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Who is entitled to special in-home social service? Printable version
Last update: 28.03.2024Useful links:
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Special in-home social service is provided to persons (families) in need of special social services.
These may be people who have completely or partially lost the ability to provide self-care, move on their own and provide basic living needs due to illness, injury, age or disability.
The article describes who is entitled to special in-home social service and what services are provided by social workers under in-house service.
Who is entitled to in-home assistance
Special in-home social service can be provided to:
1) Children in the age from one and a half to eighteen years old who need special in-home social service due to:
- mild and moderate mental retardation, including major violations of motor functions that make it difficult to study in special (auxiliary) classes of special educational organizations (boarding schools) (persons who cannot move without assistance; do not serve themselves due to the severity of motor disorders requiring individual care), complicated by pronounced hearing/vision/speech disorders, seizures, behavioral disorders;
- severe and profound mental retardation;
- dementia of various origin
2) Children having disabilities with pronounced/ significantly pronounced second and third degree violations of musculoskeletal system that have led to restrictions in independent movement and self-service.
3) Persons over the age of eighteen who need special in-home social service due to:
- mild and moderate mental retardation, including major violations of motor functions (persons who cannot move without assistance; do not serve themselves due to the severity of motor disorders requiring individual care);
- severe and profound mental retardation;
- mental and behavioral disorders, in the presence of a stable disorder or dementia;
- dementia of various origin;
- epilepsy (including symptomatic) in the presence of dementia
4) Persons with disabilities who are unable to serve themselves independently and who, for health reasons, are in need for in-home special social services, who do not have able-bodied adult children, a spouse who, in accordance with the Code, are obliged to support and take care of their disabled parents, spouses who need help, or having able-bodied adult children, spouse(s) who, for objective reasons, do not provide them with constant assistance and care (have disabilities of the first, second groups, cancer, mental illnesses, are in places of deprivation of liberty, are registered at a mental health center or have left for permanent residence outside the country or live in another in a locality, additionally for a spouse – being at an advanced age).
5) elderly persons who have reached the retirement age established by the Social Code, who are unable to serve themselves independently and who, for health reasons are in need for in-home service, who do not have able-bodied adult children (spouse), who are obliged in accordance with the Code to support their disabled parents in need of assistance, spouse and take care of them, or having able-bodied adult children, a spouse who, for objective reasons, do not provide them with constant help and care (have disabilities of the first, second groups, cancer, mental illnesses, are in places of detention, are registered at a mental health center, or have left for permanent residence outside the country or live in another locality, additionally for a spouse – being at an advanced age), as well as in case of a conflict within the family.
Which services are provided by social workers under in-home social service?
Pursuant to the in-home social service standard, social workers provide 8 types of services:
1. Social and household services include:
1) Provision of social and household services such as an individual self-care and hygiene to recipients of services who are unable to perform basic everyday procedures for health reasons, including such actions as getting out of bed, getting into bed, dressing and undressing, washing, eating, drinking, using the toilet or privy chair, moving around, taking care of teeth or jaw, use glasses or hearing aids, cut nails, shave beards and mustaches for men.
2) Training of family members in practical maintenance and sanitary-hygienic skills.
3) Additional services for the elderly and the disabled:
- assistance outside the home within one locality;
- assistance in writing and reading letters;
- assistance in the purchase and delivery of hot lunches, food and non-food essentials;
- assistance in cooking;
- assistance in furnace heating, delivery of firewood, coal and water;
- assistance in submitting clothes in the laundry, dry cleaning, repair and return delivery of clothes;
- assistance in washing things;
- assistance in arrangement of residential premises repair and cleaning;
- assistance in paying for housing and utilities;
- assistance in arrangement of funeral services (in the absence of relatives (legal representatives).
2. Social and medical services include:
1) provision of pre-medical care;
2) assistance in conducting medical and social expertise;
3) assistance in obtaining statutory free medical assistance;
4) assistance in acquiring medicines and medical devices pursuant to a statement issued by doctor;
5) assistance in providing health resort treatment, technical auxiliary (compensatory) means, mandatory hygiene products in accordance with an individual rehabilitation programme;
6) training of service recipients in the use of technical auxiliary (compensatory) means and mandatory hygiene products;
7) assistance in obtaining prosthetic and orthopedic and auditory prosthetic care in accordance with an individual rehabilitation programme;
8) consulting on social and medical issues, including age adaptation;
9) assistance in medical consulting by experts, including at healthcare organizations;
10) assistance with managing health-related procedures (taking medications, instilling drops and procedures related to the appointment of a consulting physician);
11) assistance in performing therapeutic and physical exercises;
12) assistance in calling a doctor and accompanying service recipients to healthcare organizations;
13) patronage supervision of children, children with violations of musculoskeletal system;
14) provision of sanitary and hygienic services to persons with disabilities and the elderly (wiping, washing, hygienic baths);
15) assistance in carrying out rehabilitation activities.
3. Social and psychological services include:
1) socio-psychological patronage (systematic observation);
2) provision of socio-psychological assistance to service recipients, including conversations, communication, listening, encouragement, motivation for activity;
3) socio-psychological support for family members living together with a service recipients to ensure a favorable psychological climate, prevent and eliminate conflict situations.
4. Social and pedagogical services provided to children, children with violations of musculoskeletal system, persons over the age of eighteen include:
1) social and pedagogical counseling;
2) assistance in obtaining education for children under special educational programs in accordance with their physical and mental abilities;
3) assistance in obtaining education for children with violations of musculoskeletal system in secondary schools, technical and professional organizations;
4) teaching children and persons over the age of eighteen the basics of household orientation and manual skills;
5) development of skills in self-service, personal hygiene, behavior at home and public places, self-control, communication;
6)counselling family members on creation of conditions for pre-school education of children and their training in special educational curricula;
7) assistance in obtaining professional education;
8) teaching parents or family members the basics of rehabilitation at home;
9) training of family members in in-home development of necessary life skills for children and persons over the age of eighteen.
