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Community based rehabilitation

Community based rehabilitation

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Published by Arun Jv

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Published by: Arun Jv on Sep 27, 2012
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05/14/2015

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SEMINAR ON COMMUNITY BASED REHABILITATION

INTRODUCTION
Rehabilitation, considered as functional restoration, can be achieved only by empowering the disabled as well by enriching their community.  It amounts to development of the community as a whole, empowering the disabled persons to achieve their complete potential, enabling them to integrate into the fabric of the community and make decisions for themselves

INTRODUCTION CONT…. Empowering the disabled persons may involve medical.  Enriching the community involves education. providing basic resources. changing attitudes and building constructive approaches towards disability and related problems. social. vocational and educational inputs. creating awareness.  .

community means (a) a group of people with common interests who interact with each other on a regular basis.  . and/or (b) a geographical. social or Government administrative unit”  ILO’s Definition: “Rehabilitation involves the combined and coordinated use of medical. social. educational and vocational measures for training or retraining the individual to the highest possible level of functional ability”.DEFINITIONS CBR Working Group (1997) Definition : “In the CBR context.

DEFINITIONS CONT… “CBR is a strategy for enhancing the quality of life of disabled people by improving service delivery. and the WHO. ILO. according to three United Nation Agencies. by providing more equitable opportunities and by promoting and protecting their human rights” (E. as a "strategy within community development for the rehabilitation. Helander )  CBR may be defined. and social integration of all people with disabilities.  . UNESCO. equalization of opportunities.

psychological. or training in the use of prosthetic and orthotic devices Recreational therapy Physical and occupational therapy Speech.COMPONENTS         Medical. fitting. psychological. and vocational services that are provided under one management Testing. social. and hearing therapy Psychiatric. including positive behavior management Assessment for determining eligibility and vocational rehabilitation needs Rehabilitation technology . language. and social services. psychiatric.

placement.COMPONENTS CONT…         Job development. and retention services Evaluation or control of specific disabilities Orientation and mobility services for individuals who are blind Extended employment Psychosocial rehabilitation services Supported employment services and extended services Services to family members when necessary to the vocational rehabilitation of the individual Personal assistance services .

OBJECTIVES OF COMMUNITY REHABILITATION To ensure that PWDs are able to maximize their physical and mental abilities.  To establish the local communities to create awareness about persons with disabilities. recognize their rights and accept at least part of responsibility for their rehabilitation  . for example.  To activate communities to promote and protect the human rights of PWDs through changes within the community. and to become active contributors to the community and society at large. by removing barriers to participation. to access regular services and opportunities.

including persons with disabilities themselves. To ensure strong political commitment for the promotion of CBR .OBJECTIVES OF COMMUNITY REHABILITATION CONT…. employment etc.human. vocational.      To motivate the local communities to mobilize their own resources . their families and friends to take an active part in rehabilitation training To organize training for personnel at different levels and to use appropriate training material. education. To deliver services built upon existing community. organizational infrastructure. especially primary health care services To establish a referral network to meet needs which cannot be met locally and work in conjunction with other sectors viz. material and financial.

BASIC PRINCIPLES OF A CBR PROGRAMME Equality  Social justice  Solidarity  Integration  Dignity  .

BASIC PRINCIPLES OF A CBR PROGRAMME CONT… Inclusion  Participation  Sustainability  Empowerment  Advocacy  .

.COMMUNITY REHABILITATION TEAM  Community Rehabilitation Team (CRT) is a community based multi-disciplinary team offering a service to adults with significant physical and cognitive disabilities.

COMMUNITY REHABILITATION TEAM The multidisciplinary team consists of members from:  Occupational Therapy  Physiotherapy  Speech Pathology  Psychology Neuropsychology and Clinical Psychology  Social Work  Prosthetics and Orthotics  Exercise therapy (gym and hydrotherapy).  Vocational Rehabilitation  Rehab coordinator  Rehabilitation physician .

MULTI-SECTORAL SUPPORT FOR CBR Support from the Social Sector  Support from NGOs and the local community  Support from the Health Sector  Support from the Educational Sector  Support from the Employment and Labor Sector  Support from the Media  .

TRENDS IN COMMUNITY BASED REHABILITATION Information technology revolution  Economic restructuring  Democratization  Environment  Ageing  Multiculturalism  .

OTHER TRENDS Movement towards better acceptance of CBR  More research  .

METHODS OF COMMUNITY REHABILITATION Occupational Rehabilitation  Physical Rehabilitation  Aquatic Rehabilitation  Cognitive Rehabilitation  Speech/Swallowing Therapy  Balance Therapy  Respiratory Therapy  Vision Therapy  .

The Medical Model 3.The Social Model .The Traditional Model 2.MODELS OF REHABILITATION 1.

ISSUES IN COMMUNITY BASED REHABILITATION Lack of standardisation  Lack of recognition and accreditation  Lack of a career ladder  Unavailability of appropriate trainers  Turnover  .

GOVERNMENT INITIATIVES IN COMMUNITY REHABILITATION        District Rehabilitation Center (DRC) Project started in 1985. National Information Center on Disability and Rehabilitation National council for Handicapped Welfare National Level Institutes-NIMH. NIHH. IPH. District Disability Rehabilitation Centre The National Policy for Persons with Disability 2005 Arushi . NIVH. NIOH.

REHABILITATION SERVICES IN INDIA            MINISTRY OF SOCIAL JUSTICE AND EMPOWERMENT MINISTRY OF HEALTH AND FAMILY WELFARE.LABOUR.KOLKATA .DEHRADUN NATIONAL INSTITUTE OF ORTHOPEDICALLY HANDICAPPED.INFORMATION AND BROADCASTING REGIONAL AND DISTRICT REHABILITATION CENTRES REHABILITATION COUNCIL OF INDIA OCCUPATIONAL THERAPY SCHOOL(MUMBAI.HRD.MUMBAI NATIONAL INSTITUTE OF MENTALLY HANDICAPPED(NIMH) SECUNDERABAD ALI YAVAR JUNG NATIONAL INSTITUTE FOR HEARING HANDICAPPED MUMBAI NATIONAL INSTITUTE OF VISUALLY HANDICAPPED.NAGPUR) ALL INDIA INSTITUTE OF PHYSICAL MEDICINE AND REHABILITATION(MUMBAI) OCCUPATIONAL THERAPY COLLEGE .

CBR Forum plays a proactive and promotional role in Community Based Rehabilitation of Persons with Disabilities in India and in the inclusion of persons with disabilities in community development programmes.  . non-profit organisation.OTHER INITIATIVES Community Based Rehabilitation (CBR) Forum : Established in 1996 is secular.

ROLE OF NURSE IN COMMUNITY REHABILITATION Practitioner  Care coordinator  Advocate  Educator  Consultant  Researcher  .

CONCLUSION Community-based rehabilitation (CBR) focuses on enhancing the quality of life for people with disabilities and their families.. meeting basic needs and ensuring inclusion and participation. . employment. health and social services. CBR was initiated in the mid-1980s but has evolved to become a multi-sectoral strategy that empowers persons with disabilities to access and benefit from education.

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