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过渡性设施中精神障碍或残疾人士的康复及其在社会保障体系中的地位(作者译)

[Rehabilitation of persons with psychic disorders or handicaps in transitional facilities and its place within the social security system (author's transl)].

作者信息

Stroebel H

出版信息

Rehabilitation (Stuttg). 1981 Feb;20(1):42-4.

PMID:7221176
Abstract

Rehabilitation in transitional facilities (transitional residential homes) is a possible approach for those persons with psychic disorders or handicaps who are not in need of institutional care but cannot be treated adequately on an outpatient basis either. The cost of such rehabilitative programmes is carried by the social welfare authorities in more than 85 percent of the total number of clients. From the point of view of those concerned, who previously had been contributing to social insurance schemes, referral to social assistance is deemed an incompatibility. A change to his situation could be achieved by extending the scope of medical or vocational rehabilitation to include these benefits by way of legal interpretation rendered by the courts, or by the legislator conferring responsibility for the social rehabilitation field on the agencies financially responsible for medical and vocational rehabilitation.

摘要

过渡性设施(过渡性寄宿家庭)中的康复治疗,对于那些患有精神疾病或有残疾但不需要机构护理且无法在门诊得到充分治疗的人来说,是一种可行的方法。超过85%的此类康复项目费用由社会福利机构承担。对于那些之前一直缴纳社会保险金的人来说,转至社会救助被视为一种不匹配情况。若通过法院做出的司法解释扩大医疗或职业康复范围以涵盖这些福利,或者立法者将社会康复领域的责任赋予对医疗和职业康复负有财务责任的机构,那么他们的情况可能会有所改变。

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