Question: Where can people go to receive social services at home who, for health reasons and due to their age, cannot fully take care of themselves at home?
Answer: Today, in every district of the region and the city of Astrakhan there are comprehensive social service centers, the structure of which includes departments of social services at home. For getting social assistance at home, citizens can contact their district comprehensive center social services for the population, residents of remote villages - to specialists in social work at rural administrations. Information about the comprehensive social service center can also be obtained from the authorities social protection population at the place of residence.
Question: Who has the right to receive social services at home?
Answer: Issues of social services at home for elderly citizens and disabled people are regulated by the procedure approved by the Government Resolution Astrakhan region dated December 8, 2006 No. 415-P. According to this document, social services at home are provided to elderly citizens and disabled people who have partially lost the ability to self-care due to old age or illness.
Question: For what reasons can social services at home be denied?
Answer: It is possible to refuse admission to social services. The basis for refusal may be bacterial or viral carriage, the presence of chronic alcoholism, infectious diseases, active forms of tuberculosis, severe mental disorders, venereal and other diseases requiring treatment in specialized healthcare institutions. Therefore, when enrolling in social services, citizens submit, among other documents, a certificate from the clinic confirming the absence of medical contraindications.
Question: What documents do I need to submit to apply for social services at home?
Answer: To apply for social services at home, you must submit to the comprehensive social service center:
- written statement,
- copy of passport,
- a certificate from a medical institution about the state of health and the absence of medical contraindications,
- certificate from place of residence about family composition,
- certificate of pension amount.
Question: Are in-home services always provided free of charge?
Answer: Social services included in the territorial list of state-guaranteed social services can be provided free of charge, on the terms of partial or full payment, depending on the size of the citizen’s pension. Additional social services not included in the specified list are provided on the terms of full payment in accordance with the approved tariffs. When a citizen is enrolled in social services, he will be familiarized with both the list and all the conditions for the provision of social services.
Question: What kind of home care can be provided? Social worker?
Answer: Each person served is assigned a social worker who directly provides assistance to an elderly person or disabled person, visiting him, according to regulatory documents, at least 2 times a week.
The most often in demand are social services such as purchasing food and essential goods, paying for housing and communal services, purchasing prescription drugs at a pharmacy, assistance in writing letters and applications, cleaning homes, and in rural areas - assistance in the garden and others. .
Question: For how long are social services provided at home?
Answer: Social service may be provided at home temporarily for up to 6 months, or permanently.
On October 25, 2010, speaking at a meeting of the Presidium of the State Council on social policy regarding older citizens, Dmitry Medvedev, who held the post of president at that time, took the initiative to prepare a new law on social services. “One of the tasks of today’s Presidium of the State Council is to summarize and disseminate what is called the best regional practices. Moreover, it [ new law. – Red.] may concern not only older people, but also the entire population of our country,” the politician said then.
And such a law was adopted, and on January 1, 2015 it came into force (Federal Law of December 28, 2013 No. 442-FZ "" (hereinafter referred to as the new law). Moreover, most of the acts previously regulating social services for citizens , lost force. In particular, the Federal Law of December 10, 1995 No. 195-FZ " " (hereinafter referred to as the old law) and the Federal Law of August 2, 1995 No. 122-FZ " ".
Let's consider what changes citizens need to keep in mind in connection with the entry into force of the new law.
The concept of “recipient of social services” was introduced
From January 1, the term “client” disappeared from the legislation social service" (), instead of which the concept of "recipient of social services" () was introduced. A citizen can be recognized as a recipient of social services if he is in need of social services and is provided with social services.
A citizen is recognized as in need of social services if at least one of the following circumstances exists:
- complete or partial loss of self-care ability, independent movement, ensuring the basic needs of life due to illness, injury, age or disability;
- the presence in the family of a disabled person or disabled people who need constant outside care;
- the presence of a child or children experiencing difficulties in social adaptation;
- impossibility of providing care for a disabled person, child, children, as well as lack of care for them;
- domestic violence or intra-family conflict, including with persons with drug or alcohol addiction, gambling addiction, persons or those suffering mental disorders;
- lack of a specific place of residence;
- lack of work and livelihood;
- the presence of other circumstances that are recognized at the regional level as worsening or capable of worsening the living conditions of citizens ().
Now information about recipients of social services is entered into a special register. Its formation is carried out by the subjects of the federation on the basis of data provided by social service providers ().
