Gennadiy Ponomarenko, Honored worker of science of the Russian Federation, MD, professor, General director of Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht
Oksana Vladimirova, Candidate of Medical Sciences, Associate Professor, Director of Institute of rehabilitation and abilitation of Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht
In the heading: Original researches
Year: 2019 Volume: 1 Journal number: 1
Pages: 9-15
Article type: scientific and practical
UDC: 364.07+614.253.1
DOI: 10.26211/2658-4522-2019-1-1-9-15
Background and aim. In order to prove scientifically the development of the system of comprehensive rehabilitation and habilitation of persons with disabilities in regions of the Russian Federation, the indicators of the number, level and structure of general disability in the Russian Federation we analysed current Russian and international documents according to the official statistics and taking into account the ICF biopsychosocial model of disability. Statistical data for calculations were used from Rosstat, the Ministry of Labour and Social Protection of the Russian Federation and the Federal Register of Disabled People.
Results. Every year more than 2 million individual rehabilitation and habilitation programmes are developed for adults with disabilities in the Russian Federation. Assessing the needs of people with disabilities in comprehensive rehabilitation and habilitation in regions of the Russian Federation is a multi-step process. It takes place at three levels: in federal institutions of medical and social expertise (MSE), where experts develop an individual programme of rehabilitation and habilitation. Next level is in authorities of a region of the Russian Federation, based on extracts from the individual programme, and the last level is in rehabilitation institutions of various organizational and legal forms and forms of ownership while carrying out the measures. Comprehensive rehabilitation and habilitation are distinguished by special methodological approaches to its organization. A human rights-based model of individual programme is being implemented in accordance with federal documents in the regions of the Russian Federation.
The participants in this model are the following: a) individual programme developer – federal government agencies for medical and social expertise; b) individual programme executor – the executive authorities of a region of the Russian Federation; c) individual programme measures performer – organizations that carry out activities for the rehabilitation or habilitation of persons with disabilities in the relevant field of activity of the executive authority.
Conclusion. A comprehensive rehabilitation model for the rehabilitation and habilitation of persons with disabilities is based on indicators of functioning, activity and environmental factors. The development of comprehensive rehabilitation and habilitation of persons with disabilities involves the definition and delimitation of powers between the federal institutions of the MSE, the executive authorities of a region of the Russian Federation and the executive authorities of the municipality. The system of comprehensive rehabilitation and habilitation of persons with disabilities is subject to the joint jurisdiction of federal, regional and municipal authorities, as well as organizations regardless of their organizational and legal forms. At the same time, it should be noted that the powers of the authorities at various levels have not yet received the complete legal consolidation. It is necessary to adjust the national strategies and programmes that provide for the duties of the authorities to protect and promote the rights of persons with disabilities in order to develop preventive, rehabilitative and medical-social directions in the interests of elderly persons.
Keywords: comprehensive rehabilitation, Disability and Health, disabled person, individual programme of rehabilitation and habilitation of a disabled person, International Classification of Functioning
Download the full text of the article
1. O social`noj zashhite invalidov v Rossijskoj Federacii: federal`ny`j zakon ot 24.11.1995 N 181-FZ [About social protection of disabled people in the Russian Federation: federal law of 24.11.1995 N 181-FL]. – Access mode: http://base.consultant.ru/cons/cgi/online
2. Konvenciya o pravax invalidov [E`lektronny`j resurs]: rezolyuciya 61/106 General`noj Assamblei ot 13 dekabrya 2006 goda. – Rezhim dostupa: http://www.un.org/ russian/disabilities/ convention/disabilitiesconv.pdf [Convention on the rights of disabled people [Electronic resource]: resolution 61/106 of the General Assembly of December 13, 2006. – Access mode: http://www.un.org/ russian/disabilities/ convention/disabilitiesconv.pdf]
3. Mezhdunarodnaya klassifikaciya funkcionirovaniya, ogranichenij zhiznedeyatel`nosti i zdorov`ya (MKF) (s izmeneniyami i dopolneniyami po sostoyaniyu na 2016 god): proekt. – SPb.: Chelovek, 2017. – 262 c. [The international classification of functioning, restrictions of activity and health (ICF) (with changes and additions as of 2016): project. – SPb.: Person, 2017. – 262 p.]
4. Ob utverzhdenii gosudarstvennoj programmy` Rossijskoj Federacii «Dostupnaya sreda» na 2011-2020 gody`: postanovlenie Pravitel`stva RF ot 01.12.2015 N 1297 // Oficial`ny`j internet-portal pravovoj informacii www.pravo.gov.ru, 04.12.2015, N 0001201512040005 [About the approval of the state program of the Russian Federation “The available environment” for 2011- 2020: resolution of the Government of the Russian Federation of 01.12.2015 N 1297, Official Internet portal of legal information www.pravo.gov.ru, 04.12.2015, N 0001201512040005.]
