El proyecto consiste en dar solución viable, rentable y novedosa que no existe actualmente en el mercado. El problema que se ha identificado, es que existen aproximadamente 40 mil niños menores de 14 años que viven en Lima Metropolitana y padecen de algún tipo de discapacidad o limitación física y/o mental. Asimismo, la capacidad de atención del sistema de salud a nivel nacional en el Perú es menor al 50%, con solo una sesión de rehabilitación por paciente al mes. Para atender esta necesidad, se desarrolla el proyecto Therapy Kids, que ofrece terapias de rehabilitación para el desarrollo de las capacidades de estos niños. Los apoderados podrán solicitar servicios a través de los diversos canales de atención, en los que se les ofrecerá precios, horarios accesibles y promociones, con el valor diferenciado de que el servicio será brindado únicamente a domicilio y con una frecuencia de tres veces por semana. Las fuentes de ingreso para Therapy Kids serán las terapias a domicilio y las consultas del médico terapista., en el primer año, se espera un ingreso de S/5 682 600 sin IGV y la inversión a realizar en dicho año para lograr los objetivos trazados asciende a S/ 285,202.82, de los cuales el 73% provendrá de los accionistas y se buscará un financiamiento por el 27% restante. Therapy Kids busca evitar el malestar de hacer largas colas y viajes para conseguir una cita con un especialista. Asimismo, no solo busca apoyar a los padres de familia y generar utilidades para la empresa, si no también contribuir considerablemente en el desarrollo del sector salud del país. / Trabajo de investigación

Abstract The purpose of the study was to describe and analyze the process of developing community employment of psychically disabled people and its significance for the participants' quality of life. The following research tasks were addressed: 1) What is the process of developing community employment of psychically disabled people like? 2) What is the significance of community employment for the quality of life of psychically disabled people? The study was carried out as action research with recruited participants, and it was part of the Community Employment project of Keski-Pohjanmaa Association for Social Psychiatry in 1998-2000. A qualitative approach was used. The study was carried out in two stages. The purpose at stage I was to elicit information about the baseline situation before the implementation of community employment. Representatives (N=49) of the collaborators in the Community Employment project (N=23) were recruited to participate in an unstructured interview and psychically disabled workshop clients (N=14) to participate in a thematic interview. The data were analyzed with method of content analysis. The stage I results showed that community employment should be developed as a new type of occupational rehabilitation, and that work was a significant and important aspect of quality of life for psychically disabled workshop clients. At stage II, the aim was to obtain information about the implementation of community employment and its significance for psychically disabled workers. The following persons were recruited to participate: the coordinator of the Community Employment project was recruited to keep a diary during 30.3.1998-31.12.2000 and workers who had moved from workshop into community employment (N=4) to participate in repeated (2) unstructured interviews. The data were analyzed with content analysis, and the QRS NVivo computer software was used to analyze the contents of the diary. Based on the results, participation in community employment helped psychically disabled persons to have meaningful employment, to construct his/her self and everyday life by means of this employment, to become established as a member of the working community and to be able to cope with the tasks at work. Community employment involved factors that both promoted and impaired the persons' capacity to