{"id":25131,"date":"2016-04-05T12:36:54","date_gmt":"2016-04-05T10:36:54","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25131"},"modified":"2016-04-05T12:36:54","modified_gmt":"2016-04-05T10:36:54","slug":"davame-jim-svobodu-jakou-zvladnou","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25131","title":{"rendered":"D\u00e1v\u00e1me jim svobodu, jakou zvl\u00e1dnou"},"content":{"rendered":"

Domov bez z\u00e1mku existuje jako forma pomoci pro hendikepovan\u00e9 ji\u017e pades\u00e1t let. Posledn\u00ed rok ho jako \u0159editelka vede Hana \u0160er\u00e1kov\u00e1, kter\u00e1 d\u0159\u00edve pracovala jako klinick\u00e1 psycholo\u017eka, soudn\u00ed znalkyn\u011b a naposledy v odd\u011blen\u00ed v\u011bze\u0148sk\u00e9 psychiatrie v Brn\u011b.<\/strong> <\/p>\n

N\u00e1m\u011b\u0161\u0165 nad Oslavou \u2013 „Tak\u017ee jsem \u0161la z jedn\u00e9 z nejl\u00e9pe st\u0159e\u017een\u00fdch budov v \u010cR rovn\u00fdma nohama do Domova s dve\u0159mi doko\u0159\u00e1n,“ \u0159ekla o sv\u00e9 posledn\u00ed zm\u011bn\u011b zam\u011bstn\u00e1n\u00ed.<\/p>\n

– Va\u0161e za\u0159\u00edzen\u00ed se o klienty star\u00e1 365 dn\u00ed v roce, nebo tr\u00e1v\u00ed n\u011bjak\u00fd \u010das i se sv\u00fdmi rodinami?<\/p>\n

Na\u0161e za\u0159\u00edzen\u00ed poskytuje ambulantn\u00ed a pobytov\u00e9 slu\u017eby. V t\u011bch pobytov\u00fdch je cel\u00e9 za\u0159\u00edzen\u00ed rozd\u011bleno na 13 autonomn\u00edch dom\u00e1cnost\u00ed celkem v \u0161esti lokalit\u00e1ch Vyso\u010diny (Velk\u00e1 B\u00edte\u0161, Pucov, N\u00e1m\u011b\u0161\u0165 nad Oslavou, Hrotovice, Jarom\u011b\u0159ice nad Rokytnou a Ok\u0159\u00ed\u0161ky). Jednu dom\u00e1cnost tvo\u0159\u00ed obvykle rodinn\u00fd domek se \u0161esti obyvateli. Jde o jejich domov, k rodin\u00e1m jezd\u00ed obvykle na n\u00e1v\u0161t\u011bvu nebo dovolenou. Jindy zas jezd\u00ed rodiny na n\u00e1v\u0161t\u011bvy k nim do dom\u00e1cnost\u00ed. Po odst\u011bhov\u00e1n\u00ed z velk\u00e9ho za\u0159\u00edzen\u00ed se v\u00fdrazn\u011b zlep\u0161ila spolupr\u00e1ce s rodinami a poda\u0159ilo se nav\u00e1zat mnoh\u00e9 l\u00e9ty zp\u0159etrhan\u00e9 vazby. Mezi ambulantn\u00ed slu\u017eby pat\u0159\u00ed denn\u00ed stacion\u00e1\u0159 a soci\u00e1ln\u011bterapeutick\u00e1 d\u00edlna, tedy kav\u00e1rna Pohodi\u010dka v N\u00e1m\u011b\u0161ti nad Oslavou. Do obou slu\u017eeb doch\u00e1z\u00ed jak na\u0161i klienti, tak lid\u00e9 \u017eij\u00edc\u00ed v rodin\u00e1ch.<\/p>\n

– Va\u0161e p\u0159edch\u016fdkyn\u011b Alena Bro\u017ekov\u00e1 \u0159ekla, \u017ee n\u00e1klady na jednoho klienta byly v \u00fastavu na z\u00e1mku v Jino\u0161ov\u011b 120 tis\u00edc korun ro\u010dn\u011b. Kolik je to dnes?<\/p>\n

