1.3_CBR program AIMS, OBJECTIVES, PRINCIPLES, ORGANISATIONAL STRUCTURE AND PERSONNEL.ppt
- 1. SESSION 2. SESSION 1.3 - 1.4. THE CBR PROGRAMME TODAY: AIMS, OBJECTIVES, PRINCIPLES, ORGANISATIONAL STRUCTURE AND PERSONNEL OF THE CBR Umeda Munavvarova, CBR Programme Coordinator, Caritas Germany Bishkek, 29-30 October 2018.
- 2. CBR CBR - REHABILITATION PROGRAMME, - REHABILITATION PROGRAMME, PROVISION OF EQUAL RIGHTS AND PROVISION OF EQUAL RIGHTS AND OPPORTUNITIES, REDUCTION OF OPPORTUNITIES, REDUCTION OF POVERTY AND SOCIAL EXCLUSION OF POVERTY AND SOCIAL EXCLUSION OF PEOPLE WITH DISABILITIES AND PEOPLE WITH DISABILITIES AND INCLUSIVE DEVELOPMENT INCLUSIVE DEVELOPMENT CBR - Community Based Rehabilitation
- 3. CBR is a strategy for improving the quality of life of people with disabilities, by changing the work of the various services for people with disabilities, in order to best meet their needs, ensure their equal opportunities and protect their rights.
- 4. The main goals of CBR: 1. To ensure that people with disabilities are seen as able. (dis able) 2. To maximize the physical and mental abilities of people with disabilities. 3. To improve access for people with disabilities to the regular services that they need. 4. To enable them to become active "contributors" to the local community and to society as a whole. 5. Through changes in the local community, to motivate the entire community to promote and protect the rights of people with disabilities, for example by removing barriers to their participation in society.
- 5. The principles of CBR are based on those of the Convention on the Protection of the Rights of Persons with Disabilities: • Respect for human dignity and personal autonomy, including freedom to make one's own choices, and independence; • Non-discrimination; • Full and effective inclusion in society; • Respect for and acceptance of persons with disabilities as part of human diversity and humanity; • Equality of opportunity; equality between men and women • Availability of environment; • Empowerment, including advocacy services • Program sustainability
- 6. The CBR Matrix This consists of five main components: 1) health; 2) education; 3) self-support; 4) social issues; 5) increasing rights and opportunities (empowerment). Each component comprises five elements, making 25 elements in total
- 7. CBR MATRIX HEALTH EDUCATION SELF-PROVISION SOCIAL ISSUES INCREASING RIGHTS AND OPPORTUNITIES IMPROVING HEALTH EARLY CHILDHOOD SKILLS DEVELOPMENT PERSONAL ASSISTANCE ADVOCACY & COMMUNICATION PREVENTION PRIMARY SELF-OCCUPATION PERSONAL RELATIONS, MARRIAGE & FAMILY COMMUNITY MOBILISATION MEDICAL ASSISTANCE SECONDARY & HIGHER HIRED WORK CULTURE AND ART PARTICIPATION IN POLITICAL LIFE REHABILITATION INFORMAL FINANCIAL SERVICES LEISURE, SPORT & ENTERTAINMENT SELF-ASSISTANCE GROUPS AUXILIARY DEVICES EDUCATION DURING LIFE SOCIAL PROTECTION JUSTICE DISABLED PERSONS’ ORGANISATIONS
- 8. The CBR Matrix • The first four components relate to key development sectors, reflecting the multi-sectoral nature of CBR. • The fifth component relates to the empowerment of persons with disabilities, and their families and communities; this is crucial for ensuring access to every sector of development, improving quality of life and realizing human rights for persons with disabilities. • It should not be expected that CBR programmes will be able to implement every component and element in the CBR matrix. • Conversely, the matrix is designed to allow software developers to select alternatives that best suit local needs, priorities and resources.
- 9. Levels of rehabilitation •National level •Regional level •County level •District level •Urban, village or rural level
- 10. Needs for rehabilitation • 70% of rehabilitation problems can be solved at community level without involving rehabilitation centre specialists. • 20% of rehabilitation issues can be solved at district level using Day Rehabilitation Centres. •Only 10% of people with disabilities need specialized rehabilitation services at national level with involvement of highly qualified rehabilitation specialists.
