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19 Cards in this Set

  • Front
  • Back

Rehabilitation

Rehabilitation is a process that assists people with disabilities to develop or strengthen their physical, mental and social skills. It includes all measures directed at reducing the impact of disabling and handicapping conditions and enabling the handicapped to achieve social independence.

Rehabilitative medicine

Rehabilitative medicine is that aspect of medicine which includes the measures for training and retraining an individual to the highest possible level of functional ability

People who require rehabilitation

Handicapped


Aged


Destitutes


Drug addicts


Refugees


Street children , AIDS orphansMotherless babies


People living with HIV/AIDS (PLWHA)


People with psychiatric problems


Victims of injuries


Patients who suffered a stroke

Types of rehabilitation

Medical rehabilitation - focuses on restoration of function.


Vocational rehabilitation – restoration of capacity to earn a livelihood


Social rehabilitation –restoration of family and social relationships. Psychological rehabilitation – restoration of personal dignity & confidence.

Examples of rehabilitation

Physiotherapy for stroke patients


Prosthesis for people with limb deformities


Change of occupation for a more suitable one. Reconstructive surgery for leprosy



Essentially, the purpose of rehabilitation to make productive people out of non-productive people.

The rehabilitation team

Physician


Case Manager


Nurse


Social worker


Physical Therapist


Occupational Therapist


Speech/Language Pathologist


Dietitian


Neuropsychologist



***********Ministry of health and social affairs

Education methods available for the handicapped

There are methods available to them:


1. Open System :The children attend normal schools and are taught by special education teachers in certain subjects. They interact early and develop self esteem, have dignity and can be independent. This method also helps normal children to accept them.


2.Closed system : Handicapped children are sent to special schools e.g. school for the deaf , schools for the blind etc. e.g. School for the deaf Ijokodo, Christian Mission for the deaf, Jericho, Pacelli school for the blind Oshodi, pecial education Oji River



3. Midway House. These are normal schools with special section for handicapped children. E.g. Methodist High School, Bodija.

Special education facilities are provided by

Provided by


The Federal and State governments


NGOs


Religious organizations Various governmental and non-governmental organizations have established vocational training centres, special schools and homes for the disabled

Constraints in education for the handicapped

Acute shortage of special education teachers


Acute shortage of educational equipment e.g. Braille books, hearing aids. Acute shortage of accommodation


Mainly located in the urban areas and in the southern part of the country


None co-operation of parents. Parents often neglect handicapped children

Institutions for the disabled

As at 2002 there were 103 registered institutions in Nigeria providing special education for the disabled. These cater for the needs of children with different types of disabilities , although schools for the blind are the most common.

Vocational training

Most of the handicapped children end their education at the primary school level and then go to vocational training centres where they learn trades like typing , basketry dressmaking, weaving, shoemaking, tie and dye etc for 6-15 months.


This training usually takes place in either institutional or community based rehabilitation centres. The Federal Ministry of Women Affairs and Youth Development is responsible for this.

Problems encountered in vocational rehabilitation

Overcrowding


Insufficient numbers of qualified personnel


Poor funding Mismanagement


Most of the vocational rehabilitation centres are dilapidated with poor living conditions.

Community based vocational rehabilitation

Places of vocational employment are identified in their community or LGA They are apprenticed for two years and trained Loans are sourced for them and they are monitored to ensure that the loans are well utilized.

Employment for the handicapped

Self employed


Sheltered employment Employment in government institutions or private businesses. Community based vocational rehabilitation

Sheltered employment

Handicapped people are employed by people who act as intermediaries to obtain contracts for to make items like shoes, hampers, adire etc, under supervision. They are paid for the work done irrespective of occasional absence Advantage – jobs can be done at home.

Problems of employment

Graduates of the various rehabilitation centres have found it difficult to obtain employment, although the law requires that employers allocate 2 percent of staff position to disabled adults

Disability issues in Nigeria

Absence of disability discrimination laws or ? ??? enforcement


Lack of social protection Poor understanding of disability issues by the public


Poor access to rehabilitation services Public facilities designed without consideration for people with disabilities. (schools, offices, libraries, hospitals etc)

Recommendations

Improve the availability and quality of data on disability


Increase public awareness and understanding about disability


Involve people with disabilities


Strengthen and support research on disability Improve human resource capacity


Invest in programmes and services for people with disabilities

Policy recommendations

Improved knowledge about the problem


-on causes of abuse


-impact of abuse


-effect of interventions



Strengthening of laws and policies


- strengthening of basic rights


-addressing and changing abusive traditions



Identification of more effective prevention strategies