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Day Care Center for Rehabilitation of Children and Youth
Mali dom – Zagreb
Croatia
Access to Appropriate Programs for Children with Multiple Disabilities and Visual Impairment and Deaf Blind Children in Croatia
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Children with Multiple Disabilities and Visual Impairment in Croatia
Prevalence of children with disabilities (up to 14 years)Multiple disabilities : 13 540Multiple disabilities and visual impairment - estimated number 2402 Deafblindness -estimated number -175 /250
Timely detection Undue referall
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Support for Children with Multiple Disabilities and Visual Impairment
Early Intervention Programs
School programsSpecial Mainstream
Day Care Centres /educational and habilitational programs/
Institutions /rehabilitational programs/
Mali dom- Zagreb : specialized programs for MDVI children
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Deafblindness
2003. recognized in our legal system, but still there are problems in the identification, diagnosis and classification of deafblind people
Educational and rehabilitational programs for DB children:
Schools (special and mainstream schools) – with no or mild additional disabilitiesMali dom- Zagreb –with additional disabilitiesDodir – focused mostly on adults
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Mali dom - Zagreb
Inter/transdisciplinary assessment
Early intervention
Educational/Rehabilitational
program
Networking with organizations and professionals nationally and internationally
Resource center
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HistoryStarted as NGO working with MDVI children 18 years ago
Perkins School for the Blind – from 1997 with first ELP student, until today constant support in developing appropriate programs
CBM Germany
2001 program officially recognized as spealized program for MDVI children from the Ministry of Social Welfare
NGO transformed into public institution Mali dom- Zagreb founded by City of Zagreb
Up to now more than 1320 children with multiple impairments and their families have been supported by our program
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Inter/transdisciplinary assessment• GMFM – functional motor assessment
• Educational rehabilitation assessment
• Functional vision assessment
• General movement /developmental assessment birth to 3
month/
• Speech and communication aassessment
• Sensory integration assessment
• Occupational therapy assessment
• Psychological assessment
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AssessmentInter/Transdisciplinary
Spec.Ed.Teachers Physiotherapist Speech therapist Occupational therapist Pychologist SIAT therapist
Overall
Basis for the creation
of optimal individual
educational plan
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Early InterventionRehabilitation programs from birth to the age of 3 years
Home visits and centre based
Creating Individual educational plan and the individual family support/service plan (IFSP) and family map
Additional programs:• Experience groups• Halliwick swimming• Parents support group
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Day Care CenterMali dom runs its program through the everyday activities
After assessment, observation and consulting with parents, IEP –
individual education plan is created for every and each child
Number of children in the group:6 – 8
In each group there are individual and group activities conducts in
accordance with goals set in IEP of every child
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Educational activities
Daily living activities
Domestic activities
Social/Cultural/Leisure activities
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Communication• Basis and integral part of our curriculum
• Embedded in all activities
and used across all curriculum
areas
• Multimodal communication approach
• Assessment of child’s communication level
• Communication system matching child’s communication level
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Specific habilitation services
Therapy dog
Kinesitherapy Assistive tecnology Sensory integration
SnoezelnSwimming
Low vision devicesOrientation and mobilityVisual stimulations
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Creative therapeutic activitiesMusic therapy
Movement and dance therapy
Art therapy
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Community OutingsThrough workshops with children from regular schools
Through public actions
Through art projects and exhibitions
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Family Support
Active participants in the process
Partners – included in developing of individual education
plan setting goals and achieveing them
Individual and group support
Family gatherings
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Resource Centre and Networkingproviding support for schools and other service providers in developing appropriate Early intervention program and educational program for MDVI/DB children
Organizing seminars , in-service trainings , exchange visits on a national level
And on a regional level through Perkins International in: Bulgaria, Bosnia and Herzegovina, Chezk Republic, Romania, Armenia, Greece , Serbia
Cooperation on various projects with Universities, hospitals, schools, UNICEF, etc
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Strengthening Programs for Children with MDVI in Croatia
WEAKNESSES:
Poor interagency coordination between health, social welfare and educational systems
Lack of transition planning
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Strengthening Programs for Children with MDVI/DB in Croatia
Positive changes:
Public Awareness
Networking between professionals and organizations from different fields
Legal framework: Master plan of deinstutialization
Access to appropriate education
Ecological vs. Medical approach