Social worker. Job description
It happens that in Russia old people are left without the support of children and relatives, while in dire need of help. Due to health conditions or age restrictions, older people have difficulty cleaning the house, preparing food, washing and ironing clothes, going to the store, and so on. If it is proven that the old man needs support, the state will provide him with social assistance at home for older people. In the article we will look at what kind of social assistance at home is provided for elderly people in 2020.
What types of social assistance are there?
The concept of social support for older people includes the following types of services:
- Providing social and advisory assistance to help the elderly and people with disabilities adapt to society.
- Providing one-time emergency assistance.
- Providing semi-inpatient care.
- Service in a hospital setting (boarding home, boarding house, etc.).
- Providing assistance from a social worker at home.
What is social assistance at home for older people?
Due to the fact that older people are the weakest category of citizens of the country, the state provides them with the opportunity to receive social assistance at home.
Let's figure out what types of services a social service can offer:
- Call an ambulance to your home.
- Accompaniment during a trip to a sanatorium, health resort, or medical institutions.
- Accompaniment to a banking institution, to a branch of the Russian Post, to social security authorities for the purpose of writing applications, paying utility bills, filing petitions, etc.
- Assistance in obtaining disability through medical and social examination.
- Cleaning the house and carrying out cosmetic repairs to the living space.
- Carrying out manipulation and other hygiene procedures.
- Delivery of drinking water and solid fuel to elderly people living in premises without central heating and water supply.
- Going to the pharmacy to buy medicine.
- Shopping for food, household chemicals, essential supplies, etc.
- Assistance in organizing everyday life, leisure, and nutrition.
When providing assistance to older people, their health status must be taken into account. Thus, persons who cannot take full care of themselves will be provided with proper care and hygiene. If a citizen needs any further assistance, the social worker is obliged to consider the possibility of providing it. For example, if we are talking about assistance in completing documentation, obtaining legal advice, obtaining secondary or higher education.
Conditions for providing social assistance
In order for a social worker to start visiting a pensioner’s home, it is necessary to first enter into a conclusion, which will indicate all the conditions for providing the person with an approved list of services. The contract will also specify how often the assistant will come to his home - once a week, daily or several days during the week. This depends on how independent the applicant is in caring for himself and his home.
The agreement must be signed by the elderly person himself or his authorized representative. The agreement is valid for a year, but when the new year begins, there is no need to apply for an extension - the agreement will be extended automatically.
Who is eligible to receive social assistance
Citizens of retirement age can receive a positive response from the authorities authorized to provide social assistance at home:
- disabled people of any age;
- retired women over 55 years of age;
- men are retired from 60 years old.
The main criterion for selecting people who are in particular need of outside help is to determine the possibility of independent movement and full provision of their vital needs.
Who may be denied social assistance?
The decision to provide assistance or to refuse it is made by a special commission.
- the presence of tuberculosis or other contagious disease, and therefore its carrier is required to stay in a specialized medical institution closed type;
- presence of a sexually transmitted or quarantine disease;
- classifying a citizen as dependent on admission narcotic drugs;
- alcoholism;
- the presence of mental disorders, due to which the social worker may be harmed;
- lack of housing for those in need of help;
- lack of social workers to provide assistance to everyone.
Where to go and who provides social assistance
To request social assistance, please contact your regional office:
- social protection authorities;
- regional complex center.
Specialists from these institutions will determine whether the elderly person really needs outside help and whether it needs to be provided.
How is social care provided at home for older people?
Both the person in need, his relative or even a neighbor can apply for social assistance if he himself has limited mobility. A specially organized commission reviews the case, checks the availability of social workers and determines whether the applicant really needs social support and what services he will need to provide.
Based on the results of the commission’s work, an individual social support program will be drawn up. The social service worker will be informed about the need to provide certain types of services.
The study of materials and documents will take a maximum of 10 calendar days from the date of application. If a positive decision is made, the elderly person must sign an agreement with the social service to provide assistance to him.
