Abstract

Aiming to offer persons with disabilities more opportunities to live independently and more inclusively, Flanders radically revised its subsidies for care and care infrastructure for persons with disabilities. Since 2017, subsidies for care are no longer allocated to care providers, but directly to the person with disabilities as a Personal Care Budget (PCB). In 2018, up-front bricks-and-mortar subsidies for care infrastructure were replaced with subsidies granted upon effective use of the accommodation and varying with the user’s specific needs. The results of surveys of PCB holders, licensed care providers and social housing providers suggest that on average receiving a PCB stimulated persons with disabilities to move, had a positive impact on housing quality outcomes for those who moved, and triggered changes in the provision of housing. On the other hand, housing costs for users increased and the positive effects on housing choice may be hampered by issues of housing supply. Effects differed according to the context and characteristics of the persons involved. Apart from these findings on the effects of more demand-driven subsidies, the study provides insight into the cross-policy effects of subsidies and therefore stresses the need for a more transversal approach in policy-making and research.

Full Text
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