Innovation in deinstitutionalisation of disabled children in Tajikistan
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Transcript of Innovation in deinstitutionalisation of disabled children in Tajikistan
Innovations in de-institutionalization of children with disabilities in Tajikistan
Nasiba INOYATOVASocial worker
Day Centre “KISHTI”
Bishkek - 2011
International conference «Innovative approaches in work with children with special needs and their families: Experience of Kyrgyzstan, and other countries of
the world»
Goals of “KISHTI”
• Day rehabilitation and education centre "КISHTI" was opened to create safe, developing and learning environment for children with disabilities from families and Children's home; and to support and train members of families and parents with disabled children.
CHILD
Individual approach to
rehabilitation
Integration and inclusion
Training and therapy Via games
Cooperation with parents
Family support
Prevention of placement of children to institutions
Social model
Love, Understanding,
Attachment
Opening of full potential Early
intervention
Our activity
• Team estimation of skills and abilities of a child.
• Design of Individual Plan for development for 3 months.
• Estimation of needs and requirements of a family with disabled child
“KISHTI” Team
Game therapy
Work groupTime together “Vakti Asssalom”
Individual therapy• Physical therapy• Ergo-therapy • Exercising - active and passive motions of all groups of muscles, improves strength, motion activity of muscles and balance.• ET/ЭТ – Use of compensatory devices: walkers, struts, special stools, platens,), promotes development of independence and confidence of children’s activity
Individual therapy
•Exercises prevent constraint, deformations and development of contractures.•Exercises help nurses to care, as children are more independent, and it is easier for the staff to look after them. •Exercises help to protect a child from pain.
Therapy of sensor integration•Stimulation of all sense organs•Influence on tactile and proprioseptive sensitivity•Sight and hearing activation
Feeding
•Training of parents on care, feeding, and correct positioning during feeding. •Oral stimulation.•Training of employees of Children's home to feed correctly
Аrt - therapy
•Group of Early intervention• Children Club•Club for children with autism
Music therapy
•Group of Early intervention• Children Club•Club for children with autism
Training on methods of alternative communication
•For children with problems of speech development • For children with problems of communication
Seminars and trainings
•For parents •For staff of Children’s home•For specialists
Parents club of self assistance and Art workshop•Parents club•Very few people from experts possess this many various skills to cope with daily difficulties like those that parents - participants of the group encounter.•Art-workshop - being engaged in applied art, parents not only get rest and forget about their problems, but also make money for needs of the club or the children.
•Organization of group meetings and seminars for parents is a very important part of the programs of early intervention•Attraction of parents to the activity of the centre – organizing holidays, joint games, partnership with experts in drawing up of individual plans for development of children
Story 1
•Кomron is 5 years old. One day his mum came to ask how to place a child into children's home. We talked to her, explained our work, had a discussion and suggested to come to “KISHTI” centre. After some thinking she decided not to place her child in CH. This is how she started coming to our centre History 2•Solehchon is 4 years old.He has ICP. His mum placed him in children's home. We talked to her, had a discussion, explained our work and suggested to come to KISHTI. She visited our centre Kishti for some time, and yet she left her child in children's home
“Matured parenting” programme
•Trainings for staff •Оpenning of two crisis groups for mothers
• Children home – 27 children with inability• Children with parents - 58• Total number of those who got
consultations – 240 children• Visit regularly - 50 children
Cooperation with Boarding schools (internat)
• Introduction of disability social model in closed institutions
• Training of modern concepts of disability• Training of principles of integration and
inclusion, and their gradual introduction in Boarding schools.
• Replacement of Boarding schools with the alternative rehabilitation centres for children with disability of daytime type.
We thank our donors !