadness reports concerning complaints of mistreatment of people with disabilities in some residential centres (Invisible Lives, Features, February 2nd). In my work with the advocacy projects supported by the Citizens’ Information Board, I have become aware of widely diverging standards in residential centres around the country – some excellent, some leaving much to be desired, but none subject to inspections, despite the introduction of standards by Health Information and Quality Authority in 2009.
The majority of those with disabilities who live in residential centres are vulnerable and not in a position to complain without assistance. Some have no next-of-kin. Under the National Disability Strategy it was envisaged that an independent advocacy service would provide an advocate to help such people to have their voices heard, in particular with regard to complaints, reviews and assessments of need.
A pilot programme was set up five years ago and almost 50 advocates are working across the country. They do not yet have statutory powers – which are sometimes needed and which were to form part of a Personal Advocacy Service to be run by the Citizens’ Information Board .
The results of official inquiries into past complaints of abuse have shown it takes extraordinary courage for staff in institutions to become whistle-blowers; and that even when they find that courage they can easily be silenced.
External inspection and the availability of independent advocates are the way to ensure that high standards – which do exist in places – are maintained, and bad practices rooted out. Funding must be found for these essential services. – Yours, etc,