Question 74. Social services for the elderly and disabled.
Social services for the elderly and disabled
Regulated by the Federal Law of August 2, 1995 On social services for elderly citizens and the disabled. this type of social service is a set of social services that are provided to the specified persons at home or in social service institutions, regardless of the form of ownership.
Activities in this area are based on the following principles:
1. Respect for human and civil rights
2. Provision of state guarantees in the field of social services
3. Equality of opportunities for receiving social services and their availability
4. Orientation to the individual needs of these individuals
5. Priority of social adaptation measures
6. Continuity of all types of social services
7. Responsibility of state authorities. authorities and institutions, officials for ensuring the rights of these persons in the field of social services.
Women over the age of 55 and men over the age of 60 have the right to social services, as well as people with disabilities (including children with disabilities) who need outside help temporarily or permanently due to the loss of the ability to independently satisfy their vital needs (in whole or in part ).
Social services for these persons are carried out by decision of the bodies of social protection of the population in the institutions subordinate to them or under agreements concluded by the bodies of social protection with commercial organizations providing social services.
When receiving social services, senior citizens with disabilities have the following rights:
1.to respectful and humane treatment on the part of employees of the social service institution
2. the choice of institution and form of social. service
3. to information about their rights and obligations, as well as about the conditions for the provision of social services.
4. Agreeing or refusing social services
5.confidentiality of personal information
6.to protect your rights and interests
Social services are carried out with the voluntary consent of the persons themselves, with the exception of:
1.persons under the age of 14
2.persons recognized as legally incompetent
In this case, consent is given by the legal representative. Consent is expressed in a written statement on the basis of which the person is placed in a social service institution.
The Law of the Russian Federation of July 2, 1992 On psychiatric care and guarantees of the rights of citizens during its provision provides for the possibility of placing an elderly citizen or a disabled person in a social service institution without their consent.
As a general rule, these persons can refuse social services, while workers of social services should explain to them the negative consequences of the decision. In this case, the persons will issue a written waiver of social services.
Elderly citizens and people with disabilities may be provided with living quarters in houses of the housing stock for social use. At the same time, at the request of the persons themselves, their social services can be carried out both on a permanent and temporary basis.
Social services at home is aimed at the maximum possible extension of the stay of elderly citizens and disabled people in their usual environment in order to maintain their social status. The list of state-guaranteed social services includes home-based services:
1.organization of food, including home delivery of groceries
2. assistance in purchasing medicines, food and industrial essential goods.
3. assistance in obtaining medical assistance, including escort to medical institutions.
4.Maintaining living conditions in accordance with hygienic requirements
5. assistance in the provision of legal aid and legal services
6. assistance in organizing funeral services.
7. If these persons live in residential premises without central heating and / or water supply, then the list of guaranteed services includes the provision of fuel or water.
In addition, these persons can be provided with other services additionally on the basis of partial or full payment.
If elderly citizens or disabled people suffer from mental disorders, ancological diseases, tuberculosis, sexually transmitted diseases, chronic alcoholism and other similar diseases requiring treatment, then they may be denied the provision of social services at home and they are sent to health care institutions.
Semi-stationary social services: includes social, household, medical and cultural services for elderly citizens and people with disabilities, organizing their meals, recreation, ensuring their feasible work and maintaining an active lifestyle. Semi-stationary social services accept persons who are capable of self-service and active movement and do not have medical contraindications. Semi-stationary social services can be provided in day and night homes. These social service institutions are created primarily for persons without a fixed abode. The house of the night stay accepts persons who applied both independently and sent there by social services. protection or ATS. For some people, for inter-mycological indications, it can be provided in the provision of these services (listed above).
Inpatient social services is aimed at providing social and household assistance to citizens who have lost the ability to self-service or who need it for health reasons. This type of social service includes rehabilitation measures of a medical, social, medical-labor nature, adequate for age and state of health, provision of care, medical assistance, organization of recreation and leisure. These persons have the following rights:
1.providing living conditions that meet sanitary and hygienic requirements
2.primary health care and dental care
3.social and medical rehabilitation and social adaptation
4.voluntary participation in the medical and labor process
5.the right to a medical and social examination carried out according to medical indications
6. have the right to be freely visited by lawyers, notaries, representatives of public associations, legal representatives, relatives and clergymen.
