Semi-stationary social services: forms, procedure for provision. Stationary social services Semi-stationary social services for elderly citizens and disabled people

FOR MINOR RECIPIENTS OF SOCIAL SERVICES IN A SEMI-STATIONARY FORM OF SOCIAL SERVICES

1.1. Social services in a semi-stationary form are provided to minors recognized as needing social services due to the following circumstances that worsen or may worsen their living conditions:

a) the child (including those under guardianship or guardianship) has difficulties in social adaptation;

b) the presence of problems associated with socialization among graduates of organizations for orphans and children left without parental care, as well as among minors released from institutions of the penitentiary system Federal service execution of sentences and those returning from special closed educational institutions;

c) the presence of intra-family conflict, including with persons with drug or alcohol addiction, persons addicted to gambling, persons suffering from mental disorders, the presence of domestic violence;

d) the presence of post-traumatic disorders, including psychological trauma received as a result of experienced emergency situations, armed international (interethnic) conflicts and (or) the presence of suicidal intentions;

e) commission of an offense or crime by a minor;

f) violation of the rights and legitimate interests of minors, including cruel treatment and violence against a minor;

g) the presence of circumstances that create a risk of a parent or other legal representative leaving a child without care, as well as the risk of a woman artificially terminating a pregnancy not for medical reasons;

h) the presence of a minor legal status an orphan child, a child left without parental care, or whether a citizen has the status of a person from among orphans, children left without parental care.

1.2. Social services in a semi-permanent form are provided by the department day stay minors and social rehabilitation of disabled people.

2.1. An application for the provision of social services is submitted by a citizen or his representative

2.2. The following documents must be attached to the application for the provision of social services:

a) a copy of the passport or other identification document of the citizen (if available);

b) a copy of the passport or other identification document of the citizen’s representative, if his representative applies for a service in the interests of the citizen;

c) a copy of a document confirming the authority of the citizen’s representative, if his representative applies for a service in the interests of the citizen;

d) copy of the conclusion medical organization about the state of health of the citizen about the presence (absence) of medical contraindications for staying in a semi-stationary organization, specified in paragraph 4.2 of section 4;

e) a document from a medical organization on the placement of a parent (legal representative) of a minor for treatment (rehabilitation) (if available);

f) a petition from an official of a body or institution of the system for the prevention of neglect and juvenile delinquency, including one based on the conclusion of a psychologist (if available);

g) the decision of the person conducting the inquiry, the investigator, the prosecutor or the judge in the event of detention, arrest or conviction of the parents or legal representatives of the minor (if any).

3.1. Social services in the semi-stationary form of social services, specified in the Law of the Tyumen Region dated December 2, 2014 No. 108 “On the list of social services provided by social service providers”, in the volumes determined by the standards of social services, are provided to citizens specified in paragraph 1.1 of Section 1 free of charge .

3.2. Social services provided in excess of the volumes determined by the standards of social services, as well as additional social services not included in the list of social services approved by the Law

PROCEDURE FOR PROVIDING SOCIAL SERVICES IN A SEMI-STANDARD FORM

4.1. Social services in the semi-stationary form of social services are provided to citizens in the absence of medical contraindications specified in paragraph 4.2 of this section.

4.2. Medical contraindications to the provision of social services in a semi-stationary form are:

a) acute infectious diseases or chronic infectious diseases in the acute stage, severe course and (or) infectious to others, as well as fever, rash of unknown etiology;

b) severe chronic skin diseases with multiple rashes and copious discharge;

c) quarantine infectious diseases;

d) chronic and protracted mental disorders with severe persistent or frequently exacerbating painful manifestations, including those associated with the use of psychoactive substances;

e) complete loss of the ability to self-care and free movement;

f) all diseases requiring hospital treatment, constant round-the-clock care, chronic diseases in the stage of decompensation (exacerbation).

4.3. If a citizen has medical contraindications, he has the right to re-apply for social services after undergoing appropriate treatment and re-submitting the documents specified in section 2.

4.4. When contacting a social service provider, a citizen or his representative submits the following documents:

a) a personal appeal from a minor or a statement from the parents of a minor (legal representatives) taking into account the opinion of a minor who has reached the age of 10 years, except for cases where taking into account the opinion of a minor is contrary to his interests, or a statement from a body or official of a body or institution of the system for the prevention of neglect and delinquency of minors ;

b) an individual program for the provision of social services;

c) birth certificate (in its absence, a medical examination report certifying the age of the minor), passport or other document certifying the identity of the minor (for citizens over 14 years of age) (if available);

d) passport or other identification document of parents, legal representatives (if any);

e) a copy of the medical organization’s conclusion on the citizen’s health status and the presence (absence) of medical contraindications for staying in a semi-stationary organization, specified in paragraph 4.2 of Section 4.

4.4.1. The Office additionally provides the social service provider with copies of the following documents:

a) a petition from an official of the body or institution of the system for the prevention of neglect and juvenile delinquency (if any);

b) the decision of the person conducting the inquiry, the investigator, the prosecutor or the judge in the event of the detention, arrest or conviction of the parents or legal representatives of the minor (if any).

4.5. Social services in the semi-stationary form of social services in accordance with this subsection are provided for a period of no more than 18 working days (in the amount of no more than three hours per day).

4.6. To provide social services in a semi-stationary form of social services, the following groups are formed:

a) in the first half of the day, observing the time interval 08:30-11:30 for:

children who do not attend preschool organizations;

schoolchildren studying from the second shift;

b) in the afternoon, observing the time interval of 13:30-16:30 for schoolchildren studying from the first shift.

Throughout the day, groups can be attended by teenagers who are not studying and do not have a permanent place of work, as well as teenagers receiving secondary education. professional education, working teenagers.

4.7. On the last day of social services, in a semi-permanent form, the recipient of social services or his representative is given a conclusion on the results of the implementation of an individual program for the provision of social services and recommendations for further work with him and (or) his family. Recommendations for further social support of the minor and his family are also sent to the territorial commission for minors and protection of their rights.

