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: eva.nagygyorgy@gmail.comWeb: www.kreativformak.hu