cope with their tasks. The most important conclusion was the empowering significance of employment for psychically disabled persons if the occupational rehabilitation services, such as workshops and community employment, are arranged with a focus on the client. The community employment model developed here did not suit all candidates willing to try it. It is therefore necessary to have a sufficiently large range of different occupational rehabilitation services available, from among which each client can choose one suitable for him/herself. / Tiivistelmä Tutkimuksen tarkoituksena oli kuvata ja analysoida psyykkisesti vajaakuntoisten avotyötoiminnan kehittämisprosessia ja merkitystä osallistujien elämänlaadulle. Tutkimustehtävänä oli vastata kysymyksiin 1) Millainen on psyykkisesti vajaakuntoisten avotyötoiminnan kehittämisprosessi? 2) Mikä on avotyötoimintaan osallistumisen merkitys psyykkisesti vajaakuntoisen elämänlaadulle? Osallistavana toimintatutkimuksena toteutettu tutkimus oli osa Keski-Pohjanmaan sosiaalispsykiatrisen yhdistyksen Avotyöprojektia vuosina 1998-2000. Tutkimuksen lähestymistapa oli laadullinen. Tutkimus toteutettiin kaksivaiheisena. Vaiheessa I tavoitteena oli saada tietoa lähtötilanteesta ennen avotyötoiminnan toteutusta. Tällöin tutkimustehtäviksi määriteltiin: Millaisia näkemyksiä on Avotyöprojektin yhteistyötahojen edustajilla psyykkisesti vajaakuntoisten työkuntoutuspalvelujen järjestämisestä? Millainen on psyykkisesti vajaakuntoisen työsalin asiakkaan elämänlaatu? Tutkimukseen osallistettiin Avotyöprojektin yhteistyötahojen (N=23) edustajat (N=49) avoimella haastattelulla sekä psyykkisesti vajaakuntoiset työsalin asiakkaat (N=14) teemahaastattelulla. Aineistot analysoitiin sisällönanalyysilla. Vaiheen I tuloksista todettiin, että avotyötoiminnan kehittäminen oli perusteltua yhtenä puuttuvana työkuntoutuspalvelumuotona, ja työ oli merkittävä ja keskeinen elämänlaadun osatekijä psyykkisesti vajaakuntoiselle työsalin asiakkaalle. Vaiheessa II tavoitteena oli saada tietoa avotyötoiminnan toteutuksesta sekä avotyötoimintaan osallistumisen merkityksestä psyykkisesti vajaakuntoiselle osallistujalle. Tutkimustehtäviksi määriteltiin: Millainen on avotyötoiminnan kehittämisprosessi yhden kehittämiseen osallistuneen näkökulmasta? Mikä on avotyötoimintaan osallistumisen merkitys psyykkisesti vajaakuntoiselle? Tutkimukseen osallistettiin Avotyöprojektin projektivastaava päiväkirjan kirjoittamisella 30.3.1998-31.12.2000 sekä työsalilta avotyötoimintaan siirtyneet avotyöntekijät (N=4) toistetuilla (2) avoimilla haastatteluilla. Aineistot analysoitiin sisällönanalyysilla, jossa päiväkirja-aineiston osalta käytettiin apuvälineenä QSR NVivo-tietokoneohjelmaa. Tulosten perusteella avotyötoimintamallin kehittämisessä oli keskeistä asiakkaan aktiivinen osallistuminen arviointi- ja valmennusjaksolle valintaan, yhteistoiminta arviointi- ja valmennusjakson toteutuksessa, avotyökyvyn selvittäminen arviointi- ja valmennusjakson ytimenä, avotyötoimintaan siirtyminen yhteistoiminnassa asiakkaan kanssa sekä avotyöntekijän ja työyhteisön tarpeenmukainen tukeminen. Tulosten perusteella avotyöhön osallistuminen merkitsi psyykkisesti vajaakuntoiselle osallistujalle mielekästä työtä, itsen ja arjen rakentumista työn avulla, työyhteisöön ankkuroitumista ja työssä jaksamista. Työ rakensi avotyöntekijää ja hänen arkeaan rytmittämällä arkea, lisäämällä työtehtävien hallintaa ja vastuun-kantoa sekä vahvistamalla itsetuntoa ja aikuisen roolia. Avotyöhön kuului työssä jaksamista edistäviä ja ehkäiseviä tekijöitä. Tutkimuksen tärkein johtopäätös on työn voimaannuttava merkitys psyykkisesti vajaakutoiselle, kun työkuntoutuspalvelut kuten työsali- ja avotyötoiminta toteutetaan kuntoutujalähtöisesti. Kehitetty avotyötoiminta ei soveltunut kaikille siihen hakeutuneille. Siksi tarvitaan riittävän kattava valikoima erilaisia työkuntoutuspalveluja, joista kuntoutujaa tuetaan valitsemaan itselleen sopivin.

