Abstract

Relevance. Nowadays, both in developing countries and in industrialized countries, there is a process of increasing life expectancy, which together with the problem of low birth rates leads to the phenomenon of “aging population”. Providing care to the elderly is not only a purely medical problem, but the social aspect is equally important. An important component of the lifestyle of an elderly person is recreation - the processes of restoring vitality, relieving mental stress and recovery, carried out in various forms of recreation, nutrition, active or passive leisure. Modern society and the health care system face three most important tasks: continuing an active life with minimal losses from the disorders inherent in old age, combating high morbidity in old age and ensuring a dignified end to the lives of aging people. Although the provision of medical and social assistance to the elderly is organized and provided as needed, ensuring the accessibility and sufficient presence in their lives of the social aspect and its communicative component is not supported in our country at the state level and is not regulated by law. Purpose. The purpose of the work is to improve the quality of life of the elderly through the organization of the social component of life by arranging their leisure. Results. To achieve this goal, it was proposed to use the principles and methods of milieu therapy, which means “treatment by the environment”. Most often, milieu therapy refers to a form of psychotherapy that involves the use of therapeutic communities. Considering the goal, milieu herapy fully covers and meets the goals of rehabilitation of the elderly, and as a social technology allows to create an active living environment that encourages older people to “independent actions”, self-sufficiency, withdrawal from dependent moods and hyperprotection. Milieu therapy allows to activate the living environment of such people in accordance with their needs, interests, psychophysical condition, rehabilitation potential; and to optimize the work of staff in the direction of improving the efficiency of activities that will have a direct impact on quality of life. On the example of other countries, examples of the use of the principles of milieu therapy in the organization of daytime activities in the elderly are provided. Conclusions. Providing leisure for the elderly will be able to improve their quality of life, reduce the prevalence of somatic diseases and the risk of developing psychosomatic conditions in them, and thus reduce the burden on health care facilities. And the use of the principles of milieu therapy to solve problems will allow to organize it as effectively as possible.

Highlights

  • The provision of medical and social assistance to the elderly is organized and provided as needed, ensuring the accessibility and sufficient presence in their lives of the social aspect and its communicative component is not supported in our country at the state level and is not regulated by law

  • Milieu therapy refers to a form of psychotherapy that involves the use of therapeutic communities

  • Milieu therapy allows to activate the living environment of such people in accordance with their needs, interests, psychophysical condition, rehabilitation potential; and to optimize the work of staff in the direction of improving the efficiency of activities that will have a direct impact on quality of life

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Summary

Results

Within the framework of this problem, it would be appropriate to pay attention to such a method as milieu therapy [11, 12]. Basic principles of milieu therapy: system and complexity in the organization of work with a client individual customer-oriented approach, partnership multidisciplinary team of highly qualified employees interdepartmental interaction and support of the recipient of social services determining the individual need for support and social services drawing up an individual plan for the provision of social services, schedule implementation of an individual plan, program implementation, adherence to a schedule individualized customer support evaluation of the effectiveness of the implemented plan, its correction if necessary monitoring customer satisfaction with living conditions and quality of social services Achievement of these results requires maximum activation of the environment, which includes: employment; amateur classes; socially useful activities; sports and health activities; individual medical support; optimal organization of living space and meaningful leisure. The ability of a person to adapt to a changing environment, living conditions is the main elixir of health

Conclusions
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