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Stationary, non-stationary and semi-stationary social service institutions. Stationary social services Organizations providing semi-stationary social services include

Semi-permanent social services used for such elderly citizens and disabled people who are able to care for themselves and can actively move. They should not have medical contraindications for enrollment in such social services. This group also includes children who find themselves in difficult life situations.

Semi-stationary social services are provided by semi-stationary organizations (enterprises, institutions) of social care or departments of stay, both at night and during the day. They are formed in public social service centers and are used to assist in carrying out activities in the field of social adaptation to living conditions in the society of social service clients who have lost socially useful connections.

Note 1

Semi-stationary social services consist of medical care, social and cultural services. It is available to disabled people and elderly citizens.

The institutions in question can provide services for:

  1. organizing catering, everyday life and leisure (for example, providing hot food and drink, issuing bed linen, providing newspapers, books, magazines, etc.);
  2. social medical services(for example, receiving medical psychological assistance, sanitary and hygienic services, therapeutic and recreational activities, rehabilitation measures for the disabled, assistance in obtaining vouchers for sanatorium and resort treatment, assistance in prosthetics, etc.);
  3. obtaining education and professional training;
  4. assistance in employment;
  5. providing legal services;
  6. assistance for organization funeral services.

Features of semi-permanent service

For people without an appropriate place of residence and occupation, special semi-permanent institutions can be created, including an overnight home, a hotel or shelter, and a social adaptation center. Such organizations can provide overnight accommodation, first aid, provision of personal hygiene and sanitary items, one-time free meals, consultations on issues of household arrangements and employment, assistance in preparing identification documents, placement in inpatient institutions providing social services. .

Note 2

For persons who are released from prison and who need social adaptation, in addition to the services discussed above, assistance can be provided in the field of restoring lost social connections with family, housing rights, etc.

Social services at home

Social services at home can be one of the main forms of social services. Such services are aimed at maximizing the extension of the stay of elderly and disabled people in the usual conditions of the social environment to support their social status, including the protection of the legitimate interests and rights of such persons.

The number of guaranteed home-based social services can include services for:

  1. catering, including home delivery of food;
  2. assistance in purchasing medicines, groceries, and essential goods;
  3. assistance in obtaining medical care, including the process of escorting to medical institutions;
  4. maintaining living conditions that meet hygienic requirements;
  5. assistance in organizing legal assistance and services in the field of law;
  6. assistance in organizing funeral services, funerals;
  7. other social services of a domestic nature.

In the course of serving elderly people and disabled people who live in residential premises without central heating (water supply), home-based social services may include assistance in providing water and fuel.

Note 3

Social medical care at home is provided for those in need at home social services. These may be elderly people and disabled people who suffer from mental disorders (in remission), tuberculosis (excluding its active form), and serious diseases (including oncology) in late stages.

For elderly (elderly) people and disabled people who are bacteria or virus carriers, or in case of their chronic alcoholism, quarantine in case of an infectious disease, active form of tuberculosis, severe mental disorder, sexually transmitted and other diseases that require treatment in special healthcare organizations, a refusal to provide home social services and social and medical services may be received.

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So, social services. Let's figure out what this concept includes. As a rule, mutually beneficial relationships arise when the existing demand for certain goods or services meets a supply that fully satisfies with its qualities those who have somehow realized and formulated a certain need. This is how relationships are built in all spheres, including social ones. Note that the demand for social services arises from the most vulnerable people: elderly people, disabled people and children from disadvantaged families. Let us consider in detail one of the types of social relationships - semi-stationary social services.

Parties of the relationship

Any contractual relationship involves at least two parties who agree on the rights and obligations in relation to each other.

In the Russian Federation, the right to social services, including semi-stationary social services, can be used by both citizens of the Russian Federation and foreigners, as well as persons who do not have citizenship, but are registered with permanent residence in Russia. And this is one side.

On the other side are those bodies and organizations whose scope of activity is the provision of necessary services. Let's present them in descending order of authority:

  • federal executive body: its function is legislative;
  • state bodies of regional importance: their function is executive and control of the social sphere of the region;
  • social service institutions reporting to federal executive authorities;
  • social service institutions reporting to regional government agencies;
  • institutions providing social services on a non-state basis: both commercial and non-profit;
  • private entrepreneurs providing social services to the population.

Basic principles

All bodies and institutions related to social sphere, including the provision of stationary and semi-stationary social services, are guided in their work by certain principles.

Let's list the main ones:

1. Humane treatment of persons receiving inpatient care, including:

  • a ban on the use of any medicinal influence on them for the purpose of influencing behavior;
  • inadmissibility of the use of force or coercive isolation.

Identification of the listed actions on the part of institutional staff entails administrative and criminal liability.

2. Social services are provided to persons in need solely on a voluntary basis. If desired, a person receiving social services may refuse them at any time.

3. All details of a confidential nature, as well as the personal data of the person who applied for the provision of social services, which became known to specialists in the social sphere, are not subject to disclosure. Liability for violation of this principle is also provided for by law.

4. Any citizen in need of social services should have the opportunity to receive it. The entire range of established social services must be available to anyone who needs them.

5. Social protection authorities carry out systematic work aimed at creating and updating a database of people who, due to life circumstances, need social support. Lists of such people are also provided educational institutions, Department of Internal Affairs, medical institutions.

Payment for services

Social services are provided by organizations whose functions include stationary and semi-stationary social services to the population, both free of charge and on a paid basis. The amount of partial or full payment is established by executive authorities at the federal level of the Russian Federation. The list of services provided is compiled on the basis of the demand of those categories of the population to whom these services are provided. Services provided free of charge are financed from the regional budget.

The quality of social services, as well as their regularity, are determined by state standards.

The state is interested both in maintaining the usual quality of life and in increasing it for those categories of the population that are recognized as in need of social services.

Definition of social service

The concept of social service refers exclusively to the social sphere. This is an activity carried out constantly, periodically or once with the aim of improving the quality of life of the person seeking help.

