Family rehabilitation implementation plan 1
Implementation plan of family rehabilitation service for the disabled in Huicheng District
In order to implement the requirements of the Provincial Disabled Persons' Federation's Notice on Printing and Distributing the Implementation Measures for Home Rehabilitation Services for Disabled Persons in Guangdong Province (Guangdong Disabled Persons' Federation [20xx] No.63) and the Municipal Disabled Persons' Federation [20xx] No.7 document, combined with the actual situation in our district, this implementation plan is formulated.
I. Guiding ideology and working principles
(1) guiding ideology.
Adhere to Scientific Outlook on Development to guide the work of the disabled, take the needs of the disabled as the guide, and effectively provide targeted and personalized services for the disabled, help the physically disabled to maximize their functions, further improve their quality of life, and enable them to enjoy the fruits of economic and social development.
(2) Working principle.
1, adhere to the principle of combining community rehabilitation with family rehabilitation and combining physical rehabilitation with psychosocial rehabilitation;
2. Adhere to government leadership? Buy services? Principles of professional service;
3. Adhere to the service principle of combining government agencies with social organizations.
Second, the mission objectives
Carry out pilot work of home rehabilitation service in conditional communities in Huicheng District, and gradually promote it in the whole region.
In August, 20xx began to carry out 30 cases of home-based rehabilitation services in three streets of Qiaodong, Qiaoxi and the south bank of the river, and will promote 40 cases of home-based rehabilitation services in five streets of Jiangnan, Jiangbei, Longfeng, Xiaojinkou and Shuikou before the end of the year.
III. Objects and standards of rehabilitation assistance
(a) rehabilitation assistance object.
Persons with disabilities applying for family rehabilitation services shall meet the following conditions:
1, with Huicheng household registration, People's Republic of China (PRC) Disabled Persons' Card (second generation) and rehabilitation needs;
2. Disabled persons belonging to low-income or low-income families in urban and rural areas.
(2) rescue standards.
In addition to the special relief funds arranged by the provincial and municipal finance, the district finance arranges special relief funds and working funds 1000 yuan per person per year according to the regulations.
Fourth, service standards.
(1) service mode.
The government purchases services to provide comprehensive rehabilitation services such as family-based rehabilitation training, rehabilitation nursing and social work for the physically disabled.
(2) service content.
1. Rehabilitation training: Rehabilitation doctors with professional qualifications provide services such as functional evaluation, exercise therapy, physical therapy, occupational therapy, life ability training, language correction and training guidance for severely disabled people.
2. Rehabilitation nursing: Professional qualified nurses provide rehabilitation nursing services such as turning over, diet nursing, washing nursing and excretion nursing for severely disabled people.
3. Social work services: licensed social workers provide psychological counseling, casework, group activities, referrals and other services for severely disabled people or their families; Communicate relevant government policies to the disabled and their families, and assist in handling the disabled card, all kinds of assistance, subsistence allowances, etc. ; Establish a network of resources for disabled people and their families to share their illness experiences and nursing experiences; Provide them with volunteer matching services, such as on-site service of trained volunteers, voluntary haircut, voluntary maintenance of assistive devices, newspaper reading, etc.
(3) service time.
1, rehabilitation training: twice a week, each time about 1 hour, with a total service time of not less than 90 hours per year;
2. Rehabilitation nursing: make house calls 1-2 times a week, each time 1 hour, with a total service time of not less than 90 hours per year;
3. Social service: Visit 1-2 times a month, each time 1-2 hours, and the total service time is not less than 20 hours a year.
(4) service objectives.
Help the severely disabled to the maximum extent, prevent the occurrence of complications and the aggravation of disability, improve the self-care ability and employment ability of daily life, and improve the living environment of the disabled, so as to achieve the purpose of functional reconstruction, improve the quality of life and integrate into society.
(5) Service quality evaluation.
Check and verify service quality through work card.
Regularly organize rehabilitation technical experts to evaluate the rehabilitation effect of rehabilitation objects.
(Rehabilitation evaluation criteria shall be formulated separately).
Verb (abbreviation of verb) organization and implementation
(1) organizational structure.
Establish a leading group for the implementation of family rehabilitation services for the disabled and a technical guidance center for the rehabilitation of physical disabilities in Huicheng District.
