{"id":3860,"date":"2025-02-26T16:25:12","date_gmt":"2025-02-26T08:25:12","guid":{"rendered":"https:\/\/projecthaans.com\/?p=3860"},"modified":"2025-02-26T18:02:05","modified_gmt":"2025-02-26T10:02:05","slug":"what-will-happen-to-my-disabled-child-when-i-die","status":"publish","type":"post","link":"https:\/\/projecthaans.com\/ms\/what-will-happen-to-my-disabled-child-when-i-die\/","title":{"rendered":"What Will Happen to My Disabled Child When I Die?"},"content":{"rendered":"<h5 class=\"wp-block-heading\"><strong>Supporting Adults with Diverse Disabilities for Dignified Living<\/strong><\/h5>\n\n\n\n<p>One major concern for parents of children with disabilities is the uncertainty of their child&#8217;s<br>future after their death, particularly for those with high support needs. In Malaysia, there is a<br>growing awareness of this issue, but national support mechanisms are still lacking, placing<br>much responsibility on parents, family support networks, and civil society organizations<br>(CSOs).<\/p>\n\n\n\n<p>Children with disabilities typically navigate five key stages in life, each presenting unique<br>challenges. The first stage involves parents recognizing developmental concerns and seeking<br>diagnosis and therapeutic support. The second stage occurs during preschool, for<br>development of school readiness and communication skills. The third stage involves formal<br>schooling, ideally in an inclusive environment where the child learns together with peers. The<br>fourth stage presents the challenging transition to university, vocational training, or<br>employment training.<\/p>\n\n\n\n<p>Difficult as all these stages are, the fifth stage is the hardest to face, especially for families of<br>PwDs with high support needs who require life-long care. Outcomes for PwDs vary widely.<br>Some gain functional skills with ongoing training and therapy, achieving full inclusion into<br>society. Others may acquire the ability for independent living and be fully employed in the<br>marketplace but struggle to attain a meaningful social and community life. Yet others require<br>sheltered employment and assisted living. Finally, some require life-long support for everyday<br>daily living tasks.<\/p>\n\n\n\n<p>These last two groups of PwDs are the ones that need the most support. They keep their<br>parents awake at night wondering and asking themselves repeatedly: \u201cWhat will happen to my<br>child when I am gone?\u201d<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-liza-summer-6382642-1024x682.jpg\" alt=\"\" class=\"wp-image-3865\" srcset=\"https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-liza-summer-6382642-1024x682.jpg 1024w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-liza-summer-6382642-500x333.jpg 500w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-liza-summer-6382642-768x512.jpg 768w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-liza-summer-6382642-18x12.jpg 18w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-liza-summer-6382642.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Painful Question with No Easy Answers<\/strong><\/h3>\n\n\n\n<p>There are no easy answers to this painful question. Government, private and NGO-run<br>facilities for long-term residential care of PWDs who require life-long support are few and often<br>limited in quality. Not all parents have the financial resources to secure their child\u2019s future. Not<br>all families have relatives willing or able to shoulder this responsibility when parents die.<\/p>\n\n\n\n<p>While it is necessary for parents and families to plan ahead to ensure their child&#8217;s needs and<br>wishes are met, they cannot do this alone. A strong support system \u2014 both from the<br>community and the government \u2014 is essential. For many families, preparing for the future of<br>a disabled child is not only overwhelming but deeply emotional, made even harder by the<br>uncertainty of available resources and care.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Current Options for Families<\/strong><\/h3>\n\n\n\n<p><strong>Family caregiving<\/strong> \u2013 Often, siblings or relatives take on the caregiving role. However, this<br>should be a voluntary choice supported by community resources, therapists, social<br>workers, NGOs, and government financial aid.<\/p>\n\n\n\n<p><strong>Residential care facilities <\/strong>\u2013 Although an option, they are often not ideal. Private facilities<br>are costly and may lack proper maintenance, while government-run facilities, such as the<br>Taman Sinar Harapan institutions, often face suboptimal conditions. Some families resort<br>to senior care homes for long-term care, though these are not suitable for PwDs due to<br>variable quality and a lack of understanding of their needs.<\/p>\n\n\n\n<p><strong>Group homes<\/strong> \u2013 Some families are working with CSOs to set up group homes with trust<br>funds and dedicated carers. These initiatives aim to create a more supportive living<br>environment for PwDs with high support needs.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Better options for independent and assisted living<\/strong><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Ideally a PWD should be able to live independently in their own home\/apartment without<br>major support. This is most feasible for those with low to moderate support needs.