Social Rehabilitation Services Research Articles

Efektivitas Layanan Rehabilitasi Sosial dan Kompetensi Konselor terhadap Kualitas Hidup Korban Penyalahgunaan Narkotika

This research is focused on finding the influence of effectiveness on quality of life, the influence of competence on quality of life and the influence of effectiveness and competence on quality of life in the Class IIA Serang prison. This research uses an associative method with a quantitative approach. The sampling technique used a saturated sampling technique, namely all correctional inmates receiving social rehabilitation services, totaling 60 people. Data were collected using a questionnaire in paper form which was distributed to all correctional inmates. Data processing uses multiple linear regression with the help of SPSS 24 to determine the effect of the independent variable on the dependent variable. The test results show that the significance probability value for the influence of effectiveness (X1) on quality of life (Y) is 0.098 > 0.05, which means that partially effectiveness has no significant effect on quality of life, then the significance probability value for the influence of competence (X2) on quality of life ( Y) is 0.000 < 0.05, which means that partially competence has a significant influence on quality of life and the significance value for the influence of effectiveness (X1) and competence (X2) simultaneously or combined on quality of life (Y) is 0.000 < 0.05, so it can be It was concluded that there was a simultaneous influence of effectiveness and competence on quality of life.

Development of Mental Health and Social Rehabilitation Service Models for Psychosocial Disabilities

This study aims to determine the extent to which policies related to persons with disabilities and mental health can accommodate the rights of people with psychosocial disabilities, then the extent to which the model of mental health services and social rehabilitation for psychosocial disabilities contributes to mental health treatment in DIY. YAKKUM Rehabilitation Center through capital development of mental health services and post-recovery social rehabilitation that is accessible and community-resourced. This model is oriented towards improving the quality of life of people with psychosocial disabilities and the existence of communities that contribute proactively to community-based mental health efforts in DIY. The data mining method in this study uses a mixed method, namely discriptive studies, descriptive qualitative, participant as observer and participant non observer. Subjects in this study included people with psychosocial disabilities, caregivers, mental health cadres, village governments, puskesmas and related local organizations. The results of this study show that the service model developed by the YAKKUM rehabilitation center is able to encourage social recovery in people with psychosocial disabilities, strengthen their role in the community in community-based mental health, local mental health policies that accommodate the rights of people with psychosocial disabilities, the existence of a mental health service system that focuses on fulfilling the rights of psychosocial disabilities and social rehabilitation.

Analysis of sex and age characteristics and narcological past history of persons applying to public organizations for social rehabilitation

Objective: To improve the motivation of drug users to undergo social rehabilitation, to analyze the main sex and age characteristics, as well as data on the drug history of persons undergoing social rehabilitation in the Samara regional charitable public organization "Rehabilitation of drug addicts (Remar)". Material and methods. Anonymously, 173 rehabilitants were surveyed according to a developed questionnaire of 15 questions related to gender, age and drug history of rehabilitants. Results. Social rehabilitation services are more often used by men (75.7%), the average age of rehabilitants in the study was 37,3±0,9 years; 51.4% of rehabilitants use opiates, 36.4% — psychostimulants, 24.8% — alcohol. 35.8% of rehabilitants previously applied for treatment to state medical organizations, while 19.2% of respondents were not satisfied with the quality of the service provided, 25.8% were available. Conclusion. Patients of the Samara regional charitable public organization "Rehabilitation of drug addicts (Remar)" are more often men living mainly in cities who consume psychoactive substances for a long time, mainly opiates, psychostimulants and alcohol. The sex and age characteristics of rehabilitants identified during the study, as well as the data of their narcological history, will allow adjusting the ongoing motivational work on the involvement of users of psychoactive substances in the process of social rehabilitation.

Factors Associated with Relapses in Alcohol and Substance Use Disorder.