The leading group is headed by the chairman of the District Disabled Persons' Federation, and the vice chairman of the Disabled Persons' Federation in charge of rehabilitation and the members of the Party Committee of the Health Bureau are deputy heads. The leading group has an office located in the Rehabilitation Unit of the District Disabled Persons' Federation.
The project leading group is responsible for overall coordination, policy guidance and task funds.
The technical guidance center is responsible for formulating the work norms, professional training, work guidance, supervision and inspection of technical personnel of physical disability rehabilitation institutions.
(2) Implementation steps.
1, publicity and training stage (20xx August 1- 15)
Work out a work plan and hold training courses on family rehabilitation services.
Promote family rehabilitation services for the disabled through various channels and ways, and create a caring atmosphere and community environment for the disabled.
2. Assessment stage of the needs of family rehabilitation services for the disabled (20xx August 16-30)
Social workers, licensed rehabilitators and practical nurse will evaluate the function of the disabled to determine the services they need.
3. Full development stage (September 20xx1-June 30, 20xx)
Carry out family rehabilitation services for the disabled, establish personal files of family rehabilitation services for the disabled, help the severely disabled according to the actual situation, prevent the occurrence of complications and the aggravation of disability, and improve the self-care ability and functional recovery of daily life in order to achieve effective rehabilitation.
4. Summary stage (July 20xx 1-30)
The pilot work of family rehabilitation for disabled people throughout the year was comprehensively summarized, and the experience of further promotion was formed.
Work requirements of intransitive verbs
(1) unify thoughts and raise awareness.
Family rehabilitation service for the disabled is a popular project of the provincial government, which is related to the long-term development of the cause of the disabled.
Towns (streets) should further unify their thinking, raise their awareness, and fully realize the importance of taking the family rehabilitation of the disabled as the focus of the service system.
It is necessary to sort out work ideas, clarify objectives and tasks, improve work measures, and effectively put responsibilities, measures and inputs in place.
(two) to strengthen close cooperation with the health sector to ensure professional services.
Towns (streets) should cooperate closely with town hospitals (community health service centers) to provide a working platform for family rehabilitation training and rehabilitation nursing services for severely disabled people.
In the meantime, can we pass? Government purchases services? Methods of developing family rehabilitation service.
All service agencies and rehabilitation workers who carry out family rehabilitation must obtain the qualifications of district-level technical guidance centers to ensure the specialization of services.
(3) adopt a family rehabilitation mode combining agreement with work card management, strengthen supervision and assessment of service quality, and ensure service quality.
Family rehabilitation for the disabled is one of the contents of community rehabilitation for the disabled.
Towns (streets) must fully incorporate home-based rehabilitation services into the community rehabilitation network, make use of the community rehabilitation work mode, strictly manage the quality, and improve the rehabilitation effect.
At the same time, it is necessary to establish a special information database and do a good job in statistics of rehabilitation business data as required.
Extended reading:
Exploration and reflection on family rehabilitation services for the disabled II.
Rehabilitation of the disabled is a life-saving project.
With the rapid development of economy and society today, the rehabilitation needs of the disabled, especially the severely disabled, children and the elderly disabled who stay at home, show a trend of high-end, diversification and personalization, which makes the original rehabilitation service system face severe tests and practical challenges.
Rehabilitation mainly refers to the comprehensive and coordinated application of medical, social, educational, vocational and other measures to alleviate the physical, mental and social dysfunction of the disabled, so that they can get comprehensive rehabilitation and return to society.
Rehabilitation of the disabled is an important way to restore their living ability and improve their quality of life, and it is also a livelihood project to promote their education level and employability, gradually return to society and realize their own values.
Over the years, the party and the state have attached great importance to the rehabilitation of the disabled, and governments at all levels and disabled persons' federations have taken active actions to speed up the rehabilitation of the disabled? National rehabilitation service demonstration zone? Architecture and higher level? Everyone enjoys rehabilitation services? The process of achieving the goal.
The rehabilitation of the disabled has gradually formed a service and guarantee system with community rehabilitation and institutional rehabilitation as the main support.