Until January 1, 2015, social services were provided to citizens in difficult life situations - the new law does not contain such a term, which makes the list of grounds for receiving assistance more unambiguous. The old law understood difficult life situation a situation that objectively disrupts the life of a citizen, which he cannot overcome on his own. This usually meant disability, inability to self-care due to old age, illness, orphanhood, neglect, poverty, unemployment, lack of a specific place of residence, conflicts and abuse in the family, loneliness, etc. ().
OPINION
"In order for the new law to work, each region must adopt 27 regulatory documents. We monitored the readiness of the regions to adopt the new law. By mid-December 2014, only 20 regions had adopted all the necessary regulatory framework, 20 regions accepted less than half, the rest - about half. Every day we try to do everything possible to speed up the adoption of the necessary documents by the regions."
Social service provider identified
The list of types of social services has been expanded
The new law has changed the approach to the content of the list of social services provided. Until December 31, 2014, citizens could receive material and advisory assistance, temporary shelter, social services at home and in inpatient institutions, and also had the right to daytime stay in social service institutions and rehabilitation services ().
After the new law comes into force, citizens can count on the provision of the following types of social services:
- social and domestic;
- socio-medical;
- socio-psychological;
- socio-pedagogical;
- social and labor;
- social and legal;
- services to increase the communicative potential of recipients of social services with disabilities;
- urgent social services ().
Urgent social services include the provision of free hot meals or food sets, clothing, shoes and other essential items, assistance in obtaining temporary housing, legal and emergency assistance. psychological assistance, as well as other urgent social services (). A citizen can count on receiving such services within the time frame determined by his need. At the same time, from January 1 of this year, citizens lost the opportunity to receive financial assistance in the form of Money, fuel, special Vehicle, as well as rehabilitation services that they may have received previously ().
The procedure for calculating fees for receiving social services has been established
As before, social services can be provided free of charge or for a fee ().
- minors;
- persons affected by emergency situations, armed international (interethnic) conflicts;
- persons with an income equal to or lower than the average per capita income established by the region for the provision of social services free of charge (when receiving social services at home and in a semi-stationary form). Moreover, the amount of such income cannot be lower than one and a half times the regional subsistence minimum.
In addition, in the subjects of the federation there may be other categories of citizens to whom social services are provided free of charge ().
As we see, unemployed citizens are excluded from the number of persons entitled to free social services (if such a category of citizens is not provided for by the law of the subject of the federation).
Previously, in order to receive free social services for single citizens, the sick, pensioners and disabled people, they needed to have an average per capita income below the regional subsistence level ().
Let's look at an example. The cost of living in the Moscow region for the third quarter of 2014 for pensioners was 6,804 rubles. (Decree of the Government of the Moscow Region dated December 10, 2014 No. 1060/48 ""). This means that before January 1, for example, a single pensioner from the Moscow region with an income of less than 6,804 rubles could apply for a free social service. per month. After the new law comes into force, the amount of income that allows you to qualify for free social services cannot be lower than one and a half times the regional subsistence level. Now, to receive a free social service, all other things being equal, the monthly income of a single pensioner must be 10,206 rubles. or less (1.5 x 6804 rubles) (Law of the Moscow Region dated December 4, 2014 No. 162/2014-OZ "").
For those who are not eligible to receive free social services, there is a fee for their provision. Its amount for services at home and in semi-stationary form is now calculated on the basis of tariffs for social services, but cannot exceed 50% of the difference between the average per capita income of the recipient of social services and the maximum per capita income established by the region. The monthly fee for the provision of social services in a stationary form is calculated on the basis of tariffs for social services, but cannot exceed 75% of the average per capita income of the recipient of social services ().
EXAMPLE
According to the new law, we will calculate the maximum tariff for social services in a semi-stationary form for a single pensioner from the Moscow region with a monthly income of 12 thousand rubles. Payment for social services at home and in semi-stationary form is calculated on the basis of tariffs for social services, but cannot exceed 50% of the difference between the average per capita income of the recipient of social services and the maximum per capita income. The average per capita income of a pensioner is 12 thousand rubles. (only the size of his pension is taken into account, since there are no other family members with income), the maximum per capita income for a single pensioner from the Moscow region is 10,206 rubles.
Therefore, the maximum tariff for social services should be calculated using the following formula:
(RUB 12,000 - RUB 10,206) x 50% = RUB 897
Thus, from January 1, 2015, the tariff for social services provided to a pensioner at home and in a semi-stationary form cannot exceed 897 rubles. This value will change if the pensioner requires hospital treatment. The monthly fee for the provision of social services in a stationary form is calculated on the basis of tariffs for social services, but cannot exceed 75% of the average per capita income of the recipient of social services.
