Analysis of the need for rehabilitation measures for children with disabled living in boarding schools in Moscow

Abstract

BACKGROUND: The low efficiency in restoring impaired functions and overcoming of limitations in daily activity in children with disabilities living in children’s psychoneurological boarding houses in Moscow determined the relevance of the study.
 OBJECTIVE: The study aimed to examine the contents of individual rehabilitation or habilitation programs developed in the Federal State Institution “Main Bureau of Medical and Social Expertise in the Moscow Region” of the Ministry of Labor of Russia for 2019–2021 for disabled children living in children’s psychoneurological boarding houses and determine the need for rehabilitation services to make changes and additions.
 MATERIALS AND METHODS: The study included a population of disabled children in the Moscow’s children’s homes (n=843) (sources: certificates of examination, individual rehabilitation or habilitation programs for 2019–2021, and statistical reporting forms № 7-D [Sobes]). An analysis of the contents of individual rehabilitation or habilitation programs and the need for rehabilitation measures was conducted.
 RESULTS: The contingent of children with disabilities living in children’s psychoneurological boarding houses included children with varying degrees of disability, resulting from persistent disorders impairing body function. The dynamics of 2019–2021 revealed need for complex rehabilitation, including medical, sociopsychological, and sociocultural rehabilitation measures.
 CONCLUSION: The obtained data indicate the need to study ways to improve the effectiveness of rehabilitation measures to assess implementation results at each stage and their timely actualization.