However, with the economic and social transformation and the aging population, the number of disabled people is increasing, and the burden of family care is increasing. The rehabilitation needs of disabled people, especially the severely disabled people, children and elderly disabled people who can't stay at home, show a trend of high-end, diversification and personalization, which makes the original rehabilitation service system face severe tests and practical challenges.
Dongcheng District, Beijing actively explores new ideas and methods of rehabilitation services for the disabled, concentrates on integrating resources, overcoming difficulties and improving mechanisms. On the basis of comprehensive investigation and multi-party research, it takes the lead in launching the pilot project of home rehabilitation services for the disabled in the city.
After nearly two years' exploration, a home-based rehabilitation service model with government leading, social participation and multi-party cooperation has been initially formed, and a new road of rehabilitation for the disabled has been opened up, realizing the effective connection between social services and home-based services.
I. Overview of the Basic Situation
There are 32,360 disabled people with certificates in Dongcheng District.
Among them, there are 4,239 people with visual disability, hearing disability 1306 people, speech disability 138 people, 65,438 people with physical disability, 2,346 people with intellectual disability, 3,795 people with mental disability and 65,438 people with multiple disabilities.
The distribution of the disabled population is uneven, and some street jurisdictions are less than 1000 people, exceeding 4000 people. It has the characteristics of dense population in the central city, certain differences in the development level between the north and the south, and uneven distribution of various types of disabilities.
Second, the main practices
(a) to conduct a detailed investigation, in-depth analysis and scientific research on the family rehabilitation needs of the disabled.
First, the Questionnaire on Family Rehabilitation Needs of Disabled People in Dongcheng District was issued, and 475 severely disabled people with seven types of disabilities were investigated (see table 1 for details).
It covers 25 items in 6 categories, including rehabilitation training, skill training, rehabilitation activities, assistive devices, psychological support and barrier-free environment.
The results show that all the disabled people surveyed need family rehabilitation services, and the proportion of eight needs, such as assistive devices adaptation, rehabilitation training and psychological counseling, exceeds 20% (see Table 2 for details).
The survey results objectively reflect the matching degree between the disability category structure of severely disabled people and the demand for family rehabilitation services.
Table 1: Survey object structure of rehabilitation needs of disabled families in Dongcheng District
Percentage of total disabled men and women%
Visual disability 33 28 6 1 12.84
Hearing and language disabilities 1 1 2 0.42
Physical disability 195 94 289 60.84
Intellectual disability 36 27 63 13.26
Mental disability 29 18 47 9.89
Multiple disabilities 5 8 13 2.74
Total 299 176 475 100.
Table 2: Individual home rehabilitation services with demand ratio exceeding 20%
Second, the questionnaire on the rehabilitation needs of disabled children was distributed, and more than 240 disabled children under 6 years old were specially investigated. 22 valid questionnaires were collected, and the effective rate was 92. 1%.
What does the questionnaire include? Is there a demand for rehabilitation training services? 、? Do you need assistive devices? 、? Do you want to provide family rehabilitation services? 25 problems directly related to the family rehabilitation of disabled children.
The results showed that there were 155 people who needed rehabilitation training, accounting for 70% of the survey; There are 87 people who need assistive devices, accounting for 39%.
The survey data provide detailed scientific basis for the development of family rehabilitation services for the disabled.
(two) to strengthen leadership, careful deployment, and solidly promote the work of home rehabilitation services for the disabled.
The first is to set up a leading group for home rehabilitation in Dongcheng District, which is composed of disabled persons' federations, health, social management centers, sub-district offices and other relevant departments.
On the basis of previous investigation and analysis, the implementation plan and detailed rules of the pilot work of home rehabilitation service for the disabled in Dongcheng District were formulated.
The second is to hold a special deployment meeting, issue an implementation plan, and clarify the responsibilities, tasks and working procedures of each member unit.
According to the actual situation of the area, each street set up a work leading group, formulated a specific implementation plan, set up a service team, determined the service target, and comprehensively rolled out the pilot work of home rehabilitation.
(three) relying on community health management institutions, and actively explore family medical rehabilitation services.
The preliminary investigation shows that 1 15 people need rehabilitation nursing, 139 people need rehabilitation training, and 7/kloc-0 people need family beds.