Restrictions on the rights of citizens when receiving social assistance
If a citizen receives social assistance due to the fact that he is unable to actively move or take care of himself, observe the rules of personal hygiene, prepare his own food, and so on, by a court decision or after obtaining the consent of relatives, the elderly person can be sent to a specialized institution. There the person will be prescribed a course of treatment, or he will be assigned there for further permanent residence.
How much does it cost to provide social assistance at home?
Services social worker may not cost an elderly person anything, or may be provided for a fee.
Since the beginning of 2015, social support has been provided free of charge to certain preferential categories of applicants and to those whose monthly income is less than or equal to the regional subsistence minimum. Services will also be free for disabled people and participants of the Great Patriotic War.
All other elderly people will pay for social service services, but the amount of payment will not exceed 250 rubles, regardless of the list of services and their quantity.
What documents will be needed to apply for social assistance?
To apply for social assistance at home, you will need to provide social center a set of documents including:
| Document | Where to get it |
| Filled out on the spot according to the social model. services |
|
| Photocopy of the applicant's passport | – |
| Certificate of family composition | Housing department, passport office |
| A power of attorney certified by a notary and a passport of a proxy (for applicants drawing up documents through a proxy) | – |
| Certificate of a disabled person or WWII participant (if available) | USZN |
| Conclusion of medical and social examination (for disabled people) | ITU Bureau |
| Certificate of monthly income (for low-income people, if available) | At the place of receipt additional income except pension |
Legislative acts on the topic
| Decree of the President of the Russian Federation dated January 29, 2000 No. 115 | On measures to improve the living conditions of the elderly and disabled in state and municipal inpatient institutions social services for the population |
| Federal Law of July 17, 1999 No. 178-FZ | Legal and organizational basis for the provision of state social assistance to low-income families, low-income citizens living alone and other categories of citizens |
| Decree of the Government of the Russian Federation of April 15, 2014 No. 296 | On social support for citizens |
Common mistakes
Error: A relative asks to issue him a conclusion on the incapacity of an elderly person on the basis that he uses social services at home.
I have been caring for an elderly relative for several years. But in Lately I have to leave the city often and for a long time, so there is no one to help her. Sometimes neighbors and friends help out. But I would like a social worker to look after my relative.
Alla Kondrasheva. South-Eastern district.
As they said in the capital municipality, those wishing to receive help from a social worker need to apply to the district comprehensive center or a social service center. Within three days after this, the center’s management is obliged to conduct a commission inspection of the applicant’s material and living conditions, based on the results of which a report is drawn up. Then, with the written consent of the applicant, he requests an extract from the financial and personal account from the district engineering service, as well as a report on the state of health and the absence of medical contraindications to social services at home from the clinic. If there is no consent of the beneficiary, then he collects the specified documents independently. Documents can be submitted in originals or certified copies.
The social worker must visit his ward at least twice a week, by agreement on a permanent basis or temporarily (for a period of one to six months).
The following beneficiaries can receive home assistance:
1. No queue
Disabled people and participants of the Great Patriotic War and those equated to them;
Single citizens over 80 years of age and single disabled people over 70 years of age;
Disabled combat veterans;
Lonely and lonely elderly and disabled city dwellers who are unable to live and care for themselves and are deprived of outside care, help and support.
2. First of all
Spouses of deceased participants and disabled veterans of the Great Patriotic War and combat veterans who did not remarry;
Citizens exposed to radiation as a result of the disaster Chernobyl nuclear power plant, and equivalent to them;
Rehabilitated persons and persons recognized as victims of political repression.
Please note: beneficiaries living in families receive social (socio-medical) services if household members cannot provide them with help and care for objective reasons (according to Moscow Law No. 34 of July 9, 2008 “On Social Services for the Population” city of Moscow"). For example, this could be a long-term illness (more than one month), disability, retirement age, remoteness of residence from a citizen in need of care, frequent and long business trips and other circumstances.
