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Community Based Rehabilitation of Persons with Disabilities
S Pruthvish
1:
History of Rehabilitation of Persons with Disability
LEARNING OBJECTIVES
OUTLINE OF THE CONTENT
SUGGESTED METHODOLOGY
PRE/POST EVALUATION
HISTORY OF REHABILITATION
Impact of World War II
Motivation, Training and Achievement of Disabled Persons
Independent Living Movement
Community-based Rehabilitation
Prejudice to Dignity
Disability and Development
ASSIGNMENT FOR STUDENTS
2:
Disability: Definition and Classification
LEARNING OBJECTIVES
OUTLINE OF CONTENT
SUGGESTED METHODOLOGY
PRE/POST EVALUATION
IMPAIRMENT, DISABILITY AND HANDICAP
Definition
Magnitude of Problem of Disability
Causes of Disability
Macro-economic Conditions
Nutritional Deficiency
Weapons and Violence
Chemical Substances
Other Causes of Disability
Specific Causes for Certain Disabilities
TYPES/CLASSIFICATION OF DISABILITIES
NEED FOR INTEGRATION
ASSIGNMENT FOR STUDENTS
3:
Prevention of Disabilities
LEARNING OBJECTIVES
OUTLINE OF THE CONTENT
SUGGESTED METHODOLOGY
PRE/POST EVALUATION
Efforts of UNICEF and WHO
Efforts of Government of India
LEVELS OF PREVENTION
Primary Prevention
Health Promotional Measures
Specific Protection Measures
Secondary Prevention
Tertiary Prevention
Primordial Prevention
IMPLEMENTATION OF PREVENTION PROGRAMMES
ASSIGNMENT FOR STUDENTS
4:
Disability Identification
IDENTIFICATION OF DIFFERENT DISABILITIES
LEARNING OBJECTIVES
OUTLINE OF CONTENT
PRE/POST EVALUATION
SUGGESTED METHODOLOGY FOR TRAINING
Questions for use in Identifying People with Disabilities (WHO)
People who have Difficulty in Seeing
People who have Difficulty in Hearing or Speaking
People who have Difficulty in Moving
People who have no Feeling in the Hands or Feet
People who show Strange Behaviour
People who have Fits
People who have Difficulty in Learning
Questions for use in Assessing a Person with a Disability (WHO)
How to Identify Children who have Difficulty in Moving?
Ask the Child to do the following activities
How to Identify Children who have Difficulty in Seeing?
Children under 4 years, but above three months of age
Children above 4 years
Older Children and Adults
How to Identify Children with Hearing Problems?
Child 0 to 3 Months
Child 3 to 6 Months
Child 6 to 10 Months
Child 10 to 15 Months
Child 15 to 18 Months
Child 16 Months to 3½Years
Child Appears Disobedient
If the Child is School Going
For Children below 5 Years
Children above 5 Years and Adults
Screening Schedule for Mental Retardation
Screening Schedule 1
Other Factors
Screening Schedule 2 (3–6 Years)
Screening Schedule 3 (7 years and above)
How to identify Epilepsy?
How to identify Leprosy (Hansen's disease)?
Preliminary Steps in Initiating Community-based Rehabilitation Activities
Village Level Records and Information from Key Informants/Functionaries
Participatory Rural Appraisal
Survey Methods
Personnel and Field Level Activities
ASSIGNMENT FOR STUDENTS
5:
Early Identification and Early Intervention for Disabilities
LEARNING OBJECTIVES
OUTLINE OF CONTENT
SUGGESTED METHODOLOGY
PRE/POST EVALUATION
Suggested Policies and Programmes—UNICEF's Perspective
Excerpts from UNESCAP Reports
Milestones of Development in Indian Children
ASSIGNMENT FOR STUDENTS
6:
Concept, Principles, Components of Community-based Rehabilitation
LEARNING OBJECTIVES
OUTLINE OF CONTENT
SUGGESTED METHODOLOGY
PRE/POST EVALUATION
Institution-based Rehabilitation
Camp Approaches
Outreach Programmes
Challenges
Government Programmes
Approaches seen in India
Basic Principles of Community-based rehabilitation
Starting a Community-based rehabilitation Programme
An Exercise
ASSIGNMENT FOR STUDENTS
7:
Planning and Implementation of Community-based Rehabilitation
LEARNING OBJECTIVES
OUTLINE OF CONTENT
SUGGESTED METHODOLOGY
PRE/POST EVALUATION
Three Approaches for Public Health
Knowledge, Attitude and Practices
Skills, Skill Transfer
Government Sector
NGO Sector
Others
Demystification Attempts
Following are Useful Resource for this Demystification
District Rehabilitation Scheme, GOI
Appropriate Technology in Community-based Rehabilitation
Training of Family Members
Training of Volunteers/Community-based Rehabilitation Workers
Training of Community Members
Initiating CBR Activities
Step I: Understanding the Communities
Step II: Resource Identification and Mobilization
Step III: Write a Plan/Proposal
Step IV: Start Helping People Simultaneously
Step V: Get Support, Mobilize Resource
Step VI: Start Systematic Work once Resource Support is Assured. Till then Help People Ad hoc
Records at Village, Group of Villages (Hobli), Records for Entire Area— PHC Area/Field Practice Area
Minutes of Meetings Held
Monthly/Quarterly Reports
Field Visit Reports
Special Camp Reports
ASSIGNMENT FOR STUDENTS
8:
Supervision, Monitoring and Evaluation of Community-based Rehabilitation
LEARNING OBJECTIVES
OUTLINE OF CONTENT
SUGGESTED METHODOLOGY
PRE/POST EVALUATION
What is Supervision?