In order to solve this problem, the District Disabled Persons' Federation has strengthened cooperation with community health management centers, enjoyed rehabilitation information for the disabled, signed service agreements in the form of home visits by general practitioners, conducted medical and health assessments for the disabled, formulated personalized rehabilitation service plans and provided professional guidance.
Effectively play the community health management center? Family doctor responsibility system? The function of this module is to classify contracted disabled people according to their constitution, age and illness, and to define the responsible doctors, service teams, appointment follow-up arrangements, health information feedback and other contents, so as to make home rehabilitation services more convenient, accurate and effective.
(four) relying on professional institutions, and actively explore family psychological rehabilitation services.
In order to fill the gap, the District Disabled Persons' Federation reached a cooperation intention with Chen Ying Psychological College of Beijing Normal University to jointly carry out family psychological rehabilitation services.
A volunteer team of 27 people is composed of college psychological counselors, divided into 9 groups, and goes deep into 26 vocational rehabilitation stations and some disabled people's homes every Tuesday and Thursday.
Through project interaction, group cooperation, instrument evaluation, face-to-face consultation and counseling, etc. , focusing on mental and intellectual disabled people and their families, to carry out a series of training and guidance such as psychological rehabilitation, social adaptation, willpower improvement and cognitive reconstruction, and gradually exercise and improve the self-care ability, interpersonal communication ability and social integration ability of disabled people.
(five) relying on private institutions, and actively explore the family rehabilitation services for disabled children.
First, give full play to the resource advantages of private rehabilitation institutions for disabled children, such as Xie Hefangtong Autism Rehabilitation Center and Sunshine Road Potential Development Center, and carry out family rehabilitation for ` 26 disabled children who are in need for various reasons but cannot go to rehabilitation institutions.
The two institutions attach great importance to this work, hire experienced backbones, formulate one-on-one training programs, design file templates, and provide on-site guidance to families of disabled children to fully ensure the quality of rehabilitation training.
Second, according to the actual needs of disabled children for assistive devices in the previous investigation, an evaluation expert group was organized at the city and district levels and came to the homes of 25 disabled children to evaluate them one by one.
Through face-to-face communication with family members, we can understand the living environment on the spot, and integrate the objective factors such as the age, height, degree of disability and physical function of disabled children to tailor the adaptation plan for assistive devices.
And 10 children with special disabilities were transformed into personal assistive devices, which solved the difficulty that they could not buy assistive devices suitable for children from the society.
(six) based on the actual needs, and actively explore the family rehabilitation AIDS services.
Among the 475 disabled people surveyed in the early stage, 384 people need assistive devices, accounting for 80.8% (Table 3). The severely disabled or elderly disabled people over 60 need assistive devices such as walking AIDS, sight AIDS, hearing AIDS, self-help appliances for daily life and rehabilitation nursing, reaching 100%.
Table 3: Statistics on the demand for assistive devices for the disabled
Proportion of men and women in service demand items to the surveyed population
Evaluation of assistive devices 42 26 68 14.3%
Attachment adaptation 103 56 159 33.5%
Guide to the use of assistive devices 4 1 24 65 13.7%
Parts maintenance 36155110.7%
Rental of assistive devices is 25 16 4 1 8.6%
Total 248 138 384 80.8%
According to the demand, the District Disabled Persons' Federation does not stick to the inherent process and strives to explore new service methods.
Aiming at the problems of strict restrictions on beneficiaries, small subsidies and single catalogue in the existing policies, a number of special services have been carried out.
The first is special adaptation and ability improvement.
Thirty-four heavy wheelchairs and portable wheelchairs were equipped for 17 street-level assistive devices station, which effectively met the use needs of some overweight people and the short-term travel needs of people with functional disabilities, and expanded the types of rented assistive devices.
Second, small assistive devices fill the gap.
District Disabled Persons' Federation contacted professional manufacturers in many ways and carefully selected small assistive devices suitable for family use.
For 365,438+02 severely disabled people, small appliances such as finger splitters, blind sticks and object pickers were provided, covering the categories of visual, physical and intellectual disabilities, filling the policy gap.
Third, paid leasing, expanding the scope.
Fully mobilize the strength of social institutions, and carry out a new model of high-end supplementary leasing outside the policy scope with Heyi Ci Senior Living Goods Co., Ltd.
