No longer the disabled person and his family forced to chase the thousand streams of bureaucracy, but a personalized project, depending on the needs and choices of the individual person. This is the objective of the disability decree, which introduces il «Life project», an accompanying “cultural and civil revolution”, according to the Minister for Disabilities Alessandra Locatelli, from the first years of school and continues with training and work inclusion, to the point of guaranteeing help in finding a home. Salerno is among the nine provinces chosen to start the testing phase, from the beginning of next year, with pilot projects and training and refresher courses. There are aspects that are highly awaited by people with disabilities and their families, because they directly concern their lives. The basic evaluation carried out, so far, by a medico-legal commission will include the presence of a social worker and a psychologist. It is important because the recognition of civil disability is established there. Multidimensional assessment, however, is necessary to implement the life project, a tool aimed at achieving the objectives of the person with disabilities, to improve personal and health conditions in different areas of life, facilitating social inclusion and participation in different life contexts.
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The person who requests its activation contributes – personally or with the support of those who look after his or her interests – to determining the contents of the project itself and then to making changes and additions, according to his or her desires, expectations and their own choices. More specifically, the life project identifies – by quality, quantity and intensity – the tools, resources, interventions, benefits, performances, services and reasonable accommodations, also aimed at eliminating barriers and activating supports necessary for the inclusion and participation of the person himself in different areas of life, including school, higher education, housing, work and social areas. The life plan also includes measures to overcome conditions of poverty, marginalization and social exclusion, as well as any support that can be provided to the family unit and to those who provide care and assistance. Finally, the life project must be sustainable over time. The decree identifies INPS as the only entity entrusted with the entire new system for recognizing the condition of disability and the unitary (and unified) basic assessment procedure. It starts from January 1, 2026. A single access point for the certification of the disability condition, which will be unified with the process of ascertaining the civil disability, of students with disabilities, of the elements useful for defining the condition of non-self-sufficiency. The procedure is activated by an introductory medical certificate and is distinct from the subsequent multidimensional assessment. A great novelty consists in the fact that the entire medico-legal evaluation process will be based on the ICD (International Classification of Diseases) and on the descriptive tools of the ICF (International Classification of Functioning), with particular reference to the activity and participation of the person.
In order to ascertain the need for support, intensive support or measures aimed at compensating for the restriction of the person’s participation, the person’s activities will be taken into due consideration, using medical-legal tables only to detect the condition resulting from the lasting impairment and no longer for the residual generic working capabilities. The verification visits regarding the permanence of the requirement are limited only to those cases in which, compared to the situation that gave rise to the original recognition, an improvement or regression is foreseeable.
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