Social services may be denied if the beneficiary has bacterial or viral carriage, chronic alcoholism, quarantine infectious diseases, severe mental disorders, active forms of tuberculosis, venereal or other diseases requiring treatment in specialized institutions healthcare (according to federal law No. 122-FZ of August 2, 1995 “On social services for elderly citizens and the disabled”).
The responsibilities of a social worker include:
Purchase and delivery of groceries and hot lunches from neighboring houses for the person under care trading enterprises, manufactured goods and medicines at his request. In this case, the following rules apply for one-time delivery (according to the norms of maximum permissible loads when lifting and moving heavy objects manually, approved by Decree of the Government of the Russian Federation No. 105 of February 6, 1993): for one person - no more than 4 kg, for a family of two people - not more than 6 kg, for a family of three - no more than 9 kg;
Cooking food (heating food, peeling raw vegetables, slicing bread, sausages, boiling a kettle), feeding;
Assistance in repairing and cleaning the apartment;
Water delivery, heating of stoves, assistance in purchasing fuel (for those living in houses without central heating and (or) water supply);
Delivery of items for washing, dry cleaning, repair and return delivery;
Payment for housing and utilities (taking meter readings, filling out receipts, visiting housing and communal services organizations, unified cash settlement centers, paying fees);
Assistance in writing letters, as well as delivering books, purchasing newspapers and magazines, subscribing to newspapers and magazines;
Assistance in ordering a “social taxi” (a special taxi at a reduced rate for beneficiaries), as well as in visiting theaters, exhibitions and other cultural events;
Social-medical and sanitary-hygienic assistance (care taking into account the state of health; assistance in conducting a medical and social examination, if necessary - in hospitalization, hospital visits, accompaniment to medical institutions; psychological support; assistance in obtaining vouchers for sanatoriums resort treatment (including discounted ones), as well as dental and prosthetic and orthopedic services);
Assistance in obtaining education and (or) profession for disabled people in accordance with their physical capabilities and mental abilities, as well as assistance in finding employment;
Legal services (assistance in the preparation of documents, excluding cases of preparation of documents affecting the interests of third parties; assistance in obtaining benefits, free assistance from a lawyer, pensions and other social benefits, including in the preparation of documents for waiver of " social package" V Pension Fund RF;
Preparation of documents for provision funeral services deceased single citizens or assistance in organizing funerals for their disabled relatives;
Additional services provided by specialized home care departments (social and medical care at home): health monitoring; provision of emergency first aid; performing medical procedures, dressings, injections as prescribed by the attending physician; feeding weakened patients (according to Moscow government decree No. 215-PP dated March 24, 2009).
Prices for the services of a nurse when organizing care for elderly people at home in Moscow depend on the list of daily tasks, the medical qualifications of the hired assistant, the work schedule, and the presence or absence of social benefits for the ward. You can also try contacting your local social security service or charity organisations providing assistance to elderly people free of charge.
Household assistance and home care for elderly people
The first thing an elderly person needs when his own strength is no longer enough is a solution to his daily household problems. Go to the grocery store or pharmacy, especially if you live on the fifth floor without an elevator, cook food, and keep the apartment clean.
In most cases, relatives, in order to save family finances, register through the local department of social protection of the population, a worker who brings food for free and minimally helps around the house.
If your elderly person suffers from diseases such as, then it is necessary that her list of responsibilities is not just preparing food, but also:
- monitor medication intake;
- maintain cleanliness in the apartment, carry out hygiene procedures with the ward (brushing teeth, cutting nails, changing diapers);
- measure blood pressure, blood sugar;
- promptly call an ambulance.
Paid assistance for elderly people or free?
- Paid An assistant for elderly people in Moscow can be ordered from the patronage service. A large selection from our own database of nursing service employees will allow you to find the ideal option in terms of price and qualifications.
- Free Numerous charitable organizations offer assistance to lonely pensioners.
Medical care at home for the elderly and disabled
The situation is more complicated and more expensive when it is necessary to organize medical care elderly or disabled people. In this case, it is beneficial to find a nurse with 24-hour accommodation. will solve not only the everyday problems of the ward, but also organize a medical post at your home:
- tube feeding;
- installation of flushing urinary catheter;
- will do dressings, enemas;
Medical care at home in Moscow is a paid service, the exact cost of which depends on:
- type of disease;
- weight of the sick person;
- living conditions of the nurse;
- the place where the nurse came from.