Tato hodnota je t\u00e9m\u011b\u0159 20 let star\u00e1, poch\u00e1z\u00ed z doby, kdy se o 90 klient\u016f na no\u010dn\u00ed slu\u017eb\u011b staraly 2 pe\u010dovatelky. Tehdy „chovanci“ p\u0159es den bloumali po parku a \u010dekali, a\u017e ub\u011bhne \u010das od jednoho j\u00eddla k druh\u00e9mu. Aktivizace byla minim\u00e1ln\u00ed. Porovn\u00e1me-li m\u011bs\u00ed\u010dn\u00ed n\u00e1klady na l\u016f\u017eko v pobytov\u00fdch slu\u017eb\u00e1ch v roce 2007 , tedy je\u0161t\u011b na z\u00e1mku, a v roce 2015 po \u00fapln\u00e9 transformaci, zaznamen\u00e1v\u00e1me n\u00e1r\u016fst n\u00e1klad\u016f p\u0159ibli\u017en\u011b o 20 procent.<\/p>\n

– \u010c\u00edm je to zp\u016fsobeno?<\/p>\n

Nen\u00ed to pouze procesem transformace, ale rovn\u011b\u017e n\u00e1r\u016fstem mezd za posledn\u00edch dev\u011bt let a nav\u00fd\u0161en\u00edm cen energie, potravin a dal\u0161\u00edch vstup\u016f, ke kter\u00e9mu by do\u0161lo i v p\u016fvodn\u00edm \u00fastavu. Stejn\u011b tak v\u0161ak vzrostly v\u00fdnosy od klient\u016f. Velkou \u010d\u00e1st n\u00e1klad\u016f tvo\u0159\u00ed mzdy zam\u011bstnanc\u016f a povinn\u00e9 odvody. Zat\u00edmco v p\u016fvodn\u00edch n\u00e1kladech je zahrnuto mno\u017estv\u00ed pomocn\u00e9ho person\u00e1lu jako kucha\u0159ky, pradleny, \u00fadr\u017eb\u00e1\u0159i a tak podobn\u011b, dnes tyto pozice v\u016fbec nem\u00e1me a v\u011bt\u0161inu person\u00e1lu tvo\u0159\u00ed pracovn\u00edci p\u0159\u00edm\u00e9 p\u00e9\u010de. Kvalita p\u00e9\u010de o klienta stoupla skokov\u011b nahoru. V lo\u0148sk\u00e9m roce Domov bez z\u00e1mku p\u0159evzal v Sen\u00e1tu Cenu kvality, a to jako jedin\u00e9 pobytov\u00e9 za\u0159\u00edzen\u00ed pro osoby se zdravotn\u00edm posti\u017een\u00edm v \u010cR. N\u011bkter\u00e9 hodnoty zkr\u00e1tka nelze redukovat pouze na finance.<\/p>\n

– P\u0159esto se na n\u011b je\u0161t\u011b zept\u00e1m. Jak\u00fd je pom\u011br mezi p\u0159\u00edsp\u011bvkem od Kraje Vyso\u010dina a obdr\u017een\u00fdmi prost\u0159edky od sponzor\u016f \u010di drobn\u00fdch d\u00e1rc\u016f?<\/p>\n

Pen\u00edze z\u00edsk\u00e1v\u00e1me jednak od na\u0161ich klient\u016f, to je \u00fahrada za stravu a bydlen\u00ed, z p\u0159\u00edsp\u011bvku na p\u00e9\u010di, d\u00e1le dost\u00e1v\u00e1me p\u0159\u00edsp\u011bvek na provoz od z\u0159izovatele, kter\u00fdm je Kraj Vyso\u010dina a dota\u010dn\u00ed prost\u0159edky z MPSV, kter\u00e9 nov\u011b rovn\u011b\u017e rozd\u011bluje krajsk\u00fd \u00fa\u0159ad. Ve slu\u017eb\u011b Domov pro osoby ze zdravotn\u00edm posti\u017een\u00edm z\u00edsk\u00e1v\u00e1me finan\u010dn\u00ed prost\u0159edky od zdravotn\u00edch poji\u0161\u0165oven za vyk\u00e1zan\u00e9 zdravotn\u00ed \u00fakony.<\/p>\n

