Innovation in deinstitutionalisation of disabled children in Tajikistan. Nasiba Inoyatova, day care centre Kishti, Tajikistan. Int'l conference 1-3 march 2011, Bishkek, Kyrgyzstan

1. International conference «Innovative approaches in work with children with
special needs and their families: Experience of Kyrgyzstan, and other countries of
the world»
Innovations in de-institutionalization of
children with disabilities in Tajikistan
Nasiba INOYATOVA
Social worker
Day Centre “KISHTI”
Bishkek - 2011

2. Goals of “KISHTI”
• Day rehabilitation and education centre
"КISHTI" was opened to create safe,
developing and learning environment for
children with disabilities from families and
Children's home; and to support and train
members of families and parents with
disabled children.

3. Prevention of
placement of
children to Opening of
Early institutions full potential
intervention
Cooperation
Training and with parents
therapy
Via games
CHILD
Integration Family
and inclusion support
Social Love,
Individual Understanding,
approach to model
Attachment
rehabilitation

4. Our activity
• Team estimation of skills and abilities
of a child.
• Design of Individual Plan for
development for 3 months.
• Estimation of needs and
requirements of a family with
disabled child

5. “KISHTI” Team

6. Game therapy
Work group
Time together
“Vakti Asssalom”

7. Individual therapy
• Physical therapy
• Ergo-therapy
• Exercising - active
and passive motions of
all groups of muscles,
improves strength,
motion activity of
muscles and balance.
• ET/ЭТ – Use of
compensatory devices:
walkers, struts, special
stools, platens,),
promotes development
of independence and
confidence of children’s
activity

8. Individual therapy
•Exercises prevent constraint,
deformations and development
of contractures.
•Exercises help nurses to care,
as children are more
independent, and it is easier
for the staff to look after them.
•Exercises help to protect a
child from pain.
Therapy of sensor
integration
•Stimulation of all sense organs
•Influence on tactile and
proprioseptive sensitivity
•Sight and hearing activation

9. Feeding
•Training of parents
on care, feeding,
and correct
positioning during
feeding.
•Oral stimulation.
•Training of
employees of
Children's home to
feed correctly

10. Аrt - therapy
•Group of Early
intervention
• Children Club
•Club for children with
autism

11. Music therapy
•Group of Early
intervention
• Children Club
•Club for children with
autism

12. Training on methods of
alternative
communication
•For children with
problems of speech
development
• For children with
problems of
communication

13. Seminars and trainings
•For parents
•For staff of
Children’s home
•For specialists

14. Parents club of self
assistance and Art
workshop
•Parents club
•Very few people from
experts possess this
many various skills to
cope with daily
difficulties like those that
parents - participants of
the group encounter.
•Art-workshop - being
engaged in applied art,
parents not only get rest
and forget about their
problems, but also make
money for needs of the
club or the children.

15. •Organization of group meetings and
seminars for parents is a very important
part of the programs of early
intervention
•Attraction of parents to the activity of
the centre – organizing holidays, joint
games, partnership with experts in
drawing up of individual plans for
development of children

16. Story 1
•Кomron is 5 years old. One day his mum
came to ask how to place a child into
children's home. We talked to her, explained
our work, had a discussion and suggested
to come to “KISHTI” centre. After some
thinking she decided not to place her child
in CH. This is how she started coming to our
centre
History 2
•Solehchon is 4 years old.
He has ICP. His mum placed him in
children's home. We talked to her, had a
discussion, explained our work and
suggested to come to KISHTI. She visited
our centre Kishti for some time, and yet she
left her child in children's home

17. “Matured parenting”
programme
•Trainings for staff
•Оpenning of two
crisis groups for
mothers

18. • Children home – 27 children with inability
• Children with parents - 58
• Total number of those who got
consultations – 240 children
• Visit regularly - 50 children

19. Cooperation with Boarding schools
(internat)
• Introduction of disability social model in
closed institutions
• Training of modern concepts of disability
• Training of principles of integration and
inclusion, and their gradual introduction in
Boarding schools.
• Replacement of Boarding schools with the
alternative rehabilitation centres for children
with disability of daytime type.

20. We thank our donors !