Burnout has led to turnover and poor counselor performance within public sector rehabilitation. Scholarly literature on burnout among mental health counselors and school counselors are abundant. However, few researchers have compiled studies to evaluate burnout among rehabilitation counselors. No research could be found that examined the relationships among job demand, control, support, and burnout among public sector rehabilitation counselors. The Job Demand Control- Support (JDC-S) model indicates that stress from work is developed based on work demands, perceptions of control, and the perceived support that is received. The purpose of this research study was to determine the extent of the prediction, if any, between burnout and job demand, job control, and job support for public sector rehabilitation counselors. This study examined the following research question through a multiple linear regression: Job demand, job control, and job support (as measured by subscales of the Karasek and Theorell Job Content Questionnaire) predicts burnout (as measured by the Maslach Burnout Inventory) among public sector rehabilitation counselors. Instruments used in the study included the Job Content Questionnaire and the Maslach Burnout Inventory. An electronic questionnaire was sent to 1,000 certified rehabilitation counselors throughout the United States;197 were returned. The results of this study suggest that there is a likelihood of a lower risk of stress because of high autonomy on the job. Moreover, there was a significant prediction between burnout (as described by emotional exhaustion, depersonalization, and personal accomplishment) to job demand, job control, and job support. Results of the study may contribute to social change through increasing the wellness of counselors within the public rehabilitation counseling sector, which, in turn, could lead to improvement in the quality of services for clients.

No description available.

Thesis (MScMedSc (Rehabilitation))--University of Stellenbosch, 2005. / Many South African National Defence Force (SANDF) soldiers have suffered spinal cord injury either in the line of duty or otherwise. This injury affects all spheres of life (physical, emotional, social and psychological). Servicemen are often considered heroes of their country and are often the ones who need to set aside their emotions in order to fulfil their roles as soldiers. However, it is anticipated that a permanent impairment/disability e.g. SCI will have an impact on their quality of life (QOL) and satisfaction with living (SWL). This study aims to explore whether emotional support offered to soldiers with spinal cord injury (SCI) during rehabilitation improve their long-term QOL and SWL. Thirteen soldiers who have been re-employed post injury were asked to complete a selfcompiled, self-administered questionnaire regarding the emotional support offered during rehabilitation and the impact thereof on long-term QOL and SWL. The questionnaire focused on their ratings of the QOL and SWL in different areas of their lives and circumstances and asked what they would advise newly injured individuals regarding SCI and rehabilitation. Data was analysed using a combination of qualitative and quantitative methods. Pearson’s chi-square test and the M-L chi-square tests were used to analyse the data with the Statistica programme. A p-value of < 0.05 were calculated as statistically significant. Emotional support during rehabilitation showed a significant impact on QOL (p=0.0497). Ninety-two percent (n=12) of participants rated their QOL as good or excellent while 77% (n=10) rated their SWL as good. Participants who were older than 26 reported a significantly higher rate of SWL than younger ones (p=0.0292). Furthermore, results showed that the family was the most constant source of support during rehabilitation (54%, n=7). Despite that, 77% (n=10) of participants felt that they received excellent emotional support from the rehabilitation team. The study results are intended to facilitate growth and development in the rehabilitation process and guide professionals in the offering of emotional support.

