What is semi-residential social service. Semi-stationary social service and social service at home. How is the stay of citizens in a stationary social service institution paid?

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Introduction

Chapter 1. Social services for the disabled and the elderly

1.1 Basic provisions of social services for the disabled and the elderly

1.2 Rights of the disabled and the elderly in the field of social services

Chapter 2. Characteristics certain types social service

2.1 Stationary social services for the disabled and the elderly

2.2 Semi-residential social services for the disabled and the elderly

Conclusion

Bibliographic list

ATconducting

The relevance of my work is due, first of all, to the fact that in the modern world the proportion of elderly and disabled people in the population is gradually growing, similar trends are also characteristic of our country. Their income is much lower than the average, and the need for medical and social services is much higher.

Disability and old age are not only a problem of the individual, but also of the state and society as a whole. This category of citizens is in dire need not only of social protection, but also of understanding of their problems by the surrounding people, which will be expressed not in elementary pity, but in human sympathy and equal treatment of them as fellow citizens.

The development of social services for the elderly and disabled is becoming increasingly important in our country every year, it is seen as an essential addition to cash payments, which significantly increases the efficiency of the entire state system social security.

The state, providing social protection for disabled and elderly citizens, is called upon to create for them the necessary conditions for individual development, realization of creative and production possibilities and abilities by taking into account their needs. Today, this circle of people belong to the most socially unprotected categories of the population. disabled social service sympathy

The possibility of meeting the needs of an elderly person and a disabled person becomes real even when he is endowed with a legal right to demand that the relevant competent authority provide this or that benefit, and this body is legally obliged to provide such a benefit.

The purpose of the study is to consider the forms and methods of organizing social services for the disabled and the elderly, to achieve which the following tasks are set:

1. clarify the concept of social services for the disabled and the elderly;

2. consider disabled and elderly citizens as subjects of social services;

3. to study such forms of social services as stationary and semi-stationary social services.

The object of the study is the norms of law aimed at social services for the disabled and the elderly.

The subject of the study is social services for the disabled and the elderly.

The research method is the study and research of special scientific literature, legal acts.

Chapter 1. Social services for the disabled and the elderly

1.1 Basic provisions of social services for the disabled and the elderly

An integral element of the state social security system in Russian Federation is a social service for the elderly and disabled, which includes different kinds social services aimed at meeting the special needs of this category of persons. At present, the state is making great efforts to create a comprehensive system of social services for the population, allocate financial resources for its development.

Social services are the activities of social services for social support, the provision of social, social, medical, psychological, pedagogical, social and legal services and financial assistance, social adaptation and rehabilitation of citizens in difficult life situations.

For the first time in domestic legislation, the concept of such a socially significant circumstance as a difficult life situation is formulated.

A difficult life situation is a situation that objectively disrupts the life of a citizen, which he cannot overcome on his own. The reasons for its occurrence can be a variety of circumstances: disability, old age, illness, orphanhood, abuse in the family, unemployment, lack of a fixed place of residence, and so on.

The following have the right to social services: citizens of the Russian Federation; foreigners and stateless persons, unless otherwise specified international treaties Russian Federation.Depending on social status needy, as well as at their request, the form of services can take the following forms: free, partial or full payment.

Social services are provided free of charge: to single citizens of the elderly (single married couples) and disabled people who receive a pension, including allowances, in the amount below the subsistence level established for the given region; elderly and disabled citizens who have relatives who, for objective reasons, cannot provide them with assistance and care, provided that the amount of the pension received by these citizens, including allowances, is lower than the subsistence minimum established for the given region; elderly citizens and disabled people living in families whose average per capita income is below the subsistence level established for the region.

Social services on a partial payment basis are provided to: single elderly citizens (single married couples) and disabled people who receive a pension, including allowances, in the amount of 100 to 150 percent of the subsistence minimum established for a given region; elderly and disabled citizens who have relatives who, for objective reasons, cannot provide them with assistance and care, provided that the amount of pension received by these citizens, including allowances, is from 100 to 150 percent of the subsistence minimum established for this region; elderly citizens and disabled people living in families whose average per capita income is from 100 to 150 percent of the subsistence minimum established for a given region.

On the terms of full payment, social services are provided to elderly citizens and disabled people living in families whose average per capita income exceeds by 150 percent the subsistence level established for the region.

Activities in the field of social services for the elderly and disabled are based on the following principles:

1) Targeting. Providing personalized to a specific person. Work to identify and create a data bank of such persons is carried out by local authorities social protection population at the place of residence of the disabled, the elderly.

2) Availability. The possibility of free and partially paid social services, which are included in the federal and territorial lists of state-guaranteed social services, is provided. Their quality, scope, procedure and terms of provision must comply with state standards established by the Government of the Russian Federation. Reducing their volume at the territorial level is not allowed.

3) Voluntariness. Social services are provided on the basis of a voluntary application of a citizen, his guardian, custodian, other legal representative, public authority, local government or public association. At any time, a citizen can refuse to receive social services.

4) Humanity. Citizens living in stationary institutions have the right to be free from punishment. Use of medicines, means of physical restraint, and isolation. Persons who committed these violations bear disciplinary, administrative or criminal liability.

5) Privacy. Information of a personal nature that has become known to employees of a social service institution in the course of providing social services constitutes a professional secret. Employees guilty of disclosing it bear the responsibility established by law.

6) Preventive focus. One of the main goals of social services is the prevention negative consequences arising in connection with the citizen's life situation (impoverishment, exacerbation of diseases, homelessness, loneliness, and so on)

Lists of social services are determined taking into account the subjects to whom they are intended. The federal list of state-guaranteed social services for the elderly and disabled, provided by state and municipal social service institutions, was approved by Decree of the Government of the Russian Federation of November 25, 1995 No. 1151. Based on it, territorial lists are being developed. Financing of the services included in the lists is carried out at the expense of the relevant budgets.

Control over the activities for the provision of social services is carried out by the bodies of social protection of the population, health authorities, education authorities within their competence.

Public control is exercised by public associations engaged in accordance with founding documents issues of protecting the interests of elderly citizens, disabled people, people with mental disorders. One of these associations is the Independent Psychiatric Association of Russia.

Supervision over compliance with the law in this area is carried out by the prosecutor's office, whose assistance should be the most prompt.

Actions or inaction of state bodies, institutions, organizations and officials that resulted in violations of the rights of citizens may be appealed to the court.

1.2 Rights of the disabled and the elderly in the field of social services

When receiving social services, elderly citizens and people with disabilities have the right to:

Respectful and humane attitude on the part of employees of social service institutions;

The choice of an institution and form of social service in the manner established by the social protection authorities of the population of the constituent entities of the Russian Federation;

Information about their rights, obligations, conditions for the provision of social services, types and forms of social services, indications for receiving social services, and the conditions for their payment;

Voluntary consent to social services (in respect of incompetent citizens, consent is given by their guardians, and in their temporary absence - by guardianship and guardianship authorities);

Denial of social services;

Confidentiality of personal information that became known to an employee of a social service institution when providing social services (such information constitutes a professional secret of these employees);

Protection of their rights and legitimate interests, including in court.

The list of state-guaranteed social services is approved by the executive authorities of the subjects of the Russian Federation, taking into account the needs of the population living in the territory of the corresponding subject of the Russian Federation.

