Difference between revisions of "Disability/Transport/Theory of Change"

Revision as of 05:29, 10 March 2020

Click on each outcome in the Theory of Change to explore services, gaps and ideas.

To change anything in this page, feel free to contribute directly or to propose revisions and amendments in the Discussion page.

Theory of Change


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Early intervention is timely and effective →

Programmes	Gaps	Ideas
Diagnostic Touchpoints (e.g., hospitals)	For caregivers of children with ASD, touchpoints are poorly equipped in advising parents on where to obtain reliable help during the post-diagnostic phase (see page 61 here)	Recommendations from EM3 that MSF will consider^[1] Recommendation 3, Strategic Direction 1: Improve transition management For newly-diagnosed cases, to set up an agency to provide case referral, care planning and advisory services, and to facilitate smooth handover of information to other agencies Includes developing a standardised case management tool between primary support agency and other service providers Recommendation 4, Strategic Direction 4: Enhance network of touchpoints to ensure timely and effective detection of developmental needs To make information and training more available to touchpoints (e.g., family, hospitals, polyclinics, family medicine practitioners, community partners) such as using electronic platforms, training primary care practitioners

For mobility and access to transportation| |

Existing Resources Transportation subsidies:

Taxi Subsidy Scheme

VWO subsidy scheme

Public Transport Concession Scheme for Persons with Disabilities

Assistive devices for drivers with disabilities (ST 24 Oct 2016)

Accessible public transportation:

UberAssist Channel News Asia report

Wheelchair accessible taxis see taxisingapore.com and LTA accessibility push

Wheelchair Accessible Buses (About 80% of buses are wheelchair accessible, and LTA aims for 100% coverage by 2020).

Disabled facilities at MRT stations and in trains (More than 80% of MRT stations have at least two barrier free access routes).

Accommodation for drivers with disabilities:

Car Park Label Scheme for Persons with Physical Disabilities

SPD provides training for Tower Transit bus drivers how to help commuters with disabilities (ST 28 Apr 2016)

Gaps and Their Causes

Transportation costs, while subsidised, are still high for lower income PWDs

Cheaper transport options such as buses and trains are either too crowded for wheelchair users or other persons with disabilities OR there are service issues, such as some unprofessional or even discriminatory drivers or passengers.

Open prams used by caregivers now allowed on public buses, but not all bus drivers realise this yet (ST 2 Oct 2016)

Possible Solutions

↑ https://www.msf.gov.sg/policies/Disabilities-and-Special-Needs/Documents/Enabling%20Masterplan%203%20(revised%2013%20Jan%202017).pdf

[:12-1] ttps://www.msf.gov.sg/policies/Disabilities-and-Special-Needs/Documents/Enabling%20Masterplan%203%20(revised%2013%20Jan%202017).pdf

[1]