Alcohol and substance use disorder (ASUD) is a chronic condition featuring relapses and remissions. Due to their multifactorial nature, the causes of relapses in ASUD are not fully understood and it is important to update the information. Therefore, we aimed to provide an update on research examining factors associated with relapses, organized into sections. Factors such as early age of onset, dysfunction in the brain reward system, poor physical health, sleep disturbance, comorbid psychiatric disorders, severity of ASUD, craving, low self-efcacy, negative life events, and low socioeconomic status have been consistently shown to increase the relapse rate of ASUD. Conversely, factors such as positive family functioning, strong social support, treatment motivation and regular medication appear to decrease relapse rates. Studies on gender and genetic factors have yielded mixed results and no consistent relationship with relapses has been found. While pharmaceutical agents such as methadone, buprenorphine and naltrexone are efective in preventing relapse in opioid and alcohol use disorders; there are no agents proven to be efective in other substance use disorders. Psychotherapeutic approaches, including motivational interviewing, cognitive behavioral therapy, 12-step programs and contingency management have been demonstrated to be efective. The treatment of addiction to substances is intricate and necessitates biopsychosocial interventions. However, despite all treatments, high relapse rates indicate the necessity for social support and rehabilitation services. In the light of the data obtained, the factors afecting relapses in patients with ASUD can be determined and appropriate interventions and therapeutic approaches can be used to prevent relapses.

A latent class analysis of community-based rehabilitation needs among Chinese older adults: a mixed study protocol.

Geriatric diseases (e.g., chronic diseases and geriatric syndromes) may result in impaired physical performance and a decline in the quality of life. The results of previous studies reported the positive effects of comprehensive community-based rehabilitation (CBR) services on physical and social functioning and psychosocial wellbeing. However, to provide adequate and personalised rehabilitation services, it is essential to understand the needs of the older adults population. There have been no studies on the need for CBR in older adults populations that consider their heterogeneity. Therefore, high-quality studies are required to recognise the heterogeneity and latent classes of CBR needs in older adults population groups. This study aims to identify the heterogeneity of the rehabilitation needs of older adults in the community and explore whether older adults with similar characteristics have similar needs through a cross-sectional survey and latent class analysis (LCA) to provide support for personalised rehabilitation services. The study is structured into four phases. The first phase will focus on constructing a comprehensive questionnaire to assess rehabilitation needs. In the second phase, a pilot study will be conducted to evaluate the reliability and validity of the completed questionnaire. This step ensures the robustness of the instrument for data collection. The third phase will involve cross-sectional surveys using the finalised questionnaires to collect the necessary data from the targeted population. The fourth phase will focus on conducting LCA to determine the CBR needs of the older adult population. The results of this study will provide novel and critical information for a better understanding of the rehabilitation needs, potential categories, and influencing factors of older adults in the community. The study will be conducted in Guizhou Province in western China, where economic and social development is relatively low, and the results will inform and benefit other regions and developing countries facing similar challenges. However, because of the complete social security and rehabilitation service systems in developed areas, our research results may not fully reflect the situation in these areas. Future studies may need to be conducted in places with different levels of social development. https://www.chictr.org.cn/showproj.html?proj=191398, ChiCTR2300071478.

CHILD PROTECTION FROM THE PERSPECTIVE OF ISLAMIC LAW AND THE CONVENTION ON THE RIGHTS OF CHILDREN IN MEDAN CITY

<p align="justify">In particular, handling children's problems is included in the social rehabilitation sector which is under the Social Rehabilitation Section for Children and the Elderly Outside of Homes and/or Institutions, although it is also related to other sections within the Medan City Social Service. The importance of this study is to carry out integration between the concept of human rights in the global context and human rights in Islam. It still needs to be reduced to an integrated child protection concept, so that it can be implemented in the form of policies in the local context, especially in the field of social welfare. To derive these two concepts, a systems approach is needed that can explain the position and role of the CRC and Islamic law in child protection and the role of the Medan City Government, especially within the Medan City Social Service, in implementing existing policies. This research uses a qualitative approach to describe and analyze how Islamic law and the Convention on the Rights of the Child (CRC) view child protection from their respective perspectives and will then be analyzed as a whole. The role of the Medan City Social Service relating to the field of child protection is carried out through the duties of the Social Rehabilitation Sector, in point (g) that "Guidance, development and control of social service efforts in the field of social rehabilitation services for street children, abandoned children, delinquent children and service provision for neglected elderly people and social rehabilitation of delinquent children.</p>

Системно-сімейний підхід у консультуванні сімей під час надання соціально-реабілітаційних послуг для дітей

The article focuses on social and rehabilitation services in the community. The publication aims to highlight the peculiarities of counseling by social work specialists for families raising children with disabilities during social rehabilitation services. It is noted that the content of social rehabilitation services includes such components as the development of social skills, abilities and strengths of children and their families, social support, social services, development of adaptive potential, access to resources. Specialists focus on the environment in which a child with a disability develops, primarily the family, which should become a client of social rehabilitation activities and which should be the focus of counseling. The use of the systemic-family approach in counseling families raising children with disabilities, in which the family is considered as an integral system, is considered relevant. The principles of neutrality, constructivism, and circularity are basic to the systemic-family approach, and the article explains their meaning. The measures that can be implemented during family counselling, based on the measures of social counselling services, are proposed. It is noted that expanding the focus of work during counselling to the family and its environment, in turn, expands support networks for the family, opportunities for cooperation between the team of specialists involved in the social rehabilitation of children.

