Thursday 16 May 2013

Sofia Municipal day care center for social rehabilitation of disabled


This institution is a day center for social rehabilitation of disable whit strong disabilities.

It was founded in 1999.

The center is a new building, is almost totally funded by the state of Korea, who has undertaken the construction, furnishing and the facilities and covers their expenses. Lenders are also actively involved in the decision-making structure of the center, for example, are now deciding the final name of the structure.

This funding is continually reminded, in fact, on every piece of furniture is applied the logo of the Korean state. It's just a detail, but is representative of a very strong presence in Bulgaria by foreign lenders with a very strong decision-making role, which determines the strategies, techniques, and mode, apparently not always agreed with the Bulgarians professionals.

The center is structured to take charge of 90 children and 150 adults.

In Sofia there are 9 referral centers for people with disability. Patients come to this center, a social worker (without medical training) decide what treatments and / or actions needed by the patient and sends it in one of the day care center of Sofia.

The center we visited is divided into two main sections: a medical/physical rehabilitation and a section of a social rehabilitation.

Work in the centre 3 physiotherapists, 2 ​​psychologists, 1 kinesiotherapist, 4 rehabilitators, 1 doctor, 2 speech therapists, 2 sociale workers, 1 art therapist, 1 music and dance therapist.

All staff is qualified.

The building is divided on two floors. The medical section is located on the ground floor. The space is divided into many room adapted for physiotherapy and rehabilitation, someone very small where there is only the place for the bad, othersbiggers, where at the same time  3 or 4 patients are followed.

The medical sector is mainly devoted to physiotherapy and physical rehabilitation. The building and the equipmentsare new, but do not seem particularly innovative.

For children there is a fully equipped room, the parents may attend the meetings of the children or not. The decision must be made ​​on a case by case basis.

Patients have access to the structure for the time of therapy or activities.

Upstairs are the offices and rooms for the activities of social rehabilitation. Also in this case, users access in the structure to carry out the activities, that can be do individually or in small groups.

The activities are especially artistic type, there is a small laboratory where they are carried out small craft work (icons, paper flowers, paintings) and there is a dance workshop - the center also participates in dance festival for the disabled.

Some activities are focused on learning of some capacity such as write, count, take care of their hygiene.

One of the rooms on the upper floor is called the ‘relax-room’. It is a room where they gathered the different sources of stimulation (sounds, colors, lights, smells, materials ...) that can stimulate and relax the patient. It is a place of calm, which can be used by patients but inlyon the recommendation of the social worker of reference.

The socio-rehabilitative activities are funded in part by the state and are partly borne by the family.

Normally people come on to the structureby their own means (car, walking, by bus…), in Sofia people with disabilities have the agreements for the use of taxis and public transport, but there is also a transport service.

The day care center offers important rehabilitatives activities to developpersonal skills, but there's no path to integrate as to support the integration of disabled people in society.

The director said that there are other organization in Sofia  with the aim of help young disabled people to enter in the labour market, such as learning computer’s use, but in the center that we visited there is no action to include disable people in the life,  and even to meet  abled and disabled people.

Claudia Piovano – PROGETTI Nonprofit kft.

 

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