Formulate relevant working procedures and norms, and issue a service manual for assistive devices for the disabled in Dongcheng District, so as to effectively meet the needs of some severely disabled people for high-end assistive devices with high prices and complete functions such as nursing beds and multifunctional wheelchairs.
The fourth is personality assessment, tailored.
In view of the 68 disabled people who had the needs of assistive devices evaluation in the previous investigation, the district assistive devices evaluation expert group went to the households one by one, put forward adaptation suggestions and guided their use.
And for 12 disabled people with special disabilities, we will formulate personalized programs and implement personalized transformation services for assistive devices.
III. Main Experiences and Gains
(A) the practical significance of implementing family rehabilitation services.
1. is conducive to improving the quality of life of the disabled.
First, the development of home-based rehabilitation has ensured that severely disabled people, children and the elderly who cannot leave home to receive services from professional institutions also enjoy the right to receive rehabilitation services, thus realizing the equalization of basic public rehabilitation services for the disabled.
Second, home-based rehabilitation enables disabled people to get rehabilitation training in a familiar family environment and family atmosphere, which reduces their inner loneliness, enhances their confidence in rehabilitation, restores and compensates their physical functions, and enhances their ability to participate in society.
2. It is conducive to improving the happiness index of the disabled.
Professional home service provided by home rehabilitation is a supplement and extension of traditional community rehabilitation and institutional rehabilitation models.
Through standardized module management, personalized planning, professional service quality, humanized training guidance, information analysis and feedback, the level of rehabilitation services can be effectively improved, so that disabled people can enjoy high-level professional services without leaving home; Second, it lightens the family burden of the disabled, reduces the hospitalization rate, and relieves them of the pain of running back and forth between family and institutions, thus enhancing the happiness of the disabled.
3. It is conducive to promoting the progress and harmonious development of social civilization.
Promoting family rehabilitation service in an all-round way is an important way to implement Scientific Outlook on Development, solve the increasingly acute problem of rehabilitation service and effectively improve the life and quality of life of the disabled. It is a humanized choice to carry forward the fine tradition of helping the disabled and respect the emotional and psychological needs of the disabled; It is also an important measure to promote family harmony and social harmony; It is also an important way to accelerate the development of service industry, broaden employment channels and promote the socialized development of the cause of the disabled.
(two) the effectiveness of the pilot work of home rehabilitation services.
First, carry out special training to maximize the service effect.
Dongcheng District Family Rehabilitation Training School for the Disabled was established to provide community doctors, social workers, rehabilitation service personnel, volunteers, disabled people and their relatives with rehabilitation service policies, disability prevention, basic rehabilitation, psychological support and other related training to help more disabled families establish a correct concept of rehabilitation. A total of eight training courses were held and more than 600 people were trained.
The second is to set up a professional team to standardize service quality.
Based on the district-level rehabilitation service technical resource center, five professional service teams, namely, community doctor rehabilitation training, disabled children rehabilitation service, volunteer psychological consultation, assistive devices evaluation and maintenance, and community rehabilitation coordinator, were established to provide on-site services for the disabled in a classified and focused manner.
The third is to improve the working mechanism and personalize the service content.
On the basis of in-depth investigation, careful planning and pilot exploration, the home rehabilitation service is progressing smoothly at present.
In 20xx, family rehabilitation services were provided to 350 disabled people in the whole region, with 553 person-times of rehabilitation training, 538 person-times of skill training, 9 12 person-times of rehabilitation activities, 3 12 person-times of assistive devices distribution and 263 person-times of psychological consultation? Various services have been provided to more than 2,700 people.
The effect of psychological rehabilitation service and personalized transformation of assistive devices is particularly remarkable.
According to statistics, among 187 disabled people who received group training, 52% were generally depressed before receiving psychological rehabilitation services, and 17% often had stress reactions.
After a period of psychological counseling and group counseling, more than 22% of the disabled people have obviously improved their psychology and behavior, and more than 30% of the disabled people have formed a good psychological experience, established a relationship of mutual trust with psychological counselors, and actively cooperated with psychological counselors for psychological rehabilitation.
Another example is Guanmou, a disabled person in Beixinqiao Street, whose family life is poor.
