Innovation in deinstitutionalisation of disabled children in Tajikistan
International conference «Innovative approaches in work with children withspecial needs and their families: Experience of Kyrgyzstan, and other countries of the world»Innovations in de-institutionalization of children with disabilities in Tajikistan Nasiba INOYATOVA Social worker Day Centre “KISHTI” Bishkek - 2011
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 Childrens home; and to support and train members of families and parents with disabled children.
Prevention of placement of children to Opening of Early institutions full potentialintervention Cooperation Training and with parents therapy Via games CHILD Integration Family and inclusion support Social Love, Individual Understanding, approach to model Attachment rehabilitation
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
Game therapyWork groupTime together“Vakti Asssalom”
Individual therapy• Physical therapy• Ergo-therapy• Exercising - activeand passive motions ofall groups of muscles,improves strength,motion activity ofmuscles and balance.• ET/ЭТ – Use ofcompensatory devices:walkers, struts, specialstools, platens,),promotes developmentof independence andconfidence of children’sactivity
Individual therapy•Exercises prevent constraint,deformations and developmentof contractures.•Exercises help nurses to care,as children are moreindependent, and it is easierfor the staff to look after them.•Exercises help to protect achild from pain.Therapy of sensorintegration•Stimulation of all sense organs•Influence on tactile andproprioseptive sensitivity•Sight and hearing activation
Feeding•Training of parentson care, feeding,and correctpositioning duringfeeding.•Oral stimulation.•Training ofemployees ofChildrens home tofeed correctly
Аrt - therapy•Group of Earlyintervention• Children Club•Club for children withautism
Music therapy•Group of Earlyintervention• Children Club•Club for children withautism
Training on methods ofalternativecommunication•For children withproblems of speechdevelopment• For children withproblems ofcommunication
Seminars and trainings•For parents•For staff ofChildren’s home•For specialists
Parents club of selfassistance and Artworkshop•Parents club•Very few people fromexperts possess thismany various skills tocope with dailydifficulties like those thatparents - participants ofthe group encounter.•Art-workshop - beingengaged in applied art,parents not only get restand forget about theirproblems, but also makemoney for needs of theclub or the children.
•Organization of group meetings andseminars for parents is a very importantpart of the programs of earlyintervention•Attraction of parents to the activity ofthe centre – organizing holidays, jointgames, partnership with experts indrawing up of individual plans fordevelopment of children
Story 1•Кomron is 5 years old. One day his mumcame to ask how to place a child intochildrens home. We talked to her, explainedour work, had a discussion and suggestedto come to “KISHTI” centre. After somethinking she decided not to place her childin CH. This is how she started coming to ourcentre History 2•Solehchon is 4 years old.He has ICP. His mum placed him inchildrens home. We talked to her, had adiscussion, explained our work andsuggested to come to KISHTI. She visitedour centre Kishti for some time, and yet sheleft her child in childrens home
“Matured parenting”programme•Trainings for staff•Оpenning of twocrisis groups formothers
• 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.