Community based rehabilitation the korean model
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Community Based Rehabilitation : The Korean Model. Dr. Il-Yung Lee RI Korea, National Secretary RI Vice President, Asia Pacific Region. Contents. Evolution of CBR Development of CBR in Korea CBR services & delivery CBR Stakeholders Main service areas CBR Matrix Case Study

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Community based rehabilitation the korean model

Community Based Rehabilitation : The Korean Model

Dr. Il-Yung Lee

RI Korea, National Secretary

RI Vice President, Asia Pacific Region


Contents

Contents

  • Evolution of CBR

  • Development of CBR in Korea

  • CBR services & delivery

  • CBR Stakeholders

  • Main service areas

  • CBR Matrix

  • Case Study

  • Challenges


1 evolution of cbr

1. Evolution of CBR

  • First suggested by RI (RI Conference, 1969)

    - To improve rehabilitation services in developing countries

  • Initiated by the WHO (1978)

    - To improve access to rehabilitation services for persons with disabilities in low and middle income countries, by making optimum use of local resources

  • Repositioned (2003)

    - As a strategy within general community development, in partnership with ILO, UNESCO and WHO


Community based rehabilitation the korean model

  • Overall objectives (WHO 2010)

  • To promote CBR as a strategy for community-based inclusive development to assist in the mainstreaming of disability in development initiatives and to reduce poverty

  • To support stakeholders to enhance the quality of life through access to health, education, livelihood and social sectors

  • To encourage stakeholders to facilitated the empowerment of PWDs by including them in decision-making process


2 development of cbr in korea

2. Development of CBR in Korea

  • Initiatives

    Social sectors : Governmental pilot projects (Gov. Fund)

    - 1 urban model in Seoul

    - 1 rural model in Chungbuk

    - Ran by KSRPD, 1985~1988

    Health : Civil Society’s project (German Fund)

    - Ran by Jeonju Presbyterian Medical Centre, in the North Wanju 1987-1995


Community based rehabilitation the korean model

  • Development of CBR in health & social sector

  • Local authorities (1987~)

    Registration & basic data collection

  • Community Welfare Centers (1992~)

  • Public Health Centers & Nat’l Rehab Hospital (1993~)

  • Independent Living Centers (2001~)

  • Nowon CBR Project (2003~)

    Civilian Project by mobilizing local community resources


3 cbr services delivery

3. CBR services & delivery

Public Health Center

Special Education

Rehab

Hospital

Health

Education

Inclusive Education

Non-governmental

Govern-ment

Local

communities

Employment

center

Community

rehab center

Job training center

Welfare

Labor

IL Center

Vocational

Rehab Center

Service delivery

ServiceArea

Support


4 cbr stakeholders

4. CBR Stakeholders

Government, political leaders,

media

Local government, NGOs, disability groups

Leaders, teachers, health & community workers

Community

(WHO 2010)


5 main service areas

5. Main service areas

  • Health

    - 60/253 local public health centers(1:1 matching fund)

    : General support for medical needs, rehabilitation services

    : Cooperative activities with community resources

    - National Rehabilitation Hospital

    : Management of community public health centers

    : Education and empowerment of CBR workers

    : Partnership with community health service providers

    : Research and development


Community based rehabilitation the korean model

  • Social Sectors

    - 191 Community Disability Welfare Centers

    : Physical therapy and social education

    : Counseling, financial and housing support

    : Home-visit outreach service


Community based rehabilitation the korean model

  • Social Sectors

    - 178 IL centers

    : Coordinating personal assistant service

    : Peer-group counseling, self-help groups

    : Provision of vehicles for PWDs’ outings

    : Repairing and renting assistive devices

    : Training basic living skills and awareness on

    disability rights, enabling independent living


Community based rehabilitation the korean model

10

43

21

8

8

12

6

5

12

4

16

14

7

Kangwon

Seoul

53

Gyeonggi

35

5

Chungbuk

Incheon

7

4

Gyeongbuk

Daejeon

5

4

Daegu

Chungnam

2

3

2

Ulsan

Jeonbuk

5

13

15

Busan

Gwangju

10

11

15

Gyeongnam

Jeonnam

6

Jeju

3

5

IL 178

CDWC 191


Community based rehabilitation the korean model

  • Education

    - Special Schools

    - Inclusive Schools

    : Deinstitutionalizing children with disabilities

    : Unification of general and special education system

    ※ Evening schools run by DPOs

    - 45.2% of ‘persons with disabilities’ do not finish primary school

    - Open to all ‘persons with disabilities’ (beyond age and disability types)