Assistance to people with disabilities should be carried out by physically strong women without back problems. – one of the most expensive items in the price list of the patronage service.
Cost of home care for the elderly in Moscow
Today, the market for patronage services in Moscow has been formed. start from 200 rubles per hour.
| Nurse | |
|---|---|
| Schedule | Price, ruble |
| 24-hour home care for the elderly | |
| for 10 days | 12 500 |
| for 15 days | 17 500 |
| from 30 days and there is an opportunity to go out during the day for 4-5 hours | 20,000/month |
| from 30 days without exits | 24,000/month |
| from 30 days nurse with medical education no exits | 33,000/month |
| only for one month | 28 500 |
| Hourly assistance for elderly people | |
| 2 hours | 450 |
| 3 hours | 550 |
| 4 hours | 700 |
| 8 ocloc'k | 1000 |
| 10 hours | 1200 |
| 12 hours | 1400 |
| night shift 12 hours | 1300 |
| to the hospital 24 hours | 1600 |
| Morning-evening 3 (1.5 hours in the morning + 1.5 hours in the evening) | 800 |
| Morning-evening 4 (2 hours in the morning + 2 hours in the evening) | 1000 |
Medical care for the elderly has its own cost, indicated in the table.
The more time a caregiver stays with an elderly person, the lower this cost. Many services have special conditions and discounts.
From this article you will learn:
In what form can social assistance be provided to older people?
How to apply for social assistance for elderly people at home
What documents do you need to provide for this?
Do you have to pay for it, or is the help provided free of charge?
According to statistics, many older people now suffer from various diseases and/or are in difficult life circumstances. Finding themselves in a difficult situation, alone with their problems, they often give up and do not know how to “get out” of the current hopeless (in their opinion) situation.
In fact, there is always a way out. All Russians of retirement age who are in dire need of state social assistance are entitled to it. What is meant by the concept of “social assistance for elderly people at home”, how to apply for it and how much will it cost? This article has answers to all these questions.
Types of social assistance for older people
Due to their age characteristics, older people constitute the most vulnerable category of the population. That is why they need government help.
The Civil Code of the Russian Federation regulates measures to provide social assistance to elderly people, in particular, provided:
providing social assistance to older people at home;
services in hospitals (boarding houses, boarding schools and similar institutions);
provision of semi-inpatient care in various day care institutions;
provision of urgent social assistance of a one-time nature;
social advisory assistance that facilitates the adaptation of disabled people in the public environment.
To guarantee the elderly unhindered support from the state, separate territorial centers have been created in the country. Their responsibilities include not only the direct provision of necessary social assistance, but also the identification of elderly people who are in dire need of it and have the right to receive it.
The degree of urgent need to provide one or another type of social assistance is assessed by territorial centers with the direct appeal of the elderly (or those who represent them).
What laws regulate social assistance for elderly people at home?
In the modern legislation of the Russian Federation, there are several laws that control the provision of social assistance to the elderly and disabled.
We are talking, in particular, about such legislative acts, How:
Decree of the President of the Russian Federation No. 2063 of December 25, 2000 “On additional measures to improve the living conditions of elderly citizens and disabled people in state and municipal stationary and semi-stationary social service institutions.”
Federal Law “On State Social Assistance” dated July 17, 1999 No. 178-FZ (latest edition).
What is included in social care for older people at home?
According to the Civil Code of the Russian Federation, social assistance to elderly people at home can be expressed in helping:
improve living conditions and organize leisure time for the elderly;
purchase medicines, food, household chemicals, etc.;
deliver drinking water and light the stove (if people live of advanced age in a private house without central water supply and heating);
in daily cleaning and cosmetic repairs of the house/apartment;
pay public utilities, visit a variety of vacation spots and take a trip to a sanatorium-resort treatment;
call the attending physician at home.
