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Social rehabilitation

 

 

What is social rehabilitation and who are its target group?

From January 1st, 2016, the social rehabilitation service was divided into a social and work rehabilitation service.

Following persons are entitled to receive the rehabilitation service via the Social Insurance Board:

  • children with disabilities who are under the age of 16,
  • disabled adults who are of retirement age,
  • individuals of working age who are incapacitated for work,
  • individuals of working age with disabilities or a percentage of loss of capacity for work or with partial work ability but who do not work, study or have not been registered as unemployed,
  • individuals who are receiving early retirement person and have a disability,
  • individuals with disabilities who are receiving a benefit to a rescue servant while awaiting for old-age pension.

Above all, social rehabilitation is meant for all persons with a disability and persons with partial or no work ability, who require support in their everyday life, in order to cope with limitations arising from their disability or special needs. The aim of rehabilitation is to teach and develop a person's coping skills with everyday life, improve their possibilities for social participation, support their studies and develop prerequisites for partial obtainment or restoration of work ability on some level.
The social rehabilitation service is managed and funded by the Social Insurance Board.

Work rehabilitation is managed by Eesti Töötukassa. Individuals of working age, who have a disability or a percentage of loss of capacity for work or with partial work ability and are professionally active – i.e. are working, studying or have been registered as unemployed, are entitled to receive the service.
During the transitional period, i.e. 2016–2018, persons of working age who are professionally active and have a valid rehabilitation plan that has been prepared before 1 January 2016 can use the social rehabilitation services until the plan expires but not for longer than 31st of December 2018.

The right to receive social rehabilitation services on the grounds of an effective plan will cease in the event of person receiving the work rehabilitation service. Social and work rehabilitation services cannot be received simultaneously.

From 1.01.2016, the organisation of the social rehabilitation service for individuals of working and retirement age (16-years and older) was changed. A new aspect of the evaluation of the necessity of service was added, by its nature being an interview with a case manager of the Social Insurance Board. The objective of the evaluation is to determine, which services a person needs.  

If a person is in need of rehabilitation, the Social Insurance Board shall offer them a rehabilitation program or prepares a plan of action in the course of evaluation of the need for service or, in more complex cases, forwards the person to a rehabilitation facility for the preparation of a personal rehabilitation plan.

A rehabilitation program shall be put together for a group of people with similar problems and objectives.

Putting together a personal plan of action is a new tool for case managers of the Social Insurance Board. In such case, preparing a rehabilitation plan can be skipped and a person can receive required services faster.

A personal rehabilitation plan is an individual assessment summary together with a plan of action that specifies, which objectives the person wishes to achieve by using the service. The plan is put together by a provider of the rehabilitation service.
The coping of a person and their need for outside assistance will be evaluated both while putting together a rehabilitation plan and a plan of action. Also, suggestions for the adjustment of home-, work- and learning environment and use of technical aids will be made and the disabled person counselled in all necessary areas that are required to improve their social coping skills in the future.

The organisation of the social rehabilitation service has been established in the Social Welfare Act and regulations established on the grounds of the Act:

NB!
Medical treatment, including medical rehabilitation, does not equal to social rehabilitation. In case of need for medical rehabilitation, you should contact your family physician and medical specialist.

 

How to apply for rehabilitation services?

How and to whom can I submit an application to receive the service of social rehabilitation? 

In order to apply for the service, you must contact the Social Insurance Board and submit an application. A digitally signed application may be sent by e-mail to info@sotsiaalkindlustusamet.ee, an application signed on paper by regular mail.

You can also submit your application at a regional customer service office of the Social Insurance Board. Locations and opening hours are available www.sotsiaalkindlustusamet.ee/et/teeninduskohad.

An application form is available under Forms for rehabilitation service.

An application can also be submitted via the state portal eesti.ee. Read the guidelines for submitting an application via the state portal -  Applying for the social rehabilitation service via eesti.ee (PDF) (452.9 KB, PDF).

