south alföld region ambulatory and home teaching …...south alföld 1,3 million inhabitants 5500...
TRANSCRIPT
Ambulatory and home teaching in the
South Alföld region
Éva Nagygyörgy
Rehabilitation specialist
professional director
Home teaching
Ambulatory service
Investigation into the efficiency of rehabilitation models *:• Rehabilitation of persons with AMD (p=226);
• The service has a primary focus on functional vision training;
• 3 models – ambulatory service, ambulatory service with home teaching,
ambulatory service with follow-up by a social worker;
• The survey did not confirm the increased efficiency of rehabilitation with
additional home teaching.
* B C Reeves, R A Harper, W B Russell: Enhanced low vision rehabilitation for people with age
related macular degeneration: a randomised controlled trial (British Journal of Ophthalmology, 88
p1443-1449, 2004)
Orientation and Mobility specialists about home teaching*:
• Adaptation of client’s knowledge to his/her home environment;• Recommendations on the accessibility of home environment;• Provision of background information to the client and his/her support persons;• Identification of psycho-social problems• Meeting client’s needs which are related to his/her environment• Follow-up counselling
* GA R. Zijlstra, J. Ballemans and G. IJM Kempen: Orientation and mobility training for adults with
low vision: a new standardized approach (Clinical Rehabilitation, 27(1) p3-18, 2012)
South Alföld
1,3 million inhabitants
5500 persons get disability payment due to visual impairment
22% of all Hungarian VI citizens live in the region – around 18.000 persons
254 settlements – he population of only 2 towns is bigger than 100.000 persons
53,8% of VI persons are over 60
Number of those living in rural areas (outside settlements) is the highest in this region
Urbanisation - characteristic among young people
Clients
Typically people over 60 years of age, living in villages.
Type of service is determined by…
• Client’s needs, possibilities and living condidions:
o mobility,
o living conditions, attitude of the family
o health condition, additional disability,
• choosing the required modules (e.g. vision training
– optical aids)
• preliminary knowledge and experience,
• rehabilitation goals determined together,
• capacity of specialists.
Limitations of home teaching
On the way…
3 clients7 lessons243 km
3 clients6 lessons163 km
4 clients8 lessons117 km
Békés County
Bács-Kiskun County
Csongrád County
Possible solutions
• Decentralised service locations –
one or two/county, in community facilities;
• Itinerant rehabilitation specialists employed by
each county - capacity-building;
• First ambulatory teaching, then home teaching;
• Home teaching parallel to participation in
self-support groups in the centre (practice,
socialisation);
• Waiting list, management.
On the way…
Thank you for your attention.
Contact:
Kreatív Formák FoundationAddress: 6728 Szeged, Napos út 16.Tel: 06-70-381-8488E-mail: [email protected]: www.kreativformak.hu