7. have the right to free legal aid in accordance with the Federal Law on Free Legal Aid in the Russian Federation of November 21, 2011.
8. the right to provide them with premises for the administration of religious rituals for believers of all confessions.
9. the right to retain the residential premises they occupy under a lease or lease agreement for 6 months from the date of admission to social services, if these are state / municipal property. If family members remain in the premises, it is retained for the entire period.
10. participation in public commissions for the protection of citizens' rights.
11. Children with disabilities who are in institutions of inpatient social services have the right to receive education and vocational training.
12. Children with disabilities with physical disabilities and children with disabilities suffering from mental disorders are placed in different social service institutions.
Elderly citizens and disabled people who are in stationary social service institutions are given the right to hire them in accordance with their state of health, and if an employment contract is concluded with them, they have the right to leave for 30 calendar days.
Urgent social services carried out in order to provide emergency assistance of a one-time nature, if they are in dire need of social support. Urgent social services include:
1. one-time provision of hot meals or prodox sets
2.providing clothing, footwear and other essential goods
3.one-time provision of material assistance
4. assistance in obtaining temporary accommodation
5.organization of legal assistance in order to protect them
6. organization of emergency edico-psychological aid with the involvement of psychologists and clergy.
Social advisory assistance is aimed at adapting the elderly and disabled, at easing social tension, creating favorable conditions in the family, ensuring interaction between the individual, family, society and the state. Social advisory assistance includes:
1.Identification of persons in need of this assistance
2.prophylaxis of social and psychological deviations
3.working with families in which these citizens live
4. organization of leisure time,
5. consultation in training, career guidance and employment.
6. legal assistance within the competence of the social authorities. service.
7. Ensuring coordination of the activities of public associations and social service institutions.
Elderly people 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 state budgetary institutions, municipalities, organizations and entrepreneurs. From this article you will learn what social services for the elderly and disabled people are at home, who can count on such assistance, and how to get the service.
Social services for the elderly and disabled at home: types of social services
Citizens who meet the legal requirements for receiving social services at home can count on the following types of assistance:
- escort to places of rest, sanatoriums, medical institutions, state and municipal institutions;
- help in paying for utility bills;
- assistance in organizing everyday life, arranging housing, in carrying out cosmetic repairs, washing things, cleaning the house;
- water delivery, furnace heating (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 to the pharmacy.
If a person cannot self-serve himself, a social worker needs help. The following services can also be provided depending on the state of health of the citizen:
- joint trips to clinics;
- psychological support, assistance in spa treatment, hospitalization and inpatient care;
- assistance in social and medical rehabilitation, in the passage of the ITU;
- assistance in obtaining medical services;
- implementation of medical procedures and manipulations, hygiene procedures;
- assistance in paperwork;
- legal and legal services;
- assistance in obtaining secondary and higher education (for 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 their home:
- Citizens of retirement age (women over 55 and men over 60).
- People with disabilities (disabled people of all three groups).
- People who are temporarily disabled and do not have helpers.
- 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.
Home social services can be provided free of charge, on a partial or full pay basis.
| Payment for social services | Recipient categories |
| Is free | WWII invalids, war veterans, spouses and widows of combatants, former concentration camp prisoners, former residents of besieged Leningrad, Heroes of the USSR and the Russian Federation, Heroes of Socialist Labor. People with disabilities and pensioners who do not belong to special categories of citizens (federal beneficiaries), but have an income below 1.5 times the regional subsistence level. |
| Partial payment | Citizens who are not disabled and retired, but who need the help of a social worker and have an income below 1.5 times the regional subsistence allowance (the amount of the discount depends on social status). |
| Full cost | In all other cases. |
How to arrange social services for the elderly and disabled at home, in what cases they may refuse to provide services
Important! To apply for social services at home, you must contact the regional office of the social protection authorities.
Before an application for assistance is approved, social workers must check the documents in order to assess the degree of the citizen's need for assistance from a social worker (since there are a lot of applicants, and there are usually not enough resources), check the living conditions of the person who applied. The law provides for the 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 threaten the life and health of a social worker:
- the presence of severe mental disorders,
- drug addiction,
- alcohol addiction,
- taking psychotropic drugs,
- the presence of quarantine diseases,
- the presence of severe infectious pathologies;
- the presence of an open form of tuberculosis;
- the presence of any diseases requiring specialized treatment.
