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Background: This paper presents the findings from a qualitative research project that explored what ten people with intellectual disabilities who receive care and support in a residential care facility deem valuable for living a good life and what the opportunity to manage resources for care and support themselves means to them. Method: With the use of photovoice, the 10 participants documented their care and support, and by extension, their own lives. We describe how the project was carried out and the facilitating and obstructing factors we encountered. Results: The collected images and related personal stories teach us about the central importance of significant others to the lives of the participants and their vital role as "necessary others" who nurture a multitude of possibilities. Conclusions: The increasing policy focus on independence and self-sufficiency is opposed to the vital role of relationships in the participants' view of a good life.

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Summary: This article presents the results of a research project involving 10 people with intellectual disabilities concerning their idea of "a good life" in a residential care setting, within a context of personal budgets. We introduce the capability approach as a framework for focusing on the opportunities personal budgets offer for people with intellectual disabilities. We make use of qualitative interviews following a photovoice project in which people with intellectual disabilities documented their lives in order to research what they deem valuable and aspire to. Findings: In the analysis section, we present the elements which the participants identified as limiting and enhancing for imagining their future. From their stories, we learn that their aspirations are nourished by the encounters and social bonds that they engage in within a residential care context. The results make clear that the use of money offers opportunities to elaborate on what is already known and enables the realization of aspirations, while interactions with significant others more often than not encourage participants to explore and try out changes and thus further develop people's set of aspirations. Applications: In drawing the discussion to a close, we explore the implications these stories might have for understanding the role of aspirations in the practice of care and support for people with intellectual disabilities. The findings encourage us to think about a relational pedagogy and to address this in the practices of personal budgets. [ABSTRACT FROM AUTHOR]

Individual funding schemes are increasingly implemented to organize public welfare services and can be considered as a prime example of the marketization of social care. Clients receive a budget and can "shop" on the welfare market. Current knowledge about the impact of individual funding schemes on choice opportunities for people with an intellectual disability is inconclusive. We conducted a vignette experiment in the context of the Flemish (Belgian) individual funding scheme for people with a disability, using 610 close relatives of people with an intellectual disability as subjects. The respondents were presented with hypothetical situations in which they had to express their intention to change current care provision into care via personal assistance. We find that dissatisfaction with services and having a supportive network increases the intention to change care. Professional support from the incumbent provider does not have a significant impact. We conclude that the promise of choice, as assumed with marketized public services, is likely to be fulfilled only under particular conditions. This entails risks in terms of equal opportunities for clients receiving public services in the context of welfare markets. [ABSTRACT FROM AUTHOR]

Personal budget schemes for people with disabilities are imbued with a conception of autonomous and rational individuals. The policy objective to enlarge people's opportunities conflicts with the presumed capacity of cognitive rationality. We present an analysis of 15 social work professionals' reflections on the practical implementation of three personal budget policies. Through a conceptualisation of 'a capable human being', we deepen our understanding of the social justice character of personal budget schemes. From this analysis we conclude that a strong formalisation of the application, assessment and allocation practice entails the risk that the relational aspect, which includes questions of meaningful care, is relegated to the background. 'Being capable' emerges as a condition for acquiring more options for meaningful care in practice, ahead of the intended contribution to people's capacities. The continuous attention is required for autonomy in interdependency to be recognised. Personal Budget Schemes for people with disabilities are systems that seek to achieve a socially just care system in which autonomy and control are central. Our analysis showed that people with disabilities who need any form of support during the process are granted access to a personal budget much less easily. Management of access in terms of 'the right provision of a budget' for 'the right person' has a greater weight in practice than the meaning of this access to personal budgets. This results in unequal opportunities for people in need of support in the process of getting a budget. The research recommends that involvement of social work professionals is of great importance for realising 'good care' for all. [ABSTRACT FROM AUTHOR]