Early assistance
Early Care is an interdepartmental interaction model including a package of medical, social, psychology, and pedagogical services for families with children having health limitations. Comprehensive support is aimed at the early identification of children with HL and the promotion of their development, physical and mental health, as well as integration in society and peer environment. The model also includes tools for assistance and support of families with children having HL and measures to improve parents' competence.
Decision-making at the level of regional administrations on the implementation of the Early Care model based on interdepartmental interaction
Creation of an interdepartmental working group on the implementation of the Early Care model with the following membership
- deputy head of the region responsible for the social sphere of the region;
- representatives of regional authorities (education, social protection, healthcare, economic development of the region, etc.);
- representatives of municipal authorities;
- representatives of businesses, socially oriented (SO) NCOs, social organizations, foundations, parents communities;
- heads of city-forming enterprises of the region.
Interdepartmental working group
Development and approval of the roadmap for the implementation of the Early Care model
Identification of a multi-channel source of financing
1. Direct financing from the federal,
regional, or municipal
budget
regional, or municipal
budget
2. Raised funds
3. Organizations' own funds
Formation of the model functional organizational structure. Identification of the coordinating department of the
structure
structure
1. Health
authorities
authorities
- development and approval of the unified screening procedure, including the perinatal period, in maternity hospitals and children's polyclinics, as well as organization of training for specialists to perform development screening;
- development and introduction of efficient protocols for the identification, monitoring, and assessment of developmental disorders in children and their referral to the early care service;
- statistical record and monitoring of children at risk;
- exercise of additional organizational powers of the constituent entities of the Russian Federation and municipal districts;
- ensuring interaction between organizations performing childrens' treatment and education.
2. Education authorities
- integration of the early care system into the regional and municipal education system;
- involvement of early care services of Psychology, Pedagogical, Medical, and Social Care Centers, creation of lekoteks and short period staying groups, as well as preparation and organization of children's transfer to the relevant pre-school institutions;
- ensuring variable forms of psychology and pedagogical support: prevention, diagnostics, counseling, correction and development activities;
- analysis and assessment of demand for innovative services, as well as creation of new types of early care-related educational services;
- development of advanced training programs and training for personnel having medical, psychology, and pedagogical competencies, as well as skills of correction and development activities with children having HL;
- creation of research and methodological framework for the work of early care system specialists with children and families.
3. Social protection authorities
- development at the regional level of new standards and procedures for social service institutions that perform early intervention services;
- organization of multi-faceted servicing for children and families in accordance with the developed social care program for children with HL and their families;
- providing information on legal and regulatory legal acts (RLA) protecting children's and families' rights, as well as on social guarantees and organizations providing assistance and services required;
- providing performance continuity between early intervention services and healthcare, education, and social protection institutions;
- informing the population on the work of early intervention services.
4. Financial
and economic authorities
and economic authorities
- involvement and creation of non-governmental socially oriented organizations providing early care services;
- development of institutions for innovation support of SMEs;
- financing and continuous support guarantee to ensure favorable economic environment for middle-sized and large businesses;
- organization of training for management teams and specialists;
- legal advice as part of the implementation of the Competition Standard for the regions.
Roadmap implementation
1. Development and approval of early care quality standards
- Pursuant to Federal Law No. 442-FZ 'On Fundamentals of Social Services for Citizens in the Russian Federation' dated December 28, 2013, the social service standard includes:
- description of the social service, including its scope;
- period of the social service provision;
- financing standard for the social service;
- quality indicators of the social service provision and evaluation of its results;
- terms of the social service provision, including the terms of availability of the social service for disabled and other persons, taking into account their disabilities;
- other regulations necessary for the provision of the social service.
The development of standards must take into account legal requirements for the content and results of the relevant services.
