Generally speaking, the principle of combining centralized support with decentralized support is adopted for the relief and support of the poor.
1. Centralized support. Complete or partial loss of self-care ability, give priority to providing centralized support services. Centralized support generally adopts territorial support, and the township (street) nursing home where the household registration is located provides support services. For the elderly who are admitted to hospital for support, the village (neighborhood) is encouraged to sign a legacy support agreement with it according to law, and the village (neighborhood) shall bear the corresponding obligations of the birth, support and death of the object and enjoy the right of bequest. Towns (streets) that do not have the local pension conditions for the time being shall assume the basic pension service guarantee function by other towns (streets) nursing homes or private pension institutions by signing agreements or purchasing services by the government.
2. Decentralized support. Encourage people who can take care of themselves to support themselves at home. With my consent, the township and village (street) may entrust their relatives and friends or the village (neighborhood), support service agencies, social organizations and social work service agencies. Provide daily care, life care, hospitalization and other services.
For poor people who are not suitable for hospital support due to mental illness, infectious diseases and other special reasons, do a good job of "linking families with hospitals", link support service institutions to manage and use support funds, and distribute support funds to themselves or to institutions, organizations or individuals entrusted with providing care services.
Two. Contents and standards of assistance and support
1. Relief and support content
(1) Provide basic living conditions. Including the supply of grain and oil, non-staple food, household fuel, clothing, bedding and other daily necessities and pocket money. You can guarantee it in kind or in cash.
(2) take care of people who can't take care of themselves. Including basic services such as daily life and necessary nursing during hospitalization.
(3) provide disease treatment. Give full subsidies to individuals who participate in the basic medical insurance for urban and rural residents. Poor people in hospital (including special outpatient) medical expenses after the basic medical insurance, serious illness insurance, medical assistance reimbursement assistance, individuals are still difficult to bear, give necessary assistance. Among them, the medical expenses for hospitalization (including special outpatient service) below 6,000 yuan (inclusive) are supported by towns (streets), villages (neighborhood committees) or relief funds except personal burden 10%. More than 6000 yuan shall be borne by the municipal finance. General outpatient expenses (individual outpatient expenses are graded) shall be borne by the city 50%, the town (street) 35%, the assistance fund 10%, and the individual 5%; In principle, the annual per capita assistance for outpatient expenses shall not exceed 30% of the annual basic living standard.
(4) handle the funeral. After the death of the poor, the funeral matters shall be handled by the supporting service agency or the township (street) entrusted by the village (neighborhood) or its relatives. Funeral matters should be civilized and frugal, and funeral expenses can be paid from the help funds.
(5) Other matters. For the poor people who meet the standards of decentralized support and are "linked to households and hospitals", housing assistance is given through the allocation of public rental housing, the issuance of housing rental subsidies, and the renovation of dilapidated houses in rural areas. Providing educational assistance to the poor who receive pre-school education and compulsory education; For poor people attending high school education (including secondary vocational education) and general higher education, appropriate education aid should be given according to the actual situation.
2. Criteria for assistance and support
The standards of assistance and support for destitute people include basic living standards and nursing standards.
(1) Basic living standard. Calculated according to not less than 50% of the per capita consumption expenditure of urban households in our city in the previous year. Centralized support for poor people support funds by the support agencies to co-ordinate the use of; 70% of the basic living standard for the poor people who are supported in a decentralized way is used by themselves, and the remaining 30% is used by towns (streets) or supporting institutions as a whole, all of which are used for medical care, funeral and living expenses of the poor people.
(2) nursing standards. According to the nursing subsidy standard for severely disabled people implemented in our province, it can be divided into three levels: completely unable to take care of themselves, basically unable to take care of themselves, and partially unable to take care of themselves. Centralized support, by the support service agencies to co-ordinate the distribution of care workers; Decentralized support, paid to myself or institutions, organizations or individuals entrusted to provide nursing services. Conditional towns (streets) can appropriately raise the standard of nursing subsidies.
Third, the identification conditions
1. The destitute people refer to the urban and rural elderly, the disabled and the minors under the age of 16 who have no ability to work, no source of income, no legal dependents or legal obligors to perform their obligations.