- The applicant's appeal to the USZN in a drunken or inadequate state.
- High employment of the organization, lack of free social workers.
- The applicant is a homeless person.
From the documents when contacting the social security authorities, you will need the following papers:
- conclusion of a medical and social examination on the assignment of a disabled group;
- a certificate from a 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
The last year's seminar-meeting on social services for elderly citizens and disabled people, which was held at the Ministry of Social Development and Labor of the Kamchatka Territory, was attended by Minister of Social Development and Labor I. Koyrovich, Deputy Minister E. Merkulov, Head of the Department of Social Services N. Burmistrova, heads of social protection bodies and heads of the organization of social services for disabled and elderly citizens.
Discussed were the economic, organizational, legal foundations of social services, the rights and obligations of recipients and providers of services, the powers of the authorities established by the Federal Law of December 28, 2013 No. 442-FZ. The focus was on the following issues:
- the right to receive free social assistance at home is possessed by citizens with an income below 1.5 times the subsistence minimum in the region (previously, the pension should have been below 1 subsistence level);
- a detailed approach was introduced to approve a set of social services, taking into account the needs of the citizen;
- citizens received the right to independently choose a provider of 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 among relatives), who need help caring for a disabled child and have no place residence (when belonging to the number of orphans).
Currently, it is represented by 4 forms of social services:
stationary (existing in the country for decades);
semi-stationary;
not stationary (home); 4) urgent social, stationary network is represented by 1314 institutions, of which:
618 - boarding homes for the elderly and disabled (general type);
440 - psycho-neurological boarding schools;
64 - at home - boarding schools of mercy for the elderly and disabled;
14 - gerontological centers.
245 thousand people live in stationary institutions of the social protection system of the population, of which 140 thousand people are elderly people.
If the growth in the number of people living in boarding schools in recent years has been insignificant (fluctuations in the range of 1-2 thousand people per year), then the expansion of the network of inpatient institutions has turned out to be a more noticeable phenomenon. The network of general-type boarding schools developed most actively (more than doubled over 10 years) with complete stagnation of the neuropsychiatric network (at the beginning of the year).
Expansion of the network of general boarding houses made it possible to improve living conditions in them.
In recent years, there has been a tendency towards the downsizing of existing boarding schools and the opening of small-capacity houses. As a result, the average capacity of a general type boarding house is now 151 places (in 1992 - 293 places).
Another trend is the creation of specialized inpatient institutions - charity homes and gerontological centers, which, to a greater extent than general boarding schools, deal with the problems of medical care.
Despite the active development of the network of stationary institutions, the number of people waiting in line for placement in boarding schools is not decreasing (17.2 thousand people, including 10.0 thousand people in general boarding schools).
The semi-stationary form includes the activities of structural divisions of social service centers (CSO), institutions for the provision of assistance to persons without a fixed abode, as well as social and health centers. This group usually includes special homes for singles and the elderly, although they are not inherently social service institutions, but, most likely, a type of housing.
The network of social service centers has developed more dynamically than the stationary network. The first CSO was opened in Chelyabinsk in 1987. Now there are 1875 of them.
In 2001, day care departments served 825.5 thousand elderly and disabled people, temporary residence departments - 54.4 thousand people.
In 2001, 57.4 thousand people passed through the system of 99 institutions for persons without a fixed place of residence, and in most cases these are services of 38 houses
overnight stay - 23.1 thousand people and 21 centers of social adaptation - 15.6 thousand people. Up to 30% of the contingent served by these institutions are elderly people.
A network of social and health centers is being developed. There are 52 of them, and in 2001 they were able to serve 55.9 thousand people.
In 701 special homes for lonely elderly people live 21.7 thousand people. Most of these institutions are small, with a population of up to 25 people, there are 444 of them. In 21.8% of these houses there are social services.
Non-stationary (home) service for the elderly and disabled is implemented through the departments of social services at home and specialized departments of social and medical services at home.