The following persons are not required to submit an application for social rehabilitation:

  • children under the age of 16, for whom the disability has been established for the first time. They will receive the referral to the rehabilitation service together with a disability decision,
  • children from 7 to 18 years of age for whom a decision including rehabilitation service as one of its sanctions has been issued by a juvenile committee and communicated to the Social Insurance Board,
  • persons who have submitted to the Social Insurance Board an application for around-the-clock special care service provided to persons with mental disorder.

NB!

A person of working age (the age of 16 until the pensionable age) and with a mental disorder has the option to select in which target group they are applying for funding – either in the category of persons of working age who have a mental disorder (the service limit per calendar year is up to EUR 2325) or of individuals of the age of 16 and older (service limit per calendar year is up to EUR 483 or, on the basis of a rehabilitation programme, EUR 1000), when submitting their application. Mental disorders also include intellectual development disorders (intellectual disability), behavioural and addictive disorders.

Processing terms for applications

  • An application of a child under the age of 16 will be reviewed in 10 workdays
  • An application of an individual of the age of 16 and older will be reviewed in 40 workdays.

 

Notification of the applicant of the decision

An applicant will be notified of the decision using the method of their choice as indicated in the application, for example, via the state portal eesti.ee, by e-mail, regular mail or at a customer service point of the Social Insurance Board. The decision will also include a list of services to be provided, the funds available to the individual for using the rehabilitation services and a list of rehabilitation facilities, indicating their contact information and estimated waiting times.

Period for receipt of services

The social rehabilitation service can be used on the basis of one decision within the period of two years. If a rehabilitation plan has been prepared before the year 2016, services can be used until the plan expires but not for longer than 31st of December 2018.

In any case, the service cannot be used for longer than two years on the basis of one resolution. The period for receipt of services (term of validity of the decision) has been specified in the decision by date.
After receiving the letter of referral or a notification of their waitlist position coming up, the individual must contact the appropriate service provider within 60 days, either by e-mail, regular mail or phone or by going to the respective rehabilitation facility, and agree upon the provision date of the service.

Further information on rehabilitation service providers is available in the register of economic activities http://mtr.mkm.ee/, by selecting „provision of rehabilitation services“ for the area of activity.

The list of rehabilitation service providers can be found www.sotsiaalkindlustusamet.ee/et/rehabilitatsiooniteenuse-osutajad

Waiting lists

In case of insufficient funds in the state budget, the Social Insurance Board will enter the person into a waiting list and the length of the waiting list can be up to one year.

Upon the individual's waitlist position coming up, the Social Insurance Board will send out a notification and the person in question must contact the appropriate service provider within 60 days and agree upon the provision date of the service.

 

 

Which services will be provided as part of rehabilitation?

An individual rehabilitation plan or plan of action prepared by a case manager of the Social Insurance Board may include the services of:

  • an occupational therapist
  • a creative therapist
  • a social worker
  • a psychologist
  • a special education
  • a speech therapist
  • a physiotherapist
  • an experience counsellor
  • a doctor
  • a nurse.

With an exception of a doctor's services, all services will be provided on an individual basis, to a family or in a group. A doctor's service is individual only.

NB!
The services of a doctor or a nurse are consultative and do not include activities connected to treatment of illnesses, e.g. establishing a diagnosis, preparing a plan for treatment, issuing a referral to a medical specialist or analyses, etc.

A detailed list and description of services can be found www.riigiteataja.ee/aktilisa/1291/2201/6023/SOM_m66_lisa1.pdf. (PDF) (PDF).

 

Payment for services and compensation for costs

Assumption by state of obligation to pay fee for social rehabilitation service can be applied for by the following persons:

  • children under 16 years of age,
  • disabled adults who are of retirement age,
  • a person of working age (the age of 16 until the pensionable age) with incapacity for work,
  • individuals of working age with disabilities or a percentage of loss of capacity for work or with partial work ability but who do not work, study or have not been registered as unemployed,
  • individuals who are receiving early retirement person and have a disability,
  • individuals with disabilities who are receiving a benefit to a rescue servant while awaiting for old-age pension.

The state will pay for the social rehabilitation service without an application for rehabilitation in following cases:

  • all children under 16 years of age, for whom the disability has been established for the first time,
  • children from 7 to 18 years of age for whom a decision including rehabilitation service has been issued by a juvenile committee,
  • applicants for around-the-clock special care service (cost of preparation of a rehabilitation program).

