December 2001 - Ref D61
Involving black disabled people in shaping services
The involvement of users has been actively promoted within social
care as a way of developing more appropriate and responsive services,
bringing benefits to both service users and providers. There has,
however, been a noticeable lack of involvement by black disabled
people. Research undertaken by Rachel Evans and Martin Banton of the
Council of Disabled People Warwickshire with support from Coventry
University's Centre for Social Justice explored one organisation's
experiences in developing the involvement of black disabled people.
The research found that:
- Both users and professionals thought it was important for black
disabled people to have opportunities to be involved in consultation,
evaluation and policy development. However, it was just as important
to address practical issues (prioritised by users) like providing good
physical access, a comfortable venue, language support and transport.

- Users and professionals identified many barriers to involving black
disabled people:
- racism within white organisations and discrimination against
people with disabilities within black organisations;
- lack of funding for specific work with black disabled people;
- short-term and insecure funding arrangements which do not allow
ongoing outreach and development work;
- unwillingness of some organisations to divert funds from their
original remit of race or disability, or prioritise work that they see
as marginal to their core interest.
- The experience of the Council of Disabled People Warwickshire
suggested four key elements had to be in place before practical work
could begin:
- committed people to take the work forward;
- pro-active attitudes and an awareness of the issues across the
organisation;
- recognition of the impact of multiple oppression;
- an organisational structure that supports different types of
involvement and movement between them.
- Users and professionals identified priority actions for
organisations wanting to develop black disabled people's involvement:
- employing a black worker;
- training all staff on race and disability;
- consulting with black disabled people about their needs;
- undertaking some direct work with black disabled people (and
their families, if this is what the disabled person wishes);
- joint-agency working across black organisations and disability
organisations.
Introduction
Black disabled people have frequently found themselves falling
between services for black people and services for disabled people.
This divide is often mirrored in the priorities and remits of funding
bodies and voluntary and statutory agencies, as well as in the gap
between the disability movement and the race equality movement. This
is the context which gives rise to the low numbers of black disabled
people involved in developing services.
The Council of Disabled People Warwickshire (CDP) is a community
organisation run and controlled by disabled people within Coventry and
Warwickshire. Black disabled people (predominantly Asian and African
Caribbean) are involved at all levels within the organisation, for
example as service users, paid workers and volunteers. This research
explored CDP's experiences in developing this involvement since the
early 1990s.
Differences in user and professional views of involvement
Both the black disabled people who use CDP's services ('users')
and people involved in a paid or voluntary professional role ('professionals')
described similar opportunities for involvement by black disabled
people. These could be grouped into five categories: using services;
consultation; direct work (e.g. voluntary or paid work in service
delivery); strategic development; and decision-making (e.g. management
committee membership). It was seen as unhelpful to present these as a
continuum or ladder since this might imply that some types of
involvement were less valuable.
Both users and professionals identified a range of benefits of user
involvement: meeting others in similar situations and relieving
boredom and loneliness; language support to get help with form filling
and dealing with other service providers such as GPs; an opportunity
to share and learn from each other's experiences; giving each other
practical and emotional support; being able to inform and educate
workers about their specific experiences and needs; access to
information, education and training; and the development of skills,
confidence and self-esteem. In addition, professionals emphasised the
benefits of user involvement for service evaluation and development.
Everyone agreed it was important to respect people's rights to make
choices about the type of involvement they have, whilst ensuring that
the supports and structures are in place to enable people to be
involved whenever and however they wish.
Barriers to involving black disabled people
Funding
Both users and professionals felt strongly that there was a lack of
dedicated funding for work with black people generally and
particularly for work with black disabled people. They felt that:
- Many funders did not recognise a need for specific work with
black disabled people or the additional resources this required. Black
disabled people were not seen or heard enough to be a funding priority
for anyone.
- Restrictions on funding meant some organisations felt forced to
focus on their original remit of either race or disability.
- Where funding was obtained, it tended to be for short term
projects, which did not allow time for: the outreach and development
work that needs to be done; outreach to find black disabled people;
time to build relationships and trust with individuals (sometimes also
with families); and time to build partnerships with other
organisations.
- Inadequate time and resources were often coupled with
unrealistic expectations that projects and workers would achieve quick
results. When these were not delivered, organisations could be seen as
failing, making it harder to secure further funding.
- Insecure and short-term funding arrangements also meant projects
had to keep going back to the beginning in identifying and engaging
with black disabled people.
"Someone has got to have a remit to do it you know ... because
it's not just going to happen unless someone's actually resourced to
do it, and funders don't want to resource it." (Professional)
Lack of appropriate mainstream services
Users felt strongly that even where they knew of services, they
were often not appropriate, for example for meeting language or
cultural needs. This prevented them from using or becoming involved
with those services. Where there were specialist services, people felt
they tended to focus either on non-disabled black people or on older
black disabled people. As black disabled people did not use mainstream
services, they were not visible and therefore not recognised as a
specific group.
It was recognised that some families gave the impression that they
did not need help or services. However, many people felt that white
service providers used stereotypes about black families as an excuse
not to provide services for black disabled people:
"They tend to give white people more support in the way that
they're living on their own, but because you're living in a family,
and you've got a lot of family, they always think that you've got a
lot of support, so they just don't want to know." (User)
On the margins of black organisations and disability organisations
Professionals from different organisations were honest about the
difficulties they sometimes faced in taking forward work that was seen
as marginal to their core remit of either race or disability. This was
partly because of funding constraints and partly because of attitudes.
"We're starved of resources ... and our original remit is
race, and then I say, 'Well, I want to do a black disability
conference.' People look at you and say, 'Well, is that a
priority?'" (Professional)
Racism, discrimination against disabled people and multiple
oppression
Many users spoke of experiences with a range of white service
providers where they had been denied access to services and resources
or given less information than their white counterparts. They
mentioned stereotyping and low awareness of cultural issues within
some organisations. Both users and professionals linked racism with
experiences of being ignored or dismissed.
