De Passerel’s project in Bulgaria

Alternative social services versus

Institutions for children with intellectual disabilities

София, 22.11.2010 г.

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Amsterdam

Social services provider

400 employees

34 locations

600+ Clients (mostly Persons with intelllectual disabilities)

Apeldoorn

De Passerel, the Netherlands

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MATRA project (2008-2010)

BALIZ – Life with dignity for persons with intellectual disabilities

MPAP project (2010 -2011)

From planning to effective provision of community based social services for persons with intellectual disabilities in Bulgaria

De Passerel in Bulgaria

Children with intellectual disabilities

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- Unknown number of children with disabilities in Bulgaria;

-1 700 children with disabilities live in institutions;

- some development of community based social services (day care centers, consultative services, shelter livings for adults)

-Not enough support and alternatives for parents to take care for their children with disabilities

Institutions orCommunity based social services

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1. Closer of the existing institutions2. Development of alternative residential

social services in the community3. Development of community based social

services

How to make the switch?

The system of community based social services

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1. accessibility2. diversity3. scale4. coordination

Effective and efficient system of the social services:

ICD -10 Classification of intellectual disabilities

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Level of intellectual disability

Mild intellectual disability

Severe intellectual disability

Moderate intellectual disability

Profound intellectual disability

IQ 49 - 70

IQ Classification

IQ 35 - 49

IQ 20 - 34

IQ 0 - 19

Classification of the living domains

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1. Accommodation and support for independent living

2. Education, labor, day care

3. Treatment and consultations

Diversity – Classification of the social services for children with intellectual disabilities

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0 – 3

3 - 7

7 - 15

Age groups

15 - 18

Classification of the social services for children with intellectual disabilities

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Age

Mild Disabled

IQ 49 - 70

Severely disabled

IQ 20 - 34

Moderately Disabled

IQ 35 - 49

Profoundly disabled

IQ 0 - 19

0 – 3 3 – 7 7 – 15 15 – 18

Classification of the social services for children

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Type of functionType of function

Living for childrenLiving for children11

Type of the serviceType of the service

1.1. Small group home (residential care)1.1. Small group home (residential care)

1.2. Short stay for children1.2. Short stay for children

Day care for childrenDay care for children222.1. Day care for children 0-32.1. Day care for children 0-3

2.2. Day care with preschool activities2.2. Day care with preschool activities

2.3. Day care with education2.3. Day care with education

2.4. Day care with developmental activities2.4. Day care with developmental activities

2.5. Day care for children with multiple disabilities2.5. Day care for children with multiple disabilities

Classification of the social services for children

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Questions?

Therapy and consultationsTherapy and consultations555.1..1. Early identification (0 -7 г.)5.1..1. Early identification (0 -7 г.)

5.1.2. Early intervention5.1.2. Early intervention

5.1.3. Psychological support5.1.3. Psychological support

5.1.4. Physiotherapy5.1.4. Physiotherapy

5.1.5. Speech therapy5.1.5. Speech therapy

5.2.1. Case management5.2.1. Case management

5.2.2. Family consultations5.2.2. Family consultations

5.2.3. Ambulatory support5.2.3. Ambulatory support

5.2.4. House adjustments5.2.4. House adjustments

5.2.5. Transport5.2.5. Transport

5.2.6. Attndancy5.2.6. Attndancy

Statistical tool for planning

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Nr of the persons with intellectual disability

% form the population

For Bulgaria

Persons with Intellectual disability

0,63% 47 651

Mailed 0,32% 23 826

Moderate 0,22% 16 678

Severe and profound 0,09% 7 148

Children with intellectual disabilities

0.09% 7 148

Children for early intervention

0,03% 2 269

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