5. Social and labour services provided to persons over the age of eighteen, the disabled and the elderly include:
1) professional orientation of children with violations of musculoskeletal system, persons with disabilities;
2) counselling recipients of services and their family members in arrangement of domestic labour;
3) assistance in employment of persons with disabilities.
6. Social and cultural services include:
1) arrangement of holidays and leisure activities;
2) arrangement and carrying-out of club activities;
3) involvement of service recipients in leisure activities and participation in cultural events.
7. Social and economic services include:
1) assistance in obtaining the necessary benefits, allowances, compensations, alimony and related payments, improving housing conditions in accordance with chapters 11, 13, 14 of the Social Code;
2) counselling the elderly and persons with disabilities, as well as families raising children and caring for persons over the age of eighteen, on issues of self-sufficiency and improvement of financial situation of a family.
8. Social and legal services include:
1) legal advice in the field of providing special social services and on issues related to the rights to social security and assistance in accordance with the legislation of the Republic of Kazakhstan;
2) assistance in executing documents of legal significance;
3) assistance in preparation and submission of appeals against the actions/inactions of organizations providing special social services that violate or infringe on the legitimate rights of service recipients;
4) provision of legal assistance in obtaining benefits and welfare payments provided for by the law;
5) obtainment of benefits based on power of attorney in accordance with the procedure established by the Civil Code of the Republic of Kazakhstan;
6) assistance in bringing to criminal responsibility of persons guilty of physical and mental violence committed in the family against service recipients or members of their family;
7) assistance to guardianship or custodianship bodies in placing children, including those with violation of musculoskeletal system, for adoption/custody/patronage/under guardianship, in accordance with the Code;
8) assistance in placement of service recipients in institutions, organizations providing special social services, including assistance in submitting documents to the in-patient facilities;
9) draw up of statement addressed to the Juvenile Affairs Commission on parents who evade the upbringing of children, including those with violation of musculoskeletal system;
10) assistance to service recipients in providing legal assistance in executing documents for employment, obtaining an identity document and documents of legal significance;
11) assistance in obtaining free-of-charge legal assistance from a lawyer in cases and in accordance with the procedure established by the Civil Procedure Code of the Republic of Kazakhstan, the Law of the Republic of Kazakhstan "On Advocacy and Legal Assistance".
Visiting hours, conditions for delivery of special social services
Visiting of service recipients by in-home service workers is carried out according to the schedule approved by a head of in-home service organization.
On the day of the visit to a service recipient, the in-home service workers make a relevant note in the register of special social services delivered, the form of which is provided for in Appendix 5 to the Standard. The register of special social services delivered is kept by a service recipient (legal representative) and at the end of each month is submitted to a social worker.
An authorized body, a founder, or a head of an in-home service organization creates conditions for special social services delivery, including:
1) premises equipped with necessary equipment and communications, diagnostic, didactic, developmental and other material necessary for rehabilitation activities;
2) provision of personnel with methodological literature that contributes to the formation of knowledge and skills in caring;
3) provision of personnel, if necessary, with a vehicle, travel tickets or monetary compensation in the amount of travel ticket cost;
4) provision of personnel caring after the elderly and persons with disabilities with uniforms, personal protective equipment (disposable masks and gloves).
Which documents are required to apply for in-home special social services?
Persons (families) recognized as being in need for special social services apply to an authorized body for provision of a guaranteed amount of special social services at their place of residence by submitting:
1) an application, while for the minors and incapacitated persons it should be a written statement by a legal representative (one of the parents, adoptive parent, guardian or trustee, foster parent, foster carer and other persons replacing them, who ensure care, education, upbringing, protection of the rights and interests of a child/person over the age of eighteen in accordance with the Code of the Republic of Kazakhstan "On Marriage (Matrimony) and Family") pursuant to the form in accordance with Appendix 1 to the Standard or a request from a medical organization;
2) an identity document or an electronic document from the Digital Documents service with an individual identification number (hereinafter: IIN) for identification;
3) medical record in the form according to Appendix 2 to the Standard;
4) for children: copies of psychological, medical and pedagogical statements.
When accepting an application, the Employment Department submits requests to the information systems of government agencies and (or) organizations via the e-Government Gateway to obtain the following information:
1) about an identity document;
2) on registration at a permanent place of residence;
3) on establishment of disability;
4) on activities indicated in an individual habilitation and rehabilitation program for persons with disabilities;
5) on retirement age;
6) on the status of a veteran of the Great Patriotic War, a veteran of military operations on the territory of other states, as well as a veteran equated to veterans of the Great Patriotic War, families of deceased servicemen listed in subclause 1) of Article 8 of the Law of the Republic of Kazakhstan "On Veterans".
Under what conditions provision of in-home social service stops?
Termination of in-home social service provision by in-home service organization occurs:
1) at the written request of a service recipient, while for minors and the incapacitated: at the written request of a legal representative;
2) in case of disability withdrawal or establishment of a third disability group;
3) when receiving special social services at an in-patient facility;
4) when a service recipient moves to another locality;
5) in case of unjustified insults and accusations degrading the human dignity of a social care worker by a service recipient or family members, which can be confirmed by written testimony of witnesses;
6) upon termination of agreement on provision of paid special social services;
7) in case of service recipient`s death;
8) in case of receiving special social services at educational institutions.
