B and D are two men with profound disabilities, who spent 25 years in a local workshop that "employed" 150 folks. They witnessed violent behavior daily and sometimes were victims of violence. D kept trying to leave his work line, so for several hours a day, he was put in a wheelchair. Both men wore attends, as staff weren't able to provide toileting assistance on an individual basis. They brought home an average of 17 cents a week.
When their workshop closed, they came to my program- a small, community-oriented program. D began walking and now walks everywhere. He also says a few words. B gained weight- he was under 90 lbs. They love volunteering. They have friends. They love going to Dunkin Donuts for a cup of coffee. After three years, institutional behaviors are finally going away. They are thriving.
I keep seeing 14 (c) is necessary for people with significant disabilities. Why? Often, they aren't even able to provide folks with the level of care they need, much less to help people discover and explore interests! Workshops are NOT the only option for people with significant disabilities. There are endless options to prevent people from living isolated, sedentary lives.