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Moving from Residential Institutions to Community-Based Social Services in Central and Eastern Europe and the Former Soviet Union:

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Length: 70 pages2 hours

Summary

This study reviews the use of residential institutions for the care of children, the elderly and people with disabilities (mental, physical, or sensory impairment) in the region of Central and Eastern Europe. It focuses on five countries-Albania, Armenia, Latvia, Lithuania, and Romania-where the World Bank is helping to develop community-based social services to reduce the reliance on residential institutions. The groups of people listed were selected for several reasons. First, they represent the majority of individuals in residential institutions. Second, these groups were severely affected by conditions created in the transition to a market economy. In many ways the problems these individuals confront and the reasons they are institutionalized are applicable to other groups in residential institutions. Third, remedial actions have begun in Central and Eastern Europe and the former Soviet Union to prevent the institutionalization of these individuals and to promote their reintegration into the community. Finally, the report uses the findings of research on residential institutions, most of which examines the effects on children, both able and with disabilities, and some of which focuses on the elderly.

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