Increased focus on legislation
In several Nordic countries the individual has the possibility to appeal the decisions on efforts. This increases the possibilities for the individual but leads to an increased need for lawyers and legal advice. This may lead to inequality depending on the availability of such advice, and also that an increasing number of negative decisions are made by the municipalities or the government, knowing that everybody does not have the possibility to further their case.
Guidance and support
Successful examples on personal budgeting are generally based on an existing teamwork between the party assisting with the personal budgeting and in the choice on how to use the means. An important requirement is, however, that this party is unbiased in relation to the alternatives on offer. If the adviser or fitter has economic incentives, for example to a certain supplier, or has a public task but is prevented from giving detailed information or advice due to legislation (public procurement), the individual must receive the information/advice in some other manner in order to be able to make an informed choice.
Old traditions and norms
In many activities for support and services for persons with disabilities, many within the professions have worked for a long time and in many activities, there are still old conceptions and norms present. A key part of the implementation of the CRPD is that there should be change in paradigm, from seeing persons with disabilities as objects for charity to bearers of rights with the same rights as everybody else. Personal budgeting and individualised working methods, together with efforts such as competence development and awareness, may speed up the change in paradigm.
Simplified thinking and the need for cooperation
In countries with developed welfare systems, such as the Nordic countries, there are often organisational simplified thinking in the form of several responsible parties for support and service, regulations as well as for costs. For those with many and extensive needs this often leads to a large cooperation need and many regular contacts. Cooperation within the systems, such as coordinators, are important in order to solve these problems.