ESTABLISHMENT OF EARLY
ASSISTANCE SERVICES FOR
CHILDREN AS BASIS FOR
INCLUSIVENESS IN UZBEKISTAN
REPUBLICAN CENTER FOR SOCIAL ADAPTATION OF
CHILDREN (RCSAC)
 RCSAD was founded by the Resolution of the Cabinet
of Minist...
DIRECTIONS OF ACTIVITIES
 Scientific-research activity in the sphere of social
protection of vulnerable children
 Develo...
RCSAC:
Research and
practical work
Government
organizations
Child and
family
RCSAC OBJECTIVES AND SERVICES
 Scientific and methodical work: carrying out
scientific researches, development of targete...
PRACTICAL SUPPORT RENDERED TO CHILDREN AND
FAMILIES ON THE BASIS OF INFORMATION AND
CONSULTING SERVICE OF RCSAD
 Sensor t...
Total number of children who have received comprehensive
support– 859
Including:
•Physical rehabilitation: 486 children
•C...
"THE SYNAPSES TO BE STIMULATED"
 Neurophysiological and psychological discoveries of
the end of the XX century considerab...
 Within the first 365 days the child should make an
enormous jump in all spheres of development:
intellectual sphere – em...
In the first three years of life the child’s organism
develops very quickly. It is important not to miss and
correctly dia...
It is very important to involve the child in a
comprehensive program for receiving early psycho-
medico-pedagogical suppor...
EARLY INTERVENTION GOALS
 "Normalize" life of the child and his
family
 Help parents create enabling conditions
for deve...
PRIORITIES OF THE DEVELOPMENT OF THE EARLY
INTERVENTION SYSTEM IN UZBEKISTAN
 Joint work of interdisciplinary group with
...
PRIORITIES OF THE DEVELOPMENT OF THE EARLY
INTERVENTION SYSTEM IN UZBEKISTAN
 Involvement of parents in programs of early...
EARLY INTERVENTION SERVICES IN UZBEKISTAN
Outcomes of the project “Establishment of the Early
Intervention Model in Uzbeki...
SCIENTIFIC METHODOLOGICAL WORK
 The principles and methods of work of Early
intervention services are defined
 The map o...
95111
2 3 7 16 27
9 28
10
225
10 10
1 17
SERVICES PROVIDED TO CHILDREN AND FAMILIES IN
PILOT POLICLINICS OF TASHKENT CITY
...
21%
41%
38%
Achievements for 2012-2013.
Specialized kindergartens
Development dynamics has imrpoved
Regular kindergartens
Development
of speech
Undetstanding
of speech
Minor motor
functions
Overall motor
functions
22,1% 21,1%
16%
45%
ACTIVITIES...
ORGANIZATIONAL ACTIVITIES:
 include various forms of work with
parents (consultations, group work)
 Supervision
 Planni...
NEXT STEPS FOR PROMOTION OF
EARLY ASSISTANCE SERVICE
 Opening of early assistance services in health care
system (in cent...
EXPECTED RESULTS OF INTERAGENCY
COOPERATION ON THE BASIS OF EARLY
ASSISTANCE SERVICES
 100% identification of children of...
EXPECTED RESULTS OF INTERAGENCY COOPERATION
ON THE BASIS OF EARLY ASSISTANCE SERVICES
 Ensuring continuity of the work of...
RESULTS OF COOPERATION OF THE RCSAC WITH MINISTRY
OF HIGHER AND SECONDARY SPECIAL EDUCATION
Special modules were developed...
RESULTS OF COOPERATION OF THE RCSAC WITH MINISTRY
OF HIGHER AND SECONDARY SPECIAL EDUCATION
The following new topics were ...
Presentation by Ms. Elvira Nazarova, Head of the Department on Study of Issues of Children with Disabilities, Republican C...
Presentation by Ms. Elvira Nazarova, Head of the Department on Study of Issues of Children with Disabilities, Republican C...
Presentation by Ms. Elvira Nazarova, Head of the Department on Study of Issues of Children with Disabilities, Republican C...
Presentation by Ms. Elvira Nazarova, Head of the Department on Study of Issues of Children with Disabilities, Republican C...
Presentation by Ms. Elvira Nazarova, Head of the Department on Study of Issues of Children with Disabilities, Republican C...
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Presentation by Ms. Elvira Nazarova, Head of the Department on Study of Issues of Children with Disabilities, Republican Centre of Social Adaptation of Children, Uzbekistan

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The role of health sector in ensuring the realization of the rights of children with disabilities.
From the parallel working sessions of the 4th Child Protection Forum in Tajikistan, 2013.

