Ambulatory and home teaching in the
South Alföld region
Éva Nagygyörgy
Rehabilitation specialist
professional director
Home teaching
Ambulatory service
Investigation into the efficiency of rehabilitation models *:• Rehabilitation of persons with AMD (p=226);
• The service has a primary focus on functional vision training;
• 3 models – ambulatory service, ambulatory service with home teaching,
ambulatory service with follow-up by a social worker;
• The survey did not confirm the increased efficiency of rehabilitation with
additional home teaching.
* B C Reeves, R A Harper, W B Russell: Enhanced low vision rehabilitation for people with age
related macular degeneration: a randomised controlled trial (British Journal of Ophthalmology, 88
p1443-1449, 2004)
Orientation and Mobility specialists about home teaching*:
• Adaptation of client’s knowledge to his/her home environment;• Recommendations on the accessibility of home environment;• Provision of background information to the client and his/her support persons;• Identification of psycho-social problems• Meeting client’s needs which are related to his/her environment• Follow-up counselling
* GA R. Zijlstra, J. Ballemans and G. IJM Kempen: Orientation and mobility training for adults with
low vision: a new standardized approach (Clinical Rehabilitation, 27(1) p3-18, 2012)
South Alföld
1,3 million inhabitants
5500 persons get disability payment due to visual impairment
22% of all Hungarian VI citizens live in the region – around 18.000 persons
254 settlements – he population of only 2 towns is bigger than 100.000 persons
53,8% of VI persons are over 60
Number of those living in rural areas (outside settlements) is the highest in this region
Urbanisation - characteristic among young people
Clients
Typically people over 60 years of age, living in villages.
Type of service is determined by…
• Client’s needs, possibilities and living condidions:
o mobility,
o living conditions, attitude of the family
o health condition, additional disability,
• choosing the required modules (e.g. vision training
– optical aids)
• preliminary knowledge and experience,
• rehabilitation goals determined together,
• capacity of specialists.
Limitations of home teaching
On the way…
3 clients7 lessons243 km
3 clients6 lessons163 km
4 clients8 lessons117 km
Békés County
Bács-Kiskun County
Csongrád County
Possible solutions
• Decentralised service locations –
one or two/county, in community facilities;
• Itinerant rehabilitation specialists employed by
each county - capacity-building;
• First ambulatory teaching, then home teaching;
• Home teaching parallel to participation in
self-support groups in the centre (practice,
socialisation);
• Waiting list, management.
On the way…
Thank you for your attention.
Contact:
Kreatív Formák FoundationAddress: 6728 Szeged, Napos út 16.Tel: 06-70-381-8488E-mail: [email protected]: www.kreativformak.hu