Information about social services is provided by social workers directly to elderly citizens and disabled people, and in relation to persons under 14 years of age and persons recognized as incompetent, to their legal representatives. Citizens sent to stationary or semi-residential social service institutions, as well as their legal representatives, must be familiarized in advance with the conditions of residence or stay in these institutions and the types of services provided by them.

In case of refusal of social services, citizens, as well as their legal representatives, are explained possible consequences the decision they have made. Refusal of social services, which may lead to a deterioration in the state of health of citizens or a threat to their lives, is formalized in a written application of citizens or their legal representatives, confirming the receipt of information about the consequences of such a refusal.

Chapter 2Characteristics of individualtypes of social services

2.1 Stationary social services for the disabled andelderly

Inpatient social services for the disabled and the elderly in institutions of social protection of the population have the following features: Inpatient social services are provided in nursing homes for the elderly and disabled, boarding schools for the disabled, neuropsychiatric boarding schools, etc.; Citizens of retirement age (women from 55 years old, men - from 60 years old), as well as disabled people of groups I and II over 18 years old, are accepted into boarding houses, provided that they do not have able-bodied children or parents who are obliged to support them;

Only people with disabilities of groups I and II aged 18 to 40 who do not have able-bodied children and parents who are legally obliged to support them are admitted to boarding schools for the disabled;

Children from 4 to 18 years old with anomalies of mental or physical development are admitted to the orphanage. At the same time, it is not allowed to place disabled children with physical disabilities in stationary institutions intended for the residence of children with mental disorders;

Persons suffering from mental chronic diseases in need of care consumer services and medical care, regardless of whether they have relatives who are required by law to support them or not;

Persons who systematically violate the rules of internal order, as well as persons from among especially dangerous criminals, as well as those engaged in vagrancy and begging, are sent to special boarding houses;

In stationary institutions, not only care and necessary health care, but also rehabilitation measures of a medical, social, domestic and medical nature; Application for admission to a boarding school together with medical card is submitted to a superior social security organization, which issues a ticket to a boarding school. If a person is incompetent, then his placement in a stationary institution is carried out on the basis of a written application of his legal representative; If necessary, with the permission of the director of the boarding house, a pensioner or a disabled person may temporarily leave the social service institution for up to 1 month. A temporary exit permit is issued subject to the opinion of a doctor, as well as a written obligation of relatives or other persons to provide care for an elderly or disabled person.

2.2 Semi-residential social servicedisabled and elderly

One of the varieties of social services for the disabled and the elderly are semi-hospital centers created in municipal centers of social services or under the bodies of social protection of the population.

In departments of day (night) stay, social, medical and cultural services are provided for elderly citizens and the disabled.

Semi-stationary social services are provided for the elderly and disabled people who have retained the ability to self-service and active movement and have no medical contraindications for enrollment in such social services, as well as children in difficult life situations.

These institutions provide the following services:

1) organization of catering, everyday life and leisure (providing hot meals, providing bedding, providing books, magazines, newspapers);

2) social and medical services (assistance in obtaining medical and psychological assistance, provision of sanitary and hygienic services, organization of medical and recreational activities, assistance in conducting rehabilitation programs for the disabled, assistance in obtaining vouchers for sanatorium treatment, assistance in prosthetics, etc. .d.);

3) assistance in obtaining education and vocational training;

4) assistance in finding employment;

5) assistance in organizing legal services;

6) assistance in organizing funeral services.

For persons without a fixed place of residence and employment in the system of social protection bodies, special institutions of a semi-stationary type are created - night stays, social shelters, social hotels, social adaptation centers (Decree of the Government of the Russian Federation of June 8, 1996 No. 670). These institutions provide:

* coupons for one-time (once a day) free meals;

* first first aid;

* personal hygiene items, sanitization;

* referral for treatment;

* assistance in providing prosthetics;

* registration in a boarding house;

* Assistance in registration and recalculation of pensions;

* assistance in employment, in the preparation of identity documents;

* assistance in obtaining an insurance medical policy;

* provision of comprehensive assistance (consultations on legal issues, personal services, etc.).

Zconclusion

From all of the above, we can conclude that the most important task of the state at the present stage is the creation of an effective system of social services as a set of services. various categories population in the social risk zone.

Social services are designed to help clients solve their problems. social problems to restore or enhance their ability to self-sustain and self-service, to create the necessary conditions for the viability of persons with disabilities.

The main purpose of the formation of this system is to increase the level social guarantees, providing targeted assistance and support to disabled citizens, primarily at the territorial level and taking into account new social guarantees.

For more effective work bodies of social services, it is necessary to develop the legal framework for the organization and functioning of social service institutions; development of scientific and methodological foundations for the activities of a network of social service institutions; governmental support development of the material and technical base of social service institutions; development project documentation for the construction of new types of institutions, the development of interregional and international cooperation and Information Support activities of social service institutions.

Bibliographiclist

Regulations

1. The Universal Declaration of Human Rights (adopted at the third session of the UN General Assembly by resolution 217 A (III) of December 10, 1948) // Library of the Russian newspaper. - 1999. - No. 22-23. (current version).

2. The Constitution of the Russian Federation. (adopted by popular vote on 12.12.1993) // Russian newspaper. - 1993.

3. Federal Law of December 28, 2013 N 442-FZ "On the basics of social services for citizens in the Russian Federation" // Consultant plus (current version).

4. Decree of the Governor of the Vladimir Region N 920 “On the introduction in the Vladimir Region of the hospital-replacing technology “Foster family for the elderly and disabled”” dated August 16, 2012 / / Consultant plus (current version).

5. Decree of the Governor of the Vladimir Region No. 435 “On Approval administrative regulations on provision by the Department of Social Protection of the Population of the Administration of the Vladimir Region public service in the direction of stationary social services for the elderly and the disabled” dated May 10, 2011 / / Consultant plus (current version).

Literature

6. Agapov E. P. Methods of research in social work / Tutorial. -M.: Dashkov and Co., 2013. 224 p.

7. Buyanova M. O. Social security law in Russia: Textbook / M. O. Buyanova et al.; ed. K. N. Gusova. - 4th ed., revised. and additional - M.: Prospect, 2012.-512s.

8. Galaganov V.P. Social Security Law / Tutorial.- M.: Knorus, 2014.- 512.

9. K.N. Gusova Law of Social Security of Russia.-M.: Prospekt, 2010.-329 p.

10. Karpunina N.A. Legal facts in social security law. Diss. cand. legal Sciences. M. 2010

11. Minaeva L.N., Belikova T.N. Pension: calculation and registration procedure / Practical guide. - St. Petersburg: Peter, 2011 - 224 p.

12. Mironova T. K. The right to social security. Tutorial. M.: KNORUS, 2013.-312 p.

13. Mironova T.K. Social Security Law / Study Guide. - M.: Knorus, 2013 (19.5 sheets)

14. Simonov A.N. Pension provision of senior citizens in the conditions of social modernization of Russia. Diss. cand. sociological Sciences: 22.00.04, Volgograd, 2009. - 162 p.

15. Snezhko, O. A. Protection social rights citizens: theory and practice: monograph / OA Snezhko. -M. : Infra-M, 2013. -274 p.

16. Sokolova V.F., Beretskaya E.A. Theory and practice of rehabilitation of elderly citizens / Tutorial. - M .: Flinta, 2012. - 195 p.

