Assistance with Integrity

This document, Assistance With Integrity: The Search for Accountability and the Lives of People With Developmental Disabilities by John O’Brien and Connie Lyle O’Brien, dives deep into the challenges of accountability in services for people with developmental disabilities. ​ It critiques the current system’s reliance on rigid regulations and inspections, arguing that these often fail to ensure safety or improve quality of life. ​ Instead, the authors advocate for a shift toward “effective interdependence,” where relationships, trust, and integrity take center stage. ​ They explore how meaningful support, rooted in respect and collaboration, can empower individuals to lead fulfilling lives in their communities. ​ The paper also highlights barriers to change, such as entrenched clichés and systemic rigidity, and offers thought experiments to spark new ways of thinking. ​ Ultimately, it calls for a redesign of policies and practices, emphasizing civic virtue, flexibility, and learning over bureaucratic control. ​ If you’re passionate about creating inclusive, person-centered systems, this thought-provoking read will challenge and inspire you!