There are three types social assistance, let's list them:

1. Stationary, i.e. on a permanent basis: provides for the accommodation of elderly citizens and disabled people in boarding homes, as well as accommodation together with the management educational process for children in boarding homes.

2. Semi-stationary, i.e. with limited duration of stay:

  • stay in day and night institutions - for the elderly and disabled;
  • for minors who have lost their parents or removed from dysfunctional families - accommodation in children's centers.

3. Home service: both on a regular basis and one-time.

Thus, semi-stationary social service institutions are considered to be those institutions in which stay for needy categories of the population is limited to a certain period established by law.

List of social services

Social services can be provided to certain categories of the population on a long-term and regular basis or on a one-time basis.

It should be noted that the provision of social services for a long period is provided mainly for stationary and semi-stationary forms of social services. A citizen, being in social institution, receives the following services on a regular basis:

  • Social and domestic, providing a standard level of everyday comfort.
  • Social and medical, providing medical checkup, carrying out therapeutic measures, including physical therapy, and, if necessary, carrying out medical procedures.
  • Socio-psychological, aimed at stabilizing the psychological state of the recipient of social services, his socialization. If necessary, anonymous psychological work via a helpline.
  • Social and pedagogical - provided both taking into account existing behavioral deviations among recipients of social services, and for preventive purposes, which requires a revision of the value system and, as a consequence, the formation of interests that contribute to development. Pedagogical assistance is also provided to parents in raising children.
  • Social and labor - are provided to a citizen who is experiencing difficulties with employment, as well as with the arrangement of life associated with the inclusion of a work schedule.
  • Socio-legal - provided in order to improve legal literacy for certain categories of the population who need to defend their rights and interests. The provision of legal advice may be free, but this does not apply to representing the interests of a citizen in court.
  • Services aimed at developing the communication skills of a person with a disability due to the loss of limbs, vision and other organs intended for full communication.

This also applies to disabled children.

Urgent services

Let's consider a situation where you, being a single or disabled pensioner or disabled person, are faced with a problem for which you need outside help. Your financial capabilities are not great, so pay necessary services at commercial prices you are not able to. In this case, information about urgent social assistance may be useful to you. It is provided by emergency social assistance departments at state budgetary institutions social services for the population. Such institutions exist in all regions of the Russian Federation.

So, how can they be useful to you?

Let's start with the fact that such institutions operate warehouses free clothes and shoes. These clothes are brought as charity by people who, for some reason, do not use them. Clothes, both winter and summer, are accepted only in good condition, clean and ironed. Sometimes entrepreneurs bring new clothes and shoes as charity. The warehouse also contains children's toys, children's furniture, strollers and walkers. However, these items do not stay in stock. Before the new academic year School supplies, uniforms and briefcases are received in large quantities for storage.

  1. You can receive the necessary clothing in the form of free urgent social assistance at the warehouse, pick up shoes and other items that you need from the above list.
  2. If for any reason you need temporary housing, then by contacting the social security department, you can get the opportunity to live in a semi-permanent social service institution.
  3. U you have legal difficulties, but you do not have the funds to pay for a lawyer. In the form of urgent social assistance, you may be provided with free legal advice.
  4. If a situation has occurred in your life related to high level stress, and you were unable to overcome it on your own, then you can seek psychological help from the emergency social services department. This assistance will be provided to you free of charge by a psychologist of the institution, and, if necessary, by a clergyman who interacts with this institution.
  5. If it is difficult for you to carry out minor cosmetic repairs on your own, then social workers from emergency social service departments will help you solve this problem. But these services will be paid. However, the prices for such work are quite affordable.
  6. If you are disabled and find it difficult to use services public transport, but there is a need to travel, for example, to a place of treatment, then in social service institutions there is an urgent transport service. It is also paid: you pay the cost of gasoline and the driver’s work.
  7. Nice appearance should be at any age. But if it is not possible to get to the nearest hairdresser, or its services are expensive, then you can make a request to call a hairdresser from an emergency social service department. This service is also paid, however, its price is an order of magnitude lower than the commercial one.

Note: To receive urgent services, you only need to fill out an application at the emergency social services department. The provision of semi-stationary social services, just like stationary ones, is associated with the procedure for obtaining the appropriate package of documents.

Who is eligible?

Not every citizen of the Russian Federation has the right to the existing range of social services, but only those who have been recognized by a special commission as needing the provision of social services. It is this citizen of the Russian Federation who will be considered a recipient of social services.

In each region of the country there is a Ministry of Labor and social development, and it is at its level that decisions are made about a citizen’s need for social services.

This occurs under the following circumstances:

  • a citizen cannot or is unable to properly continue to care for himself independently due to illness, age-related changes, injury or recognition as disabled;
  • a citizen cannot provide adequate permanent care for a disabled child or an adult recognized as disabled due to the fact that he is forced to work;
  • the family includes children or one child who need socialization; minors may also be wards;
  • family members do not have the opportunity to provide both permanent and temporary care for minors, disabled people, disabled children, including due to the lack of care for these family members;
  • the family includes antisocial persons with established alcohol, drug or gaming addictions, as well as those with mental disabilities or signs of domestic violence;
  • a citizen under 23 years of age was left without permanent residence upon leaving an institution for minors left without parents due to the death of the latter or due to the deprivation of parental rights;
  • the citizen is unemployed and deprived of a means of subsistence;
  • other circumstances provided for by regional legislation or federal laws.

Main document

So, if a citizen belongs to one of the categories listed above, he has the right to social services, both on a permanent and short-term basis. However, this does not mean that a social service institution can begin to provide social services to a citizen.

The registration procedure begins with a citizen’s application submitted to the territorial institution of social services for the population. After which, representatives of this institution go to the citizen’s place of residence to draw up an inspection report on material and living conditions, as well as an examination of his physical and mental conditions, which are also reflected in the corresponding act.