5. Reabilitaciya 2030: prizy`v k dejstviyam. (in Russ.); rezhim dostupa: http://www.who.int/rehabilitation; ssy`lka aktivna 12.03.2018. [Rehabilitation 2030: A Call for Action (in Russ.)] Access mode: http://www.who. int/rehabilitation/CallForActionRU.pdf The reference is active on 12.03.2018
6. Ob utverzhdenii Poryadka razrabotki i realizacii individual`noj programmy` reabilitacii ili abilitacii invalida, individual`noj programmy` reabilitacii ili abilitacii rebenka-invalida, vy`davaemy`x federal`ny`mi gosudarstvenny`mi uchrezhdeniyami mediko- social`noj e`kspertizy`, i ih form: prikaz Mintruda Rossii ot 13.06.2017 N 486n //Oficial`ny`j internet- portal pravovoj informacii http://www.pravo.gov. ru, 01.08.2017. [About the statement of the Order of development and implementation of the individual program of rehabilitation or an abilitation of the disabled person, the individual program of rehabilitation or an abilitation of the disabled child given by federal state institutions of medico-social examination, and their forms: order of Ministry of Labour and Social Protection of the Russian Federation of 13.06.2017 N of 486n//Official Internet portal of legal information http://www.pravo.gov.ru, 01.08.2017.]
7. Ob utverzhdenii formy` i Poryadka predostavleniya organami ispolnitel`noj vlasti sub“ektov Rossijskoj Federacii, organami mestnogo samoupravleniya i organizaciyami nezavisimo ot ix organizacionno- pravovy`x form informacii ob ispolnenii vozlozhenny`x na nix individual`noj programmoj reabilitacii ili abilitacii invalida i individual`noj programmoj reabilitacii ili abilitacii rebenka-invalida meropriyatij v federal`ny`e gosudarstvenny`e uchrezhdeniya mediko-social`noj e`kspertizy`: prikaz Mintruda Rossii ot 15.10.2015 N 723n //Oficial`ny`j internet- portal pravovoj informacii http://www.pravo.gov. ru, 14.12.2015. [About the statement of a form and Order of granting territorial subjects of the Russian Federation by executive authorities, local governments and organizations irrespective of their legal forms of information on execution by the individual program of rehabilitation or the abilitation of the disabled person and the individual program of rehabilitation or an abilitation of the disabled child of actions assigned to them in federal state institutions of medico-social examination: order of Ministry of Labour and Social Protection of the Russian Federation of 15.10.2015 N of 723n//Official Internet portal of legal information http://www.pravo.gov.ru, 14.12.2015.]
8. Ob utverzhdenii texnicheskogo zadaniya pilotnogo proekta po otrabotke podxodov k formirovaniyu sistemy` kompleksnoj reabilitacii i abilitacii invalidov, v tom chisle detej-invalidov: prikaz Mintruda Rossii ot 18.08.2016 N 436n // Oficial`ny`j internet- portal pravovoj informacii http://www.pravo.gov. ru, 12.10.2016. [Ob utverzhdenii texnicheskogo zadaniya pilotnogo proekta po otrabotke podxodov k formirovaniyu sistemy` kompleksnoj reabilitacii i abilitacii invalidov, v tom chisle detej-invalidov: prikaz Mintruda Rossii ot 18.08.2016 N 436n // Oficial`ny`j internet-portal pravovoj informacii http://www.pravo. gov.ru, 12.10.2016]
9. O rabochej gruppe po kontrolyu za realizaciej pilotnogo proekta po otrabotke podxodov k formirovaniyu sistemy` kompleksnoj reabilitacii i abilitacii invalidov, v tom chisle detej-invalidov: prikaz Mintruda Rossii ot 05.09.2016 N 491//Byulleten` trudovogo i social`nogo zakonodatel`stva RF. – N 9. – 2016. [O rabochej gruppe po kontrolyu za realizaciej pilotnogo proekta po otrabotke podxodov k formirovaniyu sistemy` kompleksnoj reabilitacii i abilitacii invalidov, v tom chisle detej-invalidov: prikaz Mintruda Rossii ot 05.09.2016 N 491//Byulleten` trudovogo i social`nogo zakonodatel`stva RF. – N 9. – 2016.]
10. Ob utverzhdenii metodicheskix rekomendacij po opredeleniyu potrebnosti invalida, rebenka-invalida v meropriyatiyax po reabilitacii i abilitacii na osnove ocenki ogranicheniya zhiznedeyatel`nosti s uchetom social`no-by`tovy`x, professional`no-trudovy`x i psixologicheskix danny`x: prikaz Mintruda Rossii ot 03.12.2018 N 765 [Ob utverzhdenii metodicheskix rekomendacij po opredeleniyu potrebnosti invalida, rebenka-invalida v meropriyatiyax po reabilitacii i abilitacii na osnove ocenki ogranicheniya zhiznedeyatel`nosti s uchetom social`no-by`tovy`x, professional`no-trudovy`x i psixologicheskix danny`x: prikaz Mintruda Rossii ot 03.12.2018 N 765]