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Community Based Community Based Rehabilitation Rehabilitation
: The Korean Model : The Korean Model
Dr. Il-Yung Lee RI Korea, National Secretary
RI Vice President, Asia Pacific Region
ContentsContents1. Evolution of CBR
2. Development of CBR in Korea
3. CBR services & delivery
4. CBR Stakeholders
5. Main service areas
6. CBR Matrix
7. Case Study
8. Challenges
1. Evolution of CBR1. Evolution of CBRFirst suggested by RI (RI Conference, 1969)
- To improve rehabilitation services in developing
countries
Initiated by the WHO (1978)
- To improve access to rehabilitation services for persons
with disabilities in low and middle income countries, by
making optimum use of local resources
Repositioned (2003)
- As a strategy within general community development, in
partnership with ILO, UNESCO and WHO
Overall objectives (WHO 2010)
- To promote CBR as a strategy for community-based
inclusive development to assist in the mainstreaming
of disability in development initiatives and to reduce
poverty
- To support stakeholders to enhance the quality of life
through access to health, education, livelihood and
social sectors
- To encourage stakeholders to facilitated the
empowerment of PWDs by including them in
decision-making process
2. Development of CBR in Korea2. Development of CBR in KoreaInitiatives
Social sectors : Governmental pilot projects (Gov.
Fund)
- 1 urban model in Seoul
- 1 rural model in Chungbuk
- Ran by KSRPD, 1985~1988
Health : Civil Society’s project (German Fund)
- Ran by Jeonju Presbyterian Medical Centre, in the North
Wanju 1987-1995
Development of CBR in health & social sector
- Local authorities (1987~)
Registration & basic data collection
- Community Welfare Centers (1992~)
- Public Health Centers & Nat’l Rehab Hospital (1993~)
- Independent Living Centers (2001~)
- Nowon CBR Project (2003~)
Civilian Project by mobilizing local community resources
3. CBR services & delivery3. CBR services & delivery
Govern-ment
Health
Non-governmental
Localcommunities
Public Health Center
RehabHospital
Communityrehab center
IL Center
Special Education
Inclusive Education
Employmentcenter
Job training center
Service delivery
Education
LaborWelfare
ServiceArea
Support
VocationalRehab Center
4. CBR Stakeholders4. CBR Stakeholders
(WHO 2010)
Community
Leaders, teachers, health & community workers
Local government, NGOs, disability groups
Government, political leaders, media
5. Main service areas5. Main service areas Health
- 60/253 local public health centers(1:1 matching fund)
: General support for medical needs, rehabilitation services
: Cooperative activities with community resources
- National Rehabilitation Hospital
: Management of community public health centers
: Education and empowerment of CBR workers
: Partnership with community health service providers
: Research and development
Social Sectors
- 191 Community Disability Welfare Centers
: Physical therapy and social education
: Counseling, financial and housing support
: Home-visit outreach service
Social Sectors
- 178 IL centers
: Coordinating personal assistant service
: Peer-group counseling, self-help groups
: Provision of vehicles for PWDs’ outings
: Repairing and renting assistive devices
: Training basic living skills and awareness on
disability rights, enabling independent living
10
16
21 8
6
12
12
14
4
8
5
43
13
11
5
Seoul
Gyeonggi
Incheon
Daejeon
Chungnam
Jeonbuk
Gwangju
Jeonnam
Jeju
Kangwon
Chungbuk
Gyeongbuk
Daegu
Busan
Gyeongnam
53
5
10
6
3
7
5
4
4
15
15
2
35
7
5
3 2 Ulsan
IL 178
CDWC 191
Education - Special Schools
- Inclusive Schools
: Deinstitutionalizing children with disabilities
: Unification of general and special education system
※ Evening schools run by DPOs
- 45.2% of ‘persons with disabilities’ do not finish
primary school
- Open to all ‘persons with disabilities’ (beyond age
and disability types)
Employment
- Korea Employment Agency for the Disabled
: Assist ‘persons with disabilities’ to enter