The annual growth rates of the network of specialized branches significantly (15-20 times and more) exceed the rates of development of the network of non-specialized branches.
In 2001, these units served 1255.3 thousand elderly and disabled people at home, of which 150.9 thousand people (12.0%) were specialized departments of social and medical services.
Urgent social services are the most massive form of social services. In 2001, more than 13 million people received urgent social assistance, of which, according to a number of regions, 92-93% are elderly and disabled people.
Despite the apparent improvement in the material well-being of Russian citizens, this service continues to actively develop and provide services to more and more people.
Social technology is a set of techniques, methods and influences used to achieve the set goals in the process of social planning and development, solving various kinds of social problems, for the design and implementation of communicative influences that change the consciousness of people, cultural, political and / or social structures, systems or situation.
Inpatient social services. Services provided to elderly citizens and people with disabilities living in stationary social services:
1) material and household services:
· - the provision of living space, premises for the organization of rehabilitation activities, medical and labor activities, cultural and consumer services in a stationary social service institution;
· - provision of furniture for use in accordance with the approved standards;
· - assistance in organizing the provision of services by trade and communication enterprises;
· - reimbursement of travel expenses for training, treatment, consultation;
2) services for organizing food, everyday life, leisure:
· - cooking and serving food, including diet food;
· - provision of soft inventory (clothes, shoes, underwear and bedding) in accordance with the approved standards;
· - provision of leisure (books, magazines, newspapers, board games, excursions, etc.);
· - assistance in writing letters;
· - provision of clothing, footwear and cash benefits according to the approved standards upon discharge from the institution;
· - ensuring the safety of personal belongings and valuables;
· - creation of conditions for the administration of religious rites;
3) socio-medical and sanitary-hygienic services:
· - free provision of medical care;
· - provision of care taking into account the state of health;
· - assistance in carrying out medical and social expertise;
· - carrying out rehabilitation measures (medical, social), including for the disabled on the basis of individual rehabilitation programs;
· - provision of primary health care and dental care;
· - organization of medical examination;
· - hospitalization of those in need in medical and preventive institutions, assistance in referring, upon the conclusion of doctors, to sanatorium treatment (including on preferential terms);
· - providing psychological support, carrying out psychocorrectional work;
4) organization of education for disabled people, taking into account their physical capabilities and mental abilities:
5) services related to social and labor rehabilitation;
6) legal services;
7) assistance in organizing funeral services.
Types of stationary institutions (departments) of social services for elderly citizens and disabled people:
· - a boarding house (boarding house) for the elderly and disabled;
· - boarding house (boarding house) for war and labor veterans;
· - a special boarding house (department) for the elderly and disabled;
· - neuropsychiatric boarding school;
· - a rehabilitation center (department) for young people with disabilities;
· - boarding school (department) of mercy;
· - gerontological center;
· - the gerontopsychiatric center;
· - small-capacity boarding house;
· - a social and health center.
An independent institution of social services for elderly citizens and disabled people can be one of the following:
· - boarding house;
· - boarding school;
· - boarding house;
· - Centre;
· - shelter;
· - hotel.
Urgent social services. It is intended to provide one-time social assistance to senior citizens and disabled people. Such assistance is provided only by one type of social institutions - this is the service (department) of urgent social services.
Services provided by the departments of urgent social assistance, created under the bodies of social protection of the population, or municipal centers of social services (urgent social service provides for the provision of one-time services to those in dire need of social support):
· - provision of clothing, footwear and other essential items;
· - provision of material assistance;
· - assistance in the provision of temporary living quarters;
· - provision of free hot meals or food sets;
· - organization of emergency medical and psychological assistance;
· - assistance in employment;
· - organization of legal and other consultations.
Such social institutions provide the so-called auxiliary social assistance, i.e. when social assistance is not yet fully needed, or the citizen is in such a state that he can fully meet his vital needs on his own, but needs help, “pushed” him in the right direction.
Social advisory assistance. Social advisory assistance provided to senior citizens and disabled people. Such assistance is provided to the population in order to provide psychological support for disabled people and elderly citizens. However, it affects not only the elderly and disabled people themselves, but also all members of their families, since, first of all, problems with adaptation and getting used to new living conditions begin in a disabled person or an elderly citizen precisely because of an unhealthy perception in the family of such a person who is trying do not notice, and in some cases even show aggression towards him. Therefore, a certain psychological attitude should be created here not so much in the disabled or elderly citizen himself as in the members of his family.
