Leah Ida Harris 🍉

@leahidaharris.bsky.social

Mad, abolitionist writer and poet. Author of NONCOMPLIANT: A FAMILY HISTORY OF THE ASYLUM (forthcoming, Haymarket Books).

It was an honor to contribute to @filtermag.bsky.social this year, and beyond wonderful to work with my editor Kastalia Medrano. The loss of this publication is especially devastating in a time when harm reduction is increasingly in the crosshairs 💔💔💔 Pls support your local harm reduction org today

Filter | harm reduction journalism@filtermag.bsky.social · 2mo ago

We are very sorry to announce that Filter is shutting down this week, after eight years of publishing. It's a sad moment for those of us who have cared about the publication, writes EIC Will Godfrey. But we have much to be grateful for:

From @leahidaharris.bsky.social: "AOT is marketed to the public as a compassionate, evidence-based public health intervention. In reality these programs are designed to disappear unhoused people while sidelining harm reduction, health care and housing justice policies."

SAMHSA's "Assisted Outpatient Treatment" Is Still Civil Commitment - Filter

On January 15, the Substance Abuse and Mental Health Services Administration (SAMHSA) hosted a webinar to promote its program expanding ...

filtermag.org

Rethinking representation of people with disabilities and the role of OPDs

The Weight of the House We Built

“The Weight of the House we Built”, by Kinanty Andini Dear Debriefers, For decades, the disability movement has largely organised around the idea that representative Organisations of Persons with Disabilities (OPDs) should be the primary vehicle for change. I’ve spent much of my career defending and strengthening that model. I’ve advocated for consultation mandates in the law, helped draft guidance to operationalise it, and worked to ensure that states and international actors recognise and engage with representative OPDs. I believed – and still believe – that Mad and disabled people must shape decisions that affect our lives. But I’m no longer convinced that the architecture we built around that principle is working. I wonder if we have mistaken the structure for the movement, the house for the home. OPDs are the house meant to hold our politics. The people make up the home: the relationships, the urgency, the anger, the imagination. The house exists to serve the home, never the other way around. When preserving the house becomes the priority, we risk losing the life inside. People grow restless, or quietly move elsewhere. This is not an argument against OPDs. It is an attempt to ask whether the way we center them still serves the movement they were meant to strengthen. ## About this edition **Alberto Vásquez Encalada** is a Mad/disability activist based in Switzerland. **Kinanty Andini** is an illustrator and digital artist from Indonesia. **The Debrief needs help to** weather the storm **faced by independent media and disability rights initiatives.** Thanks for new contributions to Annie, Alison, Amy, Bernd, C., Christine, Claire, E, Freddy, Katherine, Michael, Mostafa, Philippa, Shirin and Wendy, Sign-up for a disability lens on world news Subscribe Email sent! Check your inbox to complete your signup. Weekly in your inbox ## The need to come together One of the most meaningful experiences of my activist life has been being part of RedEsfera, a network of Mad and neurodivergent activists across Latin America. It gave me space to belong, think, and build with peers. At the core, this is why organisations of persons with disabilities exist. OPDs emerged from a long history of being spoken about by others – families, institutions, professionals, and decision-makers – and from disabled people’s need to come together, support one another, and act collectively. Around the world, OPDs have been essential to advancing rights, shaping policy, and responding to moments of crisis. They helped assert disability as an identity rather than an individual tragedy and gave form to a demand that has long powered our movement: _nothing about us without us_. With the adoption of the UN Convention on the Rights of Persons with Disabilities (CRPD), the role of “representative organisations” was formalised, embedding OPDs at the centre of national and international consultation frameworks.**** ## What counts as an OPD is less clear than it seems Saying what OPDs do is easier than defining what they are. OPDs are commonly understood as organisations led, directed, and run by persons with disabilities. This distinction reflects a political demand: that those excluded from decision-making should shape the decisions that affect their lives. But leadership and governance structures take many forms. Formal arrangements say little about how decisions are made, how priorities are set, or how accountability is practised. I co-founded Mad Thinking with another Mad activist, but initiatives like ours might not be classified as an OPD. Yet some organisations recognised as OPDs may be run by non-disabled staff or operate with minimal engagement from a broader base. Even the question of who counts as “disabled” is not straightforward. These boundaries shift, making it less clear which organisations are considered “of persons with disabilities.” For example, organisations of people living with cancer or other health conditions might not be recognised, or see themselves, as OPDs. ## Representation through membership An additional, sometimes implicit, part of the definition of OPDs is that they are membership organisations. Having members makes them representative, which in turn confers the authority to speak. A broader membership is meant to bring a wider range of experiences, making it more likely that organisational positions resonate beyond those directly involved. In that sense, membership could better reflect the diversity of the disability community. It should also help keep priorities and decisions accountable to lived experience. The legitimacy of OPDs comes from these assumptions. But a problem arises when membership is treated simply as a metric, where legitimacy comes from member numbers and from how well organisations can tick the boxes of representation. ## A widening distance from the people represented In most contexts, OPDs are organised into layers, built on top of one another. Local organisations are part of national federations, which are themselves part of regional bodies and, in turn, members of global organisations. These layers are meant to connect different parts of the movement, bringing together diverse groups and experiences into a broader collective voice. But as layers accumulate, the distance