Obesity caused by illness, weighing more than 480 kilograms, can only walk a short distance of more than ten meters with the help of someone, and all parts of the body have different degrees of damage, and even symptoms of cardiopulmonary failure appear.
Dongcheng District Disabled Persons' Federation invited foreign experts to conduct personalized evaluation and customization of assistive devices.
Many times, the evaluation experts were arranged to visit the house, and a comprehensive scientific and objective evaluation was made according to special factors such as home environment and physical condition, and a personalized plan was made to tailor the special multifunctional wheelchair bed, which effectively solved the problems of sitting, sleeping and walking.
Fourth, the main problems
(1) The safeguard mechanism needs to be long-term and sound.
Family rehabilitation is a new service project. At present, there is no complete supporting policy, no systematic service standard, charging standard and evaluation and supervision mechanism.
There is still a lack of clear policy guarantee in infrastructure construction, professional team and equipment procurement, work funds and so on. To some extent, it restricts the in-depth and long-term development of home rehabilitation services.
(2) The service system needs to be diversified.
Home rehabilitation services for the disabled, especially for the elderly and their families, involve medical care, old-age care, health and many other aspects.
This is far beyond the power of one or several disabled persons' federations. It needs the participation and cooperation of many government departments, social organizations, communities and families where the disabled live, so as to seek the reality of home rehabilitation of the disabled and solve the difficulties of social integration of the disabled.
(3) The ability level needs to be improved professionally.
Rehabilitation is a policy, professional and technical work.
It needs long-term accumulation to cultivate a team of rehabilitation services who understand business, policies, practice and love.
After many trainings, the overall quality of the home rehabilitation service team in Dongcheng District has been improved, but compared with the actual needs of the disabled, there are still problems such as low degree of specialization and insufficient number of service personnel.
In particular, because of the relatively low wages, the team of street and community rehabilitation coordinators is unstable and the brain drain is great. The lack of knowledge reserve and ability of some newcomers restricts the improvement of home rehabilitation services to some extent.
Verb (abbreviation of verb) Suggestions and Countermeasures
(a) into the overall situation, improve the mechanism, promote long-term home rehabilitation services.
First, the work of home rehabilitation for the disabled should be incorporated into the overall planning of the government, and the successful experience of the pilot should be summarized to find out the existing problems and deficiencies.
Joint health, civil affairs, the Disabled Persons' Federation and other departments issued the "Implementation Opinions on Family Rehabilitation of Disabled Persons".
Second, according to the pilot situation, standardize the professional service team; According to the actual needs of the disabled, sort out and clarify the items, contents and processes of home rehabilitation services, and establish service norms and quality standards for relevant personnel.
The third is to study and formulate rehabilitation security policies and expand the scope of employment security for the disabled.
At the same time, encourage non-governmental organizations to participate, and explore the establishment of a working mechanism with policy support as the strong support, government purchasing services as the main channel, and charitable donations as the supplementary point.
(2) Integrate resources, standardize management, and promote the socialization of home rehabilitation services.
Integrate superior resources such as health, education, civil affairs, social institutions and caring units. And carry out home rehabilitation services to meet the needs of the disabled.
Give full play to the role of the Disabled Persons' Federation as a pivotal social organization, encourage professional social institutions to enter the field of home rehabilitation services, and focus on cultivating professional institutions engaged in rehabilitation training, home care, assistive devices, psychological counseling and other projects urgently needed by the disabled.
Form a service system with district-level rehabilitation resource centers as technical guidance, community service institutions as an important carrier and professional social institutions as an organic supplement.
(3) Strengthen training, put people first, and promote the specialization of family rehabilitation services.
Establish a training mechanism for home rehabilitation service personnel, improve the training system for rehabilitation service managers and technicians, and give full play to the functions of Dongcheng District Rehabilitation Service Training School: First, regularly hire experienced experts to carry out various rehabilitation knowledge training, and constantly improve the service ability and professional level of various rehabilitation service teams.
The second is to set up a group of family rehabilitation lecturers, and according to the actual needs of disabled people and their relatives and friends, to carry out activities such as lectures on assistive devices, rehabilitation classes and psychological rehabilitation expansion in streets and communities, popularize scientific, easy-to-understand and easy-to-operate rehabilitation nursing knowledge and skills, and effectively improve the professional level of family rehabilitation services.