Homes for People with Severe Physical Disabilities in the Community

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After the 2019 Emerald Hall decision affirmed that people with disabilities have the right to adequate care in the community; and after the UN Special Rapporteur on the Rights of Persons with Disabilities criticized how Nova Scotia is doing on housing for the disabled (Nova Scotia still has more than 1,000 people with severe disabilities in institutions and a wait list of more than 1,500 for group homes), you would think that the government of Nova Scotia would jump at the chance to give people with severe physical disabilities a home and care within the community. That doesn’t appear to be the case.

Though the Nova Scotia government ended the moratorium on the building of new group homes (though 300 group homes are needed, not just the eight announced);  and though the government has enough sense to put the Accessibility Directorate under the Department of Justice; and though the government has passed the Accessibility By Design Act committing the province to become fully accessible by 2030, there has been no movement on allowing people with severe physical disabilities to live in the community. At most, the province offers six hours of care per day. What the individual with a severe physical disability does for the other 18 hours is anyone’s guess. The other option is going into a long-term care facility. A nursing home bed costs individuals $108 a day or $39,420 a year -- if the resident has the means. The government takes their pensions or disability income and returns to them $260 a month for personal spending.  However, the real fiscal cost of institutional care is greater than $40,000 a year, per person.

On February 28, 2019, EcoGreen Homes and I, Jen Powley, a person who is quadriplegic due to progressive multiple sclerosis, presented a proposal to the Department of Community Services for a four-bedroom unit with shared-attendant care in a new mixed-use building on Gottingen Street. This unit would keep me and three other young adults out of a nursing home at a cost comparable with that of housing us in a long-term care facility.

We still haven’t had an answer from the department on whether the developer can move ahead on the proposal. The developer has left the space on Gottingen Street untouched at great expense to himself. After our presentation, the developer was asked how long the province had to get back to him. He answered two months. We are now in our ninth.

We don’t believe keeping people under 60 in a nursing home, where most residents are at a different stage of their lives, is good for their mental health. Just because a 90-year-old needs physical assistance doesn’t mean they should be lumped together with a young person who needs the same level of care.

The activities considered appropriate for the elderly are not necessarily appropriate for younger people. How would you like your bedtime, mealtime, meal choices, wake up time and visiting time decreed after you reach 18 years of age?  Yet the Nova Scotia government promotes this for people with severe physical disabilities.

We want the Government of Nova Scotia to approve the proposal we presented in February. We want EcoGreen Homes to get the go-ahead and the province to approve the care-model.