between decision-making spaces and the people supposedly represented widens. Power concentrates at the top, while the broad base is rarely consulted, leaving a small group of leaders to speak for many. Leadership turnover is minimal, with the same individuals in their roles for years, sometimes decades. As ties to a social base weaken, accountability increasingly flows upwards, towards donors, states, and international organisations. Organising adapts to their timelines and priorities. As I’ve written before, professionalisation and gatekeeping progressively replace grassroots politics. Stability becomes an end in itself, and dissent is managed in the name of unity. This isn’t unique to disability. Across movements, organising tends to narrow as it moves upwards, driven by the demands of institutions, funding structures, and access to power. In the disability field, it just feels more entrenched. Sometimes our organisations end up speaking more _about_ those they represent than _with_ them. ## The pressure to appear representative OPDs compete for recognition, access, and resources in a system that rewards those who can claim to speak for the broadest possible constituency. Donors, partners, and institutions begin to ask whether they include people from rural areas, specific impairment groups, or those at the intersection of different constituencies. The pressure to fill these gaps incentivises shortcuts, as organisations seek to demonstrate representativeness. In some cases, local or smaller OPDs are brought in to fill these gaps without meaningful engagement. They may be invited to join coalitions or processes in a superficial way, echoing the tokenistic inclusion that OPDs often criticise in other actors. In recent years, this has been evident in efforts to include young people with disabilities. Youth sections in OPDs remain tightly controlled and have limited decision-making power or resources. In other cases, external expectations can lead to the artificial formation of new organisations aimed at filling constituency gaps. This can happen alongside, or even in competition with, existing groups already doing the same work. The resulting organisation may be formed largely on paper, with little social base or political life beyond that. Rather than building power from below, some OPDs are more preoccupied with appearing representative to those looking down from above. ## When people opt out This kind of hierarchical, hollowed-out participation drains time, energy, and political imagination. And it puts many of us off. More and more, disabled people, particularly younger activists, opt out. They do not recognise themselves in these structures and do not see them as effective means of bringing about change. In the space that opens up, other forms of organising emerge: informal networks, small collectives, mutual aid groups, start-ups, and individual activists whose reach is amplified by social media. Much of the more innovative and transformative work today comes from these actors at the edges of traditional OPD structures. While the OPD architecture remains in place, the politics it was meant to enable are shifting elsewhere. Layered organising itself is not the problem. Most political movements rely on it to coordinate action and share resources. The problem is that, in much of the disability sector, layering has hardened into a means of aggregating numbers, managing access, and presenting a single, stable voice to states, donors, and international institutions. ## Claiming to represent people with disabilities as a whole Across contexts, from national to international levels, federated and umbrella bodies tend to present themselves as representing the entire disability population. The scale implied by this claim far exceeds the size of organised participation. Even where organisations play an important advocacy role, many are sustained by a small number of overextended leaders working across multiple organisations. It is difficult to think of many other movements in which a single organisation claims to represent an entire population in this way. The reach of OPDs was tested by Morgon Banks and others in a population-based study across several low- and middle-income countries. They found that membership among people with disabilities ranged from 3.5% to 14% across settings. And, given the variation in how “organisations for persons with disabilities” are understood, these figures likely overestimate the number who participate in member-led, representative organisations. ## Does representation have to work this way? Disability organising inherited forms designed for a different political moment: trade unions, veterans’ associations, and welfare-era mass organisations. These models were built for negotiation with states and employers through formal systems of representation – for a politics structured around recognition, redistribution, and institutional bargaining. Other movements emerged from similar roots but followed different trajectories. Women’s movements, for example, have built power through a wide range of strategies: grassroots organising, cultural production, protest, and informal networks, often alongside more institutional, representative structures. Their influence has commonly stemmed from shaping the broader social base rather than speaking through a single organisational voice. The disability movement has largely remained within federated, representative architectures. Some worry that if we loosen the hold of representation, then space is created for non-disabled people to speak on behalf, through large NGOs or other professionalised actors. But these actors already hold considerable power within the system as it stands today, sometimes through their relationships with OPDs. The formal structures of representation did not keep them out. ## Pressure for a unified voice Disability is a very diverse constituency, shaped by intersecting forms of oppression. Yet our dominant organisational model pulls in the opposite direction, seeking to reduce this diversity to a single, coherent voice. Perhaps the problem is that the broader political and institutional context demands an unrealistic form of representation. The disability movement often seeks to have an impact in institutional contexts where “unity”, formal structure, and simplified representation are rewarded. These dynamics are particularly visible within international systems, including the UN and other multilateral spaces. Consultation frameworks privilege identifiable counterparts, and donor systems favour entities that can demonstrate scale, hierarchy, and stability. These incentives shape how organising is imagined. There is an old Soviet joke about work culture: “They pretend to pay us, and we pretend to work.” At times, a similar dynamic can be seen here: states and international actors pretend to consult OPDs, and OPDs pretend to represent all people with disabilities. ## Who belongs to the disability movement?