These documents are the starting point for the formation of an “Individual program for the provision of social services.” This package of documents will reflect the types of semi-stationary social services and other clauses of the contract.

It should be remembered that only certain categories of persons can apply for the provision of social services. We have listed them above.

Where does this happen?

Those who apply for the provision of social services on a regular basis should know what their receipt will actually entail.

Semi-stationary social services are provided by specialists and special employees of territorial integrated social service centers, which organize day and (or) night departments for those in need. These departments are supervised by social protection authorities.

You will, of course, remember that there is a specific time period during which you can be a “resident” of a semi-inpatient social care unit. There is no talk of lifelong residence there.

The provision of semi-stationary social services can be either free for you (for certain types of services) or paid. The amount of payment for social services is related to per capita financing established in each region of the Russian Federation. Per capita financing depends on the cost of living established in the region of your residence.

How will they help you?

As part of semi-stationary social services for senior citizens and disabled people, you can count on the following services:

  1. You will be provided with hot meals; bedding was offered, a bed was allocated in a room with sanitary and hygienic conditions that meet the standards for these institutions; you will have free access to printed products of various types, as well as board games appropriate for your age group.
  2. Social and medical services: you will be provided with both medical and psychological assistance within the limits of your needs; including you can count on sanitary and hygiene services, different kinds health and rehabilitation procedures.
  3. Semi-stationary social services for disabled people include, in particular, medical rehabilitation procedures in accordance with the “Individual Rehabilitation Program for a Disabled Person”. This assistance is difficult to overestimate, since not every citizen with a disability can afford daily rehabilitation activities at medical institutions, especially considering their remoteness.
  4. Within the framework of semi-stationary social services for the elderly and disabled, it is provided not only to increase your educational level, but also to receive new profession. You will be able to gain practical skills in your chosen profession, and with the help of psychological support it will be easier for you to gain confidence in new circumstances and in a new status for you.
  5. Recipients of social services, as a rule, need legal assistance. And legal advice is provided to them free of charge.

As you can see, the organization of semi-stationary social services provides all types of necessary assistance to both elderly citizens and people with disabilities to constructively change the quality of their lives. And the time frame provided for staying in this institution is quite enough for the effect of your stay to be maximum. The main thing is to understand why you are here.

Rights and obligations

So, in order for a citizen to become a recipient of social services for a certain period, an “Individual program for the provision of social services” is filled out, which sets out the procedure for providing semi-stationary social services.

You have read the list of services above. From them you can select those that are necessary, their quantity per week, clarify the conditions and terms of their provision. In this document you can see a list of all social service providers available in your area of ​​residence.

After the final review of this document, the person puts his signature, which will confirm agreement with the conditions specified in the Program.

However, you need to know that if you want to change the quantity or terms of provision of the social services you have chosen, you can always do this.

However, the social service provider does not have the right to change the procedure for semi-stationary social services and the types of services.

Home delivery

Branches of comprehensive social service centers can provide social services to citizens in need “with home delivery.”

Semi-stationary social services at home are provided to recipients of social services either for a certain period of time (up to six months) or indefinitely.

Peculiarities:

  1. This type of service can be chosen by those pensioners or disabled people who need outside help only in some areas, but in general they can cope with household chores quite well. Such recipients of social services may have certain difficulties with self-care, so they need the help of social workers and specialists in social work, choose a set general services(complex).
  2. Also, social and medical services can be provided at home, provided that there is a social and medical department as part of a comprehensive center for social services for the population. This is due to the fact that elderly and disabled people who need this type of service may have diseases that require a social worker with a medical education. These are diseases such as: mental disorders, but in remission; tuberculosis in closed form; oncology in the last stage.
  3. The legislation provides for circumstances and diseases in which the provision of social and medical services is impossible. A document confirming the presence of this disease is signed by a representative of the social protection department and the VKK of the medical institution.

As for other social services provided at home, they are listed above, in the chapter “How they can help you.” However, the presence or absence of staffing table a comprehensive center for social services of specialists competent in these areas.

Day (night) departments are a form of semi-stationary social service and play an important role in providing effective social support to older people. They are created on the basis of municipal social service centers or under social protection authorities.

Day care departments are designed for everyday, medical, cultural services for older people, organizing their recreation, attracting them to feasible work, and maintaining an active lifestyle.

Branches are created to serve at least 30 people. They enroll older people and disabled people who have retained the ability for self-care and active movement. The decision to enroll is made by the head of a social service institution on the basis of a personal written application from an elderly or disabled citizen and a certificate from a health care institution about his state of health.

The day care department provides the following types of services:

organization of catering, everyday life and leisure (providing hot meals, provision of books, magazines, newspapers);

social and medical services (assistance in obtaining medical and psychological assistance, provision of sanitary and hygienic services, organization of medical and recreational activities, assistance in obtaining vouchers for sanatorium and resort treatment);

assistance in organizing legal services;

assistance in organizing funeral services.

The emerging trend of reduction in the services of inpatient institutions is associated with an increase in the scale of provision of outpatient care to disabled people and the elderly living in ordinary home conditions by non-stationary social service institutions. The latter are represented by social assistance departments at home (including at boarding homes, territorial centers, social protection departments), territorial social service centers and territorial social assistance services (as a rule, on the basis of territorial centers and social assistance departments at home district (city) departments (departments) of social protection of the population).

Social assistance departments at home provide the minimum necessary range of services for the delivery of food, medicine, firewood (coal), payment of housing and communal services and other expenses.

Lately this organizational form is complemented by another, caused by the transition to market economy, when a significant part of the elderly and disabled people found themselves on the brink of poverty, having lost their means of livelihood, in an extreme life situation. This is an emergency social assistance service. The main types of services of the emergency social assistance service include: provision of food, medicine, clothing, temporary housing, provision of emergency psychological assistance, assistance in identifying disabled people in boarding homes and hospitals, provision of services of hairdressers, repairmen of electrical household appliances, active cooperation with government, public, religious organizations, charitable foundations, media, authorities government controlled and other institutions to take measures to resolve acute life situations.