L’hospitalisation représente une étape de vie à laquelle doit faire face une grande majorité des personnes âgées. Cette expérience trop souvent accompagnée d’un déclin physique et psychologique marque pour beaucoup le début de la fin. Basé sur les fondements théoriques de la théorie de l’autodétermination (TAD), ce travail doctoral a deux objectifs. (1) Définir qualitativement le soutien à l’autodétermination dans les services de soins de suite et réadaptation (SSR). (2) Connaître l’impact des orientations de causalité́ des patients sur la perception de soutien ou de contrôle à l’autodétermination et les conséquences motivationnelles et émotionnelles associées. L’étude 1 a montré que les professionnels de santé mettaient en avant une image idéalisée de leur environnement de soins. Les patients (étude 2) ont indiqué de nombreuses contraintes qui atténuent l’effet de cette vision positive. L’étude 3 a démontré que les orientations de causalité du patient étaient une variable qui en interaction avec la perception de l’environnement, n’aboutissait pas aux mêmes conséquences motivationnelles et émotionnelles. De par le rôle déterminant octroyé par la TAD à la motivation, les professionnels de santé se doivent d’être capables de nourrir, entretenir et soutenir la motivation des patients. Une réflexion sur les recommandations pratiques et des axes de recherches futurs seront proposés. / Hospitalization is a life stage that faces a large majority of older people. This experience is often accompanied by both physical and psychological declines and means, for most of older people the beginning of the end. Based on the self-determination theory (SDT), this doctoral dissertation has two objectives. (1) To qualitatively define an autonomy supportive environment in after-care and rehabilitation services (ACRS). (2) To know the impact of causality orientations on patients' perceptions of an autonomy supportive or controlled environment and the associated motivational and emotional consequences. Study 1 showed that healthcare professionals conveyed an idealized image of their work environment and the care they provide. Patients (study 2) indicated many constraints that mitigated the effect of this positive view of an autonomy supportive environment and reduced their ability to experience it. Study 3 demonstrated that patient's causality orientations were a variable which interacted with the perception of ACRS environment, did not induce the same motivational and emotional consequences. Thus, these studies contribute to the self-determination theory in the health setting by showing the determining role of patients’ motivation. It is therefore necessary for healthcare professionals to be able to feed, maintain and support patients’ motivation. In the light of the contribution of the self-determination theory, a reflection about practical recommendations and future lines of research will be proposed.

Darbo tikslas: Įvertinti Reabilitacijos centro pacientų informuotumą apie jiems teikiamas medicininės reabilitacijos paslaugas. Uždaviniai: 1. Įvertinti reabilitacijos centro pacientų informuotumą apie saugią reabilitaciją. 2. Nustatyti ryšį tarp pacientų informuotumo, socialinių demografinių charakteristikų ir savo sveikatos būklės vertinimo. 3. Nustatyti ryšį tarp pacientų informuotumo apie reabilitacijos paslaugas ir nuomonės apie jiems teikiamų paslaugų kokybę. Tyrimo metodika. 2012 m. birželio - 2013 m. vasario mėnesiais atlikta anoniminė pacientų apklausa reabilitacijos centre teikiančiame stacionarias reabilitacijos paslaugas. Atliekant tyrimą, buvo išdalintos 300 anketų, atsako dažnis 90,6 proc. Anketinių duomenų analizei naudota statistinė programa SPSS 19.0. Rezultatai. 78,3 proc. reabilitacijos centro pacientų mano, kad jų informuotumas paslaugų saugos klausimais yra pakankamas, 5,3 proc. – nepakankamas, o 16,4 proc. respondentų nesupranta sveikatos priežiūros saugos sąvokos. Informuotumas sveikatos priežiūros saugos klausimais nėra susijęs su lytimi, tačiau didesnė dalis vyresnių nei 60 metų amžiaus pacientų (91,3 proc.) lyginant su jaunesniais nei 60 metų amžiaus pacientais (8,7 proc.) teigė nesuprantantys sveikatos priežiūros saugos sąvokos. 84,8 proc. pacientų atsakė, kad suprato visą informaciją, 12,5 proc. – nesuprato, bet pasakė, ko nesuprato, 2,7 proc. nesuprato ir neišdrįso pasakyti, ko nesuprato. Dauguma (88,3 proc.) pacientų, kurie suprato jiems... [toliau žr. visą tekstą] / Research aim: to assess awareness of rehabilitation center patients ‘about provided services of medical rehabilitation. Goals: 1. To assess awareness of rehabilitation center patients ‘about safe rehabilitation. 2. To identify connection among patient‘ awareness, social demographic characteristics and self-health status assessment. 