Rehabilitation of citizens with disabilities health

PROCEDURE FOR PROVIDING SOCIAL SERVICES TO RECIPIENTS OF SOCIAL SERVICES IN A SEMI-PERMANENT FORM TO DISABLED PEOPLE, DISABLED CHILDREN RECOGNIZED AS IN NEED OF SOCIAL SERVICES DUE TO PARTIAL LOSS OF CAPACITY OR POSSIBILITY OF EXERCISES PROVIDE SELF-CARE, MOVE INDEPENDENTLY, PROVIDE THE BASIC NEEDS OF LIFE DUE TO THE PRESENCE OF DISABILITY, FOR CHILDREN AGED 0 TO 3 YEARS OLD WITH LIMITED HEALTH CAPABILITIES RECOGNIZED AS IN NEED OF SOCIAL SERVICE DUE TO THE PRESENCE OF LIMITED HEALTH CAPABILITIES IN A CHILD AGED FROM 0 TO 3 YEARS OLD.

Social services in a semi-stationary form in accordance with this section are provided:

Disabled children, disabled children recognized as needing social services due to partial loss of the ability or ability to provide self-care, move independently, and provide basic life needs due to the presence of a disability.

Children aged 0 to 3 years with disabilities who are recognized as in need of social services due to the presence of disabilities in a child aged 0 to 3 years.

Social services in a semi-stationary form in accordance with this subsection are provided by centers (comprehensive centers) of social services for the population, social rehabilitation centers for minors, rehabilitation centers for the disabled, centers social assistance family and children and others legal entities regardless of their organizational and legal form and (or) individual entrepreneurs carrying out activities similar to the activities of these organizations.

LIST OF DOCUMENTS REQUIRED FOR THE PROVISION OF SOCIAL SERVICES

An application for the provision of social services in accordance with this subsection is submitted by a citizen or his representative.

The following documents are attached to the application for the provision of social services:

1) a copy of a passport or other identification document of a citizen;

2) a copy of the passport or other identification document of the citizen’s representative, if his representative applies for a service in the interests of the citizen;

3) a copy of the document confirming the authority of the citizen’s representative, if his representative applies for a service in the interests of the citizen;

4) a copy of the medical organization’s conclusion on the citizen’s health status and the presence (absence) of medical contraindications to social services in a semi-stationary form.

5) copy of birth certificate

6) a copy of a certificate of disability indicating the disability group (if there is a disability);

7) a copy of the individual rehabilitation or habilitation program (if there is a disability).

RULES FOR PROVIDING SOCIAL SERVICES FOR FREE OR FOR A PAYMENT OR PARTIAL PAYMENT

Social services in the semi-stationary form of social services specified in the Law of the Tyumen Region dated December 2, 2014 No. 108 “On the list of social services provided by social service providers” are provided free of charge.

Social services provided in excess of the volumes determined by the standards of social services, as well as additional social services not included in the list of social services approved by the Law of the Tyumen Region dated December 2, 2014 No. 108 “On the list of social services provided by social service providers,” are provided on the terms payment in the amount of 100 percent of the established tariffs in accordance with the agreement on the provision of social services.

PROCEDURE FOR PROVIDING SOCIAL SERVICES IN SEMI-PERMANENT FORM

Social services in a semi-stationary form of social services are provided to citizens in the absence of medical contraindications.

Medical contraindications to the provision of social services in a semi-stationary form in accordance with this subsection are:

1) acute infectious diseases or chronic infectious diseases in the acute stage, severe course and (or) infectious to others, as well as fever, rash of unknown etiology;

2) tuberculosis of any organs and systems with bacterial isolation confirmed by culture;

3) severe chronic skin diseases with multiple rashes and copious discharge;

4) chronic and protracted mental disorders with severe persistent or often exacerbating painful manifestations, including those associated with the use of psychoactive substances;

5) chronic alcoholism, drug addiction;

6) complete loss of the ability to self-care and free movement;

7) all diseases requiring hospital treatment, constant round-the-clock care, chronic diseases in the stage of decompensation (exacerbation).

If a citizen has medical contraindications, he has the right to re-apply for social services in accordance with this subsection after undergoing appropriate treatment and re-submitting documents.

When contacting a social service provider, a citizen or his representative submits the following documents:

1) an individual program for the provision of social services;

2) passport or other identification document of a citizen or birth certificate of a child;

3) a conclusion from a medical organization on the citizen’s health status and the presence (absence) of medical contraindications to social services in a semi-stationary form.

Semi-stationary social services include social, medical and cultural support for people with disabilities, organizing their meals, recreation, ensuring their participation in all possible activities. labor activity and maintaining their active lifestyle. This form of social service promotes the rehabilitation of disabled people who have retained the ability for self-care and active movement and have no medical contraindications for enrollment.

In accordance with the National Standard Russian Federation GOST 52880-2007 semi-stationary social service institutions include: social rehabilitation center for elderly citizens and disabled people; day care center for elderly and disabled citizens. Let us dwell in more detail on the characteristics of their activities. A social rehabilitation center for elderly citizens and disabled people is being created to carry out health and social rehabilitation activities with disabled people who have retained the ability to self-care or have partially lost it. In the conditions of the social rehabilitation center, the initial reception of disabled people and placement are organized taking into account their age, gender, health status, existing diseases, and ability to self-care; the social services they need are provided.

Unlike the previous institution, the day care center for elderly citizens and disabled people organizes its work for disabled people who have retained the ability for self-care and active movement. The main tasks in the implementation of semi-stationary social services for disabled people in the center are: providing them with social, everyday, cultural services, providing them with medical care, organizing meals and recreation, maintaining an active lifestyle for disabled people.

