Issue №20-4, 2021

Early Intervention in the Structure of Children’s Rehabilitation (on the Example of the Republic of Tatarstan)

¹ Darya L. Nefedeva, ¹ Rezeda A. Bodrova, ¹ Elena G. Ignashina, ² Ayrat I. Ziatdinov, ² Svetlana A. Senek

¹ Kazan State Medical Academy – Branch Campus of the Russian Medical Academy of Continuing Professional Education, Kazan, Russian Federation
² Children’s Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, Kazan, Russian Federation

ABSTRACT

The early intervention system is currently considered as an independent activity which has a clear conceptual model. The generalmechanisms of the early intervention system facilitate the child’s social adaptation and its integration into the educational environment. This creates the conditions for the child development and the formation of the child’s skills necessary in daily life situations. At the same time, it remains unclear how the routing of a child in need of rehabilitation is carried out, taking into account the need toreceive early intervention services for the target group of patients.

AIM. To determine the place of early intervention in the structure of the rehabilitation service of the Republic of Tatarstan.

RESULTS AND DISCUSSION. The early intervention system contains functional, personality-oriented and environmental approaches,which are implemented using the domains of activity and participation of the International Classification of Functioning, Disabilitiesand Health. The use of this classification implies the need for joint work of the number of specialists who make up a multidisciplinaryteam, forms a unified methodology for constructing rehabilitation plans and early assistance programs, and offers a conceptual basisfor analyzing the effectiveness of their implementation. In addition, the application of the International Classification of Functioning,Disabilities and Health makes it possible to determine the role of early intervention when planning a child’s rehabilitation route. The articlepresents a model of routing a child in need of rehabilitation measures, implemented in the Republic of Tatarstan, which providesfor early identification of children with indications and their referral accordingly to these indications to early intervention, medical orsocial rehabilitation.

CONCLUSION. Identifying children of the target group in need of the early intervention and their timely referral to organizations that areproviders of relevant services is one of the stages in solving urgent problems of rehabilitation. Currently, the departments of early interventionsystem are opened on the basis of medical, social and educational organizations in the Republic of Tatarstan, and includedin the rehabilitation structure playing an important integrating role in the formation of interagency cooperation.

KEYWORDS: international classification of functioning, disability and health for children and adolescents, early intervention, rehabilitation

Acknowledgments: The study had no sponsorship

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article

For citation: Nefedeva D.L., Bodrova R.A., Ignashina E.G., Ziatdinov A.I., Senek S.A. Early Intervention in the Structure of Children’s Rehabilitation (on the Example of the Republic of Tatarstan). Bulletin of Rehabilitation Medicine. 2021; 20 (4): 99-105. https://doi.org/10.38025/2078-1962-2021-20-4-99-105

For correspondence: Darya L. Nefedeva, e-mail: DLNefedeva@mail.ru

References:

