Capabilities Approach Application in the Development of Regional Rehabilitation Systems in Russia

In Russia, the rehabilitation system for people with disabilities (PwD) is developing rapidly, as resources allocated by the federal and regional authorities are increasing. The policy aims to integrate PwD into society through providing equal access to assistive technologies. To create a well-balanced regional rehabilitation system, the development measures include both indicators of actual life improvements (satisfaction of PwD with assistive technologies, comprehensive rehabilitation, facilitating access, etc.) and resources (staffing, costs, legislation, cross-sectoral cooperation, etc.). Panel data from 85 regions were collected (2018–2020). The analysis demonstrates that most systems need to be improved by applying the capabilities approach for cost-effectiveness

Capabilities Approach Application in the Development of Regional Rehabilitation Systems in Russia

In Russia, the rehabilitation system for people with disabilities (PwD) is developing rapidly, as resources allocated by the federal and regional authorities are increasing. The policy aims to integrate PwD into society through providing equal access to assistive technologies. To create a well-balanced regional rehabilitation system, the development measures include both indicators of actual life improvements (satisfaction of PwD with assistive technologies, comprehensive rehabilitation, facilitating access, etc.) and resources (staffing, costs, legislation, cross-sectoral cooperation, etc.). Panel data from 85 regions were collected (2018–2020). The analysis demonstrates that most systems need to be improved by applying the capabilities approach for cost-effectiveness

Implementation of the International Classification of Functioning, Disability, and Health (ICF) Core Sets for Children and Youth with Cerebral Palsy: Global Initiatives Promoting Optimal Functioning

Background: The International Classification of Functioning, Disability, and Health (ICF) Core Sets for children and youth with cerebral palsy (CP) offer service providers and stakeholders a specific framework to explore functioning and disability for assessment, treatment, evaluation, and policy purposes in a global context. Objective: Describe global initiatives applying the ICF Core Sets for children and youth with CP, with a focus on contributions to clinical practice and challenges in their implementation. Methods: This is a descriptive cross-sectional study. Ongoing initiatives applying the ICF Core Sets for CP in Russia, Poland, Malawi, and Brazil are included. Results: The main contributions of applying the ICF Core Sets for children and youth with CP include: (1) an objective description of abilities and limitations in everyday activities; (2) a consistent identification of facilitators and barriers influencing functioning; (3) a practical communication tool promoting client-centered care and multidisciplinary teamwork; and, (4) a useful guideline for measurement selection. The main challenges of adopting the ICF Core Sets are related to lack of ICF knowledge requiring intense training and translating results from standardized measures into the ICF qualifiers in a consistent way. Conclusions: Global initiatives include research and clinical applications at the program, service and system levels. The ICF Core Sets for CP are useful tools to guide service provision and build profiles of functioning and disability. Global interprofessional collaboration, capacity training, and informatics (e-records) will maximize their applications and accelerate adoption

20 Years of ICF-International Classification of Functioning, Disability and Health: Uses and Applications around the World.

The International Classification of Functioning Disability and Health (ICF) was approved in 2001 and, since then, several studies reported the increased interest about its use in different sectors. A recent overview that summarizes its applications is lacking. This study aims to provide an updated overview about 20 years of ICF application through an international online questionnaire, developed by the byline authors, and sent to each World Health Organization Collaborating Centers of the Family of International Classifications (WHO-FIC CCs). Data was collected during October 2020 and December 2021 and descriptive content analyses were used to report main results. Results show how, in most of the respondent countries represented by WHO-FIC CCs, ICF was mainly used in clinical practice, policy development and social policy, and in education areas. Despite its applications in different sectors, ICF use is not mandatory in most countries but, where used, it provides a biopsychosocial framework for policy development in health, functioning and disability. The study provides information about the needs related to ICF applications, that can be useful to organize targeted intervention plans. Furthermore, this survey methodology can be re-proposed periodically to monitor the use of the ICF in the future