Organization of social service provision for war veterans and their family members in the conditions of modern realities

Abstract

Background. The transformation of state social policy is analyzed with a focus on creating conditions for personal development. The ecosystem of adaptation for war veterans in the context of a prolonged conflict is examined. The essence of occupational therapy for the restoration of functions and social activity is revealed. The functional role of the veteran assistant institute (case management) and the role of the peer-to-peer principle for post-traumatic growth are described. The importance of the International Classification of Functioning (hereinafter referred to as the ICF) for multidisciplinary teams is substantiated. Ways to overcome territorial inequality in access to services through digitalization, telemedicine, and engagement of the civil society sector are proposed.
Methods. Theoretical analysis of social work practices was used; functional occupational therapy and cognitive rehabilitation; administrative and social support through the veteran assistant institute (community mapping, resource management); peer-to-peer psychosocial support; a multidisciplinary approach based on the ICF framework. Digital tools (telemonitoring, screening), methods of interagency cooperation, and organizational strategies for ensuring accessibility (mobile teams, the "social franchise" model) were applied.

Results. The transformation of the social work mission towards human-centered and resilience-oriented model has been identified. The effectiveness of the triad: occupational therapy, the veteran assistant and peer-to-peer support was proven. The architecture of mobile applications for telemonitoring and emergency response was developed. Algorithms for seamless interagency interaction (transfer of the "needs passport") were proposed. Strategies for solving the "last mile" problem in remote communities through digital access points and mobile multidisciplinary teams were formulated.
Conclusions. The necessity of transition to a human-centered model was proven, where social adaptation is based on the synergy of medical, social and digital tools. The key mechanisms of reintegration include occupational therapy, professional case management, peer-to-peer support, and digital services. Successfully bridging the gap between clinical recovery and civilian life, as well as ensuring barrier-free access to services, is possible only under the condition of close partnership between the state, the medical sector, and public institutions.