Modern aspects of social protection of combatants depending on the severity of disability
The urgency of the problem is due to the significant increase in recent years in the number of young and middle-aged people who have passed the war, the need to develop adequate measures of social assistance and protection. An important task in the organization of the rehabilitation process is to determine the structure of the needs of servicemen with disabilities in various types of medical and social care and the development of individual rehabilitation programs (IRP) based on them. The purpose of the study: to determine the structure of the needs of servicemen with disabilities in medical and social rehabilitation depending on the severity of disability. Statistical data from 25 administrative territories of Ukraine for 2018 are analyzed, the needs of participants of military service with disabilities in medical and social rehabilitation measures, their structure are calculated. The data of the information base of the centers and the bureau of medical and social examination of the regions were used. Processing of the primary material was performed using the universal statistical package "Excel". In 2018, medical and social expert commissions (MSEC) of Ukraine for the first time and re-certified and recognized persons with disabilities 7843 combatants. Of these, disability of group I (IA and IB) was established in 2.6 %, II – in 29.2 %, III – in 68.2 % of cases. All victims for MSEC were formed IRP. The dependence of the needs of combatants in medical and social rehabilitation measures on the severity of disability has been established. For persons with disabilities of groups II and III, priority is given to medical and professional rehabilitation, group I – social rehabilitation and technical means of rehabilitation with medical support. Of the medical rehabilitation services for persons with II and III groups of disability, sanatorium treatment is significant, and group I – rehabilitation therapy. Among vocational rehabilitation services, employment in production conditions is important – for persons with group III disabilities, in specially created conditions – for persons with group II disabilities, at home – for persons with group I disabilities. Vocational training was offered to a small number of people with disabilities of all groups. Among social rehabilitation services and technical means of rehabilitation, the services of social workers of territorial social service centers were significant for representatives of all disability groups, simpler means of transportation for persons of group III disability and more complex means for persons of group I. Determining the characteristics of the needs of servicemen with disabilities depending on its severity allows MSEC specialists to better form the IRP, develop targeted rehabilitation programs at the regional level, assess shortcomings in the organization of the rehabilitation process and build a rehabilitation system for combatants.
 Havlovsky, O. D., Holovanova, I. A., Khorosh, M. V., & Tovstyak, M. M. (2019). The importance of research into the dynamics of disability in Ukraine among war participants to determine the scope of care and rehabilitation. Clinical and Preventive Medicine, 3-4(9-10), 22-30. doi: 10.31612/2616-4868.3(9).2019.03
 Institute of Medicine (2013). Returning Home from Iraq and Afghanistan: Assessment of Readjustment Needs of Veterans, Service Members, and Their Families. Washington, DC: The National Academies Press. doi: 10.17226/13499
 Ipatov, A. V., & Korobkin, Yu. I. (2014). Features of medical and social examination in the combat participants expertise. Ukrainian Bulletin of Medical and Social Expertise, 4(14), 4-12.
 Kasynets, S. S., Holovanova, I. A., Palamarchuk, D. V., & Kravtsiv, I. S. (2018). The main directions of rehabilitation of participants of hostilities in Poltava region. Chronicle of traumatology and orthopedics, (1-2), 49-52.
 Korchagina, E. V. (2008). The consequences of fighting traumatic brain injury and limitation of life in former soldiers of working age in modern conditions. (PhD thesis). https://www.dissercat.com/content/posledstviya-boevoi-cherepno-mozgovoi-travmy-i-ogranichenie-zhiznedeyatelnosti-u-byvshikh-vo
 Leskiv, B. B., & Shevchenko, S. I. (2016). Two year experience of treatment and medical rehabilitation of participants of anti-terror operation in medical and preventive establishments of general network of Zhytomyr area. Ukraine. Nation's Health, 4(1), 58-62.
 Matiash, M. M., Dykun, O. P., Matiash, O. M., & Hrynenko, Yu. A. (2017). Rehabilitation of the disabled persons who are combatants, in the Kyiv region. International Neurological Journal, 4(90), 23-34. doi: 10.22141/2224-07188.8.131.527.107258
 Official response of the Head of the Personnel Center of the Armed Forces of Ukraine Y. Voronin to Tuco Ramirez's request. (2019). URL: https://dostup.pravda.com.ua/request/47518/response/112005/attach/3/273%2025.03.2019.doc. – 28.03.2019.
 Oster, C., Morello, A., Venning, A., Redpath, P., & Lawn, S. (2017). The health and wellbeing needs of veterans: a rapid review. BMC Psychiatry, 17(1), 414. doi: 10.1186/s12888-017-1547-0
 Persons with a disability: barriers to employment, types of assistance, and other labor-related issues: Department of Labor USA: News Release. USDL-13-0729. 2013, April. 20 pp. URL: https://www.bls.gov/news.release/pdf/dissup.pdf
 Sajfullin, V. G. (2011). Management of the social rehabilitation of disabled combat operations in the Russian Federation: sociological analysis. (PhD thesis). https://www.dissercat.com/content/upravlenie-sotsialnoi-reabilitatsiei-invalidov-boevykh-deistvii-v-rossiiskoi-federatsii
 Sharshatkin, D. Yu. (2016). The concept of improving the provision of administrative and social services to participants in the anti-terrorist operation. Law and public administration, (4), 153-157.
 Shevchuk, V. I., Beliaieva, N. M., Yavorovenko, O. B., & Kurylenko, I. V. (2018). The needs of people with disabilities - participants in the anti-terrorist operation in medical and social rehabilitation: A guide. Vinnytsia: FOP Rogalska І. О. ISBN 978-617-7556-39-7
 Sysoienko, I. V. (2015). Legal and regulatory support for the rehabilitation of victims of the anti-terrorist operation. Medical Rehabilitation, Balneology and Physiotherapy, 2(82), 5-10.
 Vetlynskyi, S. O. (2016). Social protection of military men under conditions of the anti-terrorist operation. Efficiency of public administration, (4), 198-205.
 Volianskyi, O. M., & Kikh, A. Yu. (2015). The form of the individual program of rehabilitation of the servicemen wounded during anti-terrorist operation in the period of receiving by them the status «VA disability». Medical Hydrology And Rehabilitation, 13(4), 59-60.
 Vorona, P. V. (2018). Ways of social rehabilitation of participants of Ukrainian-Russian war in the east of Ukraine: international experience. Bulletin of the National Academy of Public Administration under the President of Ukraine. Series: Public Administration, (3), 55-62. doi: 10.5281/ZENODO.1240793
 Yеnа, А. I., Maslyuk, V. V., & Sergienko, A. V. (2014). Relevance and organizational principles of medical and psychological rehabilitation of the counterterrorist operation. Scientific Journal of the Ministry of Health of Ukraine, 1(5), 5-16.
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