17. Tuchkova E.G. Akatnova M.I., Erofeeva O.V./International and Russian norms of pension provision: comparative analysis/ ed. E.G. Tuchkova, Yu.V. Vasilyeva - M .: Prospect, 2013. (27.5 pp).

18. Encyclopedia of social practices / Ed. E.I. Kholostova, G.I. Klimantova. - M.: ITK "Dashkov and Co", 2011.

Internet resources

19. Electronic journal "Azbuka Law" [ Electronic resource], - http://azbuka.consultant.ru/.

20. Department of social protection of the population of the Vladimir region [Electronic resource], - http://www.social33.ru/.

21. Administration of the Vladimir region (official Internet portal) [Electronic resource], - http://www.avo.ru/.

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Day (night) stay departments are a form of semi-stationary social service and play important role in providing effective social support to the elderly. They are created on the basis of municipal social service centers or under the social protection authorities.

Day care departments are designed for household, medical, cultural services for the elderly, organizing their recreation, engaging in feasible work, and maintaining an active lifestyle.

Branches are created to serve at least 30 people. They include elderly and disabled people who have retained the ability to self-service and active movement. The decision on enrollment is made by the head of the social service institution on the basis of a personal written application of an elderly citizen or a disabled person and a certificate from a health care institution on his state of health.

The day care department provides the following services:

organization of food, life and leisure (providing hot meals, providing books, magazines, newspapers);

social and medical services (assistance in obtaining medical and psychological assistance, provision of sanitary and hygienic services, organization of medical and recreational activities, assistance in obtaining vouchers for sanatorium treatment);

assistance in organizing legal services;

assistance in organizing funeral services.

The emerging trend of reducing the services of inpatient institutions is associated with an increase in the scope of outpatient care for the disabled and the elderly living in normal home conditions, non-stationary institutions social service. The latter are represented by departments of social assistance at home (including at boarding schools, territorial centers, departments of social protection), territorial centers of social services and territorial social assistance services (as a rule, on the basis of territorial centers and departments of social assistance at home under rai (mountain) departments (departments) of social protection of the population).

Departments of social assistance at home provide the minimum required range of services for the delivery of food, medicine, firewood (coal), payment of housing and communal and other expenses.

Recently this organizational form is complemented by another, caused by the transition to market economy when a significant part of the elderly and disabled found themselves on the verge of poverty, having lost their livelihood, in an extreme life situation. This is an emergency social assistance service. The main types of services of the emergency social assistance service include: providing food, medicines, clothing, temporary housing, providing emergency psychological assistance, assistance in identifying disabled people in boarding schools and hospitals, providing services of hairdressers, repairmen of electrical household appliances, active cooperation with government, public, religious organizations, charitable foundations, means mass media, organs government controlled and other institutions to take measures to resolve acute life situations.

The need for the functioning of urgent social assistance services is undeniable, as they develop and supplement the services of social assistance departments at home and, most importantly, allow disabled people who are beyond the poverty line to maintain their existence.

The semi-stationary forms of social services include territorial centers, the advantage of which is the possibility of combining medical and social services for the disabled. Territorial social service centers also make it possible to organize meals, create conditions for communication between the disabled and the elderly. The latter is an important factor for maintaining the moral tone of people living outside the family.

Initially, the creation of territorial centers was envisaged mainly together with inpatient departments, where conditions were created for a temporary stay (5-10 days) of JOBs in fairly comfortable conditions and preventive treatment (physiotherapy, phototherapy, massage, psychological relief). However, the creation of territorial centers with inpatient services requires additional conditions and, accordingly, more significant costs, for which local social protection authorities do not always have the necessary financial resources.

Territorial social service centers have large reserves to meet the needs of the disabled. According to the management of the centers, more than 5% of those served are ready to pay for additional (in addition to those provided free of charge) services. But only a few territorial centers and social assistance departments provide paid services at the request of disabled people, and the range of services as a whole is limited to the general set: cooking, washing dishes, delivering linen to the laundry, washing linen at home, providing bath services, cleaning the apartment, washing windows, buying groceries, medicines, manufactured goods, walking the dog, etc.

The semi-residential form of social service in Volgograd is represented by: the Day Care Center for Pensioners and the Disabled, the Center for Social Assistance to Families Raising Children of the Disabled in the Dzerzhinsky District, and the City Center for Social Assistance in the Kirovsky District.

The Day Center for Pensioners and Disabled Persons, designed for 30 places, is intended for social, medical, cultural services for pensioners and disabled people, organizing their meals, recreation, maintaining an active lifestyle, attracting labor activity. The Center accepts elderly citizens for service: men from 60 years old, women - from 55 years old, disabled people of groups I and II for a period of two weeks, who have retained the ability to self-service and active movement.

The Center for Social Assistance to Families Raising Disabled Children of the Dzerzhinsky District was established in 1995. The purpose of the Center is to promote the realization of the right of families and children to protection and assistance from the state, to promote the development and strengthening of the family as a social institution, to improve socio-economic living conditions, indicators social health and the well-being of the family and children, the humanization of the family's connection with society and the state, the establishment of harmonious intra-family relations: the organization of communication and leisure for children: training in self-service skills, household adaptation, and the provision of advisory assistance.

The City Center for Social Assistance in the Kirovsky District was created in order to protect people who find themselves in extreme conditions without a fixed place of residence and occupation, in a crisis life situation and the implementation of rehabilitation measures.

In the issue of developing the principles of the ratio of paid and free services, it is necessary to approach targeted and individually. Meeting the specific needs of the client for a moderate fee should be in addition to meeting his general needs free of charge. The rationale for this approach is confirmed by the experience of foreign social service systems, in particular Finland, where they strive to provide the client with such services that promote (stimulate) his independence and serve as a prerequisite for a good moral and psychological state.

In order to further improve the system of social services and in accordance with the order of the Ministry of Social Protection of Russia dated 20.07.93. social service centers are being created, which are institutions of social protection of the population, carrying out organizational and practical activities on the territory of a city or district to provide various types of social assistance to elderly citizens, the disabled and other groups of the population in need of social support. The structure of the center provides for various divisions of social services, including the day care department for the elderly and disabled, social assistance at home, urgent social assistance services and others.

To the main tasks of the social service center in joint activities with government and public organizations(health, education, migration services, committees of the Red Cross Society, veterans' organizations, societies of the disabled, etc.) include:

• - identification of the elderly, disabled and other persons in need of social support;
• - determination of specific types and forms of assistance to persons in need of social support;
• - differentiated accounting of all persons in need of social support, depending on the types and forms of the required, the frequency of its provision;
• - provision of social services of a one-time or permanent nature to persons in need of social support;
• - analysis of the level of social services for the population of the city, district, development of long-term plans for the development of this sphere of social support for the population, the introduction of new types and forms of assistance into practice, depending on the nature of the needs of citizens and local conditions;
• - involvement of various state and non-state structures in solving the issues of providing social and household assistance to needy segments of the population and coordinating their activities in this direction.
• d) Stationary social services are aimed at providing comprehensive social assistance to persons in need of constant care and supervision due to health reasons. The state stationary institutions of social and consumer services include boarding houses for the elderly and disabled, the regulation of which was approved by order of the Ministry of Social Affairs of the RSFSR dated December 27, 1978. In accordance with this order, a boarding house is a medical and social institution intended for permanent residence of the elderly and disabled who need care, household and medical services. In the boarding house for the implementation of medical and labor and activating therapy, medical and production (labor) workshops are created, and in the boarding house located in countryside, in addition - a subsidiary farm with the necessary inventory, equipment and transport.

