Who provides social services to citizens. Free and preferential social assistance. Social services for the elderly and disabled at home: types of social services

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 find themselves social and medical service at home - by government 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 social services at home, can count on the following types help:

  • accompaniment to places of recreation, sanatoriums, medical institutions, government and municipal institutions;
  • payment assistance utilities;
  • 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, Social worker needs help. The following services can also be provided depending on the citizen’s health status:

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:

  1. Citizens of retirement age (women over 55 years old and men over 60 years old).
  2. People with disabilities (disabled people of all three groups).
  3. People who are temporarily disabled and do not have assistants.
  4. Citizens who find themselves in a difficult situation due to alcohol or drug addiction of a family member.
  5. 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 Second World War, war veterans, spouses and widows of combatants, former prisoners of concentration camps, former residents of besieged Leningrad, Heroes of the USSR and the Russian Federation, Heroes of socialist labor.

Disabled people and pensioners who do not belong to special categories of 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 the authorities social protection population.

Before an application for assistance is approved, employees social service must check documents in order to assess the degree of need of a citizen to receive help from a social worker (since there are a lot of people willing, but resources are usually insufficient), and check the living conditions of the person who applied. The law provides following cases when an applicant may be denied social services:

  1. 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:
  2. The applicant's appeal to the USZN under the influence of alcohol or inadequate condition.
  3. High employment of the organization, lack of free social workers.
  4. The applicant is a person of no fixed abode.

When applying to social security authorities, you will need the following documents:

  • conclusion 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

At last year’s seminar-meeting on issues of social services for elderly citizens and people with disabilities, which was held at the Ministry of Social Development and Labor Kamchatka region, took part 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.

The economic, organizational, and legal foundations of social services, the rights and obligations of recipients and service providers, and the powers of government authorities established by Federal Law No. 442-FZ dated December 28, 2013 were discussed. 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 received the right to independently choose their social service provider;
  • 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).

Social services in the form of social services at home, semi-stationary and stationary forms of social services are provided free of charge:

1) minor children;

2) persons injured as a result emergency situations, armed interethnic (interethnic) conflicts.

Social services in the form of social services at home and in the semi-stationary form of social services are provided free of charge if, on the date of application, the average per capita income of the recipient of social services, calculated in accordance with the normative legal acts Russian Federation, below the limit value or equal to the maximum per capita income for the provision of social services free of charge, established by law subject of the Russian Federation.

Social services in the form of social services at home are provided free of charge to single disabled people (single married couples) and (or) single elderly citizens (single married couples) from among:

1) disabled people of the Great Patriotic War or participants in the Great Patriotic War;

2) spouses of deceased (deceased) disabled people of the Great Patriotic War or participants of the Great Patriotic War who did not remarry;

3) former minor prisoners of fascism;

4) persons awarded the badge “Resident of besieged Leningrad”;

5) persons awarded the medal “For the Defense of Moscow”;

6) Heroes of the Soviet Union;

7) Heroes of the Russian Federation and full holders of the Order of Glory;

8) Heroes of Socialist Labor, Heroes of Labor of the Russian Federation and full holders of the Order of Labor Glory;

9) disabled combatants.

10) persons who worked at the facilities air defense, local air defense, in the construction of defensive structures, naval bases, airfields and other military facilities within the rear boundaries of active fronts, operational zones of active fleets, on front-line sections of railways and roads; crew members of transport fleet ships interned at the beginning of the Great Patriotic War in the ports of other states;

11) persons who worked in the rear during the period from June 22, 1941 to May 9, 1945 for at least six months, excluding the period of work in the temporarily occupied territories of the USSR; persons awarded orders or medals of the USSR for selfless labor during the Great Patriotic War

Social services in the form of social services at home, semi-stationary and stationary forms of social services are provided free of charge to the legal representatives of disabled children.