Urgent social services are carried out in order to provide emergency, one-time emergency assistance to disabled people in dire need of social support, and includes the following social services: one-time provision of free hot meals or food packages; clothing, shoes and other essential items; one-time provision financial assistance. Specialists in social work assist disabled people in obtaining temporary housing; organize legal assistance in order to protect the rights of persons served and emergency medical and psychological assistance with the involvement of psychologists and clergy for this work and the allocation of additional telephone numbers for these purposes. Rental services available at emergency social service departments specialized equipment for the disabled and devices for caring for the seriously ill. In accordance with the National Standard of the Russian Federation GOST 52880-2007, emergency assistance to disabled people is provided at the emergency social service center. In the comprehensive center for social services for the population, there is an emergency social services department, which can organize the work of an apartment repair service for citizens with disabilities, open a rental point for technical rehabilitation equipment for the disabled, etc.

Rehabilitation equipment (crutches, walkers, canes, wheelchairs, etc.) are provided to clients in accordance with the developed tariffs, and low-income citizens with disabilities use the rental free of charge.

Complex social service institutions designed to provide assistance to families, disabled people and other categories of clients who find themselves in difficult life situations include a comprehensive social service center for the population. The center may include the following: structural units providing social services to citizens with disabilities: consultation department, rehabilitation of children with mental and physical disabilities, home care, day care for elderly and disabled citizens, etc.

For example, in government agency"Comprehensive Center for Social Services of the Population" Znamensk, Astrakhan region A school for parents of disabled children “Help Your Child” has been opened. Experts conduct workshops and seminars where fathers, mothers, grandparents learn how to organize play and educational activities child with disabilities. Children and parents spend their leisure time together in the rehabilitation department of the comprehensive center for social services to the population, namely, they participate in sports relay races, show master classes in arts and crafts, and regularly organize exhibitions children's creativity and family excellence.

Coordination activities for the provision of social services to disabled people are carried out by the center for social services for elderly citizens and disabled people. The structure of this institution includes the following departments: social services at home, day care, social rehabilitation, urgent social services, social canteen, specialized department of social and medical services.

One of the main forms of social services aimed at prolonging the stay of disabled people in their usual social environment (family, neighbors, etc.) and in order to maintain their social status is social services at home. According to the National Standard of the Russian Federation GOST 52880-2007, institutions for social services for the disabled at home include: a center for social services at home for elderly and disabled citizens and a specialized center for social and medical services for elderly and disabled citizens at home. Home-based social services provided to people with disabilities include: organizing their meals, including home delivery of food; assistance in purchasing medicines, food and industrial goods of prime necessity. A social worker assists a disabled person in obtaining medical care, including accompanying him to medical institutions. Specialists from social service institutions for disabled people at home help maintain the client’s living conditions in accordance with hygienic requirements, assist in organizing legal assistance and other legal services for citizens with disabilities. Social services for disabled people at home can be provided by one social worker, a social worker and nurse, as well as a team of specialists, which includes a psychologist, a lawyer, a hairdresser, and a repair specialist household appliances, social worker, etc.

Specialists from social service departments at home organize charity events aimed at including high school students in providing assistance to people with disabilities. Schoolchildren visit a disabled citizen at home, congratulate him on his birthday, and provide all possible assistance in improving the client’s life (washing dishes, taking out the trash, etc.).

In the practice of social service departments at home, there is cooperation with the Russian Orthodox Church. Church representatives, at the request of clients, visit them at home, talk with disabled people, and provide them with psychological assistance.

In order to more effectively provide social services to people with disabilities at their place of residence, social service institutions cooperate with territorial public self-government. Territorial public self-government (TPS) is the self-organization of citizens at their place of residence in part of the city territory for the independent and responsible implementation of initiatives on issues of local importance. This association is a form of local self-government in the city by the population and is designed to promote the realization of the rights and freedoms of citizens, their independence in resolving issues of city development.

The main forms of social work with disabled people at their place of residence are: targeted financial assistance, organizing club associations for disabled people, holding holidays for disabled people, conducting free legal consultations for citizens with disabilities, holding sporting events among disabled people of various age groups, etc.

As part of public self-government, social advisory centers for helping people with disabilities are opening (Blagoveshchensk). This form Community social work contributes to the development of a system of social services for people with disabilities. Social advisory centers are geographically close to the population, which makes it possible to ensure real accessibility of social services to all those in need. Here, club associations have been created and operate to organize leisure and employment for disabled people. Specialists at social advisory centers provide citizens with disabilities at their place of residence not only with targeted social support (shoes, clothing, money) but also with legal services, help them get a job, and organize their vacation.

Thus, the main forms of social services for people with disabilities include semi-stationary, urgent social services, and social services at home. This allows a disabled person to maintain his usual living conditions (his home, comfort, friends and acquaintances), and prolong his ability to be a more independent, self-sufficient and active member of society. One of the new forms of social work with disabled people at the place of residence is the implementation in territorial public self-governments counseling citizens with disabilities, where they are helped to organize their leisure time with the help of interest clubs, lawyers and psychologists are invited to provide the necessary information.

Questions for self-control

1. List the main forms of social services for people with disabilities.

2. Describe the semi-stationary form of social services for people with disabilities.

3. Explain the features of social work with people with disabilities at the place of residence.

National standard of the Russian Federation GOST 52880-2007. Social services for the population. Types of social service institutions for elderly citizens and disabled people. // Social services. – 2009. – No. 2

Nikonov L.S., Chetverikov M.N. Targeted social protection: Experience municipalities– M., 2003.

Kholostova E.I. Social work with disabled people: Tutorial. – 3rd ed. – M., 2009.

2.1 Stationary and semi-stationary social services

Inpatient social services are provided in inpatient institutions(boarding homes for the elderly and disabled, boarding homes for the disabled, psychoneurological boarding schools, etc.)

Elderly citizens and disabled people who have partially or completely lost the ability to self-care and who, for health reasons, require constant outside care and supervision are sent to these institutions. In addition, a network of specialized institutions for disabled children has been created.

IN last years Homes for the elderly have become widespread, the maintenance of which is paid for at the expense of the elderly themselves or the enterprises where they worked.

Citizens of retirement age (women over 55 years old, men over 60 years old), as well as disabled people of groups I and II over 18 years old, are accepted into boarding homes, provided that they do not have able-bodied children or parents obligated by law to support them.