Other institutions of this type also include a psycho-neurological boarding school, defined as a medical and social institution intended for permanent residence of the elderly and disabled, suffering from chronic mental illness and in need of care, household and medical care.

Residential institutions for the elderly accept citizens of retirement age who do not have able-bodied children who are required by law to support them. As a matter of priority, invalids and participants of the Great Patriotic War, family members of fallen military personnel, as well as deceased invalids and participants in the war are admitted to boarding schools.

One of the indispensable conditions for admission is voluntariness, therefore, paperwork is carried out only if there is a written application from a citizen. An application for admission to a boarding house with a medical card is submitted to a higher social security organization, which issues a ticket to the boarding house. If a person is incompetent, then his placement in a stationary institution is carried out on the basis of a written application of his legal representative. The law provides for the right of citizens who are in stationary social service institutions to refuse services, but on condition that they have relatives who can support them and provide the necessary care.

Persons who are in boarding houses of a general type, systematically and grossly violating the rules of internal order in them, may be transferred to special boarding houses by a court decision made on the basis of a recommendation from the administration. They are created mainly for the elderly and disabled with previous convictions, vagrants, sent from institutions of the internal affairs bodies and other persons who are subject to administrative supervision in the manner established by the Decree of the Government of the Russian Federation of April 15, 1995 “On the development of a network of specialized boarding houses for the elderly and the disabled."

The functioning of boarding schools as one of the main forms of social services for the elderly is associated with a number of serious problems. Among them: the degree of satisfaction of needs in boarding schools, the quality of service in them, the creation of accompanying conditions for living, etc. people are increasingly willing to live in their familiar home environment. The stationary form of social services is represented in Volgograd by the Traktorozavodsk Center for Social Services for Pensioners and the Disabled. The department with a hospital is intended for medical, cultural, consumer services, involvement in feasible work activities, and maintaining an active lifestyle.

Currently, inpatient institutions are mostly people who have completely lost the ability to move and require constant care, as well as those who have no housing. An alternative to boarding schools in the near future may be special residential houses for the elderly (approximate Regulations on a special house for lonely elderly people, approved by the Ministry of Social Protection of the Population on April 7, 1994), which, despite some shortcomings, still have a number of important advantages.

Today, a significant part of social service centers are multidisciplinary institutions capable of providing the elderly and disabled with a variety of types and forms of services, including social and medical, social and commercial services. The priority direction is the development of models of non-stationary social services (social service centers, departments of social assistance at home), which allow the elderly to stay in their usual environment as long as possible, maintain their personal and social status.

Thus, the main technologies at present are state technologies for the social protection of the elderly - pensions, social services, social assistance. However priority social work with the elderly is the organization of the living environment of aging people, carried out in such a way that the elderly person always has the opportunity to choose how to interact with this environment, because. older people are not an object of activity of various social services, but a decision-making subject. Freedom of choice gives rise to a sense of security, confidence in the future. Hence the need for alternative technologies of social work with the elderly. Among which are charitable assistance, club work, self-help and mutual aid groups.

The main tasks of a specialist in working with the elderly:

identification and accounting of lonely elderly and disabled citizens in need of home care;

establishing and maintaining communication with the labor collective, where war and labor veterans and disabled people worked;

establishing contacts with committees of the Red Cross Society, Councils of War and Labor Veterans, public organizations, foundations.

elderly social services

Stationary social service institutions are different: providing urgent social services (for example, an emergency psychological assistance service), providing semi-stationary social services (for example, a social rehabilitation center, a center for social services for the population) and stationary social services (for example, a boarding house, a special house for lonely elderly, geriatric center). Today we will touch on institutions of the latter type and figure out how pensions are paid to people living in them, who is the heir to the property of such persons, and also find out what stationary social service institutions can spend the funds transferred to a pensioner.

Legal, organizational and economic fundamentals social services for citizens are established by the Civil Code of the Russian Federation and the Federal Law of December 28, 2013 No. 442-FZ “On the Basics of Social Services for Citizens in the Russian Federation” (hereinafter - Law No. 442-FZ).

Social services are provided by social service organizations that may be under the jurisdiction of federal executive authorities or a constituent entity of the Russian Federation.

Rules for organizing the activities of social service institutions and their structural divisions determined by the Order of the Ministry of Labor of the Russian Federation of November 24, 2014 No. 940n, and the procedure for the provision of social services:

in the form of social services at home - by Order of the Ministry of Labor of the Russian Federation of November 24, 2014 No. 939n;

in a semi-stationary form of social service - by Order of the Ministry of Labor of the Russian Federation of November 24, 2014 No. 938n;

in the stationary form of social services - by Order of the Ministry of Labor of the Russian Federation of November 24, 2014 No. 935n.

According to part 2 of Art. 30 of Law No. 442-FZ, financial support for the activities of social service organizations is carried out in accordance with the budgetary legislation of the Russian Federation at the expense of the federal budget or the budget of a constituent entity of the Russian Federation, as well as at the expense of recipients of social services when providing social services for a fee.

How is the stay of citizens in a stationary social service institution paid?

By general rules social services in the stationary form of social services are provided to their recipients for a fee. At the same time, the amount of the monthly fee is calculated on the basis of tariffs for social services, but cannot exceed 75% of the average per capita income of the recipient of social services, calculated in accordance with Part 4 of Art. 31 of Law No. 442-FZ.

Note:

Social services are provided free of charge to minor children and persons affected by emergencies, armed interethnic (interethnic) conflicts. In addition, citizens who, as of the date of application, have an average per capita income below the limit value or equal to the limit value of the average per capita income for the provision of social services free of charge, can also count on free services. Regulatory legal acts of the constituent entities of the Russian Federation may provide for other categories of citizens to whom social services are provided free of charge.

The rules for determining the average per capita income are regulated by Decree of the Government of the Russian Federation of October 18, 2014 No. 1075.

The average per capita income is calculated on the basis of documents (information) on the composition of the family, the presence (absence) of income of family members or a single citizen and property belonging to them (him) on the right of ownership. When calculating the average per capita income, the income received by a citizen in monetary form. Incomes received by a citizen in kind cannot be taken into account when calculating the average per capita income.

The average per capita income is calculated based on the amount of income of family members or a citizen living alone for the last 12 calendar months preceding the month of applying for the provision of social services by dividing 1/12 of the amount of income of all family members for the billing period by the number of family members. The income of a citizen living alone is determined as 1/12 of the amount of his income for the billing period.

For example, let's calculate the maximum tariff for social services in a stationary form for a single pensioner from the Nizhny Novgorod region with a monthly income of 14,000 rubles. That is, the average per capita income of a pensioner is 14,000 rubles. (only the amount of his pension is taken into account, since there are no other family members with income). Consequently, the maximum tariff for a social service will be 10,500 rubles. (14,000 rubles x 75%).

Note:

The income of a citizen includes any payment made to him in cash, including monthly payments disabled people in accordance with federal law dated November 24, 1995 No. 181-FZ "On the social protection of persons with disabilities in the Russian Federation" and a monthly cash payment in accordance with Federal Law dated July 17, 1999 No. 178-FZ "On State Social Assistance" regional court dated 07/05/2017 No. 33-1539 / 2017, Letter of the Pension Fund of the Russian Federation dated 04/15/2016 No. LCh-28-26 / 5325).