3. To identify connection between patient‘ awareness about rehabilitation services and their opinion on quality of provided services. Research methodic. Research was performed during June 2012 - February 2013 with anonymous questionnaire in rehabilitation center with inpatient rehabilitation services. 300 questionnaires were distributed, response rate 90.6 %. Statistical program SPSS 19.0 was used for data analysis. Results. 78.3 % of rehabilitation patients think that their awareness on safety of services is sufficient, 5.3 % – insufficient and 16.4 % of patients don‘t understand concept of safety of health care. Awareness on safety of health care is not related to gender, but more of older than 60 years patients (91.3 %) comparing to younger than 60 years (8.7 %) stated about misunderstanding in concept of safety of health care. 84.8 % of patients stated that they understood all information, 12.5 % – didn‘t understood and stated what is unclear, 2.7 % didn‘t understood and didn‘t named what is unclear. Mostly of patients (88.3 %), who understood provided information, knew how to behave safely at home. 95.4 % of respondents stated about... [to full text]

No description available.

With the introduction of universal newborn hearing screening (UNHS) the need for quality early hearing intervention (EHI) services became critical. Screening is but the avenue to EHI services. Without appropriate intervention infants with hearing loss are at risk for language delay which might subsequently adversely influence academic success and vocational choices later on in life. The numerous socio-economic, cultural and healthcare barriers associated with developing countries such as South Africa, do not negate or diminish the need for optimal outcomes for infants with hearing loss through quality EHI services. The principle of quality EHI services, aligned with international standards, is endorsed by the HPCSA (2003: 2). In order to assure quality in EHI, service evaluation is critical. The necessary first step when evaluating service provision is to measure current service delivery. The main aim of this study was to determine whether South African audiologists provide EHI and support services aligned with international professional best practice to infants following the diagnosis of hearing loss. The first part of this study reviews the evidence available in EHI. The guidelines derived from the international evidence were stated as benchmarks against which South African EHI services were measured. These benchmarks were categorised using the so-called six M variation categories. These categories are: Man, machine (equipment), method (systemaric procedures), measurements, material (amplification devices) and Mother Nature. During the empirical research a descriptive design was followed comprising of questionnaire surveys to audiologists in different working sectors rendering EHI services to infants with hearing loss. The questionnaire survey explored the nature and scope of the EHI services offered to infants with hearing loss with regard to all the components (categorised in the six M categories) of the EHI programme of 40 South African audiologists. The results of this study indicate that respondents often do not use evidence-based measurements or methods during EHI services. Results suggest that undergraduate training in areas regarding the selection and fitting of amplification to infants with hearing loss is often inadequate (>20 respondents indicated that they are not trained). Evidence-based measurements are not typically performed when fitting amplification to infants (29 respondents do not perform probe-microphone or elctroacoustic measurements). Many respondents indicated that they do not have the necessary equipment to do these measurements. EHI services often (50% of respondents) do not provide A/R directly, but refer to other team members. From the results there seems to be significant delays in the rendering of EHI services to infants with hearing loss. Financial constraints of the family of the infants, accessibility problems, as well as a lack of infant support from their families often influence the EHI programmes of respondents. The implications of this study were discussed. Recommendations include the development of South African guidelines, aligned with international guidelines but taking into account the challenges posed by the unique South African context. Other recommendations include: Centres of excellence, relevant continuing education programmes and the evaluation of undergraduate training programmes. / Dissertation (M (Communication Pathology))--University of Pretoria, 2006. / Speech-Language Pathology and Audiology / M (Communication Pathology) / unrestricted