increased annually. Nonetheless, the NHRC reviewed related statistical data and found that the increased rates were mainly observed in long-term care services, whereas the percentage of persons with disabilities using day care services (including home care services), community residence services, and support services for independent living only showed minimal increases. The percentage of persons with disabilities using daily living reconstruction services actually decreased69. The MOHW also acknowledged that increases in available service personnel were not enough to meet demand. 87. Per a Control Yuan investigation report,70 the NHRC concluded that because of the various restrictions enforced by administrative departments, the welfare service needs of persons with disabilities have been underestimated and distorted. Not only must persons with disabilities pass needs assessments, but they must also deal with obstacles such as payment issues, transportation issues, meeting grant conditions, complicated application procedures, poor service accessibility, and insufficient capacity to provide services, which can prevent them from accessing the services they need. Both community day care services and support services for independent living had low overall usage rates 71 . According to 69 70 71 Table 19.3 of the CRPD Second Report shows that 73,644 persons with disabilities received services in 2017, 111,418 in 2018, and 161,665 in 2019. Among the different types of services provided, longterm care services accounted for 79.77% in 2017 and 90.68% in 2019 (the number of persons with disabilities receiving services increased 2.5 times, from 58,745 in 2017 to 146,591 in 2019). By contrast, day care services (including home care services), community residence services, and support services for independent living showed limited growth between 2017 and 2019 (the number of persons with disabilities receiving these services increased by 616, 36, and 160, respectively). The number of persons with disabilities receiving daily living reconstruction services actually decreased from 2017 to 2019, dropping from 2,726 to 2,069. The Control Yuan investigation report approved on March 17, 2020. The Control Yuan investigation report approved on March 17, 2020 provided the following data: i. According to local government assessments, 75.5% of persons with disabilities who needed personal care and support services between 2015 and 2018 used day and residential care services, home care services, community residential services, and/or community daytime facility services. Over 70% used daily living reconstruction services, while approximately 50% used community day care services (this number dropped to 46.4% in 2018 and was less than 40% in 11 cities and counties). Less than 60% used support services for independent living (this number was less than 30% in six cities and counties); and the smallest number of people used home care services (this number has decreased annually and was 33.5% in 2018). ii. When compared with the number of disability IDs issued to persons with disabilities each year, the number of persons with disabilities using personal care and support services accounted for even lower percentages between 2015 and 2018. For example, only 6%–10% of persons with disabilities who had disability IDs used assistive device services. This number, which had been decreasing annually, was already the highest among all services. In fact, the total number of persons with disabilities using any of the nine personal care and support services accounted for less than 20% of persons with disabilities receiving disability IDs. This number also showed a decreasing trend (from 19.1% to 13%). 59

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