Published in: Health & Medicine
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Presentation by Ms. Elvira Nazarova, Head of the Department on Study of Issues of Children with Disabilities, Republican Centre of Social Adaptation of Children, Uzbekistan

  1. 1. ESTABLISHMENT OF EARLY ASSISTANCE SERVICES FOR CHILDREN AS BASIS FOR INCLUSIVENESS IN UZBEKISTAN
  2. 2. REPUBLICAN CENTER FOR SOCIAL ADAPTATION OF CHILDREN (RCSAC)  RCSAD was founded by the Resolution of the Cabinet of Ministers of the Republic of Uzbekistan “On establishment of the Republican Center for Social Adaptation of Children" No. 419 of September 7, 2004.  RCSAD is an NGO studying of problems of social adaptation of children, including: -- children with limited physical abilities (disabled people, children with physical and psychic disorders, children having severe chronic illnesses; -- children of groups of social and legal risk (orphans, children deprived of parental care or persons, replacing them, children from vulnerable families); - - gifted children (in sport, arts, science, etc.);
  3. 3. DIRECTIONS OF ACTIVITIES  Scientific-research activity in the sphere of social protection of vulnerable children  Development of targeted comprehensive programs to solve the above problems, and reduce the negative impact of the factors causing emergence of children with high risk behavior  Deep study of the country’s experience and the experience of developed countries in the sphere of support and social adaptation of children  Providing support to children through implementation of psycho-pedagogical, educational and rehabilitation programs.
  4. 4. RCSAC: Research and practical work Government organizations Child and family
  5. 5. RCSAC OBJECTIVES AND SERVICES  Scientific and methodical work: carrying out scientific researches, development of targeted programs  Teaching and educational, consulting services: psychological, correctional development, legal, treatment and physical activities, medical counceling  Social and economic services: rendering financial support (by charity foundations)  Legal services: support in enforcement of the violated rights of the child.
  6. 6. PRACTICAL SUPPORT RENDERED TO CHILDREN AND FAMILIES ON THE BASIS OF INFORMATION AND CONSULTING SERVICE OF RCSAD  Sensor therapy, sand therapy, Montessori pedagogics, fairy tales-therapy, music therapy, rehabilitation pool, massage, phytobar, legal consultations  Services are provided by defectologists, psychologists, lawyers, pediatricians, neuro- pathologists, neuro-psychiatrists, orthopedic traumatologists, specialists on methodology of the physical activities and sports, etc.
  7. 7. Total number of children who have received comprehensive support– 859 Including: •Physical rehabilitation: 486 children •Correctional and pedagogical work: 224 children • Psychological consultation:143 children Physical rehabilitation Correctional and pedagogical work Psychological consultation 486 224 143
  8. 8. "THE SYNAPSES TO BE STIMULATED"  Neurophysiological and psychological discoveries of the end of the XX century considerably expanded the ideas on possibilities of a comprehensive support to children with development needs.  Researches show that 75% of the brain develops till three years of age.  One of the most important discoveries of scientists – is the identification in a newborn’s brain of the neurons, which need various types of stimulation. If a baby actively receives sensor information from the outside, then the connections among the neurons strengthen. It means that active development takes place.
  9. 9.  Within the first 365 days the child should make an enormous jump in all spheres of development: intellectual sphere – emergence of the first words and understanding of speech of people around; - adequate manipulations with toys, subjects; physical sphere – not only to gain the weight more that three times, grow by 25-30 cm, to take the first steps, etc.  If there is no sufficient sensor stimulation, parts of brain aren't involved fully, communication between neurons weakens, synapses die off and these parts, as a result, will disappear. They are called – "the synapses to be stimulated". And it means the delayed development of the child.
  10. 10. In the first three years of life the child’s organism develops very quickly. It is important not to miss and correctly diagnose possible developmental disorders keeping in mind the child personality, as a whole. Often because of continuous inclusion of the child with special needs in "treatment“, the relation between the adults and the child with developmental problems, have a distorted character. Efforts are made to "correct the child", but the issues of his development and education are dropped until he becomes "as the rest of us". Thus, the most important years for the child’s development are missed.
  11. 11. It is very important to involve the child in a comprehensive program for receiving early psycho- medico-pedagogical support. Early diagnostics and intervention is a process of study and identification of the child’s personal physiological and social needs to create enabling conditions for his development, with the help of the team of experts. Republican Center for Social Adaptation of Children (RCSAC) was the first to introduce early interventions for children in Uzbekistan.
  12. 12. EARLY INTERVENTION GOALS  "Normalize" life of the child and his family  Help parents create enabling conditions for development and education of the early age children  Prevent abandonment of the child and his placement to residential institutions.
