Nevoile Persoanelor Cu Handicap

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y y y y y Introduction Assessments Service statements and delivery of services Complaints and appeals How to apply Introduction The Disability Act 2005 provides for, among other things, the assessment of need of people with disabilities and the consequent drawing up of service statements. The assessment of need is carried out or arranged by assessment officers who are independent officers of the Health Service Executive (HSE). After the assessment, a service statement is drawn up by a liaison
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  y   Introduction  y   Assessme nt s   y   S e rvic e   s tat eme nt s and d el iv e ry of  se rvic es   y   C o mpl aint s and a  ppe a ls   y   H ow to a  ppl y  Introduction Th e  Di s abi l ity A ct 2005   p rovid es for, a m ong oth e r thing s , th e a ssessme nt of n ee d of   pe o  ple withdi s abi l iti es and th e con seq u e nt drawing u  p of  se rvic e   s tat eme nt s.  Th e a ssessme nt of n ee d i s carri e d out or arrang e d by a ssessme nt offic e r  s who ar  e ind epe nd e ntoffic e r  s of th e   H e a l th S e rvic e Ex e cutiv e ( HS E) .   A ft e r th e a ssessme nt, a se rvic e   s tat eme nt i s  drawn u  p by a l iai s on offic e r who i s a ls o an ind epe nd e nt HS E officia l. Th e r  e i s an ind epe nd e ntco mpl aint s and a  ppe a ls   m achin e ry for   pe o  ple who ar  e di ss ati s fi e d with th e a ssessme nt, th e   se rvic e   s tat eme nt or with th e   s ub seq u e nt  p rovi s ion of  se rvic es.   A t  p r  ese nt on l y chi l dr  e n und e r th e ag e of fiv e ar  e   e ntit le d to an a ssessme nt . It i s int e nd e d thatoth e r ag e grou  ps wi ll b e gradua ll y b e inc l ud e d s o that e v e ryon e with a di s abi l ity wi ll b e cov e r  e d by 2011 .  Th e   H e a l th Infor  m ation and Qua l ity A uthority ( H IQ A )hav e ado  p t e d s tandard s for th e  a ssessme nt of n ee d .   H e r  e w e d es crib e how th e a ssessme nt of n ee d  p rovi s ion s ar  e b e ing i mpleme nt e d . Th e ru les wi ll  a  ppl y to a ll a ssessme nt s a l though at  p r  ese nt th e y a  ppl y on l y to chi l dr  e n und e r fiv e.   All    p art s of th e    p roc ess , inc l uding a  ppl ication s , r  epl i es and corr  esp ond e nc e b e tw ee n th e   HS E andth e   Nationa l   C ounci l for  S  pe cia l Education (N CS E), m u s t b e in writing; thi s   me an s that th e  docu me nt s ar  e acc ess ib le und e r fr  ee do m of infor  m ation or data  p rot e ction le gi sl ation . It a ls o me an s that infor  m ation on th e n ee d s of   pe o  ple with di s abi l iti es and th e   se rvic es b e ing  p rovid e dto th em wi ll b e   m or  e r  e adi l y avai l ab le. Th e   HS E i s ob l ig e d to k  eep r  e cord s of a ssessme nt s and se rvic es. Each y e ar, th e   HS E m u s t co mp i le a r  ep ort on th e tota l n ee d s id e ntifi e d in th e  a ssessme nt r  ep ort s and th e id e a l ti mes ca le within which tho se n ee d s   s hou l d b e   me t .   Assessments Who is entitled to an assessment You ar  e   e ntit le d to an a ssessme nt of n ee d if you con s id e r that you hav e a di s abi l ity . You hav e adi s abi l ity if th e r  e i s a s ub s tantia l r  es triction in your ca  p acity to carry on a  p rof  ess ion, bu s in ess or occu  p ation or to  p artici  p at e in s ocia l or cu l tura l   l if  e b e cau se of an e nduring  p hy s ica l , se n s ory, me nta l h e a l th or int elle ctua l i mp air  me nt .  