What We Do

The social exclusion of persons with mental disabilities and their placement in residential institutions encroaches on fundamental human rights. Deinstitutionalization is a complex process which must be accompanied by the proper community services. Creating and developing placement services in the community, such as Community Homes, Supported Living, Professional Parental Assistance, Personal Assistant or Specialized Family Placement, and Mobile Teams, represents an alternative to residential care and supports the community and family reintegration of persons who previously were placed in residential institutions. The role of these services includes preventing others from being placed in residential institutions.

As opposed to care in residential institutions, community-based services are based on the needs of persons with disabilities and their relatives or tutors. These services are intended to offer developmental support to persons with disabilities, based on individual intervention plans. Depending on individual needs, services can be offered at home or in the framework of community services with support from different specialists. Services can include personal assistance in all aspects of daily life and personal care; occupational, physical, or other types of therapy; behavioral support; escort; consultation; community integration; relaxation and free time activities; help to go to school and find a job; support to develop, maintain, and improve competence and individual abilities; entertainment and care services; consultation for parents; and mediation of the relation with other necessary services. Community and home services can vary from minimal, such as once a week, to 24 hours a day.

In the Republic of Moldova, the deinstitutionalization of persons with mental disabilities has been making progress. At the policy change level, the United Nations’ Convention on the Rights of Persons with Disabilities was approved by the Government in 2007 and was ratified in 2010. With the support of the Community for All-Moldova Program, the Strategy for Social Inclusion of Persons with Disabilities and the Regulations and Standards for Community Homes Services, Supported Living Services, Mobile Team Services, Personal Assistance, Respite Services and the methodology of implementation of inclusive education in schools have been approved by the Government.

The Community for All-Moldova Program, implemented through a partnership established between Keystone Moldova, the Open Society Mental Health Initiative, Soros - Foundation Moldova, and the Ministry of Labor, Social Protection and Family, grants support to the Ministry of Labor, Social Protection and Family in developing the legal framework in the social protection field, as well as the standards and regulations for new services for people with mental disabilities. The program also supports the local public authorities and local NGOs to develop services of care and support for people with mental disabilities who have relocated from residential institutions to the community.

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  • Keystone Human Services - International Moldova Association - Advancing the Human Spirit