Only disabled people of groups I and II aged 18 to 40 who do not have able-bodied children and parents obligated by law to support them are accepted into boarding homes for the disabled.

The psychoneurological boarding house accepts people suffering from chronic mental illnesses who need care, household services and medical assistance, regardless of whether they have relatives who are legally obligated to support them or not.

Inpatient facilities provide not only care and necessary health care, but also rehabilitation measures of a medical, social and medical-labor nature.

Elderly citizens and disabled people living in inpatient social service institutions are provided with:

1. materially domestic services(providing living space, organizing rehabilitation activities, medical and labor activities, cultural and community services);

2. catering, everyday life, and leisure services (hot meals, including dietary, provision of clothing, shoes, bedding, creation of conditions for religious ceremonies, etc.);

3. socio-medical and sanitary-hygienic services (free medical care, provision of care, assistance in conducting medical and social examinations, rehabilitation activities, assistance in hospitalization, assistance in prosthetics, ensuring sanitary and hygienic conditions in the premises);

4. organization of education for disabled people, taking into account their physical capabilities and mental abilities;

5. services related to social and labor rehabilitation (creating conditions for the use of residual labor opportunities);

6. legal services;

7. assistance in organizing funeral services.

Citizens living in inpatient social service institutions also have the right to be exempt from punishment. Any punishment of elderly citizens and people with disabilities or the creation of amenities for the staff of these institutions, the use of medicines, means of physical restraint, as well as isolation of elderly and disabled citizens. The law provides for disciplinary administrative or criminal liability for persons guilty of violating this norm.

An application for admission to a boarding home, along with a medical card, is submitted to a higher-level organization social security, which issues a ticket to a boarding house. If a person is legally incompetent, he or she is placed in an inpatient facility on the basis of a written application from his legal representative.

If necessary, with the permission of the director of the boarding home, a pensioner or disabled person may temporarily leave the social service institution for a period of up to one month. A permit for temporary departure is issued taking into account a doctor’s opinion, as well as a written commitment from relatives or other persons to provide care for an elderly or disabled person.

The law provides for the right of citizens staying in inpatient social service institutions to refuse the services of these institutions, but provided that they have relatives who can support them and provide the necessary care.

Persons staying in boarding homes for the elderly and general disabled people who systematically and grossly violate the rules internal regulations, may, by a court decision made on the basis of a proposal from the administration of these institutions, be transferred to special boarding houses (special departments). They are created mainly for the elderly and disabled people who have previously been convicted or have been repeatedly brought to administrative responsibility for violations public order vagrancy and begging, sent from internal affairs agencies. In addition, citizens in need of constant care, particularly dangerous repeat offenders released from prison, and other persons subject to administrative supervision are also sent to them.

For persons without a fixed place of residence among the elderly and disabled, specialized institutions are created (social shelters, social hotels, social adaptation centers, etc.), which provide a temporary place of stay (including medical care, food, overnight accommodation) and carry out social adaptation activities persons who have lost socially useful connections (primarily persons released from prison) to living conditions in society.

Social service institutions provide assistance not only to elderly citizens and the disabled, but also to orphans, and are also actively working to solve the problems of child neglect, the prevention of crime among teenagers, “social orphans,” and social assistance to persons without a fixed place of residence.

The children's boarding home accepts children from 4 to 18 years old with mental or mental anomalies. physical development. At the same time, it is not allowed to place disabled children with physical disabilities in inpatient institutions intended for the residence of children with mental disorders.

One of the types of social services for disabled people and the elderly are semi-inpatient facilities created in municipal social service centers or under social protection authorities.

In the day (night) departments, social, medical and cultural services are provided to elderly citizens and the disabled.

Semi-stationary social services are provided for elderly and disabled people who have retained the ability for self-care and active movement and do not have medical contraindications to enrollment in such social services, as well as children who find themselves in difficult life situations.

The following types of services are provided in these institutions:

1 organization of catering, everyday life and leisure (providing hot meals, providing bedding, providing books, magazines, newspapers);

2 social and medical services (assistance in obtaining medical and psychological assistance, provision of sanitary and hygienic services, organization of medical and recreational activities, assistance in conducting rehabilitation programs for the disabled, assistance in obtaining vouchers for sanatorium treatment, assistance in prosthetics, etc.) d.);

3 assistance in obtaining education and vocational training;

4 assistance in employment;

5 assistance in organizing legal services;

6 assistance in organizing funeral services.

For persons without a fixed place of residence and occupation, the system of social protection authorities creates special institutions of a semi-permanent type - night houses, social shelters, social hotels, social adaptation centers. These institutions provide:

2 coupons for one-time (once a day) free food;

3 first first aid;

4 personal hygiene items, sanitary treatment;

6 assistance in providing prosthetics;

7 registration in a boarding house;

8 assistance in registration and recalculation of pensions;

9 assistance in employment, in the preparation of identity documents;

10 assistance in obtaining a medical insurance policy;

11 provision of various assistance (consultations on legal matters, household services, etc.).

social services disabled opportunity Social services at home are provided by providing social services to citizens in need of permanent or temporary non-stationary social services...

Types of social services

In social service institutions in daytime social amenities are provided...

Types of social services

Social services in stationary social service institutions are carried out by providing social services to citizens...

Types of social services

5) social advisory assistance. Let us consider in more detail each of the listed types of social services. 1...

Types of social services

Organization of social work for the protection of family, motherhood and childhood

Family social services - the activities of social services for social support, provision of social, social, medical, psychological, pedagogical, legal services for social adaptation and rehabilitation of citizens...

Stationary social service institutions are institutions intended for permanent, temporary (from 2 to 6 months), weekly, day-time accommodation (stay) for elderly and disabled people who need outside social assistance...

Work of a social worker with a dysfunctional family

Family social services - activities of social services for social support, provision of social, social, medical, psychological, pedagogical, legal services for social adaptation and rehabilitation of citizens...

System social management

Social services are the activities of social services for social support, provision of social, social, medical, psychological, pedagogical, social and legal services and material assistance...