**** While working on this piece, I recalled times when I’ve heard someone or an organisation described as “not part of the movement.” I’ve heard versions of this said about grassroots groups, loose networks, informal collectives, or individuals who advocate on their own – those who don’t fit neatly into established structures of the “disability movement”. If I’m honest, I’ve said it too. Not long ago, in a strategic discussion with activists, funders, and allies, I told someone from a donor intermediary organisation exactly that: I wasn’t sure they were really part of “the movement.” I tell myself that I’m trying to protect space or signal where power should sit. Maybe I was. But I can’t ignore the possibility that my comment stems from the same instinct – the urge to define the movement by how well people fit the OPD mould.**** ## Overlapping struggles and many movements The large house we have built – with many floors, formal entrances, and carefully maintained facades – cannot substitute for the life that animates it. A structure may endure even when some of its rooms sit empty. A movement cannot. In fact, there isn’t a single movement at all, but many. What we commonly describe as a unified front may be better understood as overlapping struggles, organising in different ways and different conditions. Some operate within institutions and under formal mandates. Others move across networks, communities, and digital spaces, less visible yet often more agile. The spaces that feel most alive to me – grassroots collectives, disability justice groups, Mad and neurodivergent networks, and transnational feminist organising spaces – are rarely the ones that speak for “the movement” in official settings. However, those spaces are often where new language takes shape, solidarity is built in practice, and different futures are imagined. They move faster, take risks, and experiment. Their work can be uneven and sometimes fragile, as they operate with fewer resources and without guaranteed recognition. But they are alive. ## Moving from a pyramid to an ecosystem What if the focus was less on representing everyone and more on connection? The dominant model imagines movements as pyramids. An ecosystem works differently. It has no single centre and no final summit. Different forms of organising play distinct roles: providing continuity, convening, enabling others, engaging with institutions, or generating disruption. Some are visible and recognised, while others operate quietly. No single actor can carry this alone. A networked approach would loosen the grip of single structures or voices. OPDs, collectives, NGOs, peer groups, and informal initiatives can coexist without being ranked in a hierarchy of authenticity. It would also create more space for flexible and localised forms of organising. In truth, disability movements already contain this plurality. Federations, collectives, networks, informal groups, and individual organisers interact in complex ways. The problem is not diversity, it is imbalance – the tendency of one organisational form to stand in for the whole, and the exclusion of forms that don’t align neatly with those claiming authority. In a healthier ecosystem, solidarity would replace representation as the organising principle: people act with and for one another, rather than speaking on others’ behalf. Accountability comes from trust, shared risk, and responsiveness to one another, instead of membership lists or formal mandates. This is not a quick fix. Ecosystems are not designed overnight; they are cultivated over years with care and attention.**** ## A claim about power “Nothing about us without us” has always been a claim about power, not about a particular organisational structure. It is a demand that Mad and disabled people shape the decisions that affect our lives. That no policy, programme, or decision about us be made without our direct engagement. And that we refuse to be spoken for. The CRPD provided a framework for realising “nothing about us without us”, but in doing so it also shifted the emphasis towards identifying representative organisations. In practice, this shift has reduced the broader political principle to the technical question of “what counts as an OPD?” Of course I believe that OPDs are still vitally important. We need spaces where disabled people can come together and organise. But I don’t think the future of disability politics can rest on our current structures alone. At least not without fundamentally reimagining them. ## Rebuilding through everyday choices It might be rare to share doubts about OPDs so publicly, but many have been grappling with these concerns for a while. I don’t think the answers are simple, but perhaps we can begin to shape our organising through everyday choices: * Who am I accountable to? * Do I question where power lies in my own spaces and how it is used? * Do I use my position to create space for those often left out? * Do I build relationships across groups, or do I ask them to come together under a single banner or to support a pre-set agenda? * Who do I offer solidarity to? We built our movements with the tools available to us, on foundations laid long before us. They gave us shelter and enabled us to be recognised, to build power, and to gain rights. But movements are not monuments. They are living things. If our structures have grown rigid, we need to take down a few walls. Rebuilding is not decline. It is how movements endure. In solidarity, Alberto ## Outro **See Alberto's previous pieces on the Debrief** : exploring the risks posed to the disability movement by gatekeeping and by professionalisation. **And find Alberto** at Mad Thinking or find on Linkedin. **For more from Kinanty,** see her website. **Have your say**. Share your view with Peter or in the comments below. **Help us do more**. The Debrief is free thanks to reader support. ## Acknowledgements Many thanks to Victoria, Akriti, and Akwe for reviewing different iterations of this piece and for their thoughtful suggestions. Thanks also to Kinanty Andini for the illustration that accompanies this piece, and to the readers and organisations that support the Debrief and make this work possible. Finally, to Peter Torres Fremlin, for thoroughly editing this piece, shaping it, and trimming it with care.