The need for the functioning of emergency social assistance services is undeniable, since they develop and complement the services of social assistance departments at home and, most importantly, allow disabled people who are beyond poverty to maintain their existence.

Semi-stationary forms of social services include territorial centers, the advantage of which is the possibility of combining medical and social services for people with disabilities. Territorial social service centers also make it possible to organize meals and create conditions for communication between disabled and elderly people. The latter is an important factor for maintaining the moral tone of people living outside the family.

Initially, the creation of territorial centers was envisaged mainly together with inpatient departments, where conditions were created for temporary stay (5-10 days) of IWs in fairly comfortable conditions and preventive treatment (physiotherapy, phototherapy, massage, psychological relief). However, the creation of territorial centers with stationary services requires additional conditions and, accordingly, more significant costs, for which local social protection authorities do not always have the necessary financial resources.

Territorial social service centers have large reserves to meet the needs of people with disabilities. According to the management of the centers, more than 5% of those served are willing to pay for additional (beyond those provided free of charge) services. But only a few territorial centers and social assistance departments provide paid services at the request of disabled people, and the range of services as a whole is limited to a general set: cooking, washing dishes, delivering clothes to the laundry, washing clothes at home, providing bath services, cleaning the apartment, washing windows, buying groceries, medicines, manufactured goods, walking the dog, etc. .d.

The semi-stationary form of social services in Volgograd is represented by: the Day Care Center for Pensioners and Disabled People, the Center for Social Assistance for Families Raising Disabled Children in the Dzerzhinsky District and the City Center for Social Assistance in the Kirovsky District.

The day care center for pensioners and disabled people, designed for 30 places, is intended for social, medical, cultural services for pensioners and disabled people, organizing their meals, recreation, maintaining an active lifestyle, and attracting them to work. Elderly citizens are accepted for service at the Center: men over 60 years old, women over 55 years old, disabled people of groups I and II for a period of two weeks, who have retained the ability for self-care and active movement.

The Center for Social Assistance for Families Raising Disabled Children of the Dzerzhinsky District was created in 1995. The purpose of the Center is to promote the realization of the right of families and children to protection and assistance from the state, to promote the development and strengthening of the family as social institution, improving socio-economic living conditions, indicators of social health and well-being of families and children, humanizing the family’s connection with society and the state, establishing harmonious intra-family relationships: organizing communication and leisure for children: teaching self-service skills, everyday adaptation, providing advisory assistance.

The City Center for Social Assistance in the Kirovsky District was created in order to protect people who find themselves in extreme conditions without a specific place of residence and occupation, who are in a crisis situation and to implement rehabilitation measures.

In the issue of developing the principles of the relationship between paid and free services, it is necessary to take a targeted and individual approach. Satisfying a client's specific needs for a reasonable fee should be in addition to meeting his general needs free of charge. The rationale for this approach is confirmed by the experience of foreign social service systems, in particular Finland, where they strive to provide the client with services that promote (stimulate) his independence and serve as a prerequisite for a good moral and psychological state.

In order to further improve the system of social services and in accordance with the order of the Ministry of Social Protection of Russia dated July 20, 1993. social service centers are being created, which are institutions for social protection of the population that carry out organizational and practical activities in the territory of a city or district to provide various types of social assistance to elderly citizens, the disabled and other groups of the population in need of social support. The structure of the center provides for various social service units, including a day care department for the elderly and disabled, social assistance at home, emergency social assistance services and others.

To the main tasks of the social service center in joint activities with government and public organizations(health authorities, education, migration services, committees of the Red Cross Society, veterans' organizations, societies of the disabled, etc.) include:

  • - identification of the elderly, disabled and other persons in need of social support;
  • - definition specific types and forms of assistance to persons in need of social support;
  • - differentiated accounting of all persons in need of social support, depending on the types and forms required and the frequency of its provision;
  • - provision of social services of a one-time or permanent nature to persons in need of social support;
  • -analysis of the level of social services for the population of the city, region, development long-term plans development of this area of ​​social support for the population, introduction into practice of new types and forms of assistance depending on the nature of the needs of citizens and local conditions;
  • - involvement of various state and non-state structures in resolving issues of providing social assistance to needy segments of the population and coordinating their activities in this direction.
  • d) Inpatient social services are aimed at providing comprehensive social assistance to persons who, for health reasons, require constant care and supervision. State inpatient social service institutions include boarding homes for the elderly and disabled, the regulations of which were approved by order of the Ministry of Social Affairs of the RSFSR dated December 27, 1978. In accordance with this order, a “boarding home” is a medical and social institution intended for permanent residence elderly and disabled people in need of care, household and medical services. In the boarding home, for the implementation of therapeutic-labor and activating therapy, medical-industrial (labor) workshops are created, and in the boarding home located in rural areas, in addition - a subsidiary farm with the necessary tools, equipment and transport.

Other institutions of this type also include a psychoneurological boarding school, defined as a medical and social institution intended for permanent residence of elderly and disabled people suffering from chronic mental illnesses and in need of care, household and medical services.

Residential institutions for the elderly accept citizens of retirement age who do not have able-bodied children who are required by law to support them. On a first-priority basis, disabled people and WWII participants, family members of deceased servicemen, as well as deceased disabled people and war participants are admitted to boarding homes.

One of the indispensable conditions for admission is voluntariness, therefore paperwork is processed only if there is a written application from the citizen. An application for admission to a boarding home with a medical card is submitted to a higher social security organization, which issues a voucher to the boarding home. If a person is incapacitated, then his placement in a stationary institution is carried out on the basis of a written application from his legal representative. The law provides for the right of citizens in inpatient institutions social services, refuse services, but on condition that they have relatives who can support them and provide the necessary care.