Th e di s abi l ity le gi sl ation s tat es that a s ub s tantia l r  es triction'' me an s that you hav e a r  es trictionwhich i s    pe r  m an e nt or  l ik  el y to b e    pe r  m an e nt, r  es u l t s in a s ignificant difficu l ty in  co mm unication, le arning or  m obi l ity or in s ignificant l y di s ord e r  e d cognitiv e    p roc esses , and me an s that you hav e a n ee d for  se rvic es to b e    p rovid e d continua ll y or, in th e ca se of a chi l d, youhav e th e n ee d for  se rvic es to b e    p rovid e d e ar  l y in l if  e to a mel iorat e th e di s abi l ity .   H ow e v e r, th e   HS E i s   e ncouraging  pe o  ple to a  ppl y if th e y ar  e   of the opinion that th e y hav e adi s abi l ity, rath e r than than that th e y can d e fin e it und e r th e di s abi l ity le gi sl ation .   Getting an assessment  You m u s t a  ppl y to th e   HS E in writing (through your Loca l   H e a l th Offic e , u s ing th e officia l  a  ppl ication for  m ) and th e   HS E m u s t acknow le dg e your a  ppl ication within 14 day s. Thi s  acknow le dg eme nt m u s t t ell you th e dat e on which th e a ssessme nt wi ll   s tart . Th e   A ct  p rovid es  that th e a ssessme nt m u s t b e   s tart e d within thr  ee   m onth s of th e a  ppl ication and m u s t b e co mple t e dwithout undu e d el ay - th e r  e i s no spe cific ti me   l i m it on it s co mple tion . Th e r  e gu l ation s , how e v e r,  p rovid e that th e   HS E m u s t co mple t e th e a ssessme nt within thr  ee   m onth s un less th e r  e ar  e   e xc ep tiona l circu ms tanc es. If th e r  e i s a d el ay in co mple ting th e a ssessme nt you m u s t b e to l d th e  r  e a s on and giv e n a ti mes ca le for co mple tion .   Reviews  Th e fo ll owing a  ppl i es g e n e ra ll y to a ssessme nt s of n ee d but i s not y e t i mme diat el y r  ele vant . You m ay b e r  e fu se d a HS E a ssessme nt if you hav e a l r  e ady had s uch an a ssessme nt and th e r  e vi e w  pe riod ha s not y e t e x  p ir  e d or, if you ar  e a chi l d, you had an a ssessme nt in th e    p r  e viou s 12 m onth s. You m ay, how e v e r, l ook for a n e w a ssessme nt if th e r  e ha s b ee n a chang e incircu ms tanc es or furth e r infor  m ation i s avai l ab le or you con s id e r that th e r  e wa s a m i s tak  e of factin th e a ssessme nt r  ep ort .  If you ar  e a l r  e ady b e ing or hav e b ee n a ssesse d und e r th e  Education for P e o  ple with S  pe cia l  Educationa l N ee d s   A ct 2004(which i s not y e t in e ff  e ct in r  el ation to a ssessme nt of n ee d s ) youwi ll not g e n e ra ll y b e   e ntit le d to a HS E a ssessme nt .   H ow e v e r, if th e   e ducationa l a ssessme nt s how s that you n ee d h e a l th se rvic es , it m u s t b e   se nt to th e   HS E for th e    p ur   p o ses of drawing u  p a se rvic e   s tat eme nt .   Carrying out the assessment  Th e   HS E ha s a  pp oint e d a ssessme nt offic e r  s who ar  e ind epe nd e nt in carrying out th e ir function s.  Th e y ar  e ba se d in Loca l   H e a l th Offic es and th e y m ay b e ab le to h elp you to fi ll in th e a  ppl icationfor  m and giv e you what e v e r infor  m ation you n ee d . Th e a ssessme nt offic e r  s can carry out th e  a ssessme nt th emsel v es or authori se oth e r  HS E empl oy ees or oth e r  e x  pe ri e nc e d  pe o  ple to do s o .  Th ese    pe o  ple ar  e ca lle d a ssess or  s. Th e r  e ar  e    p rovi s ion s for co-o  pe ration and co-ordination b e tw ee n thi s a ssessme nt  p roc ess and th e arrang eme nt s for th e a ssessme nt of  e ducationa l n ee dund e r th e Education for P e r  s on s with S  pe cia l Educationa l N ee d s   A ct 2004 .  