Social services in semi-stationary and stationary forms of social services are provided free of charge to persons without a fixed place of residence, recognized as in need of urgent social services, and to persons released from prison and without work and means of subsistence, recognized as in need of urgent social services.

Social services are provided to citizens free of charge in accordance with the List of Social Services in accordance with the Appendix to this Law.

For the purposes of this article, a single married couple means married persons who do not have close relatives, each of whom is disabled and (or) an elderly citizen.

The procedure for determining the average per capita income for the provision of social services free of charge for the purposes of this Federal Law established by the Government of the Russian Federation.

The size of the maximum per capita income for the provision of social services free of charge is established by the laws of the constituent entity of the Russian Federation and cannot be lower than one and a half times the subsistence minimum established in the constituent entity of the Russian Federation for the main socio-demographic groups of the population.

In order to implement the Federal Law of December 28, 2013 No. 442-FZ “On the Basics of Social Services for Citizens in the Russian Federation” and the Regional Law of September 3, 2014. No. 222-ZS “On social services for citizens in Rostov region» Decree of the Government of the Rostov Region dated January 27, 2014. No. 785 approved the Procedure for the provision of social services by social service providers, which determines the rules for the provision of social services by social service providers according to forms of social services, types of social services.

Social services are provided in the form of social services at home, in a semi-stationary form, in a stationary form.

The basis for consideration of the issue of providing social services is submitted in writing or electronic form statement of a citizen or his legal representative on the provision of social services to the social protection authority for citizens at the applicant’s place of residence.

Social service carried out subject to voluntary consent citizen or his legal representative to receive social services.

1. Recipients of social services in the form of social services at home are:

citizens who have completely or partially lost the ability or ability to provide self-care due to old age, illness, disability (including disabled children);

senior citizens (women over 55, men over
60 years old) and disabled people suffering from mental disorders (in remission), tuberculosis (except for the active form), serious diseases (including cancer) in late stages;

persons affected by emergency situations, armed interethnic conflicts.

The following documents are attached to the application for social services:

a copy of an identity document of a citizen of the Russian Federation (if available), or a copy of an identity document foreign citizen or stateless persons, including a residence permit and refugee certificate, and for persons under 14 years of age, a birth certificate with presentation of the original;

a conclusion on the state of health and the absence of contraindications for admission to service, issued medical organization, carrying out medical activities and included in the state, municipal or private system healthcare;

a document issued by the guardianship and trusteeship authorities establishing the right of guardianship or trusteeship;

document issued by the federal government organization medical and social examination confirming the fact of disability;

a document confirming the right of the recipient of social services to receive social support;

documents on the applicant’s income (except for cases where documents (information) on income are at the disposal of bodies providing public services, bodies providing municipal services, other government bodies, bodies local government or subordinate government agencies or local government organizations involved in the provision of state and municipal services).

a copy of an identity document of a citizen of the Russian Federation, or a copy of an identity document of a foreign citizen or stateless person, including a residence permit and a refugee certificate;

Citizens living in families or their legal representatives also represent:

a certificate of family composition indicating the date of birth and relationship (except for cases when the specified certificate issued by local governments);

documents issued by the federal state organization of medical and social examination confirming the disability of family members;

documents on the income of each family member (except for cases where documents (information) on income are at the disposal of bodies providing public services, bodies providing municipal services, other state bodies, local government bodies or organizations subordinate to state bodies or local government bodies, participating in the provision of state and municipal services).

The documents attached to the application for social services can be submitted both original and copies. Copies of documents are certified by the social protection body of citizens of the municipal district (urban district) at the place of application of the applicant or the MFC after checking them with the originals. The applicant has the right to submit copies of documents certified in the prescribed manner.

The right of priority acceptance for service is enjoyed by disabled people and participants of the Great Patriotic War, as well as disabled people from combat operations on the territory of other states.