Penerapan Terapi Menghardik Halusinasi Terhadap Pasien Eks Psikotik dalam Rehabilitasi Sosial

Along with the rapid development, modernization and industrialization efforts, social changes and problems are growing. So that people who are unable to make adjustments, can experience mental turmoil, mental disorders and even mental disorders called psychotics. Therefore, this study aims to describe the application of hallucinatory rebuke therapy in the rehabilitation process of ex-psychotic patients at the Dosarso Shelter House, Kebumen. This research method uses a type of qualitative research with a case study approach. This study had 4 subjects, namely 2 ex-psychotic patients who were still experiencing hallucinations, 1 nurse and 1 administrator who worked at the Dosaraso Shelter in Kebumen. The results of this research show that rebuke therapy at the Dosaraso Shelter Home in Kebumen is carried out in groups and individually. The social rehabilitation service model provided by Dosaraso includes the Institutional Based Rehabilitation (IBR) service model. Then the type of psychotic experienced by TS patients is schizophrenic functional psychotic with auditory and visual hallucinations, while patient D is paranoid functional psychotic with auditory hallucinations. This rebuke therapy is carried out through several stages, namely starting from preparing the place, explaining the therapy, agreeing to the therapy, time contract, implementation, and finally asking the patient's feelings. This research can also help counselors in carrying out therapeutic steps for ex-psychotic patients so that it is very helpful in overcoming social problems in society.

Social Determinants of Health and Traumatic Brain Injury: Implications for Rehabilitation Service Delivery and Outcomes.

Social Determinants of Health and Traumatic Brain Injury: Implications for Rehabilitation Service Delivery and Outcomes.

Prevalence pattern, phenotypic manifestation, and descriptive genetics of congenital limb deficiencies in Pakistan.

Congenital limb deficiency (CLD) is a group of very rare disorders characterized by substantial hypoplasia or the complete absence of 1 or more bones of limbs. Congenital limb deficiency has a significant physical, clinical, and psychological burden on the affected individuals and their families. This cross-sectional study aimed to describe the prevalence pattern, phenotypic manifestations, and biodemographic factors associated with CLD in a cohort assembled from the Pakistani population from the Northwestern region. Through a prospective cross-sectional study, 141 individuals having 166 limbs with CLD were recruited during 2017-2021. There were 77 (55%) individuals with transverse defects, 61 (43%) with longitudinal defects, and 3 (2%) with Intercalary defects. Among the patients with transverse defects, 52 had terminal amputations and 25 had symbrachydactyly. Among the longitudinal defects, thumb aplasia/hypoplasia was the most common presentation (20 patients), followed by oligodactyly (18), and radial hemimelia (18). Eighty six percent had upper-limb deficiencies, 83% had unilateral deficiencies, and 92% were sporadic in nature. The parental consanguinity was observed in 33% individuals, and 79% cases had an isolated presentation which may be indicative of the substantial role of nongenetic factors in the etiology of CLD. This study demonstrates marked heterogeneity in CLD subtypes in the involvement of limbs and associated variables. There is a need to establish a national registry for CLD, molecular genetic diagnosis, and multidisciplinary medical and social rehabilitation services for these individuals.

Mastering Life Skills as Social Rehabilitation of Persons with Disabilities at a Social Institution

The purpose of this study was to find out the function of social rehabilitation services for persons with disabilities at the Social Institution for the rehabilitation of persons with disabilities in Cibabat Cimahi, to find out the implementation of the social rehabilitation program for persons with disabilities, and to find out changes in the behavior of persons with disabilities after receiving the service program at the Social Institutions for persons with disabilities Cibabat Cimahi. This research was conducted using a descriptive method with a qualitative approach. This research resulted from the exposure of informants conducted by interviews, not in the form of numbers. Collecting data in this study utilizing observation, interviews, literature study, and documentation. Data analysis in this study included collecting all data and reducing data to conclusions as a result of the research. Based on this research, clients with disabilities, before entering and not carrying out the service program at the Social Institution for the rehabilitation of persons with disabilities Cibabat Cimahi, most clients have not been able to carry out activities independently in carrying out their daily activities and do not yet have the ability or expertise. After entering and implementing the program, clients with disabilities participate in service programs, namely physical guidance, mental guidance, social guidance, and skills programs which include sewing, mechanics, handicrafts, housekeeping, electrical, carpentry and cosmetology. After participating in the service program, clients with disabilities will be proven whether clients with disabilities can change their behavior for the better.

