Disscent from Consensus – Carol Blessing

, “Dissent from Consensus,” offers a thoughtful critique of the National Quality Forum’s (NQF) Interim Report on Person-Centered Planning & Practice. ​ Authored by seasoned advocates and practitioners in the field of developmental disabilities, it challenges the report’s approach to defining and implementing person-centered planning. ​ The authors argue that the report’s framework leans too heavily on administrative systems, rules, and metrics, risking the loss of the human essence of person-centered planning. ​ They emphasize the importance of co-creating meaningful lives with individuals, families, and communities, rather than reducing planning to a standardized, compliance-driven process. ​

Drawing from decades of experience, the authors highlight the messy, dynamic, and deeply personal nature of effective person-centered planning. ​ They stress that true progress comes from fostering relationships, exploring possibilities, and embracing the unpredictability of life—not from rigid timelines or exhaustive facilitator competencies. ​ The document also critiques systemic barriers like underinvestment in workforce development, risk management policies, and group-based service models that limit individual freedom and opportunities. ​

Ultimately, the authors position person-centered planning as a catalyst for social and organizational change, rooted in respect, curiosity, and a commitment to building inclusive communities. ​ While they acknowledge the Interim Report’s intent, they dissent from its consensus, offering a heartfelt alternative perspective that prioritizes the lived experiences of people with disabilities and their allies. ​ This is a must-read for anyone passionate about creating a more just and welcoming world. ​