  13. 13. PRIORITIES OF THE DEVELOPMENT OF THE EARLY INTERVENTION SYSTEM IN UZBEKISTAN  Joint work of interdisciplinary group with families and children  Capacity development of the team of experts  Improving access to complex services of early intervention for children and families at their residence place, particularly in the rural areas  Introduction of innovative forms and methods of work with children and families.
  14. 14. PRIORITIES OF THE DEVELOPMENT OF THE EARLY INTERVENTION SYSTEM IN UZBEKISTAN  Involvement of parents in programs of early intervention  Provide information and legal support to families  Prevention of abandonment of children with special needs in development  Support for an effective transition to inclusive preschools and schools.
  15. 15. EARLY INTERVENTION SERVICES IN UZBEKISTAN Outcomes of the project “Establishment of the Early Intervention Model in Uzbekistan“ ( 2009-2011). Early Intervention Services have been organized in Tashkent in the Yakkasaray district Regional Medical Association, Chilanzar district family policlinic No. 39 and the Republican Center for Social Adaptation of Children to provide support to children and the families, which have children with special development needs.
  16. 16. SCIENTIFIC METHODOLOGICAL WORK  The principles and methods of work of Early intervention services are defined  The map of psycho-social development with consideration of regional specifics has been developed  The methodology of correctional development work with children with problems of development aged 0 to 12 months, from 13 to 24 months, from 25 to 36 months has been developed and tested.
  17. 17. 95111 2 3 7 16 27 9 28 10 225 10 10 1 17 SERVICES PROVIDED TO CHILDREN AND FAMILIES IN PILOT POLICLINICS OF TASHKENT CITY TOTAL NUMBER OF CHILDREN – 596
  18. 18. 21% 41% 38% Achievements for 2012-2013. Specialized kindergartens Development dynamics has imrpoved Regular kindergartens
  19. 19. Development of speech Undetstanding of speech Minor motor functions Overall motor functions 22,1% 21,1% 16% 45% ACTIVITIES OF THE EARLY INTERVENTION SERVICES IN POLICLINICS HELPED REDUCE DELAYS IN DEVELOPMENT OF CHILDREN BY:
  20. 20. ORGANIZATIONAL ACTIVITIES:  include various forms of work with parents (consultations, group work)  Supervision  Planning, reporting and monitoring
  21. 21. NEXT STEPS FOR PROMOTION OF EARLY ASSISTANCE SERVICE  Opening of early assistance services in health care system (in central multi-profile policlinics) in Uzbekistan.  Opening of early assistance service in education and pre-school education system in Uzbekistan (groups of early consultative-methodical support to parents, having children with special needs).
  22. 22. EXPECTED RESULTS OF INTERAGENCY COOPERATION ON THE BASIS OF EARLY ASSISTANCE SERVICES  100% identification of children of high risk groups having development disorders  100% coverage of children of high risk group with comprehensive psychological, medical and pedagogical abilitation  100% coverage of the early age children with a comprehensive abilitation that will improve their health.
  23. 23. EXPECTED RESULTS OF INTERAGENCY COOPERATION ON THE BASIS OF EARLY ASSISTANCE SERVICES  Ensuring continuity of the work of experts on children's development in health, educational and social protection institutions  Establishment of the interagency data bank on the early age children of high risk groups  Development of an individual abilitation/ rehabilitation program for the child and the rehabilitation plans of all team members with an active participation of parents.
  24. 24. RESULTS OF COOPERATION OF THE RCSAC WITH MINISTRY OF HIGHER AND SECONDARY SPECIAL EDUCATION Special modules were developed and included into the bachelors’ degree curriculum of Tashkent State Pedagogical University (TSPU) named after Nizami:  «Vocational guidance for children with special needs»;  «Normative-legal framework on social protection of children with special needs».  Special courses were developed and included into the bachelors’ degree curriculum of TSPU named after Nizami:  «Integration of children with special needs»,  «Social work with children with special needs and their families». New subject was developed and included into the bachelors’ degree curriculum of TSPU:  «Training and upbringing of children with special needs».
  25. 25. RESULTS OF COOPERATION OF THE RCSAC WITH MINISTRY OF HIGHER AND SECONDARY SPECIAL EDUCATION The following new topics were developed and included into the bachelors’ degree curriculum of TSPU named after Nizami  Training and upbringing of children with severe mental disorders»  «Early diagnostics and abilitation»  «Inclusive education»  «Speech rehabilitation therapy»  «Rehabilitation of children with special needs»  «Family psychology of the special school students».

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