Koordinasi pada Pelayanan Rehabilitasi Sosial Rumah Tidak Layak Huni Kota Surabaya

Rehabilitation of uninhabitable houses is one of the services provided by the local government to restore the function of the house by repairing parts of the house. The Social Rehabilitation Program for Uninhabitable Houses in the City of Surabaya (Rutilahu) is critical because settlements are one of the basic human needs essential in increasing human dignity and prosperous quality of life in a just and prosperous society. This study aims to explain coordination in social rehabilitation services for uninhabitable houses in Surabaya. The research method used in this research uses descriptive qualitative research. The results of this study indicate that the coordination is carried out in a bottom-up manner with the initiation of the RT/RW by collecting data on people who have suitable criteria for the beneficiaries of social rehabilitation services for uninhabitable houses in the city of Surabaya.

Peran Program Pelayanan Rehabilitasi Sosial Anak Berhadapan Hukum (ABH)

This study aims to determine how the social rehabilitation service program for children with the law. Using role theory by Biddle and Thomas, this research uses qualitative methods with data collection techniques through interviews, documentation, and observation. focuses on Expectations, Norms, Performance, Evaluation, and Sanctions. The result is that the Marsudi Putra Technical Implementation Unit Surabaya is used as a place of service for the protection of minors who commit criminal acts, with the existence of a rehabilitation center they will get protection rights, the rehabilitation process is given to all clients, sanctions from the Marsudi Putra Technical Implementation Unit can be given to staff who have problems with respect to existing guidelines. The rehabilitation program services provided by the Marsudi Putra Technical Implementation Unit are expected to provide lessons for minors who commit crimes so that they have a deterrent effect and do not make the same mistakes.

Active garden therapy for the elderly and people with disabilities

Garden therapy has been used in the world medical practice for many decades. There are many examples where human interaction with plants has a positive impact or facilitates the lives of various segments and groups of society: children, youth, elderly people, with mental health problems, people with disabilities, crime victims, patients with cancer and Alzheimer’s disease, mental health problems, drug addicts and alcoholics, combatants, victims of military or terrorist acts, etc. Garden therapy is the process of using plants and the garden to improve well-being through the effects on the mind, body and soul. Garden therapy combines gardening and rehabilitation and is a synthesis of landscape design, medicine and psychology. It can help work with different target groups: in hospitals, nursing homes, rehabilitation and cancer centers, hospices, as well as other medical and residential complexes. Despite this, garden therapy is still not widespread in Ukraine and requires wider development. This is due to the general set of social and health problems, as well as regional problems of modern times, including the post-Chernobyl factor, the mass factor of post-traumatic stress disorders among the affected population of the temporarily occupied territories and the contingent of ATO participants. Undoubtedly, the urgent task today is to develop garden therapy programs for recovery from illness and combating the stressful effects of prolonged self-isolation during quarantine activities related to the COVID-19 pandemic. The article considers an example of creating a location for active garden therapy for visitors to the Center for medical and social rehabilitation services in Melitopol, Zaporozhia region.

FORMATION OF SOCIAL COMPETENCE OF CHILDREN WITH COMPLEX DEVELOPMENTAL DISABILITIES BY MEANS OF MUSIC ART IN A REHABILITATION CENTER

This article is devoted to the problem of forming of social competence of children with complex developmental disabilities by means of Music Art in rehabilitation centers. This is a key task of institutions that provide pedagogical, psychological, social and comprehensive rehabilitation services to children with disabilities. It was found that social competence determines the important components of integration processes, stimulates the acquisition of imitational skills and bilateral communication skills in children with complex developmental disabilities, formulate clear, accessible for determinant perception of children with psychophysical disabilities own social positions in today's society. It was found that new methods and technologies, which are implemented in the conditions of rehabilitation institutions, are aimed at mastering elementary social algorithms that facilitate the socialization of children with complex developmental disabilities by giving them practical tools for self-sufficient living within a modern society. It is grounded that the introduction of "The Integrated social and artistic course "My World" into the system of corrective and developmental activities within rehabilitation institutions can start a systematic line of social development of children with complex developmental disabilities. It is emphasized that adhering to a holistic line of social development of a child with complex disabilities during musical and corrective activities will enable children with complex developmental disabilities to generalize their own practical experience and independently solve elementary social problems. It is argued that the implementation of "The Integrated social and artistic course "My World" is an important condition for the formation of social competence of children with complex developmental disabilities by means of music education under the conditions of rehabilitation centers.