The formula for calculating the tariff will be as follows:
12,000 rub. x 75% = 9000 rub.
Thus, the tariff for treatment in a hospital cannot be more than 9,000 rubles. per month.
Previously, the amount of fees for social services and the procedure for their provision were regulated by government bodies of the constituent entities of the federation and directly by social services ().
The procedure for receiving social services has been changed
From the beginning of this year, in order to receive social services, a citizen must submit an application. Previously, social services were provided on the basis of an appeal - including an oral one - from a citizen, his guardian, trustee, other legal representative, government authority, local government, public association(). An application for social services can be written by the citizen himself, his representative or another person (body) in his interests (). You can also submit an application by sending an electronic document, which was not provided for in the previous law.
An individual program for the provision of social services is drawn up with each recipient of social services. It specifies the form of social services, types, volume, frequency, conditions, terms of provision of social services, a list of recommended providers of social services, as well as social support measures. This program is mandatory for the social service provider and recommended for the citizen himself. In other words, the recipient of assistance can refuse some service, but the provider is obliged to provide it at the request of the recipient.
The program is drawn up within no more than 10 working days from the date of submission of the application for social services, and is revised at least once every three years (). Urgent social services are provided without drawing up an individual program (). Previously, the preparation of such programs was not provided for.
After drawing up an individual program and selecting a social services provider, the citizen must enter into an agreement with the provider on the provision of social services (). The contract must contain certain provisions individual program, as well as the cost of social services if they are provided for a fee.
OPINION
Galina Karelova, Deputy Chairman of the Federation Council:
“The new law will increase the number of citizens who can qualify for free social services. In addition, the quality, volume and efficiency of their provision will change. Previously, social services were provided based on a group approach. However, all citizens have different needs, income, living conditions. From January 1, 2015, contracts are concluded with consumers of social services social programs, which take into account all individual characteristics every consumer."
Social service organization identified
It is interesting that the new law spells out things that are obvious to everyone at first glance: providers of social services do not have the right to limit the rights of recipients of social services; use insults, rude treatment; place disabled children who do not suffer from mental disorders in stationary organizations, intended for disabled children suffering from mental disorders, and vice versa ().
However, it was still worth emphasizing such prohibitions. For example, numerous cases in Russia of placement of healthy children in organizations for disabled children suffering from mental disorders were noted in a report by the international human rights organization Human Rights Watch in 2014.
The approach to financing social services is fundamentally new. According to the old law, social services were provided to citizens at the expense of the budgets of the constituent entities of the federation (). In this regard, depending on the region, the volumes of social assistance provided varied greatly. From January 1, 2015, social services are financed from the federal budget, charitable contributions and donations, citizens’ own funds (when providing social services for a fee), income from business and other income-generating activities carried out by social service organizations, as well as others not prohibited by law sources(). It is expected that this innovation will help equalize the volume of social services provided in different regions.
But there is also a fly in the ointment in the new rules. Thus, the new law does not establish any requirements for staffing social services. Let us remind you that previously only specialists with professional qualifications could be social service workers. professional education, corresponding to the requirements and nature of the work performed, experience in the field of social services, and, due to their personal qualities, inclined to provide social services ().
Today, in addition to monthly pension payments, the legislation provides additional help in the form of a set of social services. This includes the provision of medicines, a voucher to a sanatorium and free travel on some types of transport.
Who is provided with state social assistance?
There is no exact definition of what social services are, but the concept implies support individuals who have the right or have issued a monthly cash payment(EDV). In accordance with the law on state social assistance, categories of citizens who are provided with benefits through the state are defined:
- disabled citizens who have been assigned a disability regardless of group;
- combat veterans;
- citizens awarded the badge “Resident of besieged Leningrad”;
- disabled children;
- participants of the Great Patriotic War;
- persons who have become disabled as a result of combat operations;
- minor prisoners from the Second World War;
- family members of deceased or deceased WWII participants, deceased disabled people and combat veterans.
What is included in the NSO
Social services for pensioners and disabled people, included in the NSO, can be provided to the beneficiary in kind or in cash - the right to choose remains with the beneficiary. This means that the citizen independently determines whether to take advantage of the benefit or receive compensation in the amount established by law:
How to apply
The process of obtaining state support consists of several successive stages and is the same for all regions, be it Moscow or another locality:
- Contact your local office Pension Fund or the Multifunctional Center in person or through a legal representative. It is possible to submit an application through Personal Area on the PFR Internet portal.
