Kazakh model of providing complex services for children with psycho neurological pathologies. For the international conference in Bishkek, March 2011, Kyrgyzstan.

1. Public union of invalids “Kenes” Centre of social adaptation and labour rehabilitation Almaty , 2011 год Kazakh model of providing complex services for children with psycho neurological pathologies 1

2. Imperfection of the system of providing special social services in KR before implementation of the Standard of rendering of special social services 2 1. Absence of competitive environment 2. Limited alternatives and availability of special social services 3. Ineffective use of budgetary funds 4. Preferentially segregation system of providing special social services 1. Absence off succession in providing special social services during the life cycle 2. Absence of the inter-agency coordination in providing special social services 1. Inter-regional differentiation in the extent and quality of providing special social services 2. Imperfection of funding, of quality assessment monitoring of the provided special social services 1. Low level of professionalism 2. Low prestige of social worker 3. Absence of professionals on assessment and identification of the need in special social services 4. Imperfection of the educational and methodical base in training of professionals State monopoly for providing special social services Absence of the complex approach in providing special social services Imperfection / absence of the state standards Absence of the developed institute of the social workers

3. Absence of developed institute of social workers 3 Absence of professionals on social work in different spheres of professional activities , including social workers on assessment Imperfection of program on education and training of social workers Absence of organization ( creation ) of practical platforms for training of specialists of social work Does not allow to create a system of escorting a person , in a difficult life situation and to organize a required set of services for his integration and improvement of life level, with use of the methods of assessment of needs for services

4. Imperfection of ( and in certain cases - absence ) the standards of rendering of special social services Differentiation of costs of Special Social Services per year ( per one served person, per region ) Thousands of tenges 4 Name of agencies and organizations Maximum Minimum 1. Houses for aged and handicapped people of the general type 862,4 338,2 2. Houses for adults with psycho neurological diseases 966,8 278,3 3. Houses for children with psycho neurological diseases 1115,5 452,7 4. Houses for the orphans and children without parental care 1451,9 126,1 5. Children villages for orphans and children without parental care (family type) 1110,5 436,1 6. Shelter for orphans and children without parental care 5083,3 309,9 7. Orphanages for orphans and children without parental care, (family type) 1542,0 148,7

5. 1. Reforming of the system of special social services : - transition to medical and social model of providing special social services - development of standards of rendering special social services - determination of the list and scope of special social services , both paid and free - determination of the categories of citizens for receipt of special social services - determination of the criteria of providing special social services 2. Improving of the institutional system of providing special social services : - implementation of the mechanism of state social order on providing special social services in non-governmental sector - expansion of the market of providing special social services - development of the modern forms of institutional content for the people in difficult life situation 3. Forming of the institute of social workers 4. Improving of the system of funding of providing special social services ( with consideration of new standards ) Aim of development of the Law of RK « On special social services » 5

6. Improvement of financing system of providing of special social services Structure of the costs for providing special social services ( in %) 6 Current Proposed, with new standards

7. at 42,6% Improvement of institutional system of providing special social services 7

8. Categories of citizens for receiving of special social services 8 People , discharged from prison Homeless people Children with limitations of early development People, Suffering from socially significant diseases Unemployed Special social services Lonely aged people Orphan children Socially disadapted children and teenagers Handicapped people Activities on meeting of certain social needs of a person in a difficult life situation .

10. Structure of the author’s model of complex services in the semi in-patient conditions Integration Day, in-patient for adults Social and labour education Social and domestic orientation Social adaptation

11. Implementation of correction programmes Correction classes of IV level Integration Day, in-patient for adults Social and labour education Social and domestic orientation Social adaptation Integration programmes for children from 3 to 7 years old Integration programmes for “special” children Correction classes of IV level Correction classes of V level Correction classes of III level Correction classes of V level Impart cultural and hygienic and self-serving skills Motion abilitation

12. Programmes of “Kenes” center Integration Day, in-patient for adults Social and labour education Social and domestic orientation Social adaptation Kinesitherapy

13. Motion abilitation ( kinesitherapy ) 13

14. Motion activity 14

15. Art-therapy 15

16. Agro-therapy 16

17. Zoo-therapy 17

18. Author’s model of the centre of complex rehabilitation and inculcation of the vital skills to children with complex structure of defects (registration number # 875 of 07/05/03) Stages of children development at “Kenes” Centre of Complex Rehabilitation Correction classes of IV level Integration Day, in-patient for adults SLE SDO Social adaptation Kinesitherapy Integration programmes for children from 3 to 7 years old Integration programmes for “special” children Correction classes of IV level Correction classes of V level Correction classes of III level Correction classes of V level Impart cultural and hygienic and self-serving skills Motion abilitation

30. Experience of inclusion of children with the special needs into the environment of typical children 31

40. « Happiness is life !» Balandin Roma , 20 years old 41