The majority of disabled pensioners are unable to care for themselves and maintain basic personal hygiene. Therefore, “social assistants” are obliged to provide them with the help they so need. For example,
assist the old man in obtaining medical care;
help carry out various hygiene procedures;
if necessary, assist in passing a medical and social examination;
visit medical facilities together to receive appropriate assistance.
In addition, “social assistants” can explain various legal issues to elderly people, help them obtain any certificates and papers, and even support them in obtaining higher or secondary education.
Who can count on social assistance at home?
Pensioners are entitled to receive social assistance at home, in particular:
women over 55 years old;
men over 60 years old;
disabled people regardless of age.
Social workers are obliged to provide social assistance to older people at home only if they are truly unable to care for themselves.
The decision on the need to provide social assistance to older people at home is made by a specially created commission, which also has the right to refuse to receive social assistance.
Elderly people who have certain “contraindications” may also receive a refusal from the commission.
These include:
mental illness, the consequences of which pose a threat to the life and health of the social worker;
alcohol abuse;
drug addiction;
venereal or quarantine-type diseases;
tuberculosis or other similar diseases that must be treated in closed medical institutions.
Quite often, social assistance for older people at home may be denied due to a basic shortage of unemployed social workers or due to the applicant’s uncertain place of residence.
If the court decides, then under certain circumstances the elderly person will be sent for treatment or permanent residence to special government institutions.
But this also happens not by a court decision (in the absence of relatives or with their consent).
The reason will be that the elderly person cannot move freely or perform the simplest manipulations to comply with the simplest hygiene rules.
How to apply for social assistance for elderly people at home
To apply for social assistance at home, an old person (or his representative) must contact the social service center (at his place of residence).
This institution provides all the necessary social assistance to elderly people at home. To receive it, an elderly person will have to write an application and collect some necessary papers.
Documents for registration of social assistance
To receive help at home, a pensioner fills out an application on a certain form provided by an employee of the social service center.
Then the old man collects a package of documents, namely must be provided:
original and copy of the applicant’s passport;
a document confirming the applicant’s right to receive social assistance (disabled person’s certificate, etc.);
power of attorney, if the registration of social assistance for elderly people at home is carried out by a third party or a close relative of a person in need of state support;
an extract from the passport office regarding registration at the place of residence;
a medical certificate of health, certified by the head physician, and a rehabilitation program (if necessary);
income certificate, if a pensioner in need of social assistance receives income in addition to the pension, on which he pays taxes.
As you can see, in order to apply for social assistance for elderly people at home, you just need to collect a few documents. But actually getting it can be quite difficult. Sometimes it is not known why such “blatant disgraces” occur. For example, in some regions there are not enough social workers, while in others they completely refuse help for no reason, as they say, “without comment.”
Rules for registering social assistance for elderly people at home
After the elderly person has submitted a package of documents, he/she gathers special commission to make a decision on providing the most necessary types social assistance. In each case, an individual program is developed according to which a specific social worker will act.
The decision on social assistance for elderly people at home is made no later than ten days after the elderly person submits an application.
After the appropriate decision, an agreement is concluded on the provision of established types of social assistance.
Contract for receiving social assistance is concluded between the elderly person (or his authorized representative) and the social authority, comes into force after signing and is valid throughout the current year. After the offensive next year it is extended automatically, that is, there is no need to re-form it.
Now a social assistant is required to visit an elderly person at home every day or two to three times a week. The frequency of visits depends on the health status of the sponsored person.
Social assistance for elderly people at home is provided free of charge
Social help for elderly people at home can be either partially paid or completely free.
Since January 2015, elderly people whose monthly income does not exceed or is even below the subsistence level established are entitled to free social assistance local authorities authorities.
Participants and disabled people of the Great Patriotic War have a guaranteed and unconditional right to receive social assistance for older people at home.
All other categories of citizens for such a service as social assistance for elderly people at home must pay no more than 250 rubles a month, and this amount does not depend on what kind of assistance is provided.