- Write an application for the provision of EDV. Since NSO is automatically assigned to recipients of monthly payments, there is no need to fill out a separate application. The exception is persons who have been exposed to radioactive radiation.
- Receive a certificate giving the right to receive NSO, which indicates the category of the beneficiary, the period for assigning the EDV and the list of services.
List of required documents
To provide a monthly payment, which is the basis for the assignment of social services, it is necessary to provide certain documents:
- completed application;
- passport or other equivalent document;
- documentary evidence of the right to receive EDV (certificate of disability, certificate, etc.).
After assigning an EDV, in order to receive social services at the railway ticket office, when purchasing a ticket or when purchasing a voucher, you will need to provide:
- a certificate issued by the Pension Fund of Russia, which confirms that the applicant has the right to receive NSO;
- passport;
- a document evidencing the right to receive EDV.
When contacting pharmacies, you will additionally need a prescription, which is prescribed by your attending physician.
Social assistance at home for elderly and disabled people
In addition to the fact that the legislation provides for a set of social services for pensioners and disabled people, as well as other vulnerable categories of citizens, the state provides them with additional support. It is for people who cannot take care of themselves. Social security workers provide assistance in the form of:
- inpatient care in boarding homes for the elderly, veterans, and disabled people;
- semi-permanent service in night or day stay;
- social services at home;
- provision of rehabilitation services;
- urgent social services.
Taking into account the characteristics of each applicant, the following types of social services are provided:
- medical;
- pedagogical;
- legal;
- household;
- legal;
- labor
Social services
Social workers provide assistance to pensioners and disabled people in the following areas:
- purchase (at the expense of the beneficiary) and delivery of food, periodicals, books, and essential goods;
- cleaning of residential premises;
- cooking food;
- providing assistance in paying utility bills and other bills;
- assistance in carrying out repairs;
- assistance in organizing housing maintenance services;
- delivery drinking water and heating boilers and stoves, if the housing of a disabled person or pensioner is not equipped with central water supply and heating;
- handing over clothes and items to dry cleaning for repairs (payment is made by the beneficiary);
- subscribing to periodicals, etc.
Medical services
Social service workers have the right to provide and medical care, which is:
- carrying out medical procedures(injections, dressings, etc.);
- provision of sanitary and hygienic services;
- monitoring health status (measurement of pressure, temperature);
- providing first aid;
- purchase and delivery of medications and medicines;
- providing assistance when visiting medical institutions, hospitalization;
- visiting a pensioner or disabled person undergoing treatment in a hospital;
- providing comprehensive support when registering for spa treatment.
Psychological and legal assistance
Social services for the elderly and disabled assist in the provision of legal and psychological assistance. Among the main services are:
- assistance in obtaining education;
- assistance in employment;
- assistance in organizing assistance from lawyers and notaries;
- assistance in writing letters and statements;
- assistance in obtaining benefits and social support.
Who is eligible for a social worker?
Assistance from social service workers is provided on an application basis. The following may apply for it:
- citizens who have reached the generally established retirement age;
- disabled people of all categories;
- WWII participants.
Social services for pensioners and the disabled are provided by social service workers free of charge to all those whose monthly income does not reach one and a half times the subsistence level established in the region of residence of the beneficiary. All other categories of applicants are charged a fee, the amount of which is regulated by law.
Procedure and conditions for concluding an agreement
To provide social services to pensioners and disabled people, you will need to conclude an agreement. The parties to the agreement are the beneficiary himself and the social protection authority. The Agreement begins to be valid from the date of signing until the end of the calendar year. Re-enter into an agreement for next period there is no need - it is automatically extended, but only if neither party has declared its termination.
The document must include:
- a list of services provided, which is approved by a specially created commission after studying all aspects of the life and activities of an individual;
- frequency of visits to the applicant, determined taking into account the citizen’s need and assistance provided by relatives or other people.
What documents are needed
Care for pensioners at home, as well as assistance to the disabled, is carried out by social service workers after concluding an agreement. To sign the agreement, you must submit an application to the territorial social protection authority and provide the following documents:
- passport or birth certificate;
- pensioner's ID;
- a document confirming your place of residence at the declared address;
- certificate with conclusion medical and social examination;
- certificate of income of all citizens living together;
- rehabilitation program.
If the applicant cannot conclude an agreement on his own, his legal representative can do this for him upon presentation of a document certifying his authority.
Video
Elderly and disabled people, left without the help of relatives, often cannot cope with ordinary household chores due to their age and poor health. Therefore, they are provided with social and medical services at home - by the state budgetary institutions, municipalities, organizations and entrepreneurs. From this article you will learn what social services for the elderly and disabled at home are, who can count on such help, and how to receive the service.