2. In any of the following circumstances, it shall be deemed as incapacitated:
(1) elderly people over 60 years old;
(2)/kloc-minors under the age of 0/6;
(3) Intellectual and mental disabled persons with disabilities of Grade I and II, and physical disabled persons with disabilities of Grade I;
(four) other circumstances stipulated by the people's governments at or above the municipal level and the civil affairs departments.
3 family per capita income, property in line with the provisions of the minimum living guarantee in our city, it should be recognized as no source of income.
4. The legal obligor shall be deemed incapable of performing his obligations in any of the following circumstances:
(1) The poor with conditions;
(2) the minimum living guarantee object is over 60 years old or severely disabled;
(three) persons who have no capacity for civil conduct, are declared missing and are serving their sentences, and their property meets the requirements of the minimum living guarantee in our city;
(four) other circumstances stipulated by the people's governments at or above the municipal level and the civil affairs departments.
5. Minors under the age of 16 who meet the conditions of assistance and support for destitute people and identification of orphans will be included in the scope of basic living security for orphans and will no longer be identified as destitute people.
6. The income and property of this opinion can be identified according to the Measures for Determining the Economic Status of Social Assistance Families in Zhuji City.
(2) Handling procedures
1. Application procedure. I submit a written application to the township (street) where the household registration is located, and submit relevant materials in accordance with the regulations, stating in writing the ability to work, the source of life and the relationship of support, support and maintenance. If I have difficulty in applying, I may entrust the village (neighborhood) committee or others to apply on my behalf. The applicant shall perform the relevant procedures authorized to check the family's economic situation.
Townships (streets) and villages (streets) should keep abreast of the living conditions of residents within their respective jurisdictions, and inform those who meet the conditions for assistance and support for the poor people of their assistance and support policies. If you cannot apply independently without civil capacity, you should take the initiative to help them apply.
Township (street) to review the materials submitted by the applicant or his agent, and accept the materials with complete materials; If the materials are incomplete, inform the applicant or agent to complete all the required materials at one time.
2. Approval procedure. Villages and towns (streets) shall, within 20 working days, investigate and verify the applicant's income, property status and other supporting materials through household surveys, neighborhood visits, letters and visits, democratic appraisal and information checking. After 7 days of publicity in the village (neighborhood) where the applicant is located, put forward the examination and approval opinions without objection and report to the Municipal Civil Affairs Bureau for the record; Do not approve the application that does not meet the requirements, and explain the reasons to the applicant in writing; If there is any objection to the publicity, the township (street) shall re-organize the investigation and verification, put forward the examination and approval opinions within 20 working days from the date of receiving the objection, and re-publicize it. The applicant and the relevant units, organizations or individuals shall cooperate with the investigation and provide relevant information truthfully.
The Civil Affairs Bureau randomly checks and verifies the investigation materials and approval opinions reported by towns (streets) according to the proportion of not less than 30%.
For those who meet the conditions of assistance and support, the Certificate of Assistance and Support for Poor Persons will be issued, and assistance and support files will be established, and assistance and support will be given from the date of approval next month, and an announcement will be made in the village (neighborhood) where the applicant is located.
3. Terminate the procedure. If the poor people no longer meet the conditions for assistance and support, the assistance and support will be terminated and publicized for 7 days after the township (street) audit. Termination of assistance and support, the township (street) shall inform the parties, the village (neighborhood) or their relatives in writing of the reasons for termination. If there is any objection to the publicity, the township (street) shall organize the investigation and verification again, and make a decision on whether to terminate the assistance and support within 20 working days from the date of receiving the objection, and re-publicize it.
Minors among poor people who are still receiving compulsory education or studying in ordinary high schools and secondary vocational schools after reaching the age of 16 can continue to enjoy the treatment of assistance and support.
4. others. Those who are identified as rural five guarantees and "three noes" in urban and rural areas can be directly identified as poor people.
Legal basis:
Article 4 of the Mental Health Law of People's Republic of China (PRC) * * The personal dignity and personal and property safety of patients with mental disorders are inviolable.
The legitimate rights and interests of patients with mental disorders in education, labor, medical care and material assistance given by the state and society are protected by law.
The relevant units and individuals shall keep confidential their names, portraits, addresses, work units, medical records and other information that may infer their identity; However, unless it is necessary to disclose the performance of duties according to law.