Persons staying in general boarding houses who systematically and grossly violate the rules internal regulations in them, may be, by a court decision made on the basis of a proposal from the administration, transferred to special boarding houses. They are created mainly for elderly and disabled people with previous convictions, vagrancy, sent from institutions of internal affairs bodies and other persons for whom administrative supervision is established in the manner established by Government Decree Russian Federation dated April 15, 1995 “On the development of a network of specialized boarding homes for the elderly and disabled.”

The functioning of boarding homes as one of the main forms of social services for the elderly is associated with a number of serious problems. Among them: the degree to which needs are met in boarding homes, the quality of service in them, the creation accompanying conditions for living, etc. On the one hand, in a number of territories of the Russian Federation there remains a queue of elderly citizens wishing to enter inpatient social service institutions; on the other hand, elderly people are increasingly showing a desire to live in a place familiar to them home environment. The stationary form of social services is presented in Volgograd by the Traktorozavodsky Center for Social Services for Pensioners and Disabled People. The department with a hospital is intended for medical, cultural, consumer services, attraction to feasible work, and maintaining an active lifestyle.

Currently, inpatient facilities are mainly admitted to people who have completely lost the ability to move and require constant care, as well as those who do not have housing. An alternative to boarding homes in the near future may be special residential buildings for the elderly ( approximate position on a special home for single elderly people, approved by the Ministry of Social Protection of the Population on April 7, 1994), which, despite some shortcomings, still have a number of important advantages.

Today, a significant part of social service centers are multidisciplinary institutions that are able to provide elderly and disabled people with a variety of types and forms of services, including social and medical, social and shopping. The priority direction is the development of models of non-stationary social services (social service centers, social assistance departments at home), which make it possible to maximize the stay of older people in their usual habitat and maintain their personal and social status.

Thus, the main technologies currently are government technologies social protection of older people - pensions, social services, social assistance. However, the priority direction of social work with older people is the organization of the living environment of aging people, carried out in such a way that an elderly person always has the opportunity to choose ways to interact with this environment, because older people are not the object of activity of various social services, but a decision-making subject. Freedom of choice creates a feeling of security, confidence in tomorrow. This implies the need for alternative technologies for social work with older people. Among which we can highlight charitable assistance, club work, self-help and mutual aid groups.

The main tasks of a specialist in working with older people:

identification and registration of lonely elderly and disabled citizens in need of home care;

establishing and maintaining connections with the workforce where war and labor veterans and disabled people worked;

establishing contacts with committees of the Red Cross Society, Councils of War and Labor Veterans, public organizations, and foundations.

elderly social services provision

2.1 Stationary and semi-stationary social services

Inpatient social services are provided in inpatient institutions (boarding homes for the elderly and disabled, boarding homes for the disabled, psychoneurological boarding schools, etc.)

Elderly citizens and disabled people who have partially or completely lost the ability to self-care and who, for health reasons, require constant outside care and supervision are sent to these institutions. In addition, a network of specialized institutions for disabled children has been created.

IN last years Homes for the elderly have become widespread, the maintenance of which is paid for at the expense of the elderly themselves or the enterprises where they worked.

The boarding homes accept citizens of retirement age (women over 55 years old, men over 60 years old), as well as disabled people of groups I and II over 18 years old, provided that they do not have able-bodied children or parents obligated by law to support them.

Only disabled people of groups I and II aged 18 to 40 who do not have able-bodied children and parents obligated by law to support them are accepted into boarding homes for the disabled.

The psychoneurological boarding house accepts persons suffering from chronic mental illnesses who need care, consumer services and medical care, regardless of whether they have relatives legally obligated to support them or not.

Inpatient facilities provide not only care and necessary health care, but also rehabilitation measures of a medical, social and medical-labor nature.

Elderly citizens and disabled people living in inpatient social service institutions are provided with:

1. materially domestic services(providing living space, organizing rehabilitation activities, medical and labor activities, cultural and community services);

2. catering, everyday life, and leisure services (hot meals, including dietary, provision of clothing, shoes, bedding, creation of conditions for religious ceremonies, etc.);

3. socio-medical and sanitary-hygienic services (free medical care, provision of care, assistance in conducting medical and social examinations, rehabilitation activities, assistance in hospitalization, assistance in prosthetics, ensuring sanitary and hygienic conditions in the premises);

4. organization of education for disabled people, taking into account their physical capabilities and mental abilities;

5. services related to social and labor rehabilitation (creating conditions for the use of residual labor opportunities);

6. legal services;

7. assistance in organizing funeral services.

Citizens living in inpatient social service institutions also have the right to be exempt from punishment. Any punishment of elderly citizens and people with disabilities or the creation of amenities for the staff of these institutions, the use of medicines, means of physical restraint, as well as isolation of elderly and disabled citizens. The law provides for disciplinary administrative or criminal liability for persons guilty of violating this norm.

An application for admission to a boarding home, along with a medical card, is submitted to a higher-level social security organization, which issues a voucher to the boarding home. If a person is incapacitated, then his placement in a stationary institution is carried out on the basis of a written application from his legal representative.

If necessary, with the permission of the director of the boarding home, a pensioner or disabled person may temporarily leave the social service institution for a period of up to one month. A permit for temporary departure is issued taking into account a doctor’s opinion, as well as a written commitment from relatives or other persons to provide care for an elderly or disabled person.

The law provides for the right of citizens staying in inpatient social service institutions to refuse the services of these institutions, but provided that they have relatives who can support them and provide the necessary care.

Persons staying in boarding homes for the elderly and general disabled who systematically and grossly violate internal regulations may be transferred to special boarding homes (special departments) by a court decision made on the basis of a proposal from the administration of these institutions. They are created mainly for the elderly and disabled, previously convicted or repeatedly brought to administrative responsibility for violating public order, engaged in vagrancy and begging, sent from institutions of internal affairs bodies. In addition, citizens in need of constant care, particularly dangerous repeat offenders released from prison, and other persons subject to administrative supervision are also sent to them.