Th e a ssessme nt m u s t b e carri e d out in accordanc e with th e   s tandard s ado  p t e d by th e   H e a l thInfor  m ation and Qua l ity A uthority ( H IQ A ) . Th ese   s tandard s d e a l with a rang e of i ss u es ,inc l udingGarda c le aranc e for th e    pe o  ple carrying out th e a ssessme nt, th e    p rovi s ion of c le ar and  acc ess ib le infor  m ation to a  ppl icant s and th e ir r  ep r  ese ntativ es and th e hand l ing of confid e ntia l  infor  m ation .  Th e ai m of an a ssessme nt i s to d e cid e what h e a l th and e ducation n ee d s ari se fro m your di s abi l ityand what se rvic es you r  eq uir  e to mee t tho se n ee d s.   H e a l th se rvic es inc l ud e    pe r  s ona l   s ocia l   se rvic es and inc l ud e   se rvic es    p rovid e d dir  e ct l y by th e   HS E and se rvic es    p rovid e d on b e ha l f of th e   HS E ( m any of th e   se rvic es for   pe o  ple with int elle ctua l di s abi l iti es ar  e    p rovid e d by vo l untary bodi es on b e ha l f of th e   HS E) .  Th e Nationa l   C ounci l for  S  pe cia l Education (N CS E) i s r  eq uir  e d to h elp th e   HS E in th e  a ssessme nt s of n ee d for adu l t s with di s abi l iti es and th e    p r  ep aration of  se rvic e   s tat eme nt s. In th e  ca se of chi l dr  e n, if th e a ssessme nt id e ntifi es th e n ee d for  e ducation se rvic es , th e a ssessme ntoffic e r  m u s t r  e f  e r th e   m att e r to th e   e ducation se rvic e    p rovid e r (u s ua ll y a s choo l ) or th e N CS E .  Th e a ssessme nt id e ntifi es your n ee d s. It do es not tak  e account of th e co s t s of   p roviding for tho se  n ee d s or wh e th e r th e ca  p acity to  p rovid e   se rvic es to mee t th e n ee d s i s    p r  ese nt .   Y our role in the assessment  Th e a ssessme nt offic e r  m ay int e rvi e w you and your   p ar  e nt, guardian, le ga l r  ep r  ese ntativ e or   pe r  s ona l advocat e. If an int e rvi e w tak  es    pl ac e , th e a ssessme nt offic e r  m u s t t ell you or your   p ar  e ntor guardian what it s    p ur   p o se i s un less thi s wou l d b e    p r  ej udicia l to your  me nta l h e a l th, w ell -b e ingor  em otiona l condition or wou l d b e ina  pp ro  p riat e with r  e gard to your ag e or th e natur  e of your di s abi l ity . Th e a ssessme nt offic e r  m u s t try to e n s ur  e that you can und e r  s tand th e    p roc ess a s far a s    p o ss ib le.   Assessment report Wh e n th e a ssessme nt i s co mple t e , th e a ssessme nt offic e r writ es an a ssessme nt r  ep ort which i s  giv e n to you, to th e   HS E and, if a  pp ro  p riat e , to th e N CS E (you r  e c e iv e th e   se rvic e   s tat eme nt ( see   b el ow) at th e   s a me ti me ) . Th e a ssessme nt r  ep ort se t s out wh e th e r you hav e a di s abi l ity and, if you hav e it se t s out: y   A   s tat eme nt of th e natur  e and e xt e nt of th e di s abi l ity y   A   s tat eme nt of th e h e a l th and e ducation n ee d s ari s ing fro m th e di s abi l ity y   A   s tat eme nt of th e a  pp ro  p riat e   se rvic es to mee t tho se n ee d s   y   A   s tat eme nt of th e    pe riod within which a r  e vi e w of th e a ssessme nt s hou l d b e carri e d out(thi s   m u s t b e no l at e r than a y e ar fro m th e dat e th e a ssessme nt r  ep ort i s i ss u e d) S ervice statements and delivery of services S ervice statements   As a l r  e ady s tat e d, th e a ssessme nt of n ee d tak  es account of your n ee d s - it do es not addr  ess th e   q u es tion of wh e th e r or not tho se n ee d s can b e   me t . Th e   se rvic e   s tat eme nt do es tak  e into accountif tho se n ee d s can b e   me t and how thi s can b e don e.   S o, th e a ssessme nt of n ee d do es not tak  e  avai l ab le r  es ourc es into account but th e   se rvic e   s tat eme nt do es.  