"We think our suggestions will not be accepted. What white
people say is done. We remain quiet and do not make any
contribution." (User)
Most people felt there was a greater acceptance of disability
within white and black communities than there was of race within white
communities. They also felt that a stigma was attached to disability
within some black communities. It is important to recognise here that
people have different levels of awareness of race and disability
issues, and that attitudes vary between and within black communities,
as in white communities. Significantly, the lack of services and
awareness-raising work on disability in black communities when
compared to white communities was seen as a contributing factor to the
stigma of disability in some black communities.
People felt it was impossible to separate out what they experienced
as multiple oppression (e.g. for a black disabled woman, the
experience of oppression based on race and impairment and gender). The
failure of agencies to recognise the impact of multiple oppression
left individual black disabled people unsure of where to turn:
"I am subjected to racism, I am subjected to harassment, I am
subjected to abuse and I have nowhere to go." (User)
Physical access
Users felt there was often a lack of appropriate facilities,
particularly in black organisations' buildings and in community
meeting places (such as temples), and that so-called accessible
facilities were seldom accessible for people with different
impairments (such as visual impairments).
Confidence and experience
Participants thought it was clear that some black disabled people
were strong, confident, and articulate, but that others lacked
experience and confidence. This might have an impact on their ability
and willingness to become involved. Participants felt that being
confident was not about speaking 'good' English or behaving in a
certain way, but about the confidence that comes from positive
experiences and opportunities. These experiences might be lacking in
the lives of some black disabled people.
General strategies for involving black disabled people
Participants identified over 20 strategies for involving black
disabled people (see Box 1 for examples). Both users and professionals
felt that involving black disabled people in consultation, evaluation
and policy development was important. However, the most important
issue for all users was the provision of an accessible and comfortable
venue, and yet strategies relating to physical access, comfort and
transport were rated no higher than eighth by professionals.
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Box
1: Some strategies for involving black disabled people
General
approach: e.g. recognising multiple oppression,
raising awareness of issues, joint agency work and having
black and bilingual workers within the organisation.
Practical
issues: e.g. using various communication techniques
(especially audio tapes), providing transport and an
accessible venue, meeting cultural needs and holding regular
meetings/events.
Ways of
working: e.g. building relationships with
individuals and families, having a dedicated role to develop
the work, providing separate services for black disabled
people and active outreach.
User
involvement: e.g. providing varied opportunities for
involvement including consultation, evaluation and policy
development, offering training and respecting the skills
that black disabled people have. |
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Some of the strategies generated considerable discussion and
differences of opinion.
Building relationships with individuals and working with families
There was general agreement that taking time to build relationships
was vital. The controversial question was who to build those
relationships with. For some people it was the whole family. For
others, the disabled person was seen as having separate rights, their
own identity and interests:
"Why go and talk with the husband and the mother and the
father?... If that was a white disabled person, would that argument
hold?" (User)
There seemed to be a consensus of opinion that organisations should
be willing and able to work with the whole family if that is what the
user wants, but it should not be assumed that this is what the user
will want. Also, where work does involve the family, the individual
black disabled person should still remain the focus.
Mainstream services or separate provision
Both of these were seen as positive strategies for developing
involvement. Many users said they would like a choice. Some felt there
was a need for separate provision, in the short term at least.
"Do you see, by ... [rejecting separate provision] we could
actually shoot ourselves in the feet? The thing is ... we say go
mainstream, and then nothing changes, because nothing will change for
years ..." (User)
An organisational agenda for change
Participants agreed that there were four essential ingredients that
needed to be in place before an organisation could begin to develop
work with black disabled people (see Box 2).
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Box
2: Essential ingredients for change
-
committed
people to take the work forward;
-
pro-active
attitudes and awareness of the issues;
-
recognition
of the impact of multiple oppression;
-
organisational
structure that supports different types of involvement
and enables people to move between them.
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With this foundation in place, and given that many organisations
work within tight funding constraints, the following priority actions
were identified:
For white organisations:
- appointing black and bilingual workers.
For black organisations:
- starting some direct work with black disabled people, with a
commitment to ongoing and regular consultation and evaluation about
services.
For both:
- joint working with other organisations to combine expertise on
both race and disability;
- training on race and disability (multiple oppression) for all
staff;
- addressing practical access issues (buildings, language support,
transport, etc).
Conclusion
This research identified many reasons why black disabled people
might not use services or become involved with organisations. The
impact of structural, cultural, individual and internalised oppression
can be seen in all the barriers that people described. Funding bodies
and organisations - including mainstream providers of health and
social care services, and organisations with a focus on race or
disability - could be said to have a responsibility to remove these
barriers and to enable black disabled people to have more power and
control in their lives and in the services they use.
About the project
The research was undertaken by CDP, supported by Coventry
University's Centre for Social Justice. It involved semi-structured
interviews and focus groups with 35 people who had been involved in
different ways with CDP's work with black disabled people. Of the
participants, 63 per cent were black disabled people and all but one
of those were also users of CDP's services. 97 per cent of the
participants were black.
How to get further
information
The full report, Learning from
experience: involving black disabled people in shaping services by
Rachel Evans and Martin Banton, is published by the Council of
Disabled People Warwickshire (price £10.00 plus £2 p&p). It is
available from the Council of Disabled People, Fordsfield, Bury Road,
Leamington Spa, Warwickshire, CV31 3HW, Tel: 01926 420702. The full
report includes action planning and team activities to explore within
organisations the issues raised by the research. For more information
about this research please contact Judith Stephenson, Director, CDP at
the address above.
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