The rehabilitation situation today
Rehabilitation is always necessary after a pathogen event, no matter how serious, because the person, conceived as a system, has been altered by the disease: to return as close as possible to normality, you should not only relay on a spontaneous recovery, which nevertheless exists in every patient, but you need to lead this recovery with an appropriate intervention. Rehabilitation is a science, so it requires accuracy and rigour, in both research and practical intervention, which is performed every day in specialized centers.
In each country, including those in the developing world, there are rehabilitation centers in which people try to make patients recover, with the availability of skills and resources clearly varying depending on the context in which they operate.
Therefore, it is obviously necessary to clarify who the rehabilitation therapist is, they do and what their role and competences should be in the general health context.
Frequently we meet people who act as therapists but who are not, with all the consequences that this entails: planning and rehabilitation treatments without the slightest scientific rigor and after the first negative results, they keep randomly trying other exercises, suggested or copied by someone else with the only result of creating even more discomfort, confusion and frustration to the people directly involved in the problem, the patient, the family, the therapist or even the one who is desperately trying to replace the rehabilitation therapist.
Very few efforts have so far been made to give rehabilitation the role it deserves: the consequences are disastrous, especially for what concerns the pathologies of the development age, that is children.
It is therefore necessary to make up and spread a culture of real and serious rehabilitation, to improve the quality of the service offered: to raise awareness among the people, the competent authority and the specialized structures, so that each rehabilitation treatment has sufficient quality and an adequate scientific rigor. The progress of basic knowledge is making the rehabilitation process more and more complex, so that it now requires more and more competence. This is why the approaches to rehabilitation in developing countries (and not only…) can not afford the luxury not to update and to neglect research, especially in the light of the latest scientific discoveries, which are directing the intervention more and more towards those methodologies that have strong neurocognitive and phenomenological connotations.
The association wants to participate as protagonist in these changes. Our intent is therefore to strengthen the possibilities of existing structures through a process of training of personnel. After targeted researches and through specific evaluations, the association will identify existing structures in developing countries, especially working on childhood pathologies, creating a partnership, with commitments and obligations by both parties: if on one hand the association offers free care, updates and research, on the other hand the partner will have to commit in research on specific topics, on which we had previously agreed, using the rehabilitation folder, an important tool that distinguishes and characterizes this type of rehabilitation approach.
To support the work of the therapists, there will be specialized nurses and doctors, as well as other specialists in playful activities that will be involved from time to time depending on the specific structure. These guidelines are the result of the analysis of the numerous and intense experiences in this field by those operators who will be the protagonists of the association’s projects.
Who we are
We are a group of doctors, nurses and rehabilitation therapists specialized in the neurocognitive therapeutic approach, a theoretical model and now also the forefront of action at international level, the flagship of the Italian research, which received great success and has become an essential point of reference for researchers in rehabilitation.
Also for the treatment of early years pathologies we refer to Cognitive theorical model.
The rehabilitation therapists who participate in the mission of the association must be enrolled at the AIDETC (Italian Association of Therapeutic Exercise Cognitive Teaching), and is requested to have an adequate knowledge of the English language.
To complete our ‘team’ there are people specialized in playful activities that sits alongside the staff in the projects of the association.
Only a serious and continuous study may allow the rehabilitation to occupy everywhere rightful place.
Beyond treatments and remedies, create and spread a serious culture of rehabilitation in countries with all this seem to be impossible. This is our scope.
Why the association
For a rehabilitation culture
Rehabilitation is a science, as such requires stringency of intervention from research to everyday practice and operations through qualified and specialized centers. In each country, including developing and emerging nations there are rehab centers which might vary in accordance with local context and available resources. This generate the need to develop and deploy a serious culture of rehabilitation to increase quality of offered service, improve public awareness, prepare local authorities. Focus is in reaching the quality by considering the patient not just a disabled person but an individual which actively contribute in his recovering and facilitate his integration in the community where he lives.
Our Association wants to be main sponsor and protagonist of these changes. Our aim is to strengthen capacity of existing facilities through a process of upgrading existing health workforce