Social services for disabled people

Social services for people with disabilities are activities to meet their needs in social services. It includes a set of social services...

Social services for the population

the federal law“On the social protection of disabled people in the Russian Federation” determines state policy in the field of social protection of disabled people...

Technologies of social work with people of retirement age

Inpatient care provided to elderly citizens in the social protection system is carried out in various institutions. These include general boarding houses, gerontological centers, psychoneurological boarding schools...

Day (night) departments are a form of semi-stationary social service and play an important role in providing effective social support to older people. They are created on the basis of municipal social service centers or under social protection authorities.

Day care departments are designed for everyday, medical, cultural services for older people, organizing their recreation, attracting them to feasible work, and maintaining an active lifestyle.

Branches are created to serve at least 30 people. They enroll older people and disabled people who have retained the ability for self-care and active movement. The decision to enroll is made by the head of a social service institution on the basis of a personal written application from an elderly or disabled citizen and a certificate from a health care institution about his state of health.

The day care department provides the following types of services:

organization of catering, everyday life and leisure (providing hot meals, provision of books, magazines, newspapers);

social and medical services (assistance in obtaining medical and psychological assistance, provision of sanitary and hygienic services, organization of medical and recreational activities, assistance in obtaining vouchers for sanatorium and resort treatment);

assistance in organizing legal services;

assistance in organizing funeral services.

The emerging trend of reduction in the services of inpatient institutions is associated with an increase in the scale of provision of outpatient care to disabled people and the elderly living in ordinary home conditions by non-stationary social service institutions. The latter are represented by social assistance departments at home (including at boarding homes, territorial centers, social protection departments), territorial social service centers and territorial social assistance services (as a rule, on the basis of territorial centers and social assistance departments at home district (city) departments (departments) of social protection of the population).

Social assistance departments at home provide the minimum necessary range of services for the delivery of food, medicine, firewood (coal), payment of housing and communal services and other expenses.

Lately this organizational form is complemented by another, caused by the transition to a market economy, when a significant part of the elderly and disabled people found themselves on the brink of poverty, having lost their means of livelihood, in an extreme life situation. This is an emergency social assistance service. The main types of services of the emergency social assistance service include: provision of food, medicine, clothing, temporary housing, provision of emergency psychological assistance, assistance in identifying disabled people in boarding homes and hospitals, provision of services of hairdressers, repairmen of electrical household appliances, active cooperation with government, public, religious organizations, charitable foundations, means mass media, organs government controlled and other institutions to take measures to resolve acute life situations.

The need for the functioning of emergency social assistance services is undeniable, since they develop and complement the services of social assistance departments at home and, most importantly, allow disabled people who are beyond poverty to maintain their existence.

Semi-stationary forms of social services include territorial centers, the advantage of which is the possibility of combining medical and social services for people with disabilities. Territorial social service centers also make it possible to organize meals and create conditions for communication between disabled and elderly people. The latter is an important factor for maintaining the moral tone of people living outside the family.

Initially, the creation of territorial centers was envisaged mainly together with inpatient departments, where conditions were created for temporary stay (5-10 days) of IWs in fairly comfortable conditions and preventive treatment (physiotherapy, phototherapy, massage, psychological relief). However, the creation of territorial centers with inpatient care requires additional conditions and, accordingly, more significant costs, for which local social protection authorities do not always have the necessary financial resources.

Territorial social service centers have large reserves to meet the needs of people with disabilities. According to the management of the centers, more than 5% of those served are willing to pay for additional (beyond those provided free of charge) services. But only a few territorial centers and social assistance departments provide paid services at the request of disabled people, and the range of services as a whole is limited to a general set: cooking, washing dishes, delivering clothes to the laundry, washing clothes at home, providing bath services, cleaning the apartment, washing windows, buying groceries, medicines, manufactured goods, walking the dog, etc. .d.

The semi-stationary form of social services in Volgograd is represented by: the Day Care Center for Pensioners and Disabled People, the Center for Social Assistance for Families Raising Disabled Children in the Dzerzhinsky District and the City Center for Social Assistance in the Kirovsky District.

The day care center for pensioners and disabled people, designed for 30 places, is intended for social, medical, cultural services for pensioners and disabled people, organizing their meals, recreation, maintaining an active lifestyle, and attracting them to work. Elderly citizens are accepted for service at the Center: men over 60 years old, women over 55 years old, disabled people of groups I and II for a period of two weeks, who have retained the ability for self-care and active movement.

The Center for Social Assistance for Families Raising Disabled Children of the Dzerzhinsky District was created in 1995. The purpose of the Center is to promote the realization of the right of families and children to protection and assistance from the state, to promote the development and strengthening of the family as social institution, improving socio-economic living conditions, indicators of social health and well-being of families and children, humanizing the family’s connection with society and the state, establishing harmonious intra-family relationships: organizing communication and leisure for children: teaching self-service skills, everyday adaptation, providing advisory assistance.

The City Center for Social Assistance in the Kirovsky District was created in order to protect people who find themselves in extreme conditions without a specific place of residence and occupation, who are in a crisis situation and to implement rehabilitation measures.

In the issue of developing the principles of the relationship between paid and free services, it is necessary to take a targeted and individual approach. Satisfying a client's specific needs for a reasonable fee should be in addition to meeting his general needs free of charge. The rationale for this approach is confirmed by the experience of foreign social service systems, in particular Finland, where they strive to provide the client with services that promote (stimulate) his independence and serve as a prerequisite for a good moral and psychological state.

In order to further improve the system of social services and in accordance with the order of the Ministry of Social Protection of Russia dated July 20, 1993. social service centers are created, which are institutions for social protection of the population, carrying out organizational and practical activities to provide various types of social assistance to elderly citizens, disabled people and other groups of the population in need of social support. The structure of the center provides for various social service units, including a day care department for the elderly and disabled, social assistance at home, emergency social assistance services and others.