PENERAPAN DIVERSI TERHADAP ANAK PELAKU TINDAK PIDANA PENCURIAN DIWILAYAH HUKUM POLSEK SLEMAN

With the development of the era of the population in the Sleman sub-district, Sleman Regency, Yogyakarta Special Region, currently experiencing changes in the way of life in society and an increasingly growing economy and the number of immigrants from other regions who are economically capable who live in the Sleman Regency area so that it will affect the lifestyle of children. -children in the mix. As is happening now, there are public reports to the Sleman Sector police for cases of theft and abuse committed by children to find out the application of diversion to children who are perpetrators of the crime of theft by Sleman Police Investigators. The research method is a descriptive empirical juridical approach.The application of diversion is carried out by Sleman Police Investigators in overcoming the problem of diversion in cases of children in the crime of theft at the Sleman Police, which refers to Law Number: 11 of 2012 concerning the Juvenile Criminal Justice System. The implementation of diversion at the Sleman Police has two obstacles, namely; Internal Barriers, and External Barriers and Efforts made by Sleman Police Investigators and Youth Social Rehabilitation and Protection Center (BPRSR) Yogyakarta Social Service to create justice for Sleman Police investigators seek a diversion process between by: Bringing the litigants together for settlement through the diversion process, invites from the Correctional Center, SOCIAL Activists, legal counsel for child offenders and parents of child offenders to accompany, Investigators immediately request the determination of the results of the diversion to the Court.

Analysis of Social Rehabilitation Services for the Visually Impaired People(Implementation of the Regulation of the Minister of Social Affairs of the Republic of Indonesia at the Technical Implementation Unit of Social Rehabilitation Bina Netra Malang, of Indonesia)

Analysis of Social Rehabilitation Services for the Visually Impaired People(Implementation of the Regulation of the Minister of Social Affairs of the Republic of Indonesia at the Technical Implementation Unit of Social Rehabilitation Bina Netra Malang, of Indonesia)

Social Rehabilitation for Vagrants and Beggars Through Institutional Approach in Indonesia

The problem of vagrants and beggars is a fairly complex issue in big cities such as Jakarta, Bandung, Semarang, Surabaya, Medan, and Makassar. These big cities' charms have attracted the poor with low education levels and limited access to education, health, and skill development. Many service programs for the vagrants and beggars have been carried out, yet the problems related to the vagrants and beggars have never subsided. Quantitative and qualitative approach are used to determine how the condition of social rehabilitation services carried out for vagrants and beggars by the government and the community, the extent of their level of social functioning, and the role of social workers in social rehabilitation services. A population sample is a group of homeless people and beggars who receive social services in government institutions and community organisation. The sampling used was the purposive sampling method with a sample of 487 respondents in the six provinces, namely DKI Jakarta, West Java, East Java, Central Java, North Sumatra, and South Sulawesi. This research found that in the process of social rehabilitation services for vagrants and beggars, there are still differences in the service standards between institutions; limitations in human resources, including social workers; limited budget support; limited cooperation, and coordination between local government organizations at the provincial, regency/municipal, and central government along with related stakeholders. It conclude that the national policy platform related to the handling of vagrants and beggars needs to be the focus to overcome the complexity of the problems faced by this marginal group.

Social and pedagogical rehabilitation infrastructure for children with autism spectrum disorder on the example of the Northwestern Federal District