For persons without a fixed place of residence among the elderly and disabled, specialized institutions(social shelters, social hotels, social adaptation centers, etc.), which provide a temporary place of stay (including medical care, food, overnight accommodation) and carry out activities for the social adaptation of persons who have lost socially useful connections (primarily persons released from places of deprivation of liberty) to living conditions in society.

Social service institutions provide assistance not only to elderly citizens and the disabled, but also to orphans, and are also actively working to solve the problems of child neglect, the prevention of crime among teenagers, “social orphans,” and social assistance to persons without a fixed place of residence.

The children's boarding home accepts children from 4 to 18 years old with mental or physical development abnormalities. At the same time, it is not allowed to place disabled children with physical disabilities in inpatient institutions intended for the residence of children with mental disorders.

One of the types of social services for disabled people and the elderly are semi-inpatient facilities created in municipal social service centers or under social protection authorities.

In the day (night) departments, social, medical and cultural services are provided to elderly citizens and the disabled.

Semi-stationary social services are provided for elderly and disabled people who have retained the ability for self-care and active movement and do not have medical contraindications to enrollment in such social services, as well as children who find themselves in difficult life situations.

The following types of services are provided in these institutions:

1 organization of catering, everyday life and leisure (providing hot meals, providing bedding, providing books, magazines, newspapers);

2 social and medical services (assistance in obtaining medical and psychological assistance, provision of sanitary and hygienic services, organization of medical and recreational activities, assistance in conducting rehabilitation programs for the disabled, assistance in obtaining vouchers for sanatorium treatment, assistance in prosthetics, etc.) d.);

3 assistance in obtaining education and vocational training;

4 assistance in employment;

5 assistance in organizing legal services;

6 assistance in organizing funeral services.

For persons without a fixed place of residence and occupation, the system of social protection bodies is created special institutions semi-permanent type - overnight stay homes, social shelters, social hotels, social adaptation centers. These institutions provide:

2 coupons for one-time (once a day) free food;

3 first aid;

4 personal hygiene items, sanitary treatment;

6 assistance in providing prosthetics;

7 registration in a boarding house;

8 assistance in registration and recalculation of pensions;

9 assistance in employment, in the preparation of identity documents;

10 assistance in obtaining a medical insurance policy;

11 provision of various assistance (consultations on legal matters, household services, etc.).

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Introduction

Chapter 1. Social services for the disabled and elderly

1.1 Basic provisions of social services for the disabled and elderly

1.2 Rights of disabled people and elderly people in the field of social services

Chapter 2. Characteristics individual species social services

2.1 Inpatient social services for the disabled and elderly

2.2 Semi-stationary social services for the disabled and elderly

Conclusion

Bibliography

INconducting

The relevance of my work is due, first of all, to the fact that modern world The proportion of elderly and disabled people in the population is gradually increasing; similar trends are characteristic of our country. Their income is well below average and their health and social care needs are much higher.

Disability and old age are not only a problem for the individual, but also for the state and society as a whole. This category of citizens urgently needs not only social protection, but also an understanding of their problems on the part of the people around them, which will be expressed not in elementary pity, but in human sympathy and equal treatment of them as fellow citizens.

Every year, more and more is devoted to the development of social services for the elderly and disabled in our country. higher value, it is seen as a much-needed addition to cash payments, greatly increasing the efficiency of the entire state system social security.

The state, providing social protection for disabled people and elderly citizens, is called upon to create for them the necessary conditions For individual development, realization of creative and productive capabilities and abilities by taking into account their needs. Today, this circle of people belongs to the most socially vulnerable categories of the population. disabled person social services sympathy

The possibility of meeting the needs of an elderly person and a disabled person becomes real when he is endowed with the legal right to demand from the relevant competent authority the provision of a particular benefit, and this body is legally obliged to provide such a benefit.

The purpose of the study is to consider the forms and methods of organizing social services for the disabled and elderly, to achieve which the following tasks are set:

1. clarify the concept of social services for people with disabilities and the elderly;

2. consider disabled people and elderly citizens as subjects of social services;

3. study such forms of social services as stationary and semi-stationary social services.

The object of the study is legal norms aimed at social services for disabled people and the elderly.

The subject of the research is social services for the disabled and the elderly.

Research method - study and research of special scientific literature, legal acts.

Chapter 1. Social services for the disabled and elderly

1.1 Basic provisions of social services for the disabled and elderly

An integral element of the state social security system in the Russian Federation is social services for the elderly and disabled, which includes various types of social services aimed at meeting the special needs of this category of people. The state is currently making great effort for creating integrated system social services for the population, allocation of financial resources for its development.

Social services are the activities of social services for social support, provision of social, social, medical, psychological, pedagogical, socio-legal services and material assistance, social adaptation and rehabilitation of citizens in difficult life situations.

For the first time in domestic legislation, the concept of such a socially significant circumstance as a difficult life situation has been formulated.

A difficult life situation is a situation that objectively disrupts the life of a citizen, which he cannot overcome on his own. The reasons for its occurrence can be a variety of circumstances: disability, old age, illness, orphanhood, abuse in the family, unemployment, lack of a specific place of residence, etc.

The following have the right to social services: citizens of the Russian Federation; foreigners and stateless persons, unless otherwise established by international treaties of the Russian Federation. Depending on the social status of those in need, as well as at their request, the form of services can take the following forms: free, partial or full payment.

Social services are provided free of charge to: single elderly citizens (single married couples) and disabled people receiving a pension, including allowances, in an amount below the subsistence level established for of this region; elderly citizens and disabled people who have relatives who, for objective reasons, cannot provide them with help and care, provided that the amount of pension received by these citizens, including allowances, is lower than the minimum subsistence level established for the given region; elderly citizens and disabled people living in families whose average per capita income is below the subsistence level established for a given region.

