"... Social programs and policies are usually designed to solve social problems; sometimes the social program creates social problems of its own" (Chambers, 2000, p 10). This statement is referenced in direct relation to programmes supposedly designed to target children with special needs. First, it should be noted that children with special needs extend beyond children diagnosed with cerebral palsy, given the fact that much attention–and rightly so–has been placed on this particular population in recent times.
Children with special needs include those diagnosed with a range of cognitive, physical and sensory disabilities including, but not limited to, those with autism spectrum disorder, visual impairment, hearing impairment, deafness, blindness, deaf-blindness, and multiple disabilities.
Many children diagnosed with these conditions require a list of interventions which are costly, ranging in price from $200 to $800 per session. In order for these interventions to be effective, the child should be able to access it regularly and at an early age; there is much evidence supporting the superior effectiveness of early intervention with this population.
Additionally, children with physical disabilities require that major adjustments be made to the layout of their homes as well as the purchase of adaptive furniture and mobility devices most of which are not available locally and are extremely costly.
It is quite interesting that the grant available to special children through the Social Welfare Division is a grant based on "need" and therefore parents who have children diagnosed with lifelong, severely disabling conditions are put through an annual gruelling interview that delves into the finances of these parents in an effort for the relevant boards to determine eligibility for this grant.
In establishing their eligibility, parents are guided to perpetuate a disempowering discourse around the lived experiences of providing care for their children.
The World Health Organisation's Report on Disability 2011 bemoans the fact that people with disabilities face ongoing challenges of inaccessible transportation, inadequate rehabilitation and health services, lower academic achievement and fewer educational opportunities. In T&T, a child diagnosed with severe physical and cognitive disabilities have limited options of free schooling available.
Instead, parents are faced with seeking private schooling for these children at costs between $5,000 and $15,000 per term, even when these children fall within the ages of six and 12, the mandatory school age as outlined in our Education Act.
Given these realities then, what "need" are parents of these special children expected to prove to access $850 per month? I take this opportunity to draw to the attention of our policy makers the gross inadequacies that exist in ensuring that all our nation's children are happy, performing according to their fullest potential and valued as contributors to our nation's legacy.
Mary Bastien
Parent/Advocate for children
with special needs