Th e   HS E ha s a  pp oint e d l iai s on offic e r  s to draw u  p   se rvic e   s tat eme nt s. Th e   se rvic e   s tat eme nt i s     ba se d on th e a ssessme nt r  ep ort and se t s out th e h e a l th and e ducation se rvic es that wi ll b e    p rovid e d to you and th e ti me within which th e y wi ll b e    p rovid e d . Th e   l iai s on offic e r  m ay a s k for h elp fro m oth e r bodi es inc l uding th e N CS E wh e n drawing u  p thi s   s tat eme nt . In th e ca se of chi l dr  e n und e r th e ag e of fiv e , th e   se rvic e   s tat eme nt do es not d e a l with e ducationa l   se rvic es.  Wh e n drawing u  p th e   se rvic e   s tat eme nt, th e   l iai s on offic e r  m u s t tak  e a nu m  b e r of factor  s intoaccount . Th ese inc l ud e : y   Th e a ssessme nt r  ep ort y   Your  el igibi l ity for  se rvic es und e r th e   H e a l th A ct s (th ese inc l ud e GP se rvic es , fr  ee or  s ub s idi se d  p r  es crib e d drug s , me dicin es and a  ppl ianc es , ho sp ita l and r  es id e ntia l car  e   se rvic es ; th e r  e i s a c le ar  e ntit leme nt to s o me of th ese   se rvic es but m any of th em ar  e   se rvic es which th e   HS E i s not ob l ig e d to  p rovid e ) y   A ny a  pp rov e d s tandard s and cod es of   p ractic e which a  ppl y to th e   se rvic es id e ntifi e d inth e a ssessme nt r  ep ort y   Th e    p racticabi l ity of   p roviding th e   se rvic es id e ntifi e d in th e a ssessme nt r  ep ort y   Th e n ee d to e n s ur  e that th e    p rovi s ion of th e   se rvic es by th e   HS E wou l d not cau se th e   HS E to spe nd m or  e   m on e y than it i s   le ga ll y e ntit le d to spe nd y   Th e advic e of th e N CS E about th e ca  p acity of an e ducation se rvic e    p rovid e r to afford th e   se rvic e in q u es tion (if thi s ari ses - not in th e ca se of und e r-fiv es )Th e   l iai s on offic e r  m ay a me nd a se rvic e   s tat eme nt if circu ms tanc es chang e.  Th e   l iai s on offic e r  m u s t co mple t e th e   se rvic e   s tat eme nt within a m onth of r  e c e iving th e  a ssessme nt r  ep ort . You ar  e giv e n a co  p y of th e   se rvic e   s tat eme nt with your a ssessme nt r  ep ort .  Th e   HS E, th e N CS E and e ducation se rvic e    p rovid e r ar  e a ls o giv e n a co  p y if a  pp ro  p riat e.  Th e r  e gu l ation s   spe cify that th e   se rvic e   s tat eme nt m u s t b e writt e n in a c le ar and e a s i l yund e r  s tood m ann e r and it m u s t s tat e : y   Th e h e a l th se rvic es which wi ll b e    p rovid e d to you y   Th e   l ocation( s ) wh e r  e th e h e a l th se rvic e wi ll b e    p rovid e d y   Th e ti me fra me within which th e y wi ll b e    p rovid e d y   Th e dat e fro m which th e   s tat eme nt wi ll tak  e   e ff  e ct y   Th e dat e for r  e vi e w of th e    p rovi s ion of  se rvic es   spe cifi e d in th e   se rvic e   s tat eme nt y   A ny oth e r infor  m ation that th e   l iai s on offic e r con s id e r  s to b e a  pp ro  p riat e inc l uding th e  na me of any oth e r   p ub l ic body to which th e a ssessme nt r  ep ort ha s b ee n se nt D elivery of services   A ft e r th e   se rvic e   s tat eme nt i s drawn u  p , th e   l iai s on offic e r th e n arrang es th e d el iv e ry of  se rvic es  with th e variou s   se rvic e    p rovid e r  s. In ord e r to do thi s , th e   l iai s on offic e r  m ay se nd a co  p y of th e   se rvic e   s tat eme nt to a r  ele vant  p ub l ic body if you agr  ee to thi s (or if on e of th e    pe o  ple who i s   e ntit le d to a  ppl y for an a ssessme nt of n ee d s on your b e ha l f agr  ees to thi s ) . Th e    p ub l ic bodyconc e rn e d i s th e n r  eq uir  e d to co mm unicat e with you (or your r  ep r  ese ntativ e ) or th e   l iai s on
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