- 11. Levels of rehabilitation for people with disabilities
- 12. CBR programme - 24 hours a day! •a basic rehabilitation system that helps organize the daily life of those close to people with disabilities •simple, elementary and available to anyone, it's the lowest level in the rehabilitation system. The lowest, but very important, because everyday life goes on for 24 hours. •CBR is economical compared with specialized assistance (more coverage, no need for specialist professionals, applies simple and effective technologies, uses the power of family and community)
- 14. Who is the CBR program intended for? children, adolescents, adults and elderly people, living in urban and rural areas, visiting or not visiting rehabilitation centres, people with varying disabilities parents and close family members - people who already have functional limitations or are likely to acquire them
- 15. Functions of family members and close people • Active participation in all stages of CBR programme management; • Participation in local CBR programme committees; • Voluntary participation and service as staff members in these programmes; • Clarifying disability issues in one's own community, for example by drawing attention to certain barriers and demanding their removal.
- 16. Specialists or paraprofessionals? • Specialists have a narrow knowledge and are prepared to protect it. • Rehabilitation involves many repetitive parts, which can be done by relatives and not necessarily by professionals. • If many parts of the rehabilitation process are given to other people, the specialists will multiply their strength.
- 17. Functions of community members • Participating in awareness-raising initiatives to learn more about disability; • Changing beliefs and psychological attitudes that may limit the abilities of people with disabilities and of their families; • Removing barriers that may prevent persons with disabilities and their families from participating in community life; • Convincing by personal example and involving persons with disabilities and their families in the work; • Providing assistance and support to persons with disabilities and their families, as appropriate.
- 18. Civil society and relatives' organizations • Can be a driving force in any new or existing CBR programme. • Development and implementation of CBR programmes where government support is limited; • Technical assistance and provision of resources and training for CBR programmes • Support for the development of the system for referring to professionals; • Support for CBR programmes for integrating disability issues into existing programmes and services; • Support for evaluation, scientific research and development in the field of CBR. • Clarification of the rights of persons with disabilities; advocacy and lobbying
- 19. Functions of the authorities • To guide the management and/or implementation of national CBR programmes; • To provide legislation and policy frameworks to support the rights of persons with disabilities; • To develop a national CBR policy or inclusion of CBR as a rehabilitation or development strategy; • To provide human, material and financial resources to RMA programmes; • Providing persons with disabilities and their families with access to public programmes, services and facilities; • Development of CBR as a methodology for provision of rehabilitation services throughout the country.
- 20. CBR staff Rehabilitation Committee Superintendents Coordinators People with functional limitations Family trainers Rehabilitation Committee Superintendents Coordinators People with functional limitations Family trainer
- 21. Functions of CBR staff • To identify persons with disabilities and provide assessments of disorders • To provide the simplest therapeutic interventions; • To train family members on how to support and assist persons with disabilities; • To provide information about services available in the community • To refer to specialists and provide follow-up monitoring; • To promote the formation of mutual aid groups; • To provide advocacy services for the inclusion of disabled persons; • To improve community awareness of disability issues and encourage their inclusion in family and community life.
- 22. Rehabilitation Committee - composition • People with disabilities and their families. • People who provide professional help for adults and children with disabilities: teachers, doctors, social workers and others. • Officials on whom this programme depends. • Concerned members of society who want to improve the situation of people with disabilities.
- 23. District Rehabilitation Committee (DRC) • The purpose of the Local Rehabilitation Committee is to organise and manage the CBR programme for friends and relatives. • The Committee meets regularly with representatives of the CBR programme agencies to discuss what is being done. • The Committee is looking for opportunities to assist the coordinators in their work on the rehabilitation of these people. • The Committee must meet regularly with members of the public to report and inform them about the CBR programme.
- 24. District Coordination Committee (RCC) • Policy development, resource allocation, service-based interventions • General coordination and management, monitoring and evaluation, public reporting on the results of the CBR programme. • Supporting a rehabilitation programme at home • Addressing difficulties experienced by CBR staff • Support for identification people in need, assessment and training • Development of mechanisms for managing these people • Material support for the programme from local resources
- 25. Therefore, • CBR is a strategy aimed at improving the quality of life for people with disabilities. • It is achieved by: improving the work of social services making social services available giving such people equal opportunities along with other members of society protecting their rights and freedoms.
- 26. The ultimate goal of the CBR program is for people with functional limitations: • to be able to live at home • to be able to function in everyday life • to be able to attend a regular school or preschool, to work and make money • to be included and actively involved in the social relations system • to be happy and independent