To the main tasks of the social service center in joint activities with government and public organizations(health authorities, education, migration services, committees of the Red Cross Society, veterans' organizations, societies of the disabled, etc.) include:

- identification of the elderly, disabled and other persons in need of social support;
- determination of specific types and forms of assistance to persons in need of social support;
- differentiated accounting of all persons in need of social support, depending on the types and forms required and the frequency of its provision;
- provision of social services of a one-time or permanent nature to persons in need of social support;
-analysis of the level of social services for the population of the city, district, development of long-term plans for the development of this area of social support for the population, introduction into practice of new types and forms of assistance depending on the nature of the needs of citizens and local conditions;
- involvement of various state and non-state structures in resolving issues of providing social assistance to needy segments of the population and coordinating their activities in this direction.
d) Inpatient social services are aimed at providing comprehensive social assistance to persons who, for health reasons, require constant care and supervision. State inpatient social service institutions include boarding homes for the elderly and disabled, the regulations of which were approved by order of the Ministry of Social Affairs of the RSFSR dated December 27, 1978. In accordance with this order, a “boarding home” is a medical and social institution intended for permanent residence elderly and disabled people in need of care, household and medical services. In a boarding home, for the implementation of therapeutic-labor and activating therapy, medical-industrial (labor) workshops are created, and in a boarding home located in a rural area, in addition - subsidiary farm with the necessary supplies, equipment and transport.

Other institutions of this type also include a psychoneurological boarding school, defined as a medical and social institution intended for permanent residence of elderly and disabled people suffering from chronic mental illnesses and in need of care, household and medical services.

Residential institutions for the elderly accept citizens of retirement age who do not have able-bodied children who are required by law to support them. On a first-priority basis, disabled people and WWII participants, family members of deceased servicemen, as well as deceased disabled people and war participants are admitted to boarding homes.

One of the indispensable conditions for admission is voluntariness, therefore paperwork is processed only if there is a written application from the citizen. An application for admission to a boarding home with a medical card is submitted to a higher social security organization, which issues a voucher to the boarding home. If a person is legally incompetent, he or she is placed in an inpatient facility on the basis of a written application from his legal representative. The law provides for the right of citizens staying in inpatient social service institutions to refuse services, but provided that they have relatives who can support them and provide the necessary care.

Persons staying in general boarding houses who systematically and grossly violate the internal regulations there may be transferred to special boarding houses by a court decision made on the basis of a proposal from the administration. They are created mainly for elderly and disabled people with previous convictions, vagrancy, sent from institutions of internal affairs bodies and other persons for whom administrative supervision is established in the manner established by the Decree of the Government of the Russian Federation of April 15, 1995 “On the development of a network of specialized boarding houses for the elderly and disabled."

The functioning of boarding homes as one of the main forms of social services for the elderly is associated with a number of serious problems. Among them: the degree of satisfaction of needs in boarding homes, the quality of service in them, the creation of accompanying conditions for living, etc. On the one hand, in a number of territories of the Russian Federation there is a queue of elderly citizens wishing to enter inpatient social service institutions, on the other hand, elderly People are increasingly showing a desire to live in their familiar home environment. The stationary form of social services is presented in Volgograd by the Traktorozavodsky Center for Social Services for Pensioners and Disabled People. The department with a hospital is intended for medical, cultural, consumer services, attraction to feasible work, and maintaining an active lifestyle.

Currently, inpatient facilities are mainly admitted to people who have completely lost the ability to move and require constant care, as well as those who do not have housing. An alternative to boarding homes in the near future may be special residential buildings for the elderly (approximate Regulations on a special home for single elderly people, approved by the Ministry of Social Protection of the Population on April 7, 1994), which, despite some shortcomings, still have a number of important advantages.

Today, a significant part of social service centers are multidisciplinary institutions that are able to provide elderly and disabled people with a variety of types and forms of services, including social and medical, social and shopping. The priority direction is the development of models of non-stationary social services (social service centers, social assistance departments at home), which make it possible to maximize the stay of older people in their usual habitat and maintain their personal and social status.

Thus, the main technologies currently are government technologies social protection of older people - pensions, social services, social assistance. However, the priority direction of social work with older people is the organization of the living environment of aging people, carried out in such a way that an elderly person always has the opportunity to choose ways to interact with this environment, because older people are not the object of activity of various social services, but a decision-making subject. Freedom of choice creates a feeling of security and confidence in the future. This implies the need for alternative technologies for social work with older people. Among which we can highlight charitable assistance, club work, self-help and mutual aid groups.

The main tasks of a specialist in working with older people:

identification and registration of lonely elderly and disabled citizens in need of home care;

establishing and maintaining connections with the workforce where war and labor veterans and disabled people worked;

establishing contacts with committees of the Red Cross Society, Councils of War and Labor Veterans, public organizations, and foundations.

elderly social services provision

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Introduction

Chapter 1. Social services for the disabled and elderly

1.1 Basic provisions of social services for the disabled and elderly

1.2 Rights of disabled people and elderly people in the field of social services

Chapter 2. Characteristics individual species social services

2.1 Inpatient social services for the disabled and elderly

2.2 Semi-stationary social services for the disabled and elderly

Conclusion

Bibliography

INconducting

The relevance of my work is due, first of all, to the fact that in the modern world the proportion of elderly and disabled people in the population is gradually increasing; similar trends are characteristic of our country. Their income is well below average and their health and social care needs are much higher.

Disability and old age are not only a problem for the individual, but also for the state and society as a whole. This category of citizens urgently needs not only social protection, but also an understanding of their problems on the part of the people around them, which will be expressed not in elementary pity, but in human sympathy and equal treatment of them as fellow citizens.

The development of social services for the elderly and disabled is given increasing importance in our country every year; it is considered as an extremely necessary addition to cash payments, significantly increasing the efficiency of the entire state system social security.

The state, ensuring social protection of disabled people and elderly citizens, is called upon to create for them the necessary conditions for individual development, realization of creative and productive capabilities and abilities by taking into account their needs. Today, this circle of people belongs to the most socially vulnerable categories of the population. disabled person social services sympathy

The possibility of meeting the needs of an elderly person and a disabled person becomes real when he is endowed with the legal right to demand from the relevant competent authority the provision of a particular benefit, and this body legally obligated to provide such a benefit.