1. Starobina E.M., Vladimirova O.N., Ishutina I.S., Lorer V.V., Shoshmin A.V., Ermolaeva E.E., Samarina L.V., Kaz’min A.M., Muhamedrahimov R.Zh. Orga-nizacija predostavlenija uslug rannej pomoshhi detjam i ih sem’jam. Metodicheskoe posobie [Organization of the provision of early assistance services to children and their families. Methodical guide]. SPb. OOO «CIACAN». 2019: 72 p. (In Russ.).
2. Greene M., Patra K. Part C early intervention utilization in preterm infants: opportunity for referral from a NICU follow-up clinic. Research in Developmental Disabilities. 2016; (53): 287-295. https://doi.org/10.1016/j.ridd.2016.02.016
3. Ermolaeva E.E., Kaz’min A.M., Muhamedrahimov R.Zh., Samarina L.V. O rannej pomoshhi detjam i ih sem’jam [About early intervention to children and their families]. Autism and Developmental Disorders. 2017; 15(2): 4-18 (In Russ.).
4. Lekskulchai R., Cole J. Effect of a developmental program on motor performance in infants born preterm. Australian Journal of Physiotherapy. 2001; 47(3): 169-176. https://doi.org/10.1016/s0004-9514(14)60264-6
5. Hsieh W.S. Long-term follow-up of very low birth weight infants in Taiwan. Pediatrics and Neonatology. 2014; (55): 79-80. https://doi.org/10.1016/j.pedneo.2013.11.001
6. Mas C., Gerardin P., Chirpaz E., Carbonnier M., Mussard C., Samperiz S., Ramful D. Follow-up at two years of age and early predictors of non-compliance in a cohort of very preterm infants. Early Human Development. 2017; (108): 1-7. https://doi.org/10.1016/j.earlhumdev.2017.03.001
7. Spittle A., Orton J., Anderson P., Boyd R. Early developmental programmes post-hospital discharge to prevent motor and cognitive impairments in preterm infants. Corchrane Database System Review. 2015; 24(11): 43 p. https://doi.org/10.1002/14651858.CD005495.pub2
8. Novak I., Morgan C. High-risk follow-up: Early intervention and rehabilitation. Neonatal Neurology. 2019: 483-510. https://doi.org/10.1016/b978-0-444-64029-1.00023-0
9. Auhadeev Je.I., Bodrova R.A. Novyj metodologicheskij podhod k reabilitacii pacientov na osnove mezhdunarodnoj klassifikacii funkcionirovanija [A new methodological approach to patient rehabilitation based on the international classification of functioning]. Bulletin of Rehabilitation Medicine. 2014; (1): 6-10 (In Russ.).
10. Mel’nikova E.V., Bujlova T.V., Bodrova R.A., Shmonin A.A., Mal’ceva M.N., Ivanova G.E. Ispol’zovanie mezhdunarodnoj klassifikacii funkcionirovanija (MKF) v ambulatornoj i stacionarnoj medicinskoj reabilitacii: instrukcija dlja specialistov [The use of the international classification of functioning (ICF) in outpatient and inpatient medical rehabilitation: instructions for specialists]. Bulletin of Rehabilitation Medicine. 2017; 6(82): 7-20 (In Russ.).
11. Samarina L.V. Postroenie programm rannego vmeshatel’stva na osnove mezhdunarodnoj klassifikacii funkcionirovanija, ogranichenij zhiznedejatel’nosti i zdorov’ja. Social’noe obsluzhivanie semej i detej: nauchno- metodicheskij sbornik. [Constructing early intervention programs based on the international classification of functioning, disability and health. Social Services for Families and Children: A Scientific and Methodological Collection]. SPb. SPbGBU «Gorodskoj informacionno-metodicheskij centr «Sem’ja». 2015; (6): 49-60 (In Russ.).
12. Shejko G.E., Belova A.N., kuznecov A.N., Israelyan Yu.A., Dmitrochenkov A.V., Gorshunov E.D. Primenenie Mezhdunarodnoj klassifikacii funkcionirovani-ya, ogranicheniya zhiznedeyatel’nosti i zdorov’ya detej i podrostkov v ocenke reabilitacionnyh meropriyatij u pacientov s detskim cerebral’nym parali-chom [Application of the International Classification of Functioning, Disability and Health of Children and Adolescents in the Assessment of Rehabilitation Measures in Patients with Cerebral Palsy]. Bulletin of Rehabilitation Medicine. 2020; 5(99): 38-45. https://doi.org/10.38025/2078-1962-2020-99-5-38-45 (In Russ.).
13. Ivanova G.E., Mel’nikova E.V., Shamalov N.A., Bodrova R.A., Shmonin A.A., Suvorov A.Ju., Nyrkov G.V., Tulupov D.O. Ispol’zovanie MKF i ocenochnyh shkal v medicinskoj reabilitacii [Use of ICF and grading scales in medical rehabilitation]. Bulletin of Rehabilitation Medicine. 2018; 3(85):14-20 (In Russ.).
14. Chernjahovskij O.B., Kochubej V.V. Celesoobraznost’ izuchenija Mezhdunarodnoj classifikacii funkcionirovanija, ogranichenij zhiznedejatel’nosti i zdorov’ja (MKF) nevrologami v sisteme nepreryvnogo medicinskogo obrazovanija [Feasibility of studying the International Classification of Functioning, Disability and Health (ICF) by neurologists in a continuing medical education system]. Bulletin of Rehabilitation Medicine. 2019; (5): 21-23 (In Russ.).
15. Shmonin A.A., Mal’ceva M.N., Mel’nikova E.V., Ivanova G.E. Bazovye principy medicinskoj reabilitacii, reabilitacionnyj diagnoz v kategorijah MKF i reabili-tacionnyj plan [Basic principles of medical rehabilitation, rehabilitation diagnosis in the ICF categories and rehabilitation plan]. Bulletin of Rehabilitation Medicine. 2017; 2(78): 16-22 (In Russ.).
16. Kochubej A.V., CHernyahovskij O.B., Salamadina G.E., Kochubej V.V., Burcev A.K., Ivanova G.E. Medicinskaya reabilitaciya cherez prizmu zakonodatel’no utverzhdyonnyh opredelenij [Medical rehabilitation through the prism of legally approved definitions]. Bulletin of Rehabilitation Medicine. 2020; 5(99): 19-25. https://doi.org/10.38025/2078-1962-2020-99-5-19-25 (In Russ.).
17. Ivanova G.E., Stahovskaja L.V., Rep’ev A.P. Pravovye osnovy okazanija pomoshhi po medicinskoj reabilitacii [Legal framework for medical rehabilitation assistance]. Bulletin of Rehabilitation Medicine. 2014; (1): 2-5 (In Russ.).
18. Ivanova G.E., Mel’nikova E.V., Belkin A.A., Beljaev A.F., Bodrova R.A., Bujlova T.V., Mal’ceva M.N., Mishina I.E., Prokopenko S.V., Sarana A.M., Stahovskaja L.V., Hasanova D.R., Cykunov M.B., Shamalov N.A., Suvorov A.Ju., Shmonin A.A. Kak organizovat’ medicinskuju reabilitaciju? [How to organize medical rehabilitation?]. Bulletin of Rehabilitation Medicine. 2018; 2(84): 2-12 (In Russ.).
19. Pogonchikov I.V., Han M.A. Voprosy organizacii medicinskoj reabilitacii i sanatorno-kurortnogo lechenija detej v gorode Moskve [Issues of organizing medical rehabilitation and spa treatment of children in the city of Moscow]. Bulletin of Rehabilitation Medicine. 2016; (6): 60-63 (In Russ.).

©

Эта статья открытого доступа по лицензии CC BY 4.0. Издательство: ФГБУ «НМИЦ РК» Минздрава России.
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.