According to Art. 17 of Law No. 442-FZ, social services are provided to a citizen on the basis of an agreement concluded between a social service institution and a citizen or his legal representative. Essential conditions contracts for the provision of social services are the provisions determined by the individual program, as well as the cost of social services if they are provided for a fee or partial payment. Accordingly, it is in it that the amount of the monthly fee for the provision of social services should be fixed.

Payment for the provision of social services is made through a credit institution to the provider of social services or by depositing cash into the cash desk of the institution by a pensioner or his legal representative. Wherein:

The pensioner can independently pay for his content in the institution.

If a pensioner has children or relatives, they can pay for his maintenance.

In the first case, according to clause 40 of the Rules for the payment of pensions, approved by Order of the Ministry of Labor of the Russian Federation dated November 17, 2014 No. 885n, the pension, at the request of the pensioner, is transferred in full or in the part determined by him by the territorial body of the PFR to the account of the stationary social service organization where the pensioner lives, to the account the established fee.

If a part of pensions is transferred to the account of the institution as payment for social services provided to pensioners in a stationary form, then the territorial body of the PFR simultaneously sends a list of pensioners indicating (clause 41 of the Rules for the payment of pensions):

the amount of established pensions;

amounts of pensions withheld and subject to transfer on account of payment for social services provided in the stationary form of social services.

The payment of the pension due to the pensioner after deduction is made through credit organizations, postal organizations and other organizations involved in the delivery of pensions.

It should be noted that it is not uncommon for a pensioner, believing that the institution provides poor-quality social services (for example, does not provide medicines completely or feeds poorly), writes to the FIU an application to stop transferring part of the pension to pay for accommodation in stationary institution. In this case, the latter is deprived of funds for the provision of social services in accordance with the contract. But the situation is fixable: you can go to court and recover from the pensioner the debt to pay for inpatient accommodation in a social institution (see, for example, the Appeal ruling of the Omsk Regional Court of October 15, 2015 in case No. 33-6913 / 2015).

In what order are pensions paid to citizens if the institution is their guardian or custodian?

If an incapacitated or not fully capable citizen is placed under supervision in organizations providing social services, the duties of guardians or trustees are assigned to these organizations (clause 4, article 35 of the Civil Code of the Russian Federation). A similar rule is contained in the Rules for organizing the activities of social service organizations, approved by Order of the Ministry of Labor of the Russian Federation of November 24, 2014 No. 940n.

Accordingly, it is they who will receive the pension of a citizen living in an institution.

Upon admission to an institution of such a citizen, an authorized person of the institution for the purpose of paying and delivering a pension must apply to the territorial body of the Pension Fund of the Russian Federation, providing, issued from the institution, or an order from the head, as well as an act of the guardianship and guardianship authority (clause 8 of the Rules for the payment of pensions).

Disabled citizens living in social service institutions are paid a pension by transferring it to the account of this institution (clause 37 of the Rules for the Payment of Pensions).

All payments due to the ward are credited to a separate nominal account of the institution. Autonomous institutions have data cash are treated as temporary funds.

What can the funds transferred to the institution for the provision of social services be spent on?

Based on part 6 of Art. 30 of Law No. 442-FZ, the procedure for spending funds generated as a result of charging fees for the provision of social services is established:

federal executive body - for social service organizations under the jurisdiction of federal executive bodies;

by the authorized body of the constituent entity of the Russian Federation - for social service organizations of the constituent entity of the Russian Federation.

The procedure for spending funds generated as a result of charging fees for the provision of social services should provide for the possibility of using these funds for current activities, the development of a social service organization, and incentives for its employees.

For example, according to the Decree of the Ministry of Labor of the Astrakhan Region dated June 10, 2014 No. 29 “On the procedure for spending funds resulting from the collection of fees for the provision of social services government agencies social services for the population" spending is possible:

1) for the current activities of the institution:

purchase of food and medicines;

acquisition soft inventory and other current expenses;

2) for the development of the institution. Spending is possible for the development of the material and technical base and ensuring the activities of the institution: utilities, economic needs, current repair equipment and buildings;

3) to stimulate the work of employees of the institution.

The list of areas where you can spend the funds generated as a result of charging fees for the provision of social services by institutions of the Belgorod Region is much wider. In particular, on the basis of Decree of the Government of the Belgorod Region No. 407-pp dated November 10, 2014, these funds can be spent on strengthening the material and technical base (18 points, including providing access to the Internet, employees, etc.), remuneration and incentive payments (not more than 30% of the amount of funds generated as a result of the collection of fees), the cost of paying for additional positions of employees involved in the provision of social services that are not provided for by the staffing table.

In any case, the spending of funds is carried out by the institution in accordance with the plan of financial and economic activities for the current fiscal year and planning period.

What can be spent on the funds of incapacitated citizens left after paying for inpatient services?

According to paragraph 1 of Art. 37 of the Civil Code of the Russian Federation, an institution that is a guardian or trustee of an incapacitated or partially capable citizen residing in it has the right to dispose of the income of the ward solely in the interests of the ward and with the prior permission of the guardianship and guardianship authority. Amounts of alimony, pensions, allowances, as well as other funds paid for the maintenance of the ward, with the exception of income that the ward has the right to dispose of independently, are subject to crediting to a separate nominal account opened by the guardian or trustee, and are spent without prior permission from the guardianship and guardianship authority.

Thus, the financial resources of an incapacitated citizen, remaining after paying for stationary social services, are kept on the nominal or personal account of the institution and can only be spent on meeting the personal needs of such a citizen.

For example, the Decree of the Ministry of Social Protection of the Moscow Region dated February 22, 2008 No. 10-r determines that the decision to spend the remaining funds is made by the commission for the expenditure of funds of incapacitated citizens, which is created by order of the head of a stationary institution from among representatives of the administration and accounting department. This commission draws up and approves a list of goods and services that an incapacitated citizen needs, and also appoints persons responsible for the purchase of goods and their issuance to incapacitated citizens.

Employees of a stationary institution responsible for the purchase of goods and their issuance to incapacitated citizens, taking into account the opinion of incapacitated citizens:

draw up a list of goods within the approved list;

determine the amount of funds required for their acquisition;

submit information to the commission for making a decision on the withdrawal of funds.

The issuance of purchased goods to an incapacitated citizen is carried out in the presence of the head of the department of the stationary institution in which the citizen lives. Such a transfer is formalized by an act, which is signed by the person responsible for their acquisition and issuance.

Who has the right to dispose of the property of the elderly citizens?

Firstly, it should be borne in mind that guardians or trustees do not have the right to the property of their wards, including the amount of pensions, allowances and other payments provided for their maintenance (Article 17 of the mentioned law).

An institution where a pensioner or a disabled person lives, performing the functions of a guardian or custodian, is not entitled, without prior permission from the guardianship and guardianship authority, to make or give consent to transactions for the alienation, including the exchange or donation of the property of the ward, its leasing (lease), for gratuitous use or collateral.

Note:

The institution may dispose of the property of a citizen recognized as legally incompetent, based on the opinion of the ward. If the opinion of the ward cannot be established, it is necessary to take into account information about his preferences received from the parents of such a citizen, his former guardians, other persons who provided services to such a citizen and faithfully performed their duties (Article 37 of the Civil Code of the Russian Federation).