<\/li>\n\n\n\n<li>Some may live independently but require occasional assistance from care partners or personal assistants \u2013 whether government-paid professionals or family members \u2013 to assist with specific tasks such as household chores, banking, grocery shopping, vacation, etc.<\/li>\n\n\n\n<li>Others may choose to live at home, initially with parents and later with siblings or their extended family. Those with financial means may also hire a part-time or live-in personal assistant for additional support.<\/li>\n\n\n\n<li>When the above options are not available, a PWD may live in a group home, ideally with access to a care partner or personal assistant<\/li>\n<\/ol>\n\n\n\n<p>Note that assisted living implies maintaining a home setting with as much independence as<br>possible while providing necessary support for some activities of daily living, as well as medical<br>care and financial transactions when needed.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-matthiaszomer-339620-1024x576.jpg\" alt=\"\" class=\"wp-image-3875\" srcset=\"https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-matthiaszomer-339620-1024x576.jpg 1024w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-matthiaszomer-339620-500x281.jpg 500w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-matthiaszomer-339620-768x432.jpg 768w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-matthiaszomer-339620-18x10.jpg 18w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-matthiaszomer-339620.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>What do adult PwD with high support needs and their families need from the government?<\/strong><\/h3>\n\n\n\n<p>While many countries have developed government-mandated services that routinely support<br>all PwD, Malaysia seriously lags behind its neighbours. For far too long, much of the<br>responsibility of long-term care has fallen on the shoulders of parents, families and NGOs. It<br>is time that both the community and the government take shared responsibility. Relying solely<br>on the understaffed Welfare Department is not a sustainable solution. What is required is a<br>series of strong initiatives:<\/p>\n\n\n\n<p><strong>Accessible Infrastructure and Assisted Living Facilities<br><\/strong>Malaysia needs to invest in extensive infrastructure and assisted living facilities built with<br>universal design principles. More importantly, we need to generate right-hearted persons<br>as care partners \u2013 people who provide consistent, dignified support to PWDs with high<br>support needs in long-term assisted living facilities. We must avoid creating institutions but<br>instead develop caring communities and assisted living facilities where PwDs can live with<br>dignity and autonomy.<\/p>\n\n\n\n<p><strong>Assistance for Independent Living<\/strong><br>PwDs capable of working, whether in open employment jobs (part-time or full-time) or<br>sheltered employment, require support from care partners or personal assistants for<br>independent living. Having support with activities of daily living ensures their wellbeing and<br>ability to perform in their jobs. This not only enhances financial independence for PwDs<br>but also alleviates the economic strain on their families.<\/p>\n\n\n\n<p><strong>Affordable and Ethical Assisted Living Services<\/strong><br>The government must exponentially increase the availability of professional, ethical and<br>affordable personal assistant and assisted living services that are state-funded for PwDs<br>and their family care partners.<\/p>\n\n\n\n<p><strong>Accessible and Affordable Housing<\/strong><br>Independent living must be supported through affordable and accessible housing options.<br>These housing developments should be well-integrated with accessible public transport<br>systems, pedestrian-friendly walkways, and community spaces, ensuring that PwDs can<br>move freely and participate fully in society.<\/p>\n\n\n\n<p><strong>Comprehensive Community Support Services<\/strong><br>Accessible community facilities, disability-inclusive healthcare services, affordable<br>assistive devices and equipment, financial aid, disability-inclusive community events and<br>many more \u2013 all goes a long way to alleviate the weight of care and create a more inclusive<br>society where PwDs lead meaningful lives with dignity.<\/p>\n\n\n\n<p><strong>Inclusive Financial Services<\/strong><br>Banking and financial services must be made fully accessible, catering to the diverse<br>needs of PwDs, so that they have greater financial autonomy. This includes adjustments<br>for individuals with differences in physical movements, information processing and<br>communication abilities.<\/p>\n\n\n\n<p><strong>Autonomy and Supported Decision-Making<\/strong><br>Legal provisions should ensure that PwDs have greater control and autonomy over their<br>lives, especially persons with intellectual, cognitive and psychosocial disabilities. This<br>includes the implementation of state-operated trust-funds with healthcare coverage,<br>supported or shared decision-making frameworks and lasting power of attorney (LPA).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-anntarazevich-5598293-1024x682.jpg\" alt=\"\" class=\"wp-image-3885\" srcset=\"https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-anntarazevich-5598293-1024x682.jpg 1024w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-anntarazevich-5598293-500x333.jpg 500w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-anntarazevich-5598293-768x512.jpg 768w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-anntarazevich-5598293-18x12.jpg 18w, https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/pexels-anntarazevich-5598293.