 

What is the maximum amount per one calendar year one person can receive social rehabilitation services for?  

 

Services provided within the framework of social rehabilitation, service prices and maximum service costs compensated per calendar year (PDF)have been established in Annex 1 of regulation 66 of the Minister of Social Protection „Establishment of the list and prices of services provided under the social rehabilitation service for which the state assumes the obligation to pay the fee, the procedure for the calculation and the maximum amount of the fee assumed per year, the maximum travel and accommodation expenses and the conditions and procedure for compensation of travel and accommodation expenses and the specific assessment criteria for rehabilitation programmes“.

Compensation of travel costs

If the individual’s place of residence is in a rural municipality or city other than where the provider of the rehabilitation service is located, the state reimburses the travel costs of the beneficiary as well as the accompanying person (parent, spouse, caregiver or other assistant).

From 1.09.2017, travel costs of the beneficiary and the accompanying person will reimbursed for up to EUR 41.44 per calendar year.

To receive compensation for travel costs, an application with documents supporting the travel costs must be submitted to the Social Insurance Board after receiving the receipt of the rehabilitation service. The application is available on our form page. The form must include the following information:

  • the name and personal identification code or date of birth, postal address, e-mail and phone number of the person who received rehabilitation services,
  • where necessary, the name and personal identification code or date of birth, postal address, e-mail and phone number of the accompanying person of the recipient of rehabilitation services,
  • reference number of the letter of referral concerning rehabilitation services issued by the Social Insurance Board;
  • bank account number where the compensation should be transferred;
  • information on the accrual of travel costs related to the provision of rehabilitation services (place of departure, destination, travel distance in kilometres, etc.).

 

 

Waiting list for provision of rehabilitation services

The service will be available outside of the waiting list (i.e. the person does not have to wait in the waiting list) for persons of under 16 years of age, for whom the disability has been established for the first time, underage children with a decision of a juvenile committee, persons 16 years of age and older, who need a rehabilitation plan for a referral to special care services.

A person receiving a referral decision for a longer period than one calendar year (a decision can be issued for a period of up to 2 years), may receive the service until the expiration of the decision, that means, also in the following year(s), and does not have to stay in the waiting list again.

If, during the period of validity of the decision, a need arises to change the provider of rehabilitation services, a free-form but reasoned application must be submitted to the Social Insurance Board. The need of changing a service provider might arise when an individual changes their place of residence. For example, changing a service provider is also justified if the initial rehabilitation plan of a child was prepared by the hospital where the child was treated but after the completion of hospital care, the provision of services is required at the child's place of residence. Changing a service provider is possible in case of a valid reason and the person does not have to wait but can continue receiving the service in another facility.

In case of insufficient funds in the state budget, the Social Insurance Board will enter a person into a waiting list. A person will be notified of such decision in their referral decision. The length of the waiting list can be up to 1 year. We follow the implementation of the budget monthly and will refer a person to receive the service in the first possibility. When their position in the waiting list comes up, a person will receive a respective notice that also includes services to be provided, the funds available to the individual for using the rehabilitation services and a list of rehabilitation facilities. After receiving such notice, the person in question must contact an appropriate service provider within 60 days and agree upon the provision of the service

 

 

Social rehabilitation service costs

 

Service costs have been established with regulation 66 of the Minister of Social Protection „Establishment of the list and prices of services provided under the social rehabilitation service for which the state assumes the obligation to pay the fee, the procedure for the calculation and the maximum amount of the fee assumed per year, the maximum travel and accommodation expenses and the conditions and procedure for compensation of travel and accommodation expenses and the specific assessment criteria for rehabilitation programmes“, see https://www.riigiteataja.ee.

 

 

Account numbers for state fees

Account numbers for state fees of the State Treasury (for provision of rehabilitation and welfare services):

SEB Bank IBAN EE 89 1010 2200 3479 6011, recipient Rahandusministeerium, reference number 2900082414.

Swedbank IBAN EE93 2200 2210 2377 8606, recipient Rahandusministeerium, reference number 2900082414.

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