Browsing by Subject "vaikeavammaisuus"

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  • Unknown author (Ympäristöministeriö, 2009)
    Ympäristöministeriön raportteja 16/2009
    Hallituksen asuntopoliittisessa toimenpideohjelmassa vuonna 2008 sovittiin ohjelman laatimisesta vammaisten, mukaan lukien kehitysvammaisten asuntojen tarjonnan lisäämiseksi laitospaikkojen vähentämiseksi. Kehitys- ja vaikeavammaisten asunto ohjelmatyöryhmässä olivat edustettuina ympäristöministeriö, sosiaali- ja terveysministeriö, ARA, RAY, Suomen Kuntaliitto, alan järjestöjä sekä asuntojen ja asumispalvelujen tuottajia. Työryhmän ehdotuksessa kehitys- ja vaikeavammaisten asunto-ohjelmaksi vuosille 2010–2015 tarkastellaan pääosin kehitysvammaisia, sillä heidän laitoshoitonsa on eri vammaisryhmistä suurinta. Työryhmä ehdottaa kehitysvammaisten pitkäaikaista laitoshoitoa vähennettäväksi vuoden 2015 loppuun mennessä alle 500 paikkaan. Tästä ja aikuisten kehitysvammaisten lapsuudenkodista muutoista aiheutuva asuntojen tarve on noin 600 asuntoa vuodessa. Muut ehdotukset koskevat valtion rahoituksen saatavuutta ja ehtoja, toimenpiteitä, joilla nopeutetaan ja hallitusti toteutetaan laitospaikkojen vähentämistä sekä toimia uusien asumisratkaisujen kehittämiseksi ja yksilöllisen asumisen edistämiseksi kehitys- ja vaikeavammaisten kohdalla.
  • Kataja, Ulla (Helsingfors universitet, 2015)
    Aims: Public health care in Finland has the main responsibility of rehabilitation, which means that public health care has to provide for persons with the severe disabilities the therapy or the rehabilitation needed. If a person fulfills the criteria of having severe disablity he is admitted Disability Allowance at its middle or highest rate. This is required for getting medical rehabilitation for persons with severe disabilities, which in Finland is financed by KELA. The speech therapy for the severely disabled organized by KELA is mainly carried out by private sector. There were approximately 500 private speech therapists under the contract of KELA during 2011-2014. Altogether 7439 persons were receiving speech therapy by KELA in 2014. The speech therapists under the contract of KELA are divided somewhat unevenly in Finland, therefore the availability of speech therapy is not equal in the whole land. Particularly areas with less inhabitants seem to suffer from inequality. The UN Convention on the Rights of Persons with Disabilities in 3.5.2008 was aimed at guaranteeing equal human rights to disabled people and to promote and support their human value. Methods: This Master's thesis looks at the availability of speech therapy in Finland both quantitatively based on open statistics by KELA and qualitatively on the nature of positive and negative decisions in the Medical District of Kanta-Häme. Results and Conclusions: The availability of speech therapy for persons with severe disabilities is not by KELAs statistics fully equal in Finland. The uneven division of speech therapists has lead to the fact that there are for example, at the insurance district of Oulu considerably more speech therapists than at the insurance district of Satakunta.The speech therapists under contract of KELA are like many other highly educated people situated close by the universities and other schooling areas, By U.N agreement the persons with disabilities should have rehabilitation near where they live and timing it optimally.The severity of language impairment was the main reason in positive decisions in the Medical District of Kanta-Häme and the insufficiency of arguments in the negative ones, which seem to refer to the fact that there, with an adequate application, speech therapy is guaranteed for the persons with most severe disabilities. One of the aims of the future social welfare and health care reform is to improve the availability of speech therapy in Finland. It remains to be seen how successfully it will answer the growing need.
  • Kari, A; Puukka, P (Kela, 2001)
    Sosiaali- ja terveysturvan katsauksia 44
    Vaikeavammaisten lääkinnällinen kuntoutus perustuu terveydenhuollon yksikössä laadittuun kuntoutussuunnitelmaan. Tutkimus osoittaa, että kuntoutussuunnitelmat ovat sisällöltään niukkoja ja ylimalkaisia. Kuntoutujien yksilöllisiä tarpeita ja mahdollisuuksia ei oteta riittävästi huomioon. Moniammatillinen yhteistyö kuntoutuksen suunnittelussa vaikuttaa merkittävästi kuntoutussuunnitelmien laatuun.
  • Ahponen, Helena (2001)
    The purpose of the study is to examine maturing of severely disabled adolescents. Maturing is defined in respect to development and creative processes. The processes take place in an environment, which comprises of cultural, social and economic environments. The study has been conducted with a qualitative research approach. The material of the study consists of interviews with nine adolescents and also experts have been consulted. As a frame for the interviews is a list of themes. The themes are i.a. human relations, family, education, work, leisure time activities, dating, decision making, independence, happiness, self-concept and identity. As a framework is the concept system of well being and quality of life, which defines the fundamentals of good life according to which existence is considered desirable. The crucial concepts are physical, mental and social well being, control of life and policy of life. The research method is that of case reports and the participants in the study are treated as a whole while being analysed. The results of the study show that adolescents are very heterogeneous. With some of the adolescents no maturing processes had been realised but some of them did not differ notably from others of their age. Disability produced disadvantage to all adolescents, they needed assistance and they lacked privacy in their lives. Many of the adolescents did not have much choices in their lives. Most of them had no development in their professional careers. Disabled adolescents did not develop social intercourse and their social activities were very limited. The adolescents created different self-concepts and identities in which disability was involved with varying degrees. The maturing environments did not support maturing in the best possible way and the adolescents had problems in all their activity environments. Participation was varying and the profiles of the adolescents differed significantly.