Regarding the ownership of property of citizens living in social institutions, we will say the following. If such a citizen has children or other relatives, they dispose of the property and inherit it in accordance with the norms of the Civil Code of the Russian Federation in accordance with the order. Recall that the heirs are (Articles 1141 - 1143 of the Civil Code of the Russian Federation):

in the first place - the children, spouse and parents of the testator;

in the second place - brothers and sisters, grandfather and grandmother;

in the third place - uncles and aunts of the testator.

Note that a pensioner or disabled person living in an institution can write a will and certify it with a notary, thereby disposing of his property in case of death. Also, the director of the nursing home can certify the will, and such a will will be equated to a notary.

If an elderly person has no children and other relatives who could inherit, there are two options:

1. A pensioner can transfer his property to the disposal of a social institution. To do this, a life-long maintenance agreement with a dependent is concluded with a nursing home or other social institution where a citizen lives (Article 601 of the Civil Code of the Russian Federation). In this case, the social institution maintains the citizen at its own expense, but the property will be transferred to the institution after the death of the citizen.
2. If the property of a pensioner was not transferred to the disposal of the institution where he lives, he has no heirs and it was not bequeathed to anyone, then after the death of a citizen, the property is considered escheated (Article 1151 of the Civil Code of the Russian Federation). In this case, the immovable property is transferred to the ownership of the city or rural settlement, municipal district(in part of inter-settlement territories) or an urban district. Other escheated property (including money) passes by way of inheritance under the law into the ownership of the Russian Federation.

Note:

As a rule, the procedure for the actions of a state (municipal) institution with the property of citizens, recognized in accordance with the legislation of the Russian Federation as escheat, is established by the state (municipal) authority, which is entrusted with such powers. For example, by order of the Ministry social policy of the Nizhny Novgorod region dated 01/26/2016 No. 31 approved Guidelines on the procedure for collecting documents for registration of ownership of escheated property left after the death of citizens who were in stationary social services in psycho-neurological boarding schools subordinate to the Ministry of Social Policy of the Nizhny Novgorod Region.

The situation is different with a pensioner who does not own an apartment, but he lives in it under a social tenancy agreement. When registering in a nursing home or other social institution for permanent residence the municipality has the right to terminate the employment contract with such a pensioner. That is, the right to an apartment with such a pensioner will be lost. To prevent this from happening, many citizens:

are issued to a social institution temporarily (a period must be specified in the contract);

they privatize an apartment and then conclude an agreement with an institution providing social services.

Let's summarize the above.

Social services in the stationary form of social services are provided to their recipients for a fee. The amount of the monthly fee is calculated on the basis of tariffs for social services, but cannot exceed 75% of the average per capita income of the recipient of social services. A pensioner can pay for his own maintenance in an institution (for example, from a pension), or this can be done by his relatives or guardians.

At the request of the pensioner, the pension is transferred in full or in the part determined by him by the territorial body of the Pension Fund of the Russian Federation to the account of the stationary social service organization where the pensioner lives, at the expense of the established fee. The rest of the pension can be transferred to the pensioner's account in a credit institution or delivered directly to him. Disabled citizens living in social service institutions are paid a pension by transferring it to the account of this institution.

The funds generated as a result of charging fees for the provision of social services can be used by the institution for its development, covering the costs of current activities and stimulating employees. The funds of an incapacitated citizen remaining after paying for inpatient social services are kept on the personal account of the institution and can only be spent to meet the personal needs of such a citizen.

The property of incapacitated citizens who lived in social institutions, after their death, does not pass into the disposal of this institution. It can be transferred to an institution under a life-long maintenance agreement with a dependent, concluded with a pensioner during his lifetime, or on other legal grounds. If such an agreement has not been concluded, there are no heirs to the property and it has not been bequeathed to anyone, then after the death of such a citizen, the property is considered escheated (Article 1151 of the Civil Code of the Russian Federation) and becomes the property of the state.

So social services. Let's figure out what this concept includes. As a rule, mutually beneficial relationships arise when the existing demand for certain goods or services meets with a proposal that fully satisfies those who somehow realized and formulated a certain need. This is how relations are built in all spheres, including social ones. Note that the demand for social services arises among the most vulnerable people: the elderly, the disabled and children from disadvantaged families. Let us consider in detail one of the types of social relationships - semi-stationary social services.

Parties to the relationship

Any contractual relationship involves at least two parties who agree on rights and obligations in relation to each other.

In the Russian Federation, the right to social services, including semi-stationary social services, can be used by both citizens of the Russian Federation and foreigners, as well as persons without citizenship, but registered with a permanent place of residence in Russia. And this is one side.

On the other side are those bodies and organizations whose field of activity is the provision of necessary services. We present them in descending order of authority:

• executive authority at the federal level: its function is legislative;
• state bodies of regional significance: their function is executive and controlling the social sphere of the region;
• social service institutions accountable to executive authorities of the federal level;
• social service institutions accountable government bodies regional significance;
• institutions providing social services on a non-state basis: both commercial and non-commercial;
• private entrepreneurs providing social services to the population.

Basic principles

All bodies and institutions related to social sphere, including the provision of stationary and semi-stationary social services, are guided in their work by certain principles.

We list the main ones:

1. Humane treatment of persons on inpatient care, including:

• a ban on the use of any medication in relation to them with the aim of influencing behavior;
• the inadmissibility of the use of force or isolation of a coercive nature.

Identification of the listed actions on the part of the personnel of institutions entails administrative and criminal liability.

2. Social services are provided to persons in need of them exclusively on a voluntary basis. If desired, a person receiving social services can refuse them at any time.

3. All details of a confidential nature, as well as personal data of the person who applied for the provision of social services, which became known to social specialists, are not subject to disclosure. Responsibility for violation of this principle is also provided for by law.

4. Any citizen in need of social services should be able to receive it. The entire set of established social services should be available to anyone who needs them.

5. Bodies of social protection of the population carry out systematic work aimed at creating and replenishing a database of persons who, due to life circumstances, need social support. Lists of such people are also provided educational institutions, OMVD, medical institutions.

Payment for services

Social services are provided by organizations whose functions include stationary and semi-stationary social services to the population, both on a gratuitous and paid basis. The amount of partial or full payment is established by the executive authorities of the federal level of the Russian Federation. The list of services provided is compiled on the basis of the demand of those categories of the population to whom these services are provided. Services provided free of charge are financed from the regional budget.

The quality of social services, as well as their regularity, are determined by the state standard.

The state is interested both in maintaining the usual quality of life and in its improvement for those categories of the population that are recognized as in need of social services.

Definition of social service

The concept of social service refers exclusively to the social sphere. This is an activity carried out continuously, periodically or once in order to improve the quality of life of the person who applied for help.

There are three types of social assistance, we list them:

1. Stationary, i.e. on a permanent basis: provides for the residence of elderly citizens and the disabled in boarding schools, as well as accommodation with care educational process for children in boarding schools.

2. Semi-stationary, i.e. with limited stay:

• stay in institutions of day and night residence - for the elderly and disabled;
• for minors who have lost their parents or removed from dysfunctional families - accommodation in children's centers.

3. Home service: both on a regular basis and on a one-time basis.

Thus, semi-stationary social service institutions are considered to be those institutions in which stay for needy categories of the population is limited to a certain period established by law.

List of social services

Social services can be provided to certain categories of the population on a long-term and regular basis or once.