Community based rehabilitation the korean model

  • Employment

  • Korea Employment Agency for the Disabled

    : Assist ‘persons with disabilities’ to enter mainstream labor market

  • Vocational Rehabilitation Centers

    : Enable people with severe disabilities to work

    • 422 centers across the country (2011)

    • Workfare centers, sheltered workshops, vocational

    training centers


6 cbr matrix who 2010

6. CBR Matrix (WHO, 2010)

Towards Community-based Inclusive Development

CBR Matrix

Health

Education

Livelihood

Social

Empowerment

CBRgoals

Promotion

Early

childhood

Skills

development

Personal

assistance

Advocacy &

CBRareas

communication

Self-

employment

Relationships

Prevention

Primary

Community

Marriage, family

mobilization

Secondary &

Higher

Employment

Wage

Medical care

Culture &

Political

Participation

art

Financial

services

Rehabilitation

Non-

Recreation

leisure, sports

Self-Help

Groups

formal

Assistive

Life-long

Social

protection

Justice

DPOs

devices

learning

Public Health Center Schools Community Based Rehabilitation Centers

Independent Living Centers Vocational Rehabilitation Centers Others (Gos, NGOs and Business sectors)


Community based rehabilitation the korean model

7. Case Study – “Dodream”(KSRPD)

  • Overview : Youth and young adults (10-29 years of age) with disabilities or those with family members with disabilities request necessary assistance to achieve their short/long term “dreams”

    - Long term assistance

    - Customized support & support of dreams initiated by the participants

    - Collaboration and long term case management between different stakeholders (mobilizing community resources)


Community based rehabilitation the korean model

7. Case Study – “Dodream”(KSRPD)

Overall Process

New “dreams”

: Home visits to ensure feasibility & prevent overlapping support

Gather community support through online funding and individual supporters/organizations

“Dreams” accomplished

: Customized support and long term case management


Community based rehabilitation the korean model

7. Case Study – “Dodream”(KSRPD)

Statistics (2010)

Number of Male/Female Beneficiaries

Number of Applicants and Beneficiaries

Number of Male/Female Beneficiaries

Number of Applicants and Beneficiaries

M

F

Applications

Beneficiaries


Community based rehabilitation the korean model

7. Case Study – “Dodream”(KSRPD)

Statistics (2010)

Number of Beneficiaries (by disability type)

Intellectual

Physical

Visual

Brain lesion

Autistic

Language

Hearing

Facial

Renal

Multiple

Other


Community based rehabilitation the korean model

7. Case Study – “Dodream”(KSRPD)

Statistics (2010)

Number of Beneficiaries

(by type of assistance )

Education

Arts

Medical

Culture/Leisure

Improving living environment

Income generation


Community based rehabilitation the korean model

7. Case Study – “Dodream”(KSRPD)

  • Name : Young Gwang Kim

  • Type of Disability : Physical

    (Muscular Dystrophy)

  • Dream : To become an international court judge.

  • Type of Assistance

    -In 2007, received a shower gurney and hospital bed to assist him while studying for the university entrance exam.

    - In 2009, after receiving admission to a top level university in Korea (Sogang), was able to receive a laptop computer to help him in his studies.


8 challenges

8. Challenges

  • At governmental level

    - Need for a “CBR Case Manager” :

    Collaboration & Facilitating various resources

    - Securing government’s political commitment for CBR

    - Stronger national policies and strategies

    - Awareness raising on CBR

     Need to strengthen national level support through policies, coordination and resource allocation

     Need for rights based approach for CBR


Community based rehabilitation the korean model

  • At non-profit organizational level

    - Understanding CBR & Obtaining external funds

    - Ensuring cooperation among local organizations

    (public health centers, local administrative body, community welfare centers, rehabilitation centers, private health/medical/social centers)

     Participating in CBR trainings

     Inter-agency consortium for grants and funding

    applications


Community based rehabilitation the korean model

  • At community level

    - Forming focus groups

    - Motivating communities

     Sharpening sensitivity to community needs.

     Ensuring inclusion of PWDs and their families in

    CBR projects


Community based rehabilitation the korean model

CBR is for everyone in the community,

Including persons with disabilities

Thank you~


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