Individual rehabilitation program for disabled people

An individual rehabilitation program for a disabled person, a model of which will be described below, is a set of measures aimed at restoring, compensating for lost or disturbed functions of the body, as well as the ability to carry out certain activities. It is formed in accordance with the decision of the authorized body of the Ministry of Health. Individual forms, types, volumes, order and terms of professional, recreational and other measures are included in the IPR. Let us consider further how the development of a rehabilitation program for disabled people is being carried out, what activities can be included in it. The article will also describe some of the nuances associated with the implementation of the IRP.

Format of the card

Since 2005, on the territory of Russia, the rehabilitation program for a disabled person is compiled according to a single form. It is approved by the Order of the Ministry of Health and Social Development No. 287 of 29.11.2004. The map consists of several parts. The rehabilitation program for a disabled person is formed taking into account information about the citizen. Accordingly, the first part details the information about it. In addition to personal data, this section contains information:

1. On the educational level (professional and general).
2. Specialties, qualifications and labor functions performed at the time of the survey (if they exist).
3. Group disability, degree of disability.

Main activities

What does the sample program contain? Rehabilitation of disabled people includes key rehabilitation and compensation measures. Among them there are also medical measures. Within the framework of medical rehabilitation :

1. Rehabilitation therapy.
2. Reconstructive surgery.
3. Orthosis and prosthetics.
4. Provision of technical devices and facilities.
5. Sanatorium treatment (for non-working citizens).

The program of medical and social rehabilitation of disabled people includes:

1. Advising and informing on a set of measures taken.
2. Legal support.
3. Patronage of the family.
4. Rehabilitation with the use of sports and physical education.
5. Adaptation training.
6. Provision of technical adaptations for the implementation of public and domestic activities.
7. Psychological help.
8. Socio-cultural rehabilitation.

Restoration of work capacity

A professional program for the rehabilitation of a disabled person is a system of measures aimed at restoring a citizen's ability to work. It includes:

1. Development of recommendations on contraindications and acceptable types and conditions of activity.
2. Vocational guidance.
3. Vocational training or retraining.
4. Assistance in finding a job.
5. Provision of technical means.

Working with underage citizens

The rehabilitation program for a disabled child includes psychological and pedagogical activities. They include:

1. Getting preschool and school education and upbringing.
2. Psychological and pedagogical correctional work.
3. Providing technical means for training.

In addition, the rehabilitation program for a disabled child provides for the patronage of the family in which it is located. Specialists hold consultations, provide psychological assistance to parents.

Individual rehabilitation program for the disabled: sample

The most important sections of the IPR are those in which psychological-pedagogical, medical measures are indicated, as well as services that provide assistance in restoring the professional competitiveness of a citizen in the labor market. In each of them there are two parts. The first specifies the specific activities, technical means that will be necessary for a person. In the second part there is information about the executors, forms, terms, the order in which the individual rehabilitation program for the disabled person will be implemented, as well as the results obtained or the reasons for their non-receipt. A sample form is given in the article.

Where can I place a card?

The rehabilitation program for the disabled person is drawn up in accordance with the decision of the ITU federal institution. In this connection, it is necessary to apply for the card to the organization that issues the certificate. It is, as a rule, the local unit of the Bureau of Medical and Social Expertise (BMSE).

Purpose of the IPR

Programs of social rehabilitation of disabled people are a key mechanism to ensure that the personal needs of citizens are taken into account and targeted support. To date, the presence of an IPR map allows solving effectively many issues related to the implementation of compensation and recovery measures. At the same time, the effectiveness of interaction with government officials is increasing at all levels. For example, higher education institutions require IPP for admission to training. No citizen with a disability will be able to register with the employment center without having an appropriate document. Therefore, without IPR one can not get an education, get a job, get a new specialty.

In addition, the state program for rehabilitation of the disabled provides for the possibility of obtaining the technical means necessary for adaptation. In addition, the document may specify special conditions that are necessary for a particular person. This is especially important for citizens who have not reached 18 liters. Individual program of rehabilitation and habilitation of a disabled child includes only those activities that are acceptable for him in view of his psychophysiological state.

Procedure for obtaining

In accordance with the Regulations on the recognition of a citizen as an invalid, the development of the program should be carried out within a month after the establishment of the group and the degree of disability. However, in practice, the following procedure applies. To get an IPR, you need to visit the attending physician and ask him for a referral to the ITU. In the Bureau of Medical and Social Expertise, in addition, you should apply. It is made in 2 copies. It is useful to specify the specific activities, services and facilities that a citizen needs.

To fully reflect all the needs for each section of the map, it is recommended to describe them on a separate sheet-application. In the text of the application, you should specify a request to take into account this information. It is also advisable to attach to the document the recommendations of experts or opinions of experts who provide these or those services. This is necessary to create the most complete representation of ITU staff about all the needs of the citizen and his rehabilitation potential.

You can apply for a card not only during a re-examination. The program of social rehabilitation of disabled children, as well as adults with disabilities, is compiled every year, even if the group is established without a period of re-examination.

An Important Moment

An individual program for the rehabilitation of a disabled person, the completion of which must be carried out taking into account not only the recommendations of experts, but also the wishes of the citizen himself, is transferred to him for signature. He must put his autograph in every section of the card. So he expresses his consent to the measures indicated in it.