2. Formation of a regional legal framework ensuring conditions for the implementation of the Early Care model
a. Amendment of regional RLA to secure powers of the early care centers for the relevant services provision. Transfer of the authority to provide early care on the grounds of municipal pre-school education and general educational organizations to the level of municipal (urban) districts
b. Amendment of regional RLA in respect of subsidies for cost compensation to non-governmental organizations providing early care services
c. Amendment of regional RLA regulating the specifics of financing of organizations arranging pre-school educational programs for children with HL, as well as early care centers and socially oriented organizations providing assistance services to children with HL and their families
3.Development and approval of coordination protocols for organizations participating in the implementation of the Early Care model
Coordination protocols include legal justification of partnership; interaction and mutual control rules; sharing tasks, roles, actions, and operations with partnering organizations in the following directions:
- legal framework formation;
- identification of families in need of the services of the early care service/department;
- psychological, pedagogical, social, medical, and legal counseling of families with children having HL;
- support of disabled children, children at biological and/or social risk, as well as their families;
- rehabilitation of disabled children according to individual plans;
- professional support of specialists of various institutions and departments participating in interaction and social partnership;
- research and methodological work;
- educational outreach activity.
4.Creation of a regional and municipal network of governmental and non-governmental organizations of the early care system
Governmental and non-governmental providers of social services
Education institutions (all types of educational organizations, including "special correctional" organizations):
Services:
- implementation of educational programs (principal and additional) aimed at the development in educational organization students of competencies that ensure readiness for positive parenting and creating adequate and responsible intra-familial relationships;
- comprehensive assessment of the children's development level;
- investigation of intra-familial relationships;
- preparation and implementation of individual programs of psychological and pedagogical care for children and families based on integrated examination data.
Healthcare institutions: children's polyclinics; children's diagnostic centers; children's hospitals; obstetric institutions; perinatal centers; infant homes; genetic care providers
Services:
- perinatal disease prevention including reproductive health programs;
- genetic counseling for spouses, preconceptional preparation (preventive activities prior to conception);
- medical diagnostics and medical, psychology, pedagogical, and social rehabilitation for mothers and children in the perinatal period;
- monitoring health condition in infants, identification of developmentally delayed children.
Social protection institutions: medical and social assistance centers; medical and social assessment institutions; SO NCOs, foundations
Services:
- integrated medical, psychological and pedagogical assessment of children's development and condition;
- psychological assessment of critical states within families;
- prevention activities with families of children at biological and social risk;
- psychological and pedagogical counseling and assistance for families with troubled children;
- organization of sanatorium and preventive treatment for children with HL;
- helpline arrangement;
- educational outreach activity (lectures, club classes, seminars, round tables, fora, business games, conversations, etc.).
Organization of interaction between social services providers and competent as well as other state and municipal authorities.
Provision of early care organizations with consultancy, information, organizational, material, methodological, educational, and other support to reduce costs for coping with administrative barriers during the performance of services in the social sphere.
Resource centers
Information and educational assistance to parents of children with HL
1. Educational outreach activities on explaining basic principles of early care, its substance, areas of activity, mission, purposes and objectives; informing on the list of services provided by the service to the target audience
2. Outreach activity for society to form a positive attitude to the early care service, as well as to families with troubled or disabled children
3. Joint work with mass media and relevant Internet resources for informing the target audience on successful practices of the model and its promotion
4. Publication
and distribution of booklets, directories, and visiting cards of the Early Care service
and distribution of booklets, directories, and visiting cards of the Early Care service
5. Work with cultural institutions and entertainment centers for arranging conferences, seminars, round tables, fora, and other events
EXPECTED RESULTS OF THE EARLY CARE
MODEL IMPLEMENTATION
Reducing the number of children with HL reaching school age (among those identified)
Increased number of disabled children studying in general education organizations according to the principal educational programs
Reduced budget expenses for social benefits and the implementation of rehabilitation programs for children with HL
Reduced number of social orphans with disabilities
Reduced disability of children with HL (among those who have received early medical, psychology, and pedagogical support)
Contact info:
121099,
36 Novy Arbat, Moscow
Phone: +74956909129
Fax : +74956909139
