A model for the systematic identification and sequential fulfillment of the hierarchical needs of persons with war-related disabilities and their family members

Abstract

Background. The relevance of this study stems from the significant increase in the number of individuals with acquired disabilities resulting from the War of Independence in Ukraine and the need to ensure their dignified social and professional reintegration, as ignoring these needs may lead to social isolation, increased levels of depression, and the emergence of crisis situations among individuals with war-related disabilities and their family members.
Methods. To achieve the study's objective and justify the proposed model, a comprehensive approach was used, based on the principles of the biopsychosocial model, as well as a systematic analysis of the needs of individuals with war-related disabilities and their family members. The methodological foundation consisted of data analysis, including sociological surveys by the "Rating" group and analytical reports from the Ukrainian Veterans Fund (UVF), as well as a theoretical modelling method using Maslow's theory of the hierarchy of needs to substantiate the phenomenon of traumatic regression of needs and to develop a model for the systematic identification and sequential fulfillment of the hierarchical needs of persons with war-related disabilities and their family members.
Results. The main findings include the justification of a hierarchical structure of needs for individuals with war-related disabilities and their family members, as well as the demonstration and analysis of traumatic regression of needs to basic levels following trauma sustained on the battlefield. The phenomenon of secondary traumatic stress among family members, leading to anxiety disorders and social isolation, has been substantiated. Based on a systematic analysis, a model for the systematic identification and sequential fulfillment of the hierarchical needs of persons with war-related disabilities and their family members has been developed and proposed, which can be implemented in practice in the form of a "Family Rehabilitation Certificate." Practical recommendations have also been formulated for state authorities and local self-government bodies regarding the systematic support of such individuals and their family members.
Conclusions. This study provides a systematic analysis of the various needs of individuals who acquired disabilities during combat operations and their family members. Based on an analysis of contemporary sociological surveys and scientific articles, key barriers to their full resocialization and reintegration were identified. The authors propose a comprehensive biopsychosocial model for supporting veterans. Practical recommendations for state authorities and local self-government bodies have been formulated. The proposed model aims to optimize the social protection system under conditions of prolonged martial law and during the post-war period.