Social services for the elderly and disabled at home: types of social services
Citizens who meet the legal requirements for recipients of social services at home can count on the following types of assistance:
- accompaniment to places of recreation, sanatoriums, medical institutions, state and municipal institutions;
- assistance in paying utility bills;
- assistance in organizing everyday life, arranging housing, carrying out cosmetic repairs, washing things, cleaning the house;
- water delivery, heating of the stove (if the beneficiary lives in a private house without central water supply and heating);
- cooking, organizing everyday life and leisure, going to the grocery store and pharmacy.
If a person cannot take care of himself independently, a social worker must help. The following services can also be provided depending on the citizen’s health status:
- joint visits to clinics;
- psychological support, assistance in spa treatment, hospitalization and inpatient care;
- assistance in conducting social and medical rehabilitation, in passing the ITU;
- assistance in obtaining medical services;
- carrying out medical procedures and manipulations, hygiene procedures;
- assistance in paperwork;
- legal and legal services;
- assistance in obtaining secondary and higher education(people with disabilities).
Who has the right to social services for the elderly and disabled at home
The following categories of persons have the right to invite a social worker to your home:
- Citizens of retirement age (women over 55 years old and men over 60 years old).
- People with disabilities (disabled people of all three groups).
- People who are temporarily disabled and do not have assistants.
- Citizens who find themselves in a difficult situation due to alcohol or drug addiction of a family member.
- Some other categories of persons, for example, orphans without a place of residence.
Social services at home can be provided free of charge, on a partial payment basis or for payment in full.
| Payment for social services | Recipient categories |
| For free | Disabled people of the Great Patriotic War, war veterans, spouses and widows of combatants, former prisoners of concentration camps, former residents besieged Leningrad, Heroes of the USSR and the Russian Federation, Heroes of socialist labor. Disabled people and pensioners not related to special categories citizens ( federal beneficiaries), but having an income below 1.5 times the regional subsistence minimum. |
| Partial payment | Citizens who are not disabled or pensioners, but need the help of a social worker and have an income below 1.5 times the regional minimum wage (the size of the discount depends on social status). |
| Full price | In all other cases. |
How to register for social services for the elderly and disabled at home, in what cases the service may be refused
Important! To apply for social services at home, you must contact the regional office of social protection authorities.
Before an application for assistance is approved, social service employees must check the documents in order to assess the degree of need of the citizen to receive help from a social worker (since there are many people who want it, but there are usually not enough resources), and check the living conditions of the person applying. The law provides following cases when an applicant may be denied social services:
- If there are contraindications to social assistance. This refers to the presence of factors that could jeopardize the life and health of a social worker:
- presence of severe mental disorders,
- drug addiction,
- alcohol addiction,
- taking psychotropic drugs,
- presence of quarantine diseases,
- the presence of severe infectious pathologies;
- Availability open form tuberculosis;
- the presence of any diseases requiring specialized treatment.
- The applicant's application to the State Police in a drunken or inappropriate state.
- High employment of the organization, lack of free social workers.
- The applicant is a person of no fixed abode.
When applying to social security authorities, you will need the following documents:
- conclusion of a medical and social examination on assignment of a disabled group;
- certificate from medical institution about the absence of diseases for which it is impossible to receive social assistance;
- pensioner's ID;
- certificate of family composition;
- certificate of income.
Expert opinion on the issue of social services for the elderly and disabled at home
Participants took part in last year’s seminar-meeting on issues of social services for elderly and disabled citizens, which was held at the Ministry of Social Development and Labor of the Kamchatka Territory Minister social development and Labor I. Koirovich, Deputy Minister E. Merkulov, Head of the Social Services Department N. Burmistrova, heads of social protection bodies and heads of social services organizations for disabled and elderly citizens.
Economic, organizational, legal basis social services, rights and obligations of recipients and service providers, powers of authorities established by Federal Law No. 442-FZ of December 28, 2013. The main attention was paid to the following issues:
- Citizens with an income below 1.5 monthly wages in the region have the right to receive free social assistance at home (previously, the pension had to be below 1 monthly wage);
- a detailed approach to the approval of a set of social services taking into account the needs of the citizen was introduced;
- citizens have the right to choose their own supplier social services;
- Now not only pensioners and disabled people can apply for social services at home, but also citizens who are temporarily disabled, faced with intra-family conflicts (related to drug addiction, alcoholism in relatives), who need help caring for a disabled child and have no place residence (if you are an orphan).
