Innovations in de-institutionalization of children with disabilities in Tajikistan

Nasiba INOYATOVASocial worker

Day Centre “KISHTI”

Bishkek - 2011

International conference «Innovative approaches in work with children with special needs and their families: Experience of Kyrgyzstan, and other countries of

the world»

Goals of “KISHTI”

• Day rehabilitation and education centre "КISHTI" was opened to create safe, developing and learning environment for children with disabilities from families and Children's home; and to support and train members of families and parents with disabled children.

CHILD

Individual approach to

rehabilitation

Integration and inclusion

Training and therapy Via games

Cooperation with parents

Family support

Prevention of placement of children to institutions

Social model

Love, Understanding,

Attachment

Opening of full potential Early

intervention

Our activity

• Team estimation of skills and abilities of a child.

• Design of Individual Plan for development for 3 months.

• Estimation of needs and requirements of a family with disabled child

“KISHTI” Team

Game therapy

Work groupTime together “Vakti Asssalom”

Individual therapy• Physical therapy• Ergo-therapy • Exercising - active and passive motions of all groups of muscles, improves strength, motion activity of muscles and balance.• ET/ЭТ – Use of compensatory devices: walkers, struts, special stools, platens,), promotes development of independence and confidence of children’s activity

Individual therapy

•Exercises prevent constraint, deformations and development of contractures.•Exercises help nurses to care, as children are more independent, and it is easier for the staff to look after them. •Exercises help to protect a child from pain.

Therapy of sensor integration•Stimulation of all sense organs•Influence on tactile and proprioseptive sensitivity•Sight and hearing activation

Feeding

•Training of parents on care, feeding, and correct positioning during feeding. •Oral stimulation.•Training of employees of Children's home to feed correctly

Аrt - therapy

•Group of Early intervention• Children Club•Club for children with autism

Music therapy

•Group of Early intervention• Children Club•Club for children with autism

Training on methods of alternative communication

•For children with problems of speech development • For children with problems of communication

Seminars and trainings

•For parents •For staff of Children’s home•For specialists

Parents club of self assistance and Art workshop•Parents club•Very few people from experts possess this many various skills to cope with daily difficulties like those that parents - participants of the group encounter.•Art-workshop - being engaged in applied art, parents not only get rest and forget about their problems, but also make money for needs of the club or the children.

•Organization of group meetings and seminars for parents is a very important part of the programs of early intervention•Attraction of parents to the activity of the centre – organizing holidays, joint games, partnership with experts in drawing up of individual plans for development of children

Story 1

•Кomron is 5 years old. One day his mum came to ask how to place a child into children's home. We talked to her, explained our work, had a discussion and suggested to come to “KISHTI” centre. After some thinking she decided not to place her child in CH. This is how she started coming to our centre History 2•Solehchon is 4 years old.He has ICP. His mum placed him in children's home. We talked to her, had a discussion, explained our work and suggested to come to KISHTI. She visited our centre Kishti for some time, and yet she left her child in children's home

“Matured parenting” programme

•Trainings for staff •Оpenning of two crisis groups for mothers

• Children home – 27 children with inability• Children with parents - 58• Total number of those who got

consultations – 240 children• Visit regularly - 50 children

Cooperation with Boarding schools (internat)

• Introduction of disability social model in closed institutions

• Training of modern concepts of disability• Training of principles of integration and

inclusion, and their gradual introduction in Boarding schools.

• Replacement of Boarding schools with the alternative rehabilitation centres for children with disability of daytime type.

We thank our donors !