– Jak\u00fd je pom\u011br mezi dary a z\u00e1konn\u00fdmi p\u0159\u00edsp\u011bvky \u010di dotacemi?<\/p>\n

Prost\u0159edky od d\u00e1rc\u016f a sponzor\u016f tvo\u0159\u00ed pouze jednotky procent z n\u00e1klad\u016f. Mezi na\u0161e nej\u0161t\u011bd\u0159ej\u0161\u00ed d\u00e1rce pat\u0159\u00ed Nadace \u010cEZ. Dal\u0161\u00ed zdroj p\u0159\u00edjm\u016f mohou tvo\u0159it \u00fasp\u011b\u0161n\u00e9 projekty nap\u0159\u00edklad z Evropsk\u00fdch struktur\u00e1ln\u00edch fond\u016f. Z t\u011bchto zdroj\u016f byly postaveny v\u0161echny domy organizace, samoz\u0159ejm\u011b se spolu\u00fa\u010dast\u00ed z\u0159izovatele.<\/p>\n

– Pan\u00ed Bro\u017ekov\u00e1 tak\u00e9 vyslovila p\u0159i zah\u00e1jen\u00ed oslav pades\u00e1tilet\u00e9ho fungov\u00e1n\u00ed domova p\u0159\u00e1n\u00ed, aby se z mal\u00fdch dom\u00e1cnost\u00ed nestaly mal\u00e9 \u00fastavy. Jak vlastn\u011b vypad\u00e1 b\u011b\u017en\u00fd den klient\u016f v nov\u00fdch domovech?<\/p>\n

Term\u00edn mal\u00fd \u00fastav pou\u017e\u00edvaj\u00ed \u010dasto odp\u016frci procesu transformace. Jde o to, abychom dok\u00e1zali nov\u00fd typ soci\u00e1ln\u00ed slu\u017eby v co nejv\u011bt\u0161\u00ed m\u00ed\u0159e ochr\u00e1nit p\u0159ed „\u00fastavn\u00edmi prvky“, tedy ne\u0161vary velk\u00fdch \u00fastavn\u00edch za\u0159\u00edzen\u00ed. Mezi n\u011b mohou pat\u0159it nap\u0159\u00edklad nedostatek soukrom\u00ed, nedostate\u010dn\u00e9 vn\u00edm\u00e1n\u00ed p\u0159\u00e1n\u00ed a pot\u0159eb klient\u016f, ve\u0161ker\u00e9 \u017eivotn\u00ed aktivity se odehr\u00e1vaj\u00ed na \u00fastavn\u00ed p\u016fd\u011b a tak podobn\u011b. B\u011bhem procesu transformace doch\u00e1z\u00ed nejen k v\u00fdstavb\u011b men\u0161\u00edch forem bydlen\u00ed, ale zejm\u00e9na, a to je d\u016fle\u017eit\u011bj\u0161\u00ed, ke zm\u011bn\u011b paradigmatu, skrze kter\u00e9 nahl\u00ed\u017e\u00edme na p\u00e9\u010di o osoby s posti\u017een\u00edm. Na\u0161\u00ed snahou je, aby se jejich \u017eivot, v co nejvy\u0161\u0161\u00ed m\u00ed\u0159e podobal b\u011b\u017en\u00e9mu \u017eivotu ostatn\u00ed populace. D\u00e1v\u00e1me jim svobodu a mo\u017enost volby, jakou zvl\u00e1dnou. Ruku v ruce jdou ov\u0161em i povinnosti a pocit zodpov\u011bdnosti. Princip normality spo\u010d\u00edv\u00e1 v zachov\u00e1n\u00ed p\u0159irozen\u00e9ho rytmu \u017eivota. Je d\u016fle\u017eit\u00e9, aby klienti v\u011bd\u011bli, \u017ee r\u00e1no odch\u00e1zej\u00ed do pr\u00e1ce, stacion\u00e1\u0159e, denn\u00edch aktivit nebo chr\u00e1n\u011bn\u00e9 d\u00edlny. Sna\u017e\u00edme se, aby vn\u00edmali jasn\u00fd rozd\u00edl mezi v\u0161edn\u00edm dnem a v\u00edkendem a pracuje se s podn\u011bty p\u0159im\u011b\u0159en\u00fdmi v\u011bku, neinfantilizujeme, sna\u017e\u00edme se fungovat jako b\u011b\u017en\u00e1 dom\u00e1cnost v b\u011b\u017en\u00e9 komunit\u011b. Pracujeme s individu\u00e1ln\u00edmi pot\u0159ebami, a to v\u010detn\u011b t\u011bch dlouhodob\u011b tabuizovan\u00fdch, jako je pr\u00e1vo na partnersk\u00fd \u017eivot \u010di pr\u00e1vo do\u017e\u00edt ve sv\u00e9m dom\u00e1c\u00edm prost\u0159ed\u00ed. Proces uspokojov\u00e1n\u00ed individu\u00e1ln\u00edch pot\u0159eb m\u016f\u017ee nar\u00e1\u017eet na snahu sni\u017eovat n\u00e1klady. Sna\u017e\u00edme se vybalancovat tento pom\u011br tak, abychom nepl\u00fdtvali prost\u0159edky, a p\u0159esto byli schopni poskytnout kvalitn\u00ed soci\u00e1ln\u00ed slu\u017ebu.<\/p>\n