It should be noted that the provision of social services for a long period is provided mainly for stationary and semi-stationary forms of social services. A citizen, being in a social institution, receives the following services on a regular basis:

• Social and domestic, providing a standard level of domestic comfort.
• Socio-medical, providing medical checkup, carrying out therapeutic measures, including physiotherapy exercises, and, if necessary, the implementation of medical manipulations.
• Socio-psychological, aimed at stabilizing the psychological state of the recipient of social services, his socialization. If necessary, anonymous psychological work is carried out by means of a helpline.
• Socio-pedagogical - provided both taking into account the existing behavioral deviations among the recipients of social services, and for preventive purposes, which requires a revision of the value system and, as a result, the formation of interests that promote development. Pedagogical assistance to parents in the upbringing of children is also provided.
• Social and labor - turn out to be a citizen experiencing difficulties with employment, as well as with the arrangement of life associated with the inclusion of a work schedule in it.
• Social and legal - are provided in order to improve legal literacy to certain categories of the population who need to defend their rights and interests. Providing legal advice may be free, but this does not apply to representing the interests of a citizen in court.
• Services aimed at developing the communication skills of a person with a disability due to the loss of limbs, vision and other organs, intended for full communication.

This also applies to children with disabilities.

Urgent Services

Let's consider a situation where you, as a single or living alone pensioner or disabled person, are faced with a problem for which you need outside help to solve. Your material resources are not great, so you are not able to pay for the necessary services at commercial prices. In this case, information about urgent social assistance may be useful to you. It is provided by emergency social assistance departments under state budget institutions social services for the population. Such institutions exist in all regions of the Russian Federation.

So what can they do for you.

Let's start with the fact that such institutions operate warehouses of free clothes and shoes. These clothes are brought as charity by persons who, for some reason, do not use them. Clothing, both winter and summer, is accepted only in good condition, clean and ironed. Sometimes entrepreneurs bring new clothes and shoes as charitable assistance. Also in stock are children's toys, children's furniture, strollers and walkers. However, these items do not stay in stock. Before the new school year, school supplies, uniforms and briefcases are deposited in large quantities.

1. You can receive the necessary clothes, shoes and other items that you need from the above list in the form of free urgent social assistance in the warehouse.
2. If for any reason you are in need of temporary housing, you can apply to the Social Welfare Office and receive the opportunity to live in a semi-permanent social service institution.
3. At you are having legal difficulties, but you do not have the means to pay for the services of a lawyer. You can get free legal advice in the form of emergency social assistance.
4. If you have experienced a high stress situation in your life and you have not been able to overcome it on your own, then you can seek psychological help in the emergency department of social services. This assistance will be provided to you free of charge by the psychologist of the institution, and, if necessary, by a clergyman who interacts with this institution.
5. If it is difficult for you to carry out minor cosmetic repairs on your own, then the social workers of the urgent social service departments will help you solve this problem. But these services will be paid. However, the prices for such work are quite budgetary.
6. If you are disabled and find it difficult to use services public transport, but there is a need to travel, for example, to the place of treatment, there is an urgent transport service in social service institutions. It is also paid: you pay the cost of gasoline and the work of the driver.
7. Nice appearance should be at any age. But if it is not possible to get to the nearest hairdresser, or its services are expensive, then you can make an application to call the hairdresser of the urgent social department. This service is also paid, however, its price is an order of magnitude lower than commercial.

Note: to receive urgent service you only need to fill out an application at the urgent social services department. The provision of semi-stationary social services, as well as stationary, is associated with the procedure for issuing an appropriate package of documents.

Who is eligible?

Not every citizen of the Russian Federation is entitled to the existing range of social services, but only those who have been recognized by a special commission as needing the provision of social services. It is this citizen of the Russian Federation that will be considered the recipient of social services.

Each region of the country has a Ministry of Labor and social development, and it is at its level that decisions are made about a citizen's need for social services.

This happens under the following circumstances:

• a citizen cannot or is not able to properly continue to serve himself independently due to illness, age-related changes, injury or recognition of his disability;
• a citizen cannot provide proper permanent care for a disabled child or an adult recognized as disabled - due to the fact that he is forced to work;
• there are children or one child in the family who need socialization, minors can also be wards;
• family members do not have the opportunity to provide both permanent and temporary care for minors, the disabled, children with disabilities, including due to the lack of care for these family members;
• the family includes asocial persons with formed alcohol, drug or gambling addictions, as well as those with mental disabilities or there are signs of family violence;
• a citizen under the age of 23 was left without permanent place residence upon leaving the institution for minors left without parents in connection with the death of the latter or in connection with the deprivation of parents of parental rights;
• the citizen is not employed and deprived of the means of subsistence;
• other circumstances provided for by regional legislation or federal laws.

Main Document

So, if a citizen belongs to one of the categories listed above, he has the right to social services, both on a permanent and short-term basis. However, this does not mean that a social service institution can start providing social services to a citizen.

The registration procedure begins with a citizen's application submitted to territorial office social services for the population. After that, representatives of this institution go to the place of residence of a citizen to draw up an act of inspection of material and living conditions, as well as an examination of his physical and mental conditions, which are also reflected in the corresponding act.

These documents are the starting point for the formation of the "Individual Program for the Provision of Social Services". This package of documents will also reflect the types of semi-stationary social services, and other clauses of the contract.

It should be remembered that only certain categories of persons can apply for the provision of social services. We have listed them above.

Where is it happening?

Those who apply for the provision of social services on a regular basis should be aware of what will actually be associated with their receipt.

Services of semi-stationary social services are provided by specialists and special workers of the territorial complex centers of social services, at which day and (or) night departments are organized for the needy. These departments are supervised by the bodies of social protection of the population.

You are, of course, mindful of the set time period during which you can be a "resident" of a semi-residential social service department. There is no question of lifelong residence in them.

The provision of semi-residential social services can be both free (for certain types of services) and paid for you. The amount of payment for social services is related to the per capita financing established in each region of the Russian Federation. Per capita financing depends on the amount of the subsistence minimum established in the region of your residence.

What will help you?

As part of the semi-residential social services for the elderly and disabled, you can count on the provision of the following services:

1. You will be provided with hot meals; bedding was offered, a bed was allocated in a room with sanitary and hygienic conditions that correspond to the standards for these institutions; you will have free access to printed matter different directions, as well as board games appropriate for your age group.
2. Social and medical services: you will be provided with both medical and psychological assistance within the boundaries of your needs; including you can count on sanitary and hygienic services, various types of health and rehabilitation procedures.
3. Semi-stationary social services for the disabled provide, in particular, medical rehabilitation manipulations in accordance with the "Individual Program for the Rehabilitation of the Disabled". This assistance can hardly be overestimated, since not every citizen with a disability can afford daily rehabilitation activities at the medical institutions especially considering their remoteness.
4. As part of the semi-residential social service for the elderly and disabled, it is provided not only to increase your educational level, but also to receive new profession. You will be able to gain practical skills in the chosen profession, and with the help of psychological support it will be easier for you to gain confidence in new circumstances and in your new status.
5. Beneficiaries of social services generally need legal assistance. And legal advice is provided to them free of charge.

As you can see, the organization of semi-residential social services provides for all types of necessary assistance, both for the elderly and for people with disabilities to constructively change the quality of their lives. And the time frame provided for staying in this institution is quite enough for the effect of being to be maximum. The main thing is to understand why you are here.