The purpose of the study is to consider the forms and methods of organizing social services for the disabled and elderly, to achieve which the following tasks are set:

1. clarify the concept of social services for people with disabilities and the elderly;

2. consider disabled people and elderly citizens as subjects of social services;

3. study such forms of social services as stationary and semi-stationary social services.

The object of the study is legal norms aimed at social services for disabled people and the elderly.

The subject of the research is social services for the disabled and the elderly.

Research method - study and research of special scientific literature, legal acts.

Chapter 1. Social services for the disabled and elderly

1.1 Basic provisions of social services for the disabled and elderly

An integral element of the state social security system in the Russian Federation is social services for the elderly and disabled, which includes different kinds social services aimed at meeting the special needs of this category of people. Currently, the state is making great efforts to create a comprehensive system of social services for the population and allocate financial resources for its development.

Social services are the activities of social services for social support, provision of social, social, medical, psychological, pedagogical, socio-legal services and material assistance, social adaptation and rehabilitation of citizens in difficult life situations.

For the first time in domestic legislation, the concept of such a socially significant circumstance as a difficult life situation has been formulated.

A difficult life situation is a situation that objectively disrupts the life of a citizen, which he cannot overcome on his own. The reasons for its occurrence can be a variety of circumstances: disability, old age, illness, orphanhood, abuse in the family, unemployment, lack of a specific place of residence, etc.

The following have the right to social services: citizens of the Russian Federation; foreigners and stateless persons, unless otherwise established by international treaties of the Russian Federation. Depending on social status those in need, as well as at their request, the form of services can take the following forms: free, partial or full payment.

Social services are provided free of charge to: single elderly citizens (single married couples) and disabled people receiving a pension, including allowances, in an amount below the subsistence level established for of this region; elderly citizens and disabled people who have relatives who, for objective reasons, cannot provide them with help and care, provided that the amount of pension received by these citizens, including allowances, is lower than the minimum subsistence level established for the given region; elderly citizens and disabled people living in families whose average per capita income is below the subsistence level established for a given region.

Social services on a partial payment basis are provided to: single elderly citizens (single married couples) and disabled people receiving a pension, including allowances, in the amount of 100 to 150 percent of the minimum subsistence level established for a given region; elderly citizens and disabled people who have relatives who, for objective reasons, cannot provide them with help and care, provided that the amount of pension received by these citizens, including allowances, is from 100 to 150 percent of the minimum subsistence level established for this region; elderly citizens and disabled people living in families whose average per capita income is from 100 to 150 percent of the subsistence level established for a given region.

On the basis of full payment, social services are provided to elderly citizens and disabled people living in families whose average per capita income exceeds the subsistence level established for a given region by 150 percent.

Activities in the field of social services for elderly citizens and people with disabilities are based on the principles:

1) Targeting. Providing personalized information to a specific person. Work to identify and create a data bank of such persons is underway local authorities social protection of the population at the place of residence of the disabled and elderly.

2) Availability. The opportunity is provided for free and partially paid receipt of social services that are included in the federal and territorial lists of state-guaranteed social services. Their quality, volume, order and conditions of provision must comply state standards established by the Government of the Russian Federation. Reducing their volume at the territorial level is not allowed.

3) Voluntariness. Social services are provided on the basis of a voluntary application from a citizen, his guardian, trustee, other legal representative, government body, local government body or public association. At any time, a citizen can refuse to receive social services.

4) Humanity. Citizens living in inpatient institutions have the right to freedom from punishment. The use of drugs, physical restraints, or isolation for the purpose of punishment or to create convenience for personnel is not permitted. Persons who commit these violations bear disciplinary, administrative or criminal liability.

5) Confidentiality. Personal information that becomes known to employees of a social service institution during the provision of social services constitutes a professional secret. Employees guilty of disclosing it are liable established by law responsibility.

6) Preventive focus. One of the main goals of social services is the prevention of negative consequences that arise in connection with a citizen’s life situation (impoverishment, exacerbation of diseases, homelessness, loneliness, and so on)

Lists of social services are determined taking into account the subjects for whom they are intended. Federal list of state-guaranteed social services for elderly citizens and disabled people provided by state and municipal institutions social services, approved by Decree of the Government of the Russian Federation dated November 25, 1995 No. 1151. On its basis, territorial lists are developed. Financing of services included in the lists is carried out from the corresponding budgets.

Control over the provision of social services is carried out by social protection authorities, health authorities, and educational authorities within the limits of their competence.

Public control is carried out by public associations engaged in accordance with constituent documents issues of protecting the interests of elderly citizens, disabled people, and people with mental disorders. One of such associations is the Independent Psychiatric Association of Russia

Supervision of compliance with the law in this area is carried out by the prosecutor's office, whose assistance should be the most prompt.

Actions or inactions government agencies, institutions, organizations and officials that resulted in violations of the rights of citizens may be appealed to the court.

1.2 Rights of disabled people and elderly people in the field of social services

When receiving social services, elderly and disabled citizens have the right to:

Respectful and humane attitude on the part of employees of social service institutions;

Selecting an institution and form of social services in the manner established by the social protection authorities of the constituent entities of the Russian Federation;

Information about your rights, obligations, conditions for the provision of social services, types and forms of social services, indications for receiving social services, conditions for their payment;

Voluntary consent to social services (in relation to incapacitated citizens, consent is given by their guardians, and in their temporary absence - by the guardianship and trusteeship authorities);

Refusal of social services;

Confidentiality of personal information that becomes known to an employee of a social service institution during the provision of social services (such information constitutes a professional secret of these employees);

Protection of your rights and legitimate interests, including in court.

The list of state-guaranteed social services is approved by the executive authorities of the constituent entities of the Russian Federation, taking into account the needs of the population living on the territory of the corresponding constituent entity of the Russian Federation.