What is Monitoring and Surveillance?
What is Evaluation and What are Reviews?
Conceptual Areas in Evaluation of Community-based Rehabilitation
Parameters of Evaluation
Quantitative Methods of Evaluation
Qualitative Methods of Evaluation
Participatory Rural Appraisal (PRA)
Case Studies
Focus Group Discussions
Observation
Attitude Measurement
RHR CONSORTIUM MONITORING AND EVALUATION TOOL KIT
Focus Group Discussion Protocol
Purpose
Description
Ethical Considerations
Data Collection Guide
Sampling Plan
Data Collection Procedures
Location
Conducting the Group Discussion
Facilitator Characteristics
Facilitator Training
Time Frame
Analysis Plan
Use of Data
Dissemination
ASSIGNMENT FOR STUDENTS
9:
Resources for CBR and Disability Rehabilitation
LEARNING OBJECTIVES
OUTLINE OF CONTENT
SUGGESTED METHODOLOGY
PRE/POST EVALUATION
List of Publications of WHO
List of Existing Community-based Rehabilitation Programmes, Studies and Evaluations Prepared by Birgitta Jennische, Uppsala University
List of Important Organisations in India
RESOURCES FOR PROGRAMMES FOR THE MENTALLY III
Funding Support
Education and Training
Scholarships
Programme of Integrated Education
Fellowships
Employment
Special Employment Exchanges (Ministry of Labour, Administrative Control—State Governments)
Vocational Rehabilitation Centres for the Handicapped (VRCs)—Ministry of Labour
District Rehabilitation Centres (Ministry of Welfare)
National Awards (Ministry of Welfare)
Economic Assistance for Self-Employment
Reservations
Concessions/Relaxations
Other Facilities/Concessions
Travel
Income Tax Concessions
Custom Duty
The Ministry of Welfare has Two Major Schemes—
Cooperative Sector
General
Resource Institutions—Government
NGOs
List of Special Employment Exchanges
List of Vocational Rehabilitation Centres
List of District Rehabilitation Centres
Legislations
List of Aids and Equipment for the Disabled
ASSIGNMENT FOR TRAINEES
10:
Legislations
DISABILITY ACT OF 1995 AND OTHER LEGISLATIONS CONCERNING DISABLED PEOPLE IN INDIA
LEARNING OBJECTIVES
OUTLINE OF CONTENT
SUGGESTED METHODOLOGY
PRE/POST EVALUATION
THE INDIAN FACTORIES ACT, 1948
THE EMPLOYEES STATE INSURANCE ACT, 1948
DISABILITY ACT OF 1995 AND OBSTACLES TO IMPLEMENTING THE DISABILITY ACT
The Act and its Promulgation
Salient Features of the Act
MAGNITUDE OF THE PROBLEM OF DISABILITY IN INDIA
International Consensus
Will the Disability Act Make a Difference?
Suggestions for a Plan of Action
The National Trust Act
ASSIGNMENT FOR TRAINEES
11:
Vocational Training and Employment of Persons with Disability
LEARNING OBJECTIVES
OUTLINE OF CONTENT
SUGGESTED METHODOLOGY FOR THE FACULTY
PRE/POST EVALUATION
INTRODUCTION
What is Vocational Rehabilitation?
What is Vocational Assessment?
Skills Training
Promoting Job Seeking Skills
Production Units
Work Trials
Problems that Persons with Disabilities Face for Seeking Jobs
Women with Disabilities
Self-employment for Persons with Disabilities
Open Employment for Persons with Disabilities
Sheltered Employment
ASSIGNMENT FOR STUDENTS
12:
Role of Physiotherapists in Community-based Rehabilitation of Persons with Disabilities
ROLE OF A PHYSIOTHERAPIST
COMMUNITY-BASED REHABILITATION IS A APPROACH, NOT A SCHEME FOR IMPLEMENTING REHABILITATION
LINKAGES AND ALLIANCES FOR COMMUNITY-BASED REHABILITATION
ATTRIBUTES OF A REHABILITATION MANAGER
Annexures
PRELIMINARY
PERSONNEL AND FIELD LEVEL ACTIVITIES
ANALYSIS OF DATA
Proforma 1 and 2
Proforma 3
INTERVENTIONS
GUIDELINES FOR TRANSLATION OF PROFORMAE
PRACTICAL EXERCISE
Practical Record may include:
Field Visits
Community-Based Rehabilitation Projects*
* Arranging Interactions with Following Persons and personnel in following institutions will be Useful to Students of Physiotherapy**:
Development of Field Practice Area
Developing a Library and Information Centre on CBR
Useful Research Areas in CBR
INDEX
TOC
Index
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