Currently, inpatient institutions are mainly received by people who have completely lost the ability to move and require constant care, as well as those who do not have housing. In the near future, an alternative to boarding schools may be special residential houses for the elderly (approximate Regulation on a special home for single elderly people, approved by the Ministry of Social Protection of the Population on April 7, 1994), which, despite some disadvantages, still have a number of important advantages.
Today, a significant part of social service centers are multidisciplinary institutions capable of providing elderly and disabled people with various types and forms of services, including socio-medical, social, and trade. The priority direction is the development of models of non-stationary social services (social service centers, departments of social assistance at home), which allow to maximize the stay of elderly people in their habitual environment, to maintain their personal and social status.
The main technologies at present are state technologies for the social protection of the elderly - pensions, social services, social assistance. However, the priority direction of social work with older people is the organization of the living environment of aging people, carried out in such a way that the elderly person always has the opportunity to choose ways to interact with this environment, because elderly people are not the object of activity of various social services, but a decision-maker. Freedom of choice creates a sense of security, confidence in the future. Hence the need for alternative technologies of social work with the elderly. Among which are charitable assistance, club work, self-help and self-help groups.
The main tasks of a specialist in working with the elderly:
· Identification and registration of lonely elderly and disabled citizens in need of home-based services;
· Establishing and maintaining communication with the labor collective where war and labor veterans and disabled people worked;
· Establishing contacts with the committees of the Red Cross Society, the Councils of War and Labor Veterans, public organizations, foundations.
Legal basis for social assistance to the elderly and disabled
The main directions of social services for disabled people are enshrined in the Federal Law of 02.08.1995, as amended on 22.08.2004, "On social services for elderly citizens and disabled people." According to this law, persons with disabilities who need permanent or temporary assistance due to partial or complete loss of the ability to independently satisfy their basic life needs due to the limitation of the ability to self-service and (or) movement have the right to social services provided in the state and non-state sectors of the system. social service.
Social services for people with disabilities are carried out by decision of the bodies of social protection of the population in institutions subordinate to them or under agreements concluded by the bodies of social protection with institutions of social services of other forms of ownership.
Social services are provided subject to the voluntary consent of persons with disabilities to receive social services. Social services at the request of disabled people can be carried out on a permanent or temporary basis.
People with disabilities, as well as their legal representatives have the right to refuse social services, except for cases specifically provided for by the Federal Law of 08/02/1995, as amended on 08/22/2004 "On social services for elderly citizens and disabled people." In case of refusal of social services to disabled people, as well as their legal representatives, the possible consequences of their decision are explained.
Refusal of disabled people from social services, which may lead to a deterioration in their health or a threat to their life, is formalized in a written statement of disabled persons or their legal representatives, confirming the receipt of information about the consequences of the refusal.
Restrictions on the rights of persons with disabilities in the provision of social services are allowed in cases where they are deprived of care and support from relatives or other legal representatives and at the same time are not able to independently satisfy their vital needs (loss of the ability to self-service and (or) active movement) or are recognized in legally incapacitated. The issue of placing disabled people in stationary social service institutions without their consent or without the consent of their legal representatives is decided by the court on the proposal of the social protection authorities.
Refusal of the services of inpatient institutions of social services for disabled people who have lost the ability to meet their basic life needs or are recognized as legally incapacitated, is made upon a written application from their legal representatives if they undertake to provide these persons with care and the necessary living conditions.
People with disabilities who carry bacteria or viruses, or if they have chronic alcoholism, quarantine infectious diseases, active forms of tuberculosis, severe mental disorders, sexually transmitted diseases and other diseases requiring treatment in specialized health care institutions, may be denied the provision of social services at home. This refusal is confirmed by the joint conclusion of the body for social protection of the population and the medical advisory commission of the health care institution.
Forms of social services:
1. social services at home (including social health services);
2. semi-stationary social services in day (night) departments of social service institutions;
3. stationary social service in stationary social service institutions (boarding houses, boarding houses and other social service institutions, regardless of their name);
4. urgent social services;
5. social counseling assistance.
