CBR and Multidisciplinary approach

models of multidisciplinary CBR.

Neha.N.Lavhade.
2nd MPT(Community Physiotherapy)
Guide-Dr. Shyam D. Ganvir.
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Objectives:
 At the end of the seminar students will able to understand :
 Definition of CBR
 Principals of CBR
 Objectives of CBR
 Approach of CBR
 Models of CBR
 CBR Matrix
3
Definition:

 It is a strategy within general community development for the

rehabilitation, equalization of opportunities and social
inclusion of all people with disabilities.

CBR guidelines- WHO

 Barrier free Self-
4 advocacy Empowerment
environment

Sustainability
Equality

Principles
Participation
Social justice

Inclusion
Solidarity
Integration Dignity
Malcom peat, community based rehabilitation- 2nd
edition
5 Equality :

 All human beings are of inherently equal worth, are entitled to equal
rights and share the same responsibilities.
 One of the aims of a rehabilitation programme should be to stress the
abilities and competence of disabled people, to increase their
responsibilities and rights,
 To strengthen the process of empowerment.

Malcom peat, community based rehabilitation- 2nd edition

6 Social justice:

 Social justice implies that services and opportunities provided

for disabled people should be at the disposal of all and not be
reserved for a numerically small group among them.
 Social justice further implies that one should not seek to accord
disabled people privileges

Malcom peat, community based rehabilitation- 2nd edition

7 Solidarity:

 Solidarity should be shown toward those among us who are

dependent and need help - children, the elderly, and those who
have a disability.
 All human beings are dependent on each other during many years
of their lives. Solidarity is one of the main principles of our
societies, without which none of us could survive.

Malcom peat, community based rehabilitation- 2nd edition

8 Integration:

 All members of the society should join in the mainstream of

community life.
 Integration of disabled people in all aspects of life will, in the
long-term perspective, help them to achieve friendship with
and esteem by others

Malcom peat, community based rehabilitation- 2nd edition

9 Dignity:

 The final guiding principle is dignity.

 The term "dignity" may be defined as follows: "the quality
that earns or deserves respect."
 All disabled people should live a life in dignity.

Malcom peat, community based rehabilitation- 2nd edition

10 Inclusion:

 Inclusion of disabled persons in mainstream society is

fundamentally an idea of emancipation.
 This applies to all sectors of society such as the workplace,
schools, hospitals, religious sanctuaries, theatres, banks, sports
clubs and charitable organisations.

Malcom peat, community based rehabilitation- 2nd edition

11 Empowerment:

 Empowerment is to show persons with disabilities that

they can make choices for themselves and grow in
autonomy.
 Disabled persons also need skills and tools that will enable
them to communicate effectively and to do what is needed
to make use of available services.

Malcom peat, community based rehabilitation- 2nd edition

12 Sustainability:

 Working for sustainability also includes building stable

partnerships with organisations and programmes that help the
CBR programme achieve its mission.
 Partnerships can be formalised by a written agreement and by
creating a routine of regular meetings to discuss business.

Malcom peat, community based rehabilitation- 2nd edition

13 OBJECTIVES OF CBR:

 providing all the rehabilitation services needed;

 Reducing environmental barriers;
 Compensating disabled people for any loss in their
standard of living caused by disability;
 Promoting social integration and self-actualisation;
 Protecting and ensuring the security of disabled people;
 Empower disabled people

Malcom peat, community based rehabilitation- 2nd edition

14 GENERAL APPROACHES:

 Learning from the people.

 Building and upgrading the system from below.
 Do not look for instant or easy solutions

Malcom peat, community based rehabilitation- 2nd edition

15 Multidisciplinary approach - OUTREACH
ACTIVITY

COMMUNITY INSTITUTE
 Geriatric rehabilitation centre  Ergonomic clinic
 Geriatric day care  Antenatal clinic
 Obesity clinic  Postnatal clinic
 COVID-19 awareness for elderly  Falls clinic.

Malcom peat, community based rehabilitation- 2nd edition

16 How CBR program helps the
community ?
Rehabilitation
Awareness
Medical care and support
raising
services

Income Government and

Education maintenance and community
social security committee
Malcom peat, community based rehabilitation- 2nd edition
 17 Stakeholders in the Educational Process
 Persons with disabilities
 Families / caregivers
 Community members
 Volunteers
 CBR workers/ CBR supervisors
 Government & multilateral agencies
 Health care & related professionals
 Employers

Malcom peat, community based rehabilitation- 2nd edition

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Malcom peat, community based rehabilitation- 2nd edition

19 CBR Models:

 Aim
 Structure
 Human Resources
 Origin

Malcom peat, community based rehabilitation- 2nd edition

20  Model 1:
 AMERF-NGO
 Objectives:
1.Increase awareness, Early detection, Prevention of
disability in community.
2.Train teachers and community health workers for
simple rehab. Skills
3.Vocational training.

Malcom peat, community based rehabilitation- 2nd edition

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 Activities:
1. Awarness rising and community mobilization.
2. Community Training.
3. Use of simple appropriate technology.
4. Support families through home visits.

Malcom peat, community based rehabilitation- 2nd edition

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 Model 2:
 Sahaya CBR project- India
 For Disabled children of tirupati and surrounding village.

 Objectives:
 Provide services to disabled.
 Facilitate the disabled people in community life,
 Provide active participation of community.

Malcom peat, community based rehabilitation- 2nd edition

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 Activities;
1. Identification of children with disability.
2. Involvement of community leaders,womens,leaders.
3. Integration of physically handicapped children in normal
schools.

Malcom peat, community based rehabilitation- 2nd edition

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Challenges in CBR
1. Coverage remains limited:
 Only few PWD’s, their families and community actually get benefits
from the CBR program.

2. Inter-agency collaboration is weak:

 The collaboration between government and disabled people organisation
is weak and needs to be strengthen.
 The collaboration is needed for improving QOL and the sustainability of
the program.
Malcom peat, community based rehabilitation- 2nd edition
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Challenges in CBR

3. Sustainability is concerned:
 Community involvement and resource provision to the CBR program is
limited.
 Many of the CBR committees have stopped working because they see
no benefit to being part of the committee.

Malcom peat, community based rehabilitation- 2nd edition

26 Summary:

 Definition of CBR
 Principals of CBR
 Objectives of CBR
 Approach of CBR
 Models of CBR
 CBR Matrix

Malcom peat, community based rehabilitation- 2nd edition

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Recent questions:
 Write about CBR matrix- 10 marks

Malcom peat, community based rehabilitation- 2nd edition

28 References:

1. CBR guidelines- WHO

2. Textbook of rehabilitation, 4th edition, S Sunder.
3. Malcom peat, community based rehabilitation- 2nd edition.

Malcom peat, community based rehabilitation- 2nd edition

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Thank you

Malcom peat, community based rehabilitation- 2nd edition