However, contradictions are not excluded. In such cases, the citizen in the signature field writes that he does not agree with the content of the card, and indicates the reasons. Decisions and actions of BMSE employees are entitled to challenge the person. The complaint is filed with the Central Bureau of the region. A copy of the map should be attached to it. After this, a survey is carried out, conversations are conducted with the citizen. Based on their results, a conclusion is made on the disputed issues. If the citizen's claims are found justified, a new program is drawn up. It is signed by the chairman of the commission and certified by the seal of the GBMS. The decision can also be challenged in the federal bureau in a month's time. In addition, a citizen has the right to apply to the court.

Nuances

The scope of measures stipulated in the IPR can not be greater than the Federal list of technical facilities and services. A citizen or his representative can partially or completely refuse them. In this case, state bodies, local structures, as well as other organizations will be exempted from responsibility for the execution of the program. In addition, a citizen will be deprived of the right to receive compensation.

Specialists, however, urge not to hurry with a refusal. The federal program for the rehabilitation of disabled people is recommendatory, not mandatory. After signing the card, the citizen has the right not to apply to the appropriate bodies and structures to receive certain funds or services. In this case, it is possible to change the initial decision throughout the whole period of its operation and take advantage of state support.

Artist selection

The definition of the subjects responsible for the implementation of certain items of the program is considered one of the key points in the design of the card. The contractor must be listed opposite each envisaged event. A new form of IPR presupposes a special procedure for their determination. Earlier the performers pointed out the BMSE. Currently, the bureau includes only a few of them on the map. For example, in the section on the provision of technical means, the contractor is indicated by the FSS body. Subjects can be indicated by the local social protection structure.

It must be remembered that the key task of rehabilitation is to eliminate, or, to the extent possible, full compensation for disability-caused life limitations. In this connection, performers should choose those individuals or organizations that will be able to cope with the tasks assigned. This can be both state and private structures of any form of ownership.

Costs

In the Federal Law regulating the social protection of disabled people in the Russian Federation, it is established that if a service or a technical facility provided for in a rehabilitation program can not be provided to a citizen or he has paid for it by his own means, he is entitled to full cost recovery. Activities can be included in the IPR, either financed by the budget or those financed by the person himself.

According to the law, only those services and facilities that are present in the relevant list can be provided free of charge. It is approved by a government decree and includes not so many positions. The state, thus, assumes the obligation to pay a minimum set of services and those. Means.

It should be noted that in a number of constituent entities of the Russian Federation there are regional regulatory acts that significantly expand the list. Reimbursement of expenses should be carried out by the territorial units of the FSS. At the same time, it is necessary to take into account that the right to compensation is provided only by documented contractual relations with the actual performers of the IPR. The citizen should provide proof of payment for the service or those. facilities. A corresponding application is submitted to the FSS, to which copies of the IRP card and other documents are attached.

Possible difficulties

The application for compensation of costs and the documents attached to it are considered no more than a month. If, at the end of this period, the citizen has not received an answer or was refused reimbursement, he can apply to the higher-level structure of the FSS. If in this case his request was not granted, he is entitled to apply to the court. Specialists focus the attention of citizens on the fact that filing a lawsuit will not indicate that the citizen is trying to aggravate the conflict. In this case, such a reaction to injustice will make it possible to involve state bodies in solving the problem, and responsible persons - to realize their responsibilities. At the same time, you should be prepared for any outcome of the case.

Normative provision

In the Russian Federation, the following legislative acts regulating the issues of the preparation and execution of IPR:

1. FZ No. 181. Art. 11 of this law is fully devoted to an individual rehabilitation program. In addition, the IPR is specified in art. 8, 18, 19, 23, 29, 25, 32.
2. FZ "On social protection of disabled people". This statutory act defines the definition of IPR, refers to the bodies responsible for its compilation, specifies the basic rights of people with disabilities. The law establishes that a disabled person can not be considered unemployed without an individual rehabilitation program. The normative act stipulates the duty of the responsible bodies to perform the IRP, as well as the citizen's opportunity to apply to the court if it is not fulfilled.
3. The provision on recognizing a person as an invalid.
4. Governmental Decree No. 805 of 16.12.2004. It regulates the activities of the ITU FGU.
5. Order of the Ministry of Health and Social Development of 29.11.2004.
6. Government Order No. 1343-r of October 21, 2004

Conclusion

After registration of the card for an individual rehabilitation program, a citizen or his representative, according to the law, applies for help to a variety of organizations for the implementation of the planned activities and obtaining the necessary information. Means.

It should be noted that at the present time the mechanism for the implementation of the IPR can not be called ideal. There are many gaps in the state support program itself. In this regard, in practice, citizens often encounter all kinds of obstacles. Problems can appear at different stages - both at the time of drawing up the rehabilitation program, and during the implementation of the activities planned in it.

Particular complexity arises in the process of exercising the right to recover the costs incurred. In this case, it is advisable to enlist the support of a qualified lawyer. It is also important to have all the documents proving the fact of payment for a service or a technical tool for your money. Conflicts associated with the implementation of the rehabilitation program can be resolved both in the claim and in the judicial process. The first involves appealing to higher authorities. As for the judicial appeal, the practice in such cases is not large enough to date. However, in it there are precedents of won disputes on reimbursement of expenses incurred by a citizen and his relatives for rehabilitation measures.

It should be noted that the design of the IPR card is now mandatory. Another issue is that it often prescribes not all services and those. Funds that are needed by a citizen, but only those that are included in the free list. The government, therefore, has the task of improving the mechanism for the implementation of rehabilitation programs.

An IPR should be effective for a person. The rehabilitation program will be useful only if it is based not on the state's capabilities, but on the actual needs of each disabled person.