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-! rowspan="3" style="background: #F08080;" |<big>Early intervention is timely and effective</big>
+! rowspan="3" style="background: #F08080;" |
 ! rowspan="3" style="background: #F08080;" |<big>→</big>
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 |}
 === '''Early intervention is timely and effective →'''  ===
-* '''While EIPIC serves around 3,200 children with mod-severe special needs, waitlists can extend from 6 months to 1 year.''' '''Further, early intervention professionals tend to have high turnover and quick burnout, due to unattractive remuneration compared to the private sector.'''
 {| class="wikitable"
 |-
@@ Line 45: / Line 44: @@
 **Recommendation 4, Strategic Direction 4: Enhance network of touchpoints to ensure timely and effective detection of developmental needs
 ***To make information and training more available to touchpoints (e.g., family, hospitals, polyclinics, family medicine practitioners, community partners) such as using electronic platforms, training primary care practitioners
-|-
-|[https://www.sgenable.sg/pages/content.aspx?path=/for-children/development-support/ '''Development Support (DS) & Learning Support (LS)''']
-*For pre-school children with mild developmental needs '''[total number of such children?]'''
-*Support and intervention in areas such as speech and language, social skills, motor skills, behaviour and literacy
-*Rolled out to > 300 preschools, > 2,000 children and families, caa December 2015<ref>https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf</ref>
-*'''[outcomes information on how DS/LS has fared?]'''
-|
-|
-|-
-|[https://www.sgenable.sg/pages/content.aspx?path=/for-children/early-intervention-programme-for-infants-children-eipic/ '''Early Intervention Programme for Infants & Children (EIPIC)''']
-*Therapy and educational support services for children below 6 years with special needs at risk of moderate to severe developmental delays '''[total number of such children?]'''
-*21 EIPIC Centres, caa July 2018<ref>https://www.sgenable.sg/uploads/EIPIC%20Service%20Matrix.pdf</ref>
-*Currently serving about 2,600 children<ref>http://lienfoundation.org/sites/default/files/Inclusive%20Survey%20Part%202%20-%20Press%20Release%20Lien%20Fdn%20Final%5B1%5D.pdf</ref>, projected to grow to 3,200 places by 2018<ref>https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf</ref><ref>https://www.msf.gov.sg/media-room/Pages/Clarifications-on-EIPIC.aspx</ref>
-*[https://www.sgenable.sg/pages/content.aspx?path=/schemes/intervention-programmes/enhanced-pilot-for-private-intervention-providers/ Enhanced Pilot for Private Intervention Providers] to subsidise selected Private Intervention Centres
-*SPD - Building Bridges @ EIPIC Centres are at Tiong Bahru, Jurong, Tampines & Bedok served a total of 465 children in FY16/17<ref>http://www.spd.org.sg/upload/SPD%20FY1617%20Annual%20Report.pdf</ref> - 41 graduated, 27 progressing to mainstream primary and the rest to SPED
-|
-*EIPIC Centres have long waiting lists (up to six months<ref name=":0">National Volunteer and Philanthropy Centre (NVPC). (2017). Issues faced by people with disabilities in Singapore. Retrieved from <nowiki>https://www.nvpc.org.sg/resources/report-on-issues-faced-by-people-with-disabilities-in-singapore</nowiki></ref> or a year<ref name=":1">https://www.todayonline.com/singapore/big-read-special-needs-children-pre-school-not-given-0</ref>)
-*Early Intervention Professionals face quick burnout, unattractive salaries/benefits relative to the private sector and shortage of manpower<ref name=":2">Lien Foundation Study on Early Intervention Professionals. http://www.lienfoundation.org/sites/default/files/LF%20Early%20Intervention%20Survey%20Findings.pdf</ref><ref name=":3">https://www.straitstimes.com/singapore/survey-unveils-challenges-faced-by-professionals-working-alongside-special-needs-children</ref>
-|
-*Long waiting lists at EIPIC Centres - (1) If disproportionately high at certain EIPIC Centres, to educate and counsel parents on their choice of centre or (2) scale up vacancies
-|-
-|'''[https://www.sgenable.sg/pages/content.aspx?path=/for-children/therapy-for-young-children/ Community Educational Support Services]'''
-*[https://www.awwa.org.sg/services-for-children-and-youth/community-integration-service/ AWWA Community Integration Service]
-*[http://www.carecorner.org.sg/ets.html Care Corner Educational Therapy Service]
-*[http://cpas.org.sg/ Cerebral Palsy Alliance Singapore (CPAS)]
-*[http://downsyndrome-singapore.org/post/view/8/24 Down Syndrome Association's Children Education Services]
-*Handicaps Welfare Association (HWA) '''[confirmation required]'''
-*[http://ic2.com.sg/services/early-intervention/ iC2 PrepHouse]
-*[http://www.shine.org.sg/educational-psychology-service/ SHINE Educational Psychology Service]
-*Singapore Association for the Deaf (SADeaf)
-*Singapore Association of the Visually Handicapped (SAVH)
-*SPD
-*St Andrew’s Community Hospital
-*THK Children’s Therapy Centre
-|
-|
 |}
-<references />
+==== For mobility and access to transportation| | ====
+Existing Resources Transportation subsidies:
+Taxi Subsidy Scheme
+VWO subsidy scheme
+Public Transport Concession Scheme for Persons with Disabilities
+Assistive devices for drivers with disabilities [http://www.straitstimes.com/singapore/gadgets-for-disabled-drivers-get-green-light (ST 24 Oct 2016)]
+Accessible public transportation:
+UberAssist [http://www.channelnewsasia.com/news/singapore/uber-rolls-out-service/2225788.html Channel News Asia report]
+Wheelchair accessible taxis see [http://www.taxisingapore.com/wheelchair-transport/ taxisingapore.com] and [https://www.lta.gov.sg/content/ltaweb/en/public-transport/system-design/enhancing-physical-accessibility-for-all.htm LTA accessibility push]
+Wheelchair Accessible Buses (About 80% of buses are wheelchair accessible, and LTA aims for 100% coverage by 2020).
+Disabled facilities at MRT stations and in trains (More than 80% of MRT stations have at least two barrier free access routes).
+Accommodation for drivers with disabilities:
+Car Park Label Scheme for Persons with Physical Disabilities
+SPD provides training for Tower Transit bus drivers how to help commuters with disabilities [http://www.straitstimes.com/singapore/transport/bus-drivers-get-tips-on-helping-disabled-commuters (ST 28 Apr 2016)]
+Gaps and Their Causes
+Transportation costs, while subsidised, are still high for lower income PWDs
+Cheaper transport options such as buses and trains are either too crowded for wheelchair users or other persons with disabilities OR there are service issues, such as some unprofessional or even discriminatory drivers or passengers.
+Open prams used by caregivers now allowed on public buses, but not all bus drivers realise this yet [http://www.straitstimes.com/singapore/open-prams-on-buses (ST 2 Oct 2016)]
+Possible Solutions<references />