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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


  • 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


  • 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


  • Social Sectors

    - 191 Community Disability Welfare Centers

    : Physical therapy and social education

    : Counseling, financial and housing support

    : Home-visit outreach service


  • 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


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


  • 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)


  • 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)


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)


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


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


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


7. Case Study – “Dodream”(KSRPD)

Statistics (2010)

Number of Beneficiaries

(by type of assistance )

Education

Arts

Medical

Culture/Leisure

Improving living environment

Income generation


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


  • 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


  • At community level

    - Forming focus groups

    - Motivating communities

     Sharpening sensitivity to community needs.

     Ensuring inclusion of PWDs and their families in

    CBR projects


CBR is for everyone in the community,

Including persons with disabilities

Thank you~


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