Integrated Community Rehabilitation Centre
Description
Integrated Community Rehabilitation Centre (ICRC) provides a continuum of community support services for persons with disabilities (PWDs) living at home and having intensive care needs. It provides integrated day care and home-based support services flexibly according to impairment level and needs of the PWDs, and provides support to their carers as well.
Target Service Users
The target service users are –
(a) PWDsNote1 aged 15 or above living in the community AND suffering from severe or moderate intellectual and/or physical disabilities, stroke, neurological or physical impairment, who are –
- certified by medical officer/occupational therapist/physiotherapist as suffering from the above disabilities and/or impairment; or
- assessed by ICRC with service needs in accordance with the assessment tool currently adopted by subvented “Home Care Service for Persons with Severe Disabilities” and “Integrated Support Service for Persons with Severe Physical Disabilities” Note2; or
- assessed to be eligible for Hostel for Severely Physically Handicapped Persons (HSPH), Hostel for Severely Mentally Handicapped Persons (HSMH) or Care and Attention Home for Severely Disabled Persons (C&A/SD) in accordance with the “Standardised Assessment Tool for Residential Services for People with Disabilities”, and still living in the community.
(b) Carers of PWD service users mentioned in (a).
Note 1 Priority will be given to those aged at or under 60. If capacity allows, those with aged 60 or above can be served.
Note 2 The Assessment Tool for Home Care Service for Persons with Severe Disabilities is developed by a multi-disciplinary working group comprising social workers, paramedical staff and clinical psychologist formed under the Rehabilitation and Medical Social Services Branch of Social Welfare Department (SWD). The Assessment Tool, covering three major assessment domains, i.e. nurse care need, functional impairment and challenging behaviour, referenced from the Standardised Assessment Tool for Residential Service for People with Disabilities, is adopted. The assessment for Home Care Service shall be conducted by the social workers or para-medical staff who have completed training on the administering of the Assessment Tool recognised by the SWD.
Service Nature and Contents
The ICRC provides a package of integrated day care and home-based support services, including –
- case management service through application of ICF;
- rehabilitation training;
- nursing care;
- personal care and assistance;
- escort and transportation service;
- environmental risk assessment and follow up service;
- day care service;
- respite service Note3;
- meal delivery service Note4;
- groups and programmes;
- application and promotion of assistive technology; and
- other carer support services.
Note 3 It includes centre-based and home-based day respite services for PWDs, covering seven days a week including Sundays and public holidays on need basis.
Note 4 Meal delivery service refers to the meals prepared/ordered/purchased and delivered to service users for lunch and/or dinner, covering seven days a week including Sundays and public holidays on need basis.
Fees and Charges
| Category of services | Fee charging |
|---|---|
| Full package of individual services | 1,002 per month Note5 (monthly ceiling charges) |
| Individual services | |
| Centre-based Support Service | |
| Centre-based day care service (includes lunch) | $61 per day $30 for half day |
| Centre-based day care service (excludes lunch) | $20 for half day |
| Rehabilitation training service | $61 per training session* |
| Nursing care service | $43 per session* |
| Centre-based day respite service (excludes lunch) | $5.1 per hour |
| Home-based Support Service | |
| Home visit by physiotherapist/ occupational therapist/ speech therapist | $52 per session* |
| Nursing care service | $43 per session* |
| Personal care and assistance/ Escort/ Home respite service | $33 per hour |
| Simple maintenance exercise | $33 per hour |
| Others | |
| Transportation service | $10 per trip |
| Meal delivery service | Actual cost of the meal prepared/ordered/purchased |
| Rental Service | |
| Assistive technology items based on recommendation | Actual amount charged by the operator/service unit |
* Each session lasts at least 45 minutes.
Note 5 Should the total fee of individual services (including both the centre-based and home-based support services but excluding the transportation and rental service) exceed $1,002 in a month, the fee charge will be capped at $1,002 per month.
Referrals
The target service users can directly approach ICRCs for service. Referral from medical and paramedical professionals from public hospitals, clinics and caseworkers of relevant services units is also accepted.