Social services on a partial payment basis are provided to: single elderly citizens (single married couples) and disabled people receiving a pension, including allowances, in the amount of 100 to 150 percent of the minimum subsistence level established for a given region; elderly citizens and disabled people who have relatives who, for objective reasons, cannot provide them with help and care, provided that the amount of pension received by these citizens, including allowances, is from 100 to 150 percent of the minimum subsistence level established for this region; elderly citizens and disabled people living in families whose average per capita income is from 100 to 150 percent of the subsistence level established for a given region.

On the basis of full payment, social services are provided to elderly citizens and disabled people living in families whose average per capita income exceeds the subsistence level established for a given region by 150 percent.

Activities in the field of social services for elderly citizens and people with disabilities are based on the principles:

1) Targeting. Providing personalized information to a specific person. Work to identify and create a data bank of such persons is carried out by local social protection authorities at the place of residence of the disabled and elderly.

2) Availability. The opportunity is provided for free and partially paid social services that are included in the federal and territorial lists of state-guaranteed social services. Their quality, volume, order and conditions of provision must comply state standards established by the Government of the Russian Federation. Reducing their volume at the territorial level is not allowed.

3) Voluntariness. Social services are provided on the basis of a voluntary appeal from a citizen, his guardian, trustee, other legal representative, body state power, organ local government or public association. At any time, a citizen can refuse to receive social services.

4) Humanity. Citizens living in inpatient institutions have the right to freedom from punishment. The use of drugs, physical restraints, or isolation for the purpose of punishment or to create convenience for personnel is not permitted. Persons who commit these violations bear disciplinary, administrative or criminal liability.

5) Confidentiality. Personal information that becomes known to employees of a social service institution during the provision of social services constitutes a professional secret. Employees guilty of disclosing it bear liability established by law.

6) Preventive focus. One of the main goals of social services is the prevention of negative consequences that arise in connection with a citizen’s life situation (impoverishment, exacerbation of diseases, homelessness, loneliness, and so on)

Lists of social services are determined taking into account the subjects for whom they are intended. Federal list of state-guaranteed social services for elderly citizens and disabled people provided by state and municipal institutions social services, approved by Decree of the Government of the Russian Federation dated November 25, 1995 No. 1151. On its basis, territorial lists are developed. Financing of services included in the lists is carried out from the corresponding budgets.

Control over the provision of social services is carried out by social protection authorities, health authorities, and educational authorities within the limits of their competence.

Public control is exercised by public associations that, in accordance with the constituent documents, deal with issues of protecting the interests of elderly citizens, disabled people, and people with mental disorders. One of such associations is the Independent Psychiatric Association of Russia

Supervision of compliance with the law in this area is carried out by the prosecutor's office, whose assistance should be the most prompt.

Actions or inactions government agencies, institutions, organizations and officials that resulted in violations of citizens' rights can be appealed to the court.

1.2 Rights of disabled people and elderly people in the field of social services

When receiving social services, elderly and disabled citizens have the right to:

Respectful and humane attitude on the part of employees of social service institutions;

Selecting an institution and form of social services in the manner established by the social protection authorities of the constituent entities of the Russian Federation;

Information about your rights, obligations, conditions for the provision of social services, types and forms of social services, indications for receiving social services, conditions for their payment;

Voluntary consent to social services (in relation to incapacitated citizens, consent is given by their guardians, and in their temporary absence - by the guardianship and trusteeship authorities);

Refusal of social services;

Confidentiality of personal information that becomes known to an employee of a social service institution during the provision of social services (such information constitutes a professional secret of these employees);

Protection of your rights and legitimate interests, including in court.

The list of state-guaranteed social services is approved by the executive authorities of the constituent entities of the Russian Federation, taking into account the needs of the population living on the territory of the corresponding constituent entity of the Russian Federation.

Information about social services is provided social workers directly to elderly citizens and disabled people, and in relation to persons under 14 years of age and persons declared incompetent - to their legal representatives. Citizens sent to stationary or semi-stationary social service institutions, as well as their legal representatives, must be previously familiarized with the conditions of residence or stay in these institutions and the types of services provided by them.

In case of refusal of social services, citizens, as well as their legal representatives, are explained the possible consequences of their decision. Refusal of social services, which may lead to a deterioration in the health of citizens or a threat to their lives, is formalized by a written statement from citizens or their legal representatives confirming receipt of information about the consequences of such refusal.

Chapter 2.Characteristics of individualtypes of social services

2.1 Inpatient social services for disabled people andelderly

Inpatient social services for disabled and elderly people held in social protection institutions have the following features: Inpatient social services are provided in boarding homes for the elderly and disabled, boarding homes for the disabled, psychoneurological boarding schools, etc.; Citizens of retirement age (women over 55 years old, men over 60 years old), as well as disabled people of groups I and II over 18 years old, are accepted into boarding homes, provided that they do not have able-bodied children or parents obligated to support them;

Only disabled people of groups I and II aged 18 to 40 who do not have able-bodied children and parents obligated by law to support them are accepted into boarding homes for the disabled;

The children's boarding home accepts children from 4 to 18 years old with mental or physical development abnormalities. At the same time, it is not allowed to place disabled children with physical disabilities in inpatient institutions intended for the residence of children with mental disorders;

The psychoneurological boarding house accepts persons suffering from chronic mental illnesses who need care, household services and medical assistance, regardless of whether they have relatives who are legally obligated to support them or not;

Persons who systematically violate internal regulations, as well as persons from among especially dangerous criminals, as well as those involved in vagrancy and begging, are sent to special boarding houses;

Inpatient institutions provide not only care and necessary medical assistance, but also rehabilitation measures of a medical, social, domestic and medical-labor nature; An application for admission to a boarding home, along with a medical card, is submitted to a higher-level social security organization, which issues a voucher to the boarding home. If a person is incapacitated, then his placement in a stationary institution is carried out on the basis of a written application from his legal representative; If necessary, with the permission of the director of the boarding home, a pensioner or disabled person may temporarily leave the social service institution for a period of up to 1 month. A permit for temporary departure is issued taking into account a doctor’s opinion, as well as a written commitment from relatives or other persons to provide care for an elderly or disabled person.