Goal. A study of the rehabilitation infrastructure of the social and pedagogical spectrum of the Northwestern Federal District for children with autism spectrum disorder (ASD).
 Materials and methods. The indicators of the level of disability of children with ASD were calculated and analyzed on the basis of data from the state statistical reporting in the Northwestern Federal District for 2018. Based on the information provided by the portal of the Federal Resource Center for the Organization of Comprehensive Support for Children with Autism Spectrum Disorders (FRC) a review of social and psychological and pedagogical services was carried out, indicators of the provision of children with organizations providing assistance to people with ASD, the structure of organizations by departments were studied (education, social protection of the population, non-profit organizations, excluding health care and culture and sports).
 Results. In 2018, 5770 children were registered in the Northwestern Federal District, for the first time and repeatedly recognized as disabled due to mental disorders and behavioral disorders, of which 684 are disabled children with autism spectrum disorders, which amounted to 3.3% of the total disability of the child population on appeal to the bureau of medical and social expertise in the Northwestern Federal District. Rehabilitation measures/services for children with these disorders are provided in 205 organizations: mainly educational institutions - 94%, as well as social protection - 4%, non-profit organizations - 2%. Five regional resource centers have been organized: four of which are in the field of education - in the Leningrad, Murmansk, Pskov regions and the Komi Republic, one - in the field of social protection - in the Novgorod region. In the field of education, organizations implement adapted educational programs in accordance with Federal state educational standards and provide a range of medical and social rehabilitation services for children with ASD, depending on the type of organization (pre-school educational organizations, general education organizations, educational centers and others). In the field of social protection, organizations (rehabilitation centers and others) mainly provide assistance according to the standard for the provision of social services, including social, socio-medical, socio-psychological, socio-pedagogical, socio-labour, socio-legal services. Non-profit organizations located in St. Petersburg and Arkhangelsk provide social-psychological, social-pedagogical and social-labor services to children with ASD.
 Conclusion. The results of the study showed that a social and pedagogical rehabilitation infrastructure was created for children with ASD in the Northwestern Federal District in 2018 (healthcare institutions were not studied). Children with ASD and their families can receive services in organizations of various departmental affiliation, which are represented in all constituent entities of the Russian Federation that are part of the Northwestern Federal District, but are concentrated mainly in urban areas, which limits children in obtaining services directly near their places of residence. A system has been created to inform specialists and parents about the rehabilitation infrastructure for children with ASD, which is presented by the FRC portal, at the same time, the need for the organization to submit data to the portal is optional. Services for children with ASD are aimed at solving issues of psychological, pedagogical, social and vocational rehabilitation, including career guidance work with adolescents and, as a result, at the social adaptation of a child with ASD and his integration into society.

Self-perceived health among children with spina bifida in the West Bank: a cross-sectional study

BackgroundChildren born with spina bifida endure constant physical disability, which is challenging for themselves and their families. To date, the impact of spina bifida on the health-related quality of life (HRQOL; eg, physical, psychological, and social wellbeing) of these children has been assessed mainly through parent proxy reports, and self-perceived health among these children is rarely measured. This study aimed to measure self-perceived health in children with spina bifida in the West Bank, to compare this with that in a healthy reference group also from the West Bank, and to assess the potential association between self-perceived health and the level of disability in children with spina bifida. MethodsA cross-sectional study was conducted in the West Bank. The Paediatric Quality of Life Inventory (PedsQL) was administered to a convenience sample of 200 children aged 8–12 years, of whom 50 have spina bifida and 150 are healthy. For the children with spina bifida, their disability was categorised and ranked according to four aspects of impairment (mobility, bowel function, bladder function, and hydrocephaly). Data were analysed with SPSS version 24. Difference in PedsQL scores between the two groups of children was tested with the Mann-Whitney U-test. The Spearman's rank correlation coefficient was used to evaluate the association between the level of physical impairment in children with spina bifida and their self-perceived health. Written informed consent was obtained from the children's parents. The children's verbal assent was also obtained, and their right to withdraw from the study at any time was emphasised. FindingsChildren with spina bifida had lower overall PedsQL scores (mean 45·5, SD 14.5) than those reported by the reference group of healthy children (mean 80·0, SD 12·8). For children with spina bifida, social functioning had the lowest mean score (30·5, SD 20·8), followed by physical functioning (37·5, SD 16.6), emotional functioning (56·0, SD 17·2), and school functioning (62·6, SD 17.8), whereas the range for all of the PedsQL scores in the reference group was 71·7–84·5. The results demonstrate significant inverse associations between self-perceived health (overall PedsQL score) in children with spina bifida and both the level of mobility impairment (rs=−0·65, p<0·0001) and the presence of hydrocephalus (rs=−0·53, p<0·0001). A weak inverse association was found between self-perceived health and both bladder and bowel dysfunction. For both groups, no associations were found between demographic characteristics (age, gender, type of settlement of residence [city, village, camp]) and self-perceived health. InterpretationThe findings provide insights into the importance of social support and rehabilitation services for children with spina bifida in the occupied Palestinian territory. In particular, community awareness, and education of health care providers and family members, may be important. FundingNone.