mainstream labor market
- Vocational Rehabilitation Centers
: Enable people with severe disabilities to work
• 422 centers across the country (2011)
• Workfare centers, sheltered workshops, vocational
training centers
6. CBR Matrix 6. CBR Matrix (WHO, 2010)(WHO, 2010)
Towards Community-based Inclusive Development
CBR Matrix
Secondary &Higher
CBR goals
CBR areas
Public Health Center Schools Community Based Rehabilitation Centers
Independent Living Centers Vocational Rehabilitation Centers Others (Gos, NGOs and Business sectors)
Promotion
Prevention
Medical care
Rehabilitation
Assistive
Early childhood
Primary
Non-
Life-long
Skills development
Self-employment
Financialservices
Wage
Social protection
Relationships
Personal assistance
Culture &
Recreationleisure, sports
Justice
Advocacy &
Community
Political Participation
Self-HelpGroups
DPOsdevices
formal
Marriage, family
learning
art
communication
mobilization
Health Education Livelihood Social Empowerment
Employment
Overview : Youth and young adults (10-29 years of age)
with disabilities or those with family members with
disabilities request necessary assistance to achieve their
short/long term “dreams”
- Long term assistance
- Customized support & support of dreams initiated by the
participants
- Collaboration and long term case management between
different stakeholders (mobilizing community resources)
7. Case Study – “Dodream”(KSRPD)7. Case Study – “Dodream”(KSRPD)
7. Case Study – “Dodream”(KSRPD)7. Case Study – “Dodream”(KSRPD)
New “dreams”
: Home visits
to ensure
feasibility &
prevent
overlapping
support
Gather community
support through online
funding and individual
supporters/organizations
“Dreams”
accomplished
: Customized support
and long term case
management
Overall ProcessOverall Process
7. Case Study – “Dodream”(KSRPD)7. Case Study – “Dodream”(KSRPD)
Number of Male/Female Beneficiaries
M F
Number of Applicants and Beneficiaries
Applications Beneficiaries
Statistics (2010)Statistics (2010)
Number of Male/Female Beneficiaries
Number of Applicants and Beneficiaries
7. Case Study – “Dodream”(KSRPD)7. Case Study – “Dodream”(KSRPD)
Number of Beneficiaries (by disability type)
IntellectualOthe
rMultiplePhysical
Visual
Brain lesion Language HearingAutistic
Facial
Renal
Statistics (2010)Statistics (2010)
Number of Beneficiaries (by type of assistance )
Education Arts Medical Culture/LeisureImproving living
environmentIncome
generation
7. Case Study – “Dodream”(KSRPD)7. Case Study – “Dodream”(KSRPD)
Statistics (2010)Statistics (2010)
Name : Young Gwang Kim
Type of Disability : Physical
(Muscular Dystrophy)
Dream : To become an international court judge.
Type of Assistance
- In 2007, received a shower gurney and hospital bed to assist him while studying for
the university entrance exam.
- In 2009, after receiving admission to a top level university in Korea (Sogang), was
able to receive a laptop computer to help him in his studies.
7. Case Study – “Dodream”(KSRPD)7. Case Study – “Dodream”(KSRPD)
8. Challenges8. ChallengesAt governmental level
- Need for a “CBR Case Manager” :
Collaboration & Facilitating various resources
- Securing government’s political commitment for CBR
- Stronger national policies and strategies
- Awareness raising on CBR
Need to strengthen national level support through policies,
coordination and resource allocation
Need for rights based approach for CBR
At non-profit organizational level
- Understanding CBR & Obtaining external funds
- Ensuring cooperation among local organizations
(public health centers, local administrative body,
community welfare centers, rehabilitation centers,
private health/medical/social centers)
Participating in CBR trainings
Inter-agency consortium for grants and funding
applications
At community level
- Forming focus groups
- Motivating communities
Sharpening sensitivity to community needs.
Ensuring inclusion of PWDs and their families in
CBR projects
CBR is for everyone in the community,
Including persons with disabilities
Thank you~