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>The Need for Systemic Change<\/strong><\/h3>\n\n\n\n<p>Much of these initiatives needs to be mandated through ensuring that support for PwDs and<br>their care partners becomes a routine governmental responsibility rather than an afterthought.<br>More importantly, society as a whole must unlearn and relearn what they know about disability<br>and persons with disabilities from the perspective of a rights-based model of disability and<br>disability-inclusion. No longer an \u2018us-and-them\u2019 attitude that perpetuates social exclusion, but<br>a wholesome community that embraces and enhances all diversity in society.<\/p>\n\n\n\n<p>In our endeavour to create meaningful change in the long-term outcomes of PwDs, we must<br>always prioritise their choices and autonomy. As far as possible we should enable them to<br>decide how they want to live their lives. We should respect the rights, dignity and personal<br>decisions of PwDs while ensuring their full integration into the community.<\/p>\n\n\n\n<p>As parents, our biggest wish before we leave this world is to know that our children have a<br>secure future where their long-term needs are met. We hope the government will wake-up to<br>this urgent need that affects a large segment of the population, and implement the longoverdue legislation and services necessary to support PwDs. As parents of children with<br>disabilities, we want to die in peace.<\/p>\n\n\n\n<h6 class=\"wp-block-heading\">Signed by 161 Parents and Professionals of the National Family Support Group for<br>Children and People with Special Needs, Malaysia<\/h6>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>One major concern for parents of children with disabilities is the uncertainty of their child&#8217;s<br \/>\nfuture after their death, particularly for those with high support needs. In Malaysia, there is a<br \/>\ngrowing awareness of this issue, but national support mechanisms are still lacking, placing<br \/>\nmuch responsibility on parents, family support networks, and civil society organizations<br \/>\n(CSOs).<\/p>","protected":false},"author":1,"featured_media":3891,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"none","footnotes":""},"categories":[4,10,5],"tags":[25,12],"class_list":["post-3860","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-parents","category-special-needs","tag-advocacy","tag-inclusion"],"blocksy_meta":"","acf":[],"featured_image_urls":{"full":["https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/nik-LUYD2b7MNrg-unsplash.jpg",1920,1280,false],"thumbnail":["https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/nik-LUYD2b7MNrg-unsplash-150x150.jpg",150,150,true],"medium":["https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/nik-LUYD2b7MNrg-unsplash-500x333.jpg",500,333,true],"medium_large":["https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/nik-LUYD2b7MNrg-unsplash-768x512.jpg",768,512,true],"large":["https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/nik-LUYD2b7MNrg-unsplash-1024x683.jpg",1024,683,true],"1536x1536":["https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/nik-LUYD2b7MNrg-unsplash-1536x1024.jpg",1536,1024,true],"2048x2048":["https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/nik-LUYD2b7MNrg-unsplash.jpg",1920,1280,false],"trp-custom-language-flag":["https:\/\/projecthaans.com\/wp-content\/uploads\/2025\/02\/nik-LUYD2b7MNrg-unsplash-18x12.jpg",18,12,true]},"post_excerpt_stackable":"<p>One major concern for parents of children with disabilities is the uncertainty of their child&#8217;s<br \/>\nfuture after their death, particularly for those with high support needs. In Malaysia, there is a<br \/>\ngrowing awareness of this issue, but national support mechanisms are still lacking, placing<br \/>\nmuch responsibility on parents, family support networks, and civil society organizations<br \/>\n(CSOs).<\/p>\n","category_list":"<a href=\"https:\/\/projecthaans.com\/ms\/category\/news\/\" rel=\"category tag\">News<\/a>, <a href=\"https:\/\/projecthaans.com\/ms\/category\/parents\/\" rel=\"category tag\">Parents<\/a>, <a href=\"https:\/\/projecthaans.com\/ms\/category\/special-needs\/\" rel=\"category tag\">Special Needs<\/a>","author_info":{"name":"Desiree Kaur","url":"https:\/\/projecthaans.com\/ms\/author\/nevyr-haans\/"},"comments_num":"0 comments","_links":{"self":[{"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/posts\/3860","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/comments?post=3860"}],"version-history":[{"count":26,"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/posts\/3860\/revisions"}],"predecessor-version":[{"id":3892,"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/posts\/3860\/revisions\/3892"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/media\/3891"}],"wp:attachment":[{"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/media?parent=3860"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/categories?post=3860"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/projecthaans.com\/ms\/wp-json\/wp\/v2\/tags?post=3860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}