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Learn about the evolution of personalised budgets in Flanders, from the initial experiments in the late 1990s to the current legislation impacting over 1200 individuals. Explore the criteria, benefits, and challenges associated with Personal Assistance Budgets (PAB) and support services, along with the ongoing discussions and potential future developments.
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Personalised budgets in Flanders State of play Diane Serneels
Situation in Flanders • Two separate systems : Personal Assistance Budget (PAB) Support by services (in natura) • Use of the two systems: 1200 PAB 32000 support ‘in natura’
How did it start ? • 1997 -1998 first experiment for persons with physical impairments • 1999- 2000 second experiment for all kinds of disabilities • Since 2001 regular legislation : started with 300 persons, now more then 1200
Personal assistance budget • Between 8.300 – 38.800 / year • Commission decides • Minimum 95% staff costs • Support at home (housekeeping, care, day activities, pedagogical support, practical assistance at work or school) • Not technical equipment
Personal assistance budget • Can be combined with some support ‘in natura’ f.e. day care • Budget holder is employer himself or has an agreement with a service who delivers an assistant at home • Organisations to coach budget holders • Who can be assistant?
Personal assistance budget • Several discussions • Legislation changes almost every year
The future • From two different systems to personalised budgets for all? • Law since 2001, but not yet into practice six years later • Why ? Six years of study and discussion, different opinions …