People with disabilities may be provided with living quarters in the houses of the social housing stock.
Social services at home are one of the main forms of social services aimed at the maximum possible extension of the stay of disabled people in their usual social environment in order to maintain their social status, as well as to protect their rights and legitimate interests.
The state guarantees the following social services for home-based services:
1. catering, including home delivery of groceries;
2. assistance in purchasing medicines, food and industrial essential goods;
3. assistance in obtaining medical care, including escort to medical institutions;
4. maintaining living conditions in accordance with hygienic requirements;
5. assistance in organizing legal aid and other legal services;
6. assistance in organizing funeral services;
7. other home-based social services.
When servicing disabled people living in residential premises without central heating and (or) water supply, assistance in providing fuel and (or) water is included in the number of home-based social services provided by the list of state-guaranteed social services.
Other home-based services may be provided for people with disabilities on a full or partial payment basis.
Social and medical care at home is carried out in relation to disabled people in need of home social services, suffering from mental disorders (in remission), tuberculosis (except for the active form), serious diseases (including cancer) in the later stages, with the exception of persons who are carriers of bacteria or viruses, or if they have chronic alcoholism, quarantine infectious diseases, active forms of tuberculosis, severe mental disorders, venereal and other diseases requiring treatment in specialized health care institutions.
Urgent social services are carried out in order to provide emergency assistance of a one-time nature to disabled people in dire need of social support. In this regard, the following services can be provided:
1. one-time provision of those in dire need of free hot meals or food sets;
2. provision of clothing, footwear and other basic necessities;
3. one-time provision of material assistance;
4. assistance in obtaining temporary accommodation;
5. organization of legal assistance in order to protect the rights of the served persons;
6. organization of emergency medical and psychological assistance with the involvement of psychologists and clergymen for this work and the allocation of additional telephone numbers for these purposes;
7. other urgent social services.
Social and advisory assistance to people with disabilities is aimed at their adaptation in society, easing social tension, creating favorable relations in the family, as well as ensuring interaction between the individual, family, society and the state.
This help is focused on their psychological support, intensification of efforts in solving their own problems and provides for:
1. identification of persons in need of social counseling assistance;
2. prevention of various kinds of social and psychological deviations;
3. work with families in which disabled people live, organization of their leisure time;
4. advisory assistance in training, vocational guidance and employment of people with disabilities;
5. ensuring the coordination of the activities of state institutions and public associations to address the problems of persons with disabilities;
6. legal assistance within the competence of social service bodies;
7. other measures to form healthy relationships and create a favorable social environment for people with disabilities.
The procedure and conditions for the provision of free home-based, semi-stationary and stationary social services, as well as on terms of full or partial payment, are established by the executive authorities of the constituent entities of the Russian Federation.
According to the Federal Law of 17.07. 1999, as amended on November 25, 2006, "On State Social Services", disabled people can apply for the following set of services:
1.Additional free medical care, including the provision of necessary medicines according to doctor's prescriptions, the provision of a voucher for sanatorium-resort treatment, if there are medical indications, carried out in accordance with the legislation on compulsory social insurance;
2. free travel by suburban railway transport, as well as by intercity transport to the place of treatment and back.
When providing social services, persons with disabilities who have limited ability to work III degree have the right to receive, on the same conditions, a second voucher for sanatorium treatment and free travel on suburban railway transport, as well as on intercity transport to the place of treatment and back for the person accompanying them.
The list of medicines, as well as the list of sanatorium-resort establishments, were approved by the relevant orders of the Ministry of Health and Social Development.
Accounting for the right of citizens to receive social services is carried out at the place of residence of a citizen from the moment of establishing a monthly monetary payment to him.
Social services are provided for a calendar year. If a disabled person has acquired the right to receive social services during a calendar year, then the period for the provision of social services to him is the period from the moment of acquiring the right to receive social services until December 31 of the current year.
Payment for social services is made by deducting a certain amount from the monthly cash payment (MU). For example, if a disabled person has refused free travel in rail transport, then 97.53 rubles will be withheld from his monthly cash payment, the amount of which depends on the degree of restriction of the ability to work.
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