2.2 Semi-stationary social servicesdisabled and elderly

One of the types of social services for disabled people and the elderly are semi-inpatient facilities created in municipal social service centers or under social protection authorities.

In the day (night) departments, social, medical and cultural services are provided to elderly citizens and the disabled.

Semi-stationary social services are provided for elderly and disabled people who have retained the ability for self-care and active movement and do not have medical contraindications to enrollment in such social services, as well as children who find themselves in difficult life situations.

The following types of services are provided in these institutions:

1) organization of catering, everyday life and leisure (providing hot meals, providing bedding, providing books, magazines, newspapers);

2) social and medical services (assistance in obtaining medical and psychological assistance, provision of sanitary and hygienic services, organization of therapeutic and recreational activities, assistance in conducting rehabilitation programs for the disabled, assistance in obtaining vouchers for sanatorium treatment, assistance in prosthetics, etc. .d.);

3) assistance in obtaining education and professional training;

4) assistance in employment;

5) assistance in organizing legal services;

6) assistance in organizing funeral services.

For persons without a fixed place of residence and occupation, special semi-stationary institutions are created in the system of social protection bodies - night houses, social shelters, social hotels, social adaptation centers (Resolution of the Government of the Russian Federation of June 8, 1996 No. 670). These institutions provide:

* coupons for one-time (once a day) free food;

* first aid;

* personal hygiene items, sanitary treatment;

* referral for treatment;

* assistance in providing prosthetics;

* registration in a boarding house;

* assistance in registration and recalculation of pensions;

* assistance in employment, in the preparation of identity documents;

* assistance in obtaining a medical insurance policy;

* provision of comprehensive assistance (consultations on legal issues, household services, etc.).

Zconclusion

From all of the above, we can conclude that the most important task of the state at the present stage is to create effective system social services as a set of services various categories population in the social risk zone.

Social services are designed to help clients solve their problems. social problems to restore or strengthen their ability for self-sufficiency and self-service, to create the necessary conditions for the viability of persons with disabilities.

The main goal of forming this system is to increase the level of social guarantees, provide targeted assistance and support to disabled citizens, primarily at the territorial level and taking into account new social guarantees.

For more efficient work social service bodies need to develop the regulatory framework for the organization and functioning of social service institutions; development of scientific and methodological foundations for the activities of a network of social service institutions; state support for the development of the material and technical base of social service institutions; development project documentation for the construction of new types of institutions, the development of interregional and international cooperation and Information Support activities of social service institutions.

Bibliographiclist

Regulations

1. Universal Declaration of Human Rights (adopted at the third session of the UN General Assembly by resolution 217 A (III) of December 10, 1948) // Library of the Russian newspaper. - 1999. - No. 22-23. (current edition).

2. Constitution of the Russian Federation. (adopted by popular vote on December 12, 1993) // Russian newspaper. - 1993.

3. Federal Law of December 28, 2013 N 442-FZ “On the fundamentals of social services for citizens in the Russian Federation” // Consultant Plus (current edition).

4. Governor's resolution Vladimir region N 920 “On the introduction in the Vladimir region of hospital-replacing technology “Adoptive family for elderly citizens and the disabled”” dated August 16, 2012 // Consultant Plus (current edition).

5. Resolution of the Governor of the Vladimir Region No. 435 “On approval administrative regulations provided by the Department of Social Protection of the Population of the Administration of the Vladimir Region public services in the direction of inpatient social services for elderly and disabled citizens" dated May 10, 2011 // Consultant Plus (current edition).

Literature

6. Agapov E. P. Research methods in social work/ Tutorial. -M.: Dashkov and Co., 2013, 224 p.

7. Buyanova M. O. Social security law in Russia: Textbook / M. O. Buyanova et al.; edited by K. N. Gusova. - 4th ed., revised. and additional - M.: Prospekt, 2012.-512 p.

8. Galaganov V.P. Social security law / Textbook. - M.: Knorus, 2014. - 512.

9. K.N. Gusova Social Security Law of Russia.-M.: Prospekt, 2010.-329 p.

10. Karpunina N.A. Legal facts in social security law. Diss. Ph.D. legal Sci. M. 2010

11. Minaeva L.N., Belikova T.N. Pension: calculation and registration procedure / Practical guide. - St. Petersburg: Peter, 2011 - 224 p.

12. Mironova T.K. Social Security Law. Tutorial. M.: KNORUS, 2013.-312 p.

13. Mironova T.K. Social Security Law/Tutorial. - M.: Knorus, 2013 (19.5 pp.)

14. Simonov A.N. Pension provision for older citizens in the conditions of social modernization of Russia. Diss. Ph.D. sociol. Sciences: 22.00.04, Volgograd, 2009. - 162 p.

15. Snezhko, O. A. Protection of social rights of citizens: theory and practice: monograph / O. A. Snezhko. -M. : Infra-M, 2013. -274 s

16. Sokolova V.F., Beretskaya E.A. Theory and practice of rehabilitation of elderly citizens / Textbook. - M.: Flinta, 2012. - 195 p.

17. Tuchkova E.G. Akatnova M.I., Erofeeva O.V./International and Russian standards pension provision: comparative analysis / ed. E.G. Tuchkova, Yu.V. Vasilyeva - M.: Prospekt, 2013. (27.5 pp).

18. Encyclopedia social practices/ Ed. E.I. Kholostovoy, G.I. Klimantova. - M.: ITK "Dashkov and K°", 2011.

Internet resources

19. Electronic journal"The ABC of Law" [ Electronic resource],-http://azbuka.consultant.ru/.

20. Department of Social Protection of the Population of the Vladimir Region [Electronic resource], - http://www.social33.ru/.

21. Administration of the Vladimir Region (official Internet portal) [Electronic resource], - http://www.avo.ru/.

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