ABSTRACT
The personalized provision of equitable and effective social care to the marginalized and oppressed represents both a wicked problem and a wicked solution. Western policymakers, economists and social care professionals struggle to address the costs and resources associated with the provision of quality social care. In order to examine the impact or lack of impact of personalization, a rapid systematic literature review of the experiences and outcomes of personalization for people with disabilities occurring across different jurisdictions, namely the UK, Netherlands, the USA and Australia. The international evidence is summarized and critiqued in response to a series of wicked questions relating to the promotion of social equity and human rights in relation to personalization. Personal budgets provide opportunities to enable people with significant cognitive disabilities to exercise their preferences, but they may also present unique challenges for supporting and communicating decision-making. Training is needed to manage change, improve knowledge and assessment practice and promote equality and diversity awareness.
