1. ASSESMENT OF THE QUALITY OF SERVICES FOR CHILDREN WITH SPECIAL NEEDS IN UKRAINE
Oksana Kryvonogova

2. Objectives
1. to review the situation with services for disabled children in Ukraine, including EI services
2. to identify the difficulties in modern care system for children with special needs

3. МЕРЕЖА РЕАБІЛІТАЦІЙНИХ УСТАНОВ В УКРАЇНІ
всього
775

5. Child's population in Ukraine on 01.01. 2012
  0-18 years persons
to 3 years persons
Indexes of child's disability in 2012
to 3 about persons, 83,2 per 10 mln
3-6 years – persons, 179,6 per 10 mln
Structure of primary disability
І place are innate anomalies and chromosome violations – 29,1%;
ІІ place are illnesses of the nervous system – 18,2%
ІІІ place are violations of psyche and conduct – 14,0%

6. EI centers in Ukraine

7. THE WAY OF FAMILY WITH A CHILD
WITH SPECIAL NEEDS THROUGH THE SYSTEM OF SERVICES
Genetic comission
Maternity hospital
Out on the house or in the neonatal pathology
Psychological-Medical-Pedagogical comission
Pediatric area (district polyclinics)
VKK- comission
Psycho-neurological dispensary, psychiatric clinic

8. RESEARCH DATA
Parents of children with special needs are not able to get enough information about:
rehabilitation and adaptation (53%),
education (47%),
about the treatment (35%),
socialization (28%).

9. RESEARCH DATA
41% of parents considers that services don’t take into account their individual needs.

10. RESEARCH DATA
22% of parents answered that they were given recommendation to put a child into boarding-school of the closed type.
According to UNICEF the risk of institualization for disabled children is 40 times higher than for children without disabilities.

11. Difficulties: Medical help
The need of adequate, modern, truthful information is needed in maternity hospitals.
The difficulty of functional diagnostics (no special recommended screening methods for children, especially under 3 years old).
Delayed information of treatment and correctional work (it is often recommended by medical specialists to wait till 3 years old).
Difficulties of traveling and examination of children from the rural areas.
Different approach to the diagnostics: parents who apply to multiple services, receive different diagnoses and different approaches to treatment.
Due to the lack of an comprehensive multidisciplinary approach, it is difficult to choose an effective rehabilitation program for children with special needs. Parents often have to search for the information themselves.

12. Difficulties: Education
Insufficient number of specialized child educational institutions for children with special needs.
Lack of experience in organizing inclusive groups in preschool institutions.
Although there is a legal framework, there is no experience of organizing inclusive classes and there are no experts who can work in classes with children with development difficulties.
Education in special schools gives children the opportunity to get a profession, but there is no way to apply their skills in practical life. It leads to another problem, the problem of further employment of children with special needs.
Features = needs

13. Thank you!