Rights and obligations

So, in order to certain period a citizen has become a recipient of social services, the "Individual Program for the Provision of Social Services" is filled out, which spells out the procedure for providing semi-stationary social services.

See the list of services above. Of these, you can choose those that are needed, their number per week, clarify the conditions and terms of their provision. In this document, you will be able to see a list of all social service providers available in your area of ​​residence.

After final viewing this document a person puts his signature, which will confirm his agreement with the conditions that are prescribed in the Program.

However, you need to know that if you want to change the number or terms of the social services you have chosen, you can always do this.

However, the provider of social services is not entitled to change the procedure for semi-stationary social services and the types of services.

Home delivery

Branches of comprehensive social service centers can provide social services "with home delivery" to needy citizens.

Semi-stationary social services at home are provided to recipients of social services either for a certain period of time (up to half a year) or indefinitely.

Peculiarities:

1. This type of service can be chosen by those pensioners or people with disabilities who need outside help only in some areas, but in general they cope well with household chores. Such recipients of social services may have certain difficulties with self-service, therefore, in need of the help of social workers and social work specialists, they choose a set of general services (complex).
2. Also, social and medical services can be provided at home, provided that there is a social and medical department as part of an integrated center for social services for the population. This is due to the fact that individuals old age and disabled people who need this type of service may have diseases that require it Social worker with a medical background. These are diseases such as: mental disorders, but in remission; tuberculosis in a closed form; oncology in the last stage.
3. The legislation provides for circumstances and diseases in which the provision of social and medical services is impossible. A document confirming the presence of this disease is signed by a representative of the social protection department and the VKK of the medical institution.

As for other social services provided at home, they are listed above in the chapter "How you can get help". However, the presence or absence of staffing a comprehensive center for social services for professionals competent in these areas.

Stationary social services are carried out in stationary institutions (boarding houses for the elderly and the disabled, boarding schools for the disabled, neuropsychiatric boarding schools, etc.)

Elderly citizens and disabled people who have partially or completely lost the ability to self-service and who, for health reasons, are in need of constant outside care and supervision, are sent to these institutions. In addition, a network of specialized institutions for disabled children has been established.

In recent years, nursing homes have become widespread, the content of which is on a paid basis at the expense of the elderly themselves or the enterprises in which they worked.

Citizens of retirement age (women from 55 years old, men from 60 years old), as well as disabled people of groups I and II over 18 years old, are admitted to boarding schools, provided that they do not have able-bodied children or parents legally obliged to support them.

Boarding houses for the disabled accept only disabled people of groups I and II aged 18 to 40 who do not have able-bodied children and parents who are legally required to support them.

The psycho-neurological boarding school accepts persons suffering from chronic mental illness, who need care, domestic services and medical assistance, regardless of whether they have relatives who are legally obliged to support them or not.

In stationary institutions, not only care and necessary medical care are carried out, but also rehabilitation measures of a medical, social and medical-labor nature.

Elderly citizens and disabled people living in stationary social service institutions are provided with:

1. material and domestic services (provision of living space, organization of rehabilitation measures, medical and labor activities, cultural and community services);

2. services for catering, everyday life, leisure (hot meals, including dietary meals, provision of clothes, shoes, bedding, creation of conditions for religious rites, etc.);

3. socio-medical and sanitary-hygienic services (free medical care, provision of care, assistance in medical and social examination, rehabilitation measures, assistance in hospitalization, assistance in prosthetics, provision of sanitary and hygienic conditions in the premises);

4. organizing education for disabled people, taking into account their physical abilities and mental abilities;

5. services related to social and labor rehabilitation (creation of conditions for the use of residual labor opportunities);

6. legal services;

7. assistance in organizing funeral services.

Citizens living in stationary social service institutions also have the right to exemption from punishment. Any punishment of elderly and disabled citizens or the creation of amenities for the personnel of these institutions, the use of medicines, means of physical restraint, as well as the isolation of elderly citizens and disabled people are not allowed. The law provides for disciplinary administrative or criminal liability for persons guilty of violating this rule.

An application for admission to a boarding house, together with a medical card, is submitted to a higher-level social security organization, which issues a ticket to the boarding house. If a person is incompetent, then his placement in a stationary institution is carried out on the basis of a written application of his legal representative.

If necessary, with the permission of the director of the boarding house, a pensioner or a disabled person may temporarily leave the social service institution for a period of up to one month. A temporary exit permit is issued subject to the opinion of a doctor, as well as a written obligation of relatives or other persons to provide care for an elderly or disabled person.

The law provides for the right of citizens who are in stationary social service institutions to refuse the services of these institutions, but on condition that they have relatives who can support them and provide the necessary care.

Persons who are in boarding homes for the elderly and disabled of a general type, systematically and grossly violating the rules of internal order, may be transferred to special boarding homes (special departments) by a court decision made on the basis of a recommendation from the administration of these institutions. They are created mainly for the elderly and disabled, previously convicted or repeatedly brought to administrative responsibility for violating public order, engaged in vagrancy and begging, sent from the institutions of the internal affairs bodies. In addition, they also send citizens in need of constant care, from among the most dangerous recidivists released from places of deprivation of liberty, and other persons who are under administrative supervision.

For persons without a fixed place of residence among the elderly and disabled, specialized institutions (social shelters, social hotels, social adaptation centers, etc.) are created, in which a temporary place of residence is provided (including medical service, meals, lodging) and measures are taken to socially adapt persons who have lost socially useful ties (primarily persons released from places of deprivation of liberty) to the conditions of life in society.

Social service institutions provide assistance not only to elderly citizens and the disabled, but also to orphans, and are also actively working to solve the problems of child neglect, the prevention of delinquency among adolescents of "social orphanhood", and social assistance to people without a fixed place of residence.

Children from 4 to 18 years old with anomalies of mental or physical development are admitted to the orphanage. At the same time, it is not allowed to place disabled children with physical disabilities in stationary institutions intended for the residence of children with mental disorders.

One of the varieties of social services for the disabled and the elderly are semi-hospital centers created in municipal centers of social services or under the bodies of social protection of the population.

In departments of day (night) stay, social, medical and cultural services are provided for elderly citizens and the disabled.

Semi-stationary social services are provided for the elderly and disabled people who have retained the ability to self-service and active movement and have no medical contraindications for enrollment in such social services, as well as children in difficult life situations.

These institutions provide the following services:

1 organization of food, life and leisure (providing hot meals, providing bedding, providing books, magazines, newspapers);

2 social and medical services (assistance in obtaining medical and psychological assistance, provision of sanitary and hygienic services, organization of medical and recreational activities, assistance in conducting rehabilitation programs for the disabled, assistance in obtaining vouchers for sanatorium treatment, assistance in prosthetics, etc.) d.);

3 assistance in education and training;

4 assistance in finding employment;

5 assistance in organizing legal services;

6 assistance in organizing funeral services.

For persons without a fixed place of residence and employment in the system of social protection bodies, special institutions of a semi-stationary type are created - night stays, social shelters, social hotels, centers of social adaptation. These institutions provide:

2 coupons for one-time (once a day) free meals;

3 first aid;

4 personal hygiene items, sanitization;

6 assistance in providing prosthetics;

7 registration in a boarding house;

8 assistance in registration and recalculation of pensions;

9 assistance in employment, in the preparation of identity documents;

10 assistance in obtaining an insurance medical policy;

11 provision of comprehensive assistance (consultations on legal will dews, personal services, etc.).