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Disability is one of the hidden problems of society. We often do not know about the scale, and in fact in Yakutia there are 58,102 disabled people, including 628 3 children.

It turns out that at least every twentieth resident is faced with disabilities. But, fortunately, the ALROSA Joint-Stock Company and the Government of the Republic understand this, and are actively engaged in work with the disabled. The building of the republican rehabilitation center for children and adolescents with developmental disabilities was opened a year ago, on March 12 in Yakutsk.

The facility is fully built with funds from the Trust Fund for Future Generations of the RS (Y) through donations from AK ALROSA. The total amount of funds allocated for the construction of this building amounted to 1 billion 6 million rubles. Today, the center is equipped with the most modern rehabilitation equipment. It is a place where parents treat children with sensory, mental disorders, abnormalities of the musculoskeletal system.

Zinaida Maksimova

Director of the Center Zinaida Maksimova told us in detail about the center:

December 16, 2017 we have received the first children - 45 people. Then, in the course of adding staff units, we have already received 55 children. We finished the year according to the state assignment and received 80 children.

Since November, we have begun the rehabilitation of children under compulsory health insurance. But under compulsory medical insurance, rehabilitation is only medical. This is massage, exercise therapy, physiotherapy, which includes hydrotherapy (taking a bath and a swimming pool).

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The center today is very well equipped; all modern rehabilitation equipment is there for the time being. I say “for the time being”, because technology develops very quickly and, probably, in 3-4 years the equipment will be a bit outdated. Hopefully, there will be an opportunity to supplement. Now this year we have 120 children under the state assignment and about 20-30 people are under Compulsory Health Insurance. For the year, we must take on 500 children. Local pediatricians send people to us under Compulsory Medical Insurance. According to the state assignment people come under the quota of the social protection department of each district / ulus. Each shift with new children lasts 21 days. This is not much, but during this time we can teach a parent to communicate with a child, understand the problem and differently handle of a child than a normally developing child.

That is, you take children with their parents?

- Yes, with parents. The first to be supported, to be consulted, who are facing a problem are parents. On the other hand, in addition to working with parents, we deal with socially-oriented rehabilitation. It means that it is necessary to adapt to what is going on in the child's body. In general, disability should not be perceived as a disease. This is a state of physical, mental state of a person. This human being will be like this, and this cannot be not cured. You have to live with it and adapt to your condition and the surrounding society. If a person does not hear, hair cells are affected there, which will never recover. If there are no arms or legs, then ... but, thank God, children usually do not have this, just the limbs do not work well. It is still possible to somehow bring in a more or less good condition. These will be some kind of artificial limbs, a stand aid, a walker.

Inclusive education, when all children study together, is very relevant and useful. If you are engaged with the child and the family makes the necessary efforts, the child will be able to learn. These are our core goals and objectives.

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What diseases do you take children with?

- Health departments are dealing with diseases. Diseases are treated. Children with disabilities come to us. The disease reaches the point that limits the ability to adapt to life in society.

Of course, at the beginning a very good diagnosis is carried out, here we have everything for that. We can carry out functional diagnostics, that is, an electroencephalogram, We have a very good diagnosis of vision, hearing - all specialized equipment for this is available. We can diagnose hearing from the state of the outer ear to the brain stem.

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If a child has a violation in the musculoskeletal system, then we have standing frames and special simulators and massage and physiotherapy. And we will try to have the child walk on his own feet. But, if this does not work, then we need to use aids. For example, if a child does not hear, then teach him to listen through hearing aids. When the child is connected to the hearing aid, he does not distinguish between community noise, sounds. Teaching a child to dismember these sounds, teaching a child to talk is a lot of work and it takes some time. This needs to be done around the clock, and this can only be done by parents. If we complement each other with parents, there will always be success.

How to get to your rehabilitation center?

- If a child has a disability, then the family receives a quota through the social welfare department, and they come to us. Unfortunately, only for 21 days, but sometimes parents arrange two shifts at once. This is permitted mainly if the child has a speech disorder.

Under the compulsory medical insurance disability is not required, but if a child has developmental disorder, then you can get to us by the conclusion of your local pediatrician.

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What are the directions for working with children in the center?

-We have physiotherapy, about 50 different devices. From inhalations to magnetic stimulation. There is a hydropathic, 11 baths, 5 massage therapists. Sports and gyms with equipment. There are soft modules and a gym for the little ones. We have 5 Montessori therapy rooms. There is a sensory room, there is a social integration room, there is a separate room for social integration, there is “Owl-nanny”, musical stimulation, phonetic rhythm system. We have individual development lessons for each child on a daily basis. After all, a person must turn face towards the community. How can a person live then? A person develops only in society.

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What do parents say after rehab?

-Now we form a group of 12 people and the first days are usually nervous, because it is an unfamiliar space for both parents and children. We are still few - only 90 people. 50 teachers, 20 medical workers, social work specialists, and educators work directly with children and parents.

Parents, like all people, are different. Here we have already finished the first comments book, we have already opened the second. In the beginning, of course, they are suspicious, then praise. I don’t want to boast much about it, but we have such a phenomenon. They come here and thank.

Now we have parents who come for the second time. We meet already familiar people and see what changes have occurred with the children, how much the child has developed, got stronger and what we should do next with them.

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No analogues in the Far East

Recall that in December 2014, thanks to ALROSA, construction was started in an ecologically clean area 11 kilometers from Yakutsk. The funds were spent on design and estimate documentation, construction, technical connection, equipment.

Today, the specialists of the rehabilitation center are sure that there is no equivalent to the institution in the Far East. And it is not by chance that the ALROSA Group considers its creation as one of its main social projects. For the children's center was purchased modern equipment. The staff is highly qualified. In addition to medical offices there are sports and game rooms, a swimming pool, classrooms, rooms for children's games and entertainment, a cafe, a dining room with home cooking and even a small stable - horses are needed for hippotherapy sessions.

Dmitry MIKHAILOV

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