In most European countries the most common assistance for people with disabilities is provided by relatives, we can easily understand that this system has weaknesses. The trustful relationship makes it work but :
-family members, especially parents, are getting old and can't help eternally their child or relative with disabilities
-children that help a parent with disability have to handle with too much important responsibilities and too young
-relationship partners can't sacrifice their career for the other and can't fear to sign for a life-long 24hour job
-assistance with filial feelings most of the time leads to unequal relation
-hiring external assistants is considered as an abandonment if relatives worked before as assistants