The right of priority acceptance for service is enjoyed by:

spouses of deceased (deceased) disabled people and participants in the Great Patriotic War who did not remarry;

lonely disabled citizens and disabled people (including disabled children), including internally displaced persons;

home front workers;

single citizens with 1st disability group, single married couples with 1st disability group, single elderly people over 80 years old.

2. Recipients of social services in the form of social services at home are:

minors;

families with minor children in difficult life situations.

The following documents (if available) are attached to the application for social services:

identification document of the minor's parent;

child's birth certificate or passport for a child over 14 years of age;

If the legal representative of the recipient of social services applies, the following documents must be additionally submitted:

a copy of an identity document of a citizen of the Russian Federation, or a copy of an identity document of a foreign citizen or stateless person, including a residence permit and a refugee certificate; legal representative;

a copy of the document confirming the authority of the legal representative.

The documents attached to the application for social services can be submitted both original and copies. Copies of documents are certified by the social protection body for citizens of the municipal district (urban district) at the applicant’s place of residence or the MFC after checking them with the originals. The applicant or his legal representative has the right to submit copies of documents certified in the prescribed manner.

The decision to recognize a citizen as needing social services or to refuse social services is made by the social protection body at the place of residence (place of stay) of the recipient of social services within five working days from the date of registration of the application. ABOUT the decision taken the applicant is informed in writing and (or) electronically.

If a decision is made to recognize a citizen as needing social services, the social protection body draws up an individual program for the provision of social services (hereinafter referred to as the individual program), which specifies the form of social services, types, volume, frequency, conditions and terms for the provision of social services, a list recommended social service providers.

An individual program is drawn up based on the citizen’s need for social services and is revised depending on changes in this need, but at least once every three years. The revision of the individual program is carried out taking into account the results of the implemented individual program.

The provision of social services is carried out on the basis of an agreement on the provision of social services between the provider of social services and the recipient of social services or his legal representative.

The contract is concluded within a working day from the date of provision of the individual program to the social service provider. The decision to enroll in social services at home is formalized on the day the contract is concluded by an administrative document from the social service provider.

The contract determines the social services provided, listed in the individual program for the provision of social services, and their cost if they are provided for a fee (partial payment).

Social services are provided free of charge:

participants and disabled people of the Great Patriotic War of 1941-1945;

minors;

persons affected by emergency situations, armed, international (interethnic) conflicts;

social services in the form of social services at home are provided free of charge if, on the date of application, the average per capita income of the recipient of social services, calculated in accordance with the regulatory legal acts of the Russian Federation, is below the maximum value or equal to the maximum per capita income for the provision of social services free of charge.

For a fee or partial payment:

social services in the form of social services at home are provided for a fee or partial payment if, on the date of application, the average per capita income of the recipient of social services, calculated in the manner established by the Government of the Russian Federation, exceeds the maximum per capita income established by part 4 of article 25 of the Regional Law. Monthly amount partial payment for social services provided in the form of social services at home is determined based on the cost (based on tariffs) of the services actually received. Moreover, its size should not exceed 50 percent of the difference between the average per capita income of the recipient of social services and the maximum per capita income for the provision of social services free of charge, established in the Rostov region in the amount of one and a half times the minimum subsistence level for the main socio-demographic groups of the population, for pensioners.

Providers are required to provide social services in accordance with the individual program and terms of the contract, as well as the procedure for providing social services.

Social service providers have the right to provide recipients of social services Additional services on the terms of full payment in accordance with the list and tariffs approved by the Administration of the city of Shakhty.

The provision of social services is carried out in accordance with social service standards.

The recipient of social services or his legal representative has the right to refuse social services or social services. The refusal must be made in writing and entered into individual program.

Refusal by the recipient of social services or his legal representative from social services releases the social protection body and social service providers from responsibility for the provision of social services in the form of social services at home.

Social service providers have the right to refuse to provide social services to a recipient of social services if he violates the terms of the contract, as well as if there is medical contraindications provided for by federal legislation for the provision of social services in the form of social services at home.