disabilitydebrief.org

I was really hurt by SSRIs as a kid, and I was one of the people who testified at the FDA in 2003 to get a Black Box warning put on those drugs. Today, some of the worst people in the world claim to be pursuing an agenda around overmedicalization and deprescribing. Honestly, it makes me sick.

Its sickening to witness open calls for genocide. Its also crushing that there is no significantly organized mass anti war movement in the imperial core, despite decades of endless war and years of livestreamed genocide. "Everything you do, even if small, matters" is ringing hollow for me tbh.

This is a sick civilization. An open call to genocide. It is clear that Gaza is how we got here- tolerating genocide in one space begets another. Generations of our ancestors have worked to build something different, toward the preservation of earthly life. I hope I live to see this re-orientation.

Today is a difficult day for anyone with a heart who is paying attention. IC has resources available for you on our website. Here's a great place to start: a self-directed curriculum of toolkits, reports, & more. Please use & apply in your local contexts & campaigns. Solidarity ✊🏾

Interrupting Criminalization Curriculum — Interrupting Criminalization

As we mobilize to stop ongoing genocides in Gaza, the West Bank, the Sudan and beyond, as well as corporate and state-sponsored violence in the Democratic Republic of Congo, and navigate increasingly ...

interruptingcriminalization.com

everything we are seeing now is the consequence of having a political environment in which indifference to the deaths and suffering of other people - even by the state whose supposed responsibility is to safeguard their welfare - is a superpower rather than a political liability

NEW: Vera is launching the Incarceration and Inequality Project Data Explorer, the first national data tool with a primary focus on the intersection between incarceration and economic outcomes. Explore the data and learn more about your county: www.vera.org/incarceratio...

Incarceration and Inequality Data Explorer

The data explorer maps the complex geography of incarceration and economic conditions across the United States, providing critical data for community…

vera.org

🚨NEW REPORT: Most people think of probation and parole as pathways away from the carceral system — but that couldn't be further from the truth. New data reveal how community supervision has grown in parallel with mass incarceration and widened the net of social control 🧵

Graph showing the growth of mass incarceration and mass supervision in the U.S.

Source Callout: for a story at the Guardian, I'm interviewing folks who were asked to keep working with someone after sexual assault or harassment or relationship abuse, and told to stay silent "for the good of the movement" (more info in pic with alt text). reach out on Signal @ lex_mcmenamin.68

image of a white brick wall overlaid with text reading:
for a story at The Guardian, I'm looking to speak to 1-2 people who have had their community/ political organizing work impacted by being expected or forced to organize with someone who assaulted or harassed them, and that staying silent was "for the good of the movement"
I know this is an extremely common story, but also one people can't always share with their name or face: anonymity or pseudonyms will be provided.
I am trained in trauma-informed strategies in working with survivors, am a survivor myself, and take digital hygiene and sources' security extremely seriously.
Please reach out over signal @ lex_mcmenamin.68 . I'll take this down when I have enough folks. Thank you.