Information about social services is provided social workers directly to elderly citizens and disabled people, and in relation to persons under 14 years of age and persons declared incompetent - to their legal representatives. Citizens sent to stationary or semi-stationary social service institutions, as well as their legal representatives, must be previously familiarized with the conditions of residence or stay in these institutions and the types of services provided by them.

In case of refusal of social services, citizens, as well as their legal representatives, are explained possible consequences the decision they made. Refusal of social services, which may lead to a deterioration in the health of citizens or a threat to their lives, is formalized by a written statement from citizens or their legal representatives confirming receipt of information about the consequences of such refusal.

Chapter 2.Characteristics of individualtypes of social services

2.1 Inpatient social services for disabled people andelderly

Inpatient social services for disabled and elderly people held in social protection institutions have the following features: Inpatient social services are provided in boarding homes for the elderly and disabled, boarding homes for the disabled, psychoneurological boarding schools, etc.; Citizens of retirement age (women over 55 years old, men over 60 years old), as well as disabled people of groups I and II over 18 years old, are accepted into boarding homes, provided that they do not have able-bodied children or parents obligated to support them;

Only disabled people of groups I and II aged 18 to 40 who do not have able-bodied children and parents obligated by law to support them are accepted into boarding homes for the disabled;

The children's boarding home accepts children from 4 to 18 years old with mental or physical development abnormalities. At the same time, it is not allowed to place disabled children with physical disabilities in inpatient institutions intended for the residence of children with mental disorders;

The psychoneurological boarding house accepts persons suffering from chronic mental illnesses who need care, household services and medical assistance, regardless of whether they have relatives who are legally obligated to support them or not;

Persons who systematically violate internal regulations, as well as persons from among especially dangerous criminals, as well as those involved in vagrancy and begging, are sent to special boarding houses;

Inpatient institutions provide not only care and necessary medical assistance, but also rehabilitation measures of a medical, social, domestic and medical-occupational nature; An application for admission to a boarding home, along with a medical card, is submitted to a higher-level social security organization, which issues a voucher to the boarding home. If a person is incapacitated, then his placement in a stationary institution is carried out on the basis of a written application from his legal representative; If necessary, with the permission of the director of the boarding home, a pensioner or disabled person may temporarily leave the social service institution for a period of up to 1 month. A permit for temporary departure is issued taking into account a doctor’s opinion, as well as a written commitment from relatives or other persons to provide care for an elderly or disabled person.

2.2 Semi-stationary social servicesdisabled and elderly

One of the types of social services for disabled people and the elderly are semi-inpatient facilities created in municipal social service centers or under social protection authorities.

In the day (night) departments, social, medical and cultural services are provided to elderly citizens and the disabled.

The following types of services are provided in these institutions:

1) organization of catering, everyday life and leisure (providing hot meals, providing bedding, providing books, magazines, newspapers);

2) social and medical services (assistance in obtaining medical and psychological assistance, provision of sanitary and hygienic services, organization of medical and recreational activities, assistance in conducting rehabilitation programs for the disabled, assistance in obtaining vouchers for sanatorium treatment, assistance in prosthetics, etc. .d.);

3) assistance in obtaining education and professional training;

4) assistance in employment;

5) assistance in organizing legal services;

6) assistance in organizing funeral services.

For persons without a fixed place of residence and occupation, special semi-stationary institutions are created in the system of social protection bodies - night houses, social shelters, social hotels, social adaptation centers (Resolution of the Government of the Russian Federation of June 8, 1996 No. 670). These institutions provide:

* coupons for one-time (once a day) free food;

* first aid;

* personal hygiene items, sanitary treatment;

* referral for treatment;

* assistance in providing prosthetics;

* registration in a boarding house;

* assistance in registration and recalculation of pensions;

* assistance in employment, in the preparation of identity documents;

* assistance in obtaining a medical insurance policy;

* provision of comprehensive assistance (consultations on legal issues, household services, etc.).

Zconclusion

From all of the above, we can conclude that the most important task of the state is to modern stage is to create an effective system of social services as a set of services to various categories of the population located in the social risk zone.

Social services are designed to help clients solve their problems. social problems to restore or strengthen their ability for self-sufficiency and self-service, to create the necessary conditions for the viability of persons with disabilities.

The main goal of forming this system is to increase the level social guarantees, providing targeted assistance and support to disabled citizens, primarily at the territorial level and taking into account new social guarantees.

For more efficient work of social service bodies, it is necessary to develop the regulatory framework for the organization and functioning of social service institutions; development of scientific and methodological foundations for the activities of a network of social service institutions; governmental support development of the material and technical base of social service institutions; development project documentation for the construction of new types of institutions, the development of interregional and international cooperation and Information Support activities of social service institutions.

Bibliographiclist

Regulations

1. Universal Declaration of Human Rights (adopted at the third session of the UN General Assembly by resolution 217 A (III) of December 10, 1948) // Library of the Russian newspaper. - 1999. - No. 22-23. (current edition).

2. Constitution of the Russian Federation. (adopted by popular vote on December 12, 1993) // Russian newspaper. - 1993.

3. Federal Law of December 28, 2013 N 442-FZ “On the fundamentals of social services for citizens in the Russian Federation” // Consultant Plus (current edition).

4. Resolution of the Governor of the Vladimir Region N 920 “On the introduction in the Vladimir Region of hospital-replacing technology “Foster family for elderly citizens and the disabled”” dated August 16, 2012 // Consultant Plus (current edition).

5. Resolution of the Governor of the Vladimir Region No. 435 “On approval administrative regulations provided by the Department of Social Protection of the Population of the Administration of the Vladimir Region public services in the direction of inpatient social services for elderly and disabled citizens" dated May 10, 2011 // Consultant Plus (current edition).

Literature

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Internet resources

19. Electronic journal"The ABC of Law" [ Electronic resource],-http://azbuka.consultant.ru/.

20. Department of Social Protection of the Population of the Vladimir Region [Electronic resource], - http://www.social33.ru/.

21. Administration of the Vladimir Region (official Internet portal) [Electronic resource], - http://www.avo.ru/.

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2.1 Stationary and semi-stationary social services

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