Contraindications to admission to social services at home are: active tuberculosis, contagious diseases of the skin and hair, infectious and venereal diseases, mental illness accompanied at the time of treatment by behavioral disorders that are dangerous for the patient himself and others, signs alcohol intoxication and drug use.

Regions may expand this list. For example, in the Moscow region there are 15 categories of citizens get free help in social centers for all eight services:

1. Citizens with an average per capita income of 1.5 subsistence minimum or less.

2. Representatives of disabled children

3. Minor children

4. Victims of emergencies and armed conflicts

5. Disabled combatants

Also single disabled people, married couples and elderly citizens from among:

1. Disabled people and WWII participants

2. Spouses of deceased WWII participants who did not remarry

3. Former minor prisoners of fascism

4. Awarded the badge “Resident of besieged Leningrad”

5. Recipients of the medal “For the Defense of Moscow”

6. Heroes of the Soviet Union

7. Heroes of the Russian Federation and full holders of the Order of Glory

8. Heroes Social. Labor

9. Heroes of Labor of the Russian Federation and full holders of the Order of Labor Glory

10. Disabled combatants

1. WWII veterans and persons equivalent to them - 10% of the cost

2. Citizens with an average per capita income from one and a half to two times the subsistence level - 10% of the cost of social services provided

3. Citizens with an average per capita income from two to two and a half times the subsistence level - 20% of the cost of social services provided

4. Citizens with an average per capita income from two and a half times to three times the subsistence minimum - 30% of the cost of social services

If you do not fall into these categories or your average per capita income is above the subsistence level, you will have to pay for the services.

Price for home and semi-permanent servicecalculated according to tariffs . The tariff should not exceed the difference of 50% between the average per capita income of a person and the maximum per capita income in the region.

The price for a hospital is calculated according to tariffs that do not exceed 75% of average per capita income.

To understand how this works, here is an example.

Let's take a lonely pensioner from Moscow. He receives 30,000 rubles a month - this is his average per capita income.

The cost of living in Moscow is 15,382 rubles. Find out the minimum in your city on the regional website of the Department of Labor.

Let's multiply this figure by 1.5 living wages:1.5×15,385 = 23,073 rubles

The maximum per capita income for our pensioner is 23,073, which means he will not be able to receive services for free.

To find out the tariff for services at home and in semi-permanent form, we use the formula:
(30 000 income — 23 073 living wage ) x 50%maximum difference = 3,463 rubles

This is the maximum tariff for services per month.

How to get a social service

Free and paid services are provided in different ways. To receive guaranteed services, you need to go through 5 stages:

1. Prepare documents

- Passport
— For a child under 14 years of age, a birth certificate and a certificate of residence
— Passport and power of attorney from a disabled person, if you represent his interests
— Extract from the house register
— Certificate of income for Last year
— Medical certificate about the state of health, which indicates the category of disability or injury that limits capabilities
— A certificate, certificate or certificate that confirms the right to social assistance, for example, a certificate of a WWII participant

This is not a complete list. Depending on the situation, they may require a certificate of release from prison, a court decision declaring a citizen incompetent, or other certificates. Call your local Social Security office and ask what documents are needed in your case.

2. Submit an application to social security at your place of residence

3. Wait up to 7 days

Social services are provided in a targeted manner. This means that the commission considers whether you need services or not. Verification takes up to 7 working days. After that, you are either refused or assigned an individual social service program.

4. Receive an individual social services program

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. To receive 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 a comprehensive social service center can also be obtained from the social protection authorities at your 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 chronic alcoholism, infectious diseases, active forms of tuberculosis, severe mental disorders, sexually transmitted 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,
  • certificate from 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 help can a social worker provide?

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.

Most often, social services are in demand 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 with personal plot and others.

Question: For how long are social services provided at home?

Answer: Social services at home can be provided temporarily, for up to 6 months, or permanently.

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