– Jak vypad\u00e1 v praxi to, \u017ee pracujete s individu\u00e1ln\u00edmi pot\u0159ebami klient\u016f?<\/p>\n

Ka\u017ed\u00e1 samostatn\u00e1 dom\u00e1cnost vych\u00e1z\u00ed z pot\u0159eb sv\u00fdch obyvatel. Podpora nebo pomoc person\u00e1lu se pak pohybuje od \u010dty\u0159 hodin denn\u011b a\u017e po nep\u0159etr\u017eitou slu\u017ebu. Lidem s n\u00edzkou m\u00edrou podpory sta\u010d\u00ed n\u00e1pomoc radou \u2013 t\u0159eba p\u0159i hospoda\u0159en\u00ed s pen\u011bzi, skladb\u011b n\u00e1kupn\u00edho l\u00edstku potravin nebo doprovodem k l\u00e9ka\u0159i \u010di na \u00fa\u0159ady. Naopak \u010dlov\u011bk s vysokou m\u00edrou podpory pot\u0159ebuje na\u0161i pomoc cel\u00fd den a t\u00e9m\u011b\u0159 ve v\u0161ech oblastech sebeobsluhy. Proto je p\u0159\u00edtomnost a pomoc person\u00e1lu na dom\u00e1cnostech rozd\u00edln\u00e1. P\u0159istupuje se k n\u00ed a\u017e tehdy, pokud ur\u010ditou v\u011bc klient nedok\u00e1\u017ee s\u00e1m. Na\u0161i obyvatel\u00e9 ud\u011blali od p\u0159est\u011bhov\u00e1n\u00ed z \u00fastavu velk\u00e9 pokroky. Pokud jim d\u00e1te d\u016fv\u011bru, \u010das a pomoc p\u0159i n\u00e1cviku, dok\u00e1\u017eou sami mnohem v\u00edc ne\u017e kdokoliv z person\u00e1lu \u010dekal. Spole\u010dn\u011b pak za\u017e\u00edv\u00e1me radost z jejich samostatnosti. Nau\u010d\u00ed se, \u017ee je pro n\u011b lep\u0161\u00ed sn\u00eddani si sami vybrat a p\u0159ipravit, ne\u017e \u010dekat, co jim daj\u00ed na tal\u00ed\u0159.<\/p>\n

T\u0159eb\u00ed\u010dsk\u00fd den\u00edk
\nhttp:\/\/www.trebicsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Domov bez z\u00e1mku existuje jako forma pomoci pro hendikepovan\u00e9 ji\u017e pades\u00e1t let. Posledn\u00ed rok ho jako \u0159editelka vede Hana \u0160er\u00e1kov\u00e1, kter\u00e1 d\u0159\u00edve pracovala jako klinick\u00e1 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":4002,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-25131","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25131"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25131\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/4002"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25131"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25131"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}