Examples from Austria

Institution: KoMiT GmbH Vienna 

 

number and type of groups  2 groups day structuring facility 

2 groups sheltered living 

funding  All our facilities are funded by the public authorities. It is a concept of support for the individual, but in connection with attending a special facility. So the public authority pays a daily rate (“normal” respectively “raised” according to the degree of disability) to the institution running the facility. In the case of “normal” rate, there are 50 days per year “free” (for vacation, sick leave or whatever) without interrupting payment to the institution. In the case of “raised” rate, only days of presence (at least 4 hours) will be paid. 

Additionally, there is a rather small amount (like € 200 or less per month, depending on financial resources of the client) to be paid by the client. Donations cannot be relied upon as part of the regular budget; they are mainly used for “extras”. 

 

  Day structuring facility „Media & More“ 
opening hours  Monday – Thursday 8:00 – 15:00 

Friday 8:00 – 14:00 

all year 

number of participants  30 in 4 groups 
age range  Currently 16 – 53 
level of needs, diagnoses  moderate to profound multiple disabilities, mainly ICP 
staff (professions, ratio)  conductor, qualified nurse, specialized social worker, psychologist, educator, teacher / sport for the disabled, healthcare assistant, multimedia designer (about 1:3) 

plus persons doing community service, voluntary social year or voluntary integration year, internship 

programmes  lying – standing – manipulation – perception – stretching – sports games – climb the stairs – walking – brainjogging – creative work – editorial work – media – projects – music – household activities – ADL 

 

  Day structuring facility „Konduktive Tagesstruktur“ 
opening hours  Monday – Thursday 8:00 – 15:00 

Friday 8:00 – 14:00 

all year 

number of participants  22 in 3 groups 
age range  Currently 19 – 52 
level of needs, diagnoses  moderate to profound multiple disabilities, mainly ICP 
staff (professions, ratio)  conductor; certified social worker; OT; art therapist; nutrionist; social therapist (about 1:3) 

plus persons doing community service, voluntary social year or voluntary integration year 

programmes  lying – standing – manipulation – perception – stretching – walking – creative work – cognitive (“TeCo Uni”) – music – sports games – household activities – ADL 

 

Our day structuring facilities have originated from parents’ groups looking for adequate support for their adolescent children after compulsory education in schoolgroups of “Therapieinstitut Keil” offering CE. KoMiT is a sister company under the umbrella of the “Helga Keil – Bastendorff Foundation” and provides “Tagesstruktur” – which in the Austrian social system is an established and government – financed work – placement for persons who cannot find gainful employment because of their disability or mental health problem. 

Our groups are in general open to everybody coming within this target group. Only about half of our clients choose KoMiT because they have had prior experience with or knowledge about CE, but the principles of CE are essential for our work and it is certainly not possible to “deselect” CE. Experience has shown that most of the participants in our groups learn to appreciate the benefits of CE after a short time. 

Principal concern is to promote activity, independence and empowerment. Satisfying occupation can be found by utilizing personal resources and individually adapting tasks. Optimally performing motor function and communication are important tools on this way. 

Social skills are trained and maintained in contact with peers and staff on the one side but certainly also in an inclusive sense when going shopping, selling products of creative work at bazars or markets or going on excursions. 

Our teams consist of conductors (Hungarian and Austrian trained) and members of several relevant professional groups. The latter get an introduction into the principles of CE when they start working with KoMiT; we put emphasis on the importance of a “conductive spirit” in the groups and a conductive attitude towards work of each team member. Instructions in detail are competence of the conductors on – site. 

Basically, there are 4 (Media & More) respectively 3 (Konduktive Tagesstruktur) groups at the locations. In those groups there are the responsibilities for some daily routines (morning circle, toileting, meals, household activities…) and “Bezugsbetreuung” (setting goals, documentation, communication with parents / living surroundings etc.). There is a variety of alternative programmes in which the clients can take part so that in terms of contents the structure of the day and the week can be designed very much suitably to needs, potentials and interests of the individual. This system makes it possible to take account of both conductive guidelines: working in groups and supporting individually. 

 

  Sheltered living „Wohnverbund 18“ 
opening hours  Clients have to attend day structuring facilities, so opening hours are complementary to opening hours of the day structuring facilities; there will be taken care of clients who are ill or taking days off at their day structuring facilities 
number of participants  19 on 3 floors 
age range  Curently 21- 62 
level of needs, diagnoses  ⅔ ICP moderate multiple disabilities, ⅓ other diagnosis (intellectual, mental issues) 
staff (professions, ratio)  qualified nurse, healthcare assistant, psychologist, specialized social worker – some certified, some academic, GerAnimation trainer;  

persons doing community service, voluntary social year or voluntary integration year, internship 

Ratio depending on time of the day – 1:4 – 1:7  

External: visiting volunteer, PT, animal therapist, music therapist 

Responsible conductor – not working regularly at the facility 

programmes  The daily / weekly routine is determined by “everyday life” routines. There is a focus on activity, autonomy and learning to cope with (old and new) situations. Keeping up a good physical condition is a main goal for all our residents. 

 

  Sheltered living „Wohntraining“ 
opening hours  Clients have to attend day structuring facilities, so opening hours are complementary to opening hours of the day structuring facilities; there will be taken care of clients who are ill or taking days off at their day structuring facilities 
number of participants  9 
age range  Currently 27 – 43 
level of needs, diagnoses  moderate multiple disabilities, ICP 
staff (professions, ratio)  specialized social worker – some certified, some still in training, assistants for the handicapped, learning- and leisure coach  

persons doing community service, voluntary social year, European voluntary service  

Ratio depending on time of the day – 1:4 – 1:9   

Responsible conductor – not working regularly at the facility 

programmes  The daily / weekly routine is determined by “everyday life” routines. There is a focus on activity, autonomy and learning to cope with (old and new) situations. Keeping up a good physical condition is a main goal for all our residents. 

 

Central concern in our houses is to give the people living there a place that they can feel to be their home. They are encouraged to cope with everyday life situations as independently as possible and are offered support to develop their skills. Goals are being set, and for some residents the future perspective to be able to move to a living surrounding with less assistance is a strong motivation.  

The group is an important factor – it is space for learning, sharing emotions, caring about each other and setting personal limits. The age differences on one hand provide space for social learning but on the other hand make very personalised programmes necessary. 

The members of the transdisciplinary teams (one team per floor in “Wohnverbund 18) are rotating in work circles and have one team meeting per week to coordinate procedures and priorities. There are several external carers like physiotherapists, music therapists, nursing staff, assistants for leisure time activities etc. 

The daily routine of course cannot be as strict as in a day structuring (“working”) place, as “being at home” should mean a big share of spontaneously deciding what to do or even not to do anything. Nevertheless, there are fixed routines like getting ready for work in the morning, dinner or getting ready for the night. There are structure plans for the week, where everybody is assigned to regular jobs like cleaning the room, do the washing, go shopping etc. 

We use some typical “conductive furniture” to support independence in transfer situations, and the use of technical aids is considered very carefully.  

 

 

 

 

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