ILO/OTA/Philippines/R.6 CONFIDENTIAL INTERNATIONAL LABOUR OFFICE Regular Programme of Technical Assistance REPORT TO THE GOVERNMENT OF THE PHILIPPINES ON THE VOCATIONAL REHABILITATION" . OF THE DISABLED l„ J^ul JVw /eia I.L.O. GENEVA 1961 Sop. f • • ..... - 1 % '•S-',,. '•••'•'-••••/T<v W - / ' 630462 52609 r CONTENTS Page INTRODUCTION 1 .THE EXTENT .OF DISABILITY 3 TECHNICAL BACKGROUND 4 A. Social ¥/elfare Administration, Office of Vocational Rehabilitation 4 1. 2. Historical Situation on Arrival 4 5 National Orthopaedic Hospital 8 C. Bureau of Workmen»s Compensation 9 B. 'THE WORK OE THE MISSION A. Office of Vocational Rehabilitation, Barranca Centre 1. 2; 3. 4. 5: 6;. 7. 8; 9i 10; 11; 12; 13. B. C. D. E. 11 Approach to the Problem Intake Procedure Rehabilitation Team ....;......... Social Services Re-evaluation Team ;...... Vocational Training•Section Medical Services Placement Service Eollow-up Sheltered Workshop Dormitory Accommodation Over-all Supervision and Control Rehabilitation Officers in the Provinces 14. Regional Vocational Rehabilitation Centres National Orthopaedic Hospital Bureau of Y/orkmen's Compensation Department of Labour National Council on Rehabilitation 11 ; 11 11 12 13 13 14 15 15 16 17 17 17 19 19 21 22 24 25 - ii Page V. VI. EVALUATION OP THE WORK 26 RECOMMENDATIONS 28 A. Social Welfare Administration 28 B. National Orthopaedic Hospital . 30 C. Bureau of Workmen's Compensation 30 D. Department of Labour 30 E. National Council on Rehabilitation 31 F. Further International Assistance 31 APPENDICES APPENDIX 1 - Departments, Agencies and Offiees in Manila 32 APPENDIX 2 - List of Cities and Towns Visited 33 APPENDIX 3 - Republic Act No. 1179 34 APPENDIX 4 - Office of Vocational Rehabilitation Caseload Statistics for Fiscal Years 1954-1960 43 APPENDIX 5 - Application Forms; Office of Vocational Rehabilitation, Barranca Centre 45 APPENDIX 6 - Extract from the Government Survey and Reorganisation Committee's Plan No. 50 54 APPENDIX 7 - Organisation of the Office of Vocational Rehabilitation 59 APPENDIX 8 - Organisation of the Pilot Rehabilitation and Training Centre, Barranca 60 APPENDIX 9 - Functions of the Pilot Rehabilitation and Training Centre, Barranca 61 APPENDIX 10- Republic Act No. 2615 68 APPENDIX 11- Functions and Organisation of Regional Adjustment and Training Centres 74 APPENDIX 12- Draft Job Description for I.L.O. Expert 83 I. INTRODUCTION 1. In 1956 Dr. Henry H. Kessler visited the Philippines •under the auspices of the United Nations Technical Assistance Administration to review existing rehabilitation facilities and to make certain recommendations for the future development of services for the disabled. His reportl included recommendations for the expansion of the existing services provided by the Social Welfare Administration and the National Orthopaedic Hospital, and for the strengthening of the Bureau of Workmen's Compensation. There was also a recommendation that the Government of the Philippines should approach the I.L.O. for advice and counsel on the vocational rehabilitation aspects of the whole programme.. As a result the Government of the Philippines requested the I.L.O. to provide the services of an expert. 2. The Director-General of. the I.L.O. nominated Mr. Leif Nylen of the Norwegian Directorate of Labour to undertake the assignment under the I.L.O. regular programme of technical assistance. Mr. Nylen arrived in Manila in December 1958, initially for a period of 12 months; but this mission was extended at the request of the Government and he remained until December 1960. The last two months of his mission were fully taken up with his participation as an expert, lecturer and associate director at the I.L.O. Asian Regional Seminar on Vocational Rehabilitation which was held in Manila in November 19602, so, virtually, his work on this technical assistance assignment was completed in October 1960. 3. The expert's terms of reference, which were finally settled after special consultation with the Government just before he arrived in Manila, were as follows' (i) to advise the Government of the Philippines on its rehabilitation programmes and the agencies implementing such programmes, including the Social Welfare Administration, the National Orthopaedic Hospital, the Bureau of Workmen's Compensation in the Department of Labour and the proposed National Council on Rehabilitation; the fields of such advice will include vocational guidance and vocational training and placement; The Rehabilitation of the Handicapped in the Philippines, prepared for the Government of the Philippines by Dr. Henry H. Kessler, appointed by the U.N.T.A.A. (Report No. TAA/PHl/3, 27 December 1957, U.N. New York). 2 I.L.O. Expanded Programme of Technical Assistance, Report to Participating Governments on the I.L.O. Asian Regional Seminar on Vocational Rehabilitation held in Manila, Philippines from 7-23 November 1960 (document ref. ILO/TAP/AFE/R.ll, Geneva 1961), - 2 - (ii) to establish suitable means of selecting disabled persons for vocational rehabilitation and advising them on training and future occupation - in the vocational guidance process due regard being paid to the usefulness of psychological testing; (iii) to advise on the establishment of sheltered workshops; (iv) to assist in formulating and implementing vocational rehabilitation services in rural areas; (v) to advise on the training of vocational rehabilitation staff. 4. In carrying out his mission the expert worked closely with the Social Welfare Administration Office of Vocational Rehabilitation, the Bureau of Workmen's Compensation of the Department of Labour and the National Orthopaedic Hospital of the Department of Health. During the last months of his mission he also worked closely with the newly-created National Council on Rehabilitation. 5. During his mission the expert visited a number of departments, agencies and offices in Manila (shown in Appendix l) as well as a number of cities and towns throvghout the country where he conferred with officials of the Social Welfare Administration and the Department of Labour and visited hospitals, vocational schools and industrial establishments. (A list of the cities and towns visited is shown in Appendix 2.) 6. The Director-General of the I.L.O. wishes to express his thanks to all those with whom the expert came into contact, for the great friendliness and helpfulness they showed him and also for the interest displayed in the problems concerning rehabilitation of disabled, persons. Special mention should be made of all the staff concerned with rehabilitation in the different agencies who, by showing increasing interest in new ideas and methods, were a great cause of inspiration to the expert. - 3 - II. THE EXTENT OF DISABILITY 7. The population of the Philippines according to the 1960 census was 27,500,000. Of these well over 2 million lived in the greater Manila conurbation (including Quezon City, Pasay City, Caloocan, San Juan, Makati, Paranque and Mandaluyong). 8. There are no really reliable statistics of the number of disabled persons in the Philippines. There were no figures concerning disabled persons collected at the 1960 census nor at the previous census of 1948. But some indications exist of the scope of the problem. In a publication dated 1956 entitled Philippine Statistical Survey of Households the following figures of disabled persons aged ten years and over are given: Males: 124,000. Females: 69,000. This survey excluded the persons resident in institutions, which of course meant that hospital patients and those in mental institutions were not reported. It was estimated that there were about 200,000 persons in all excluded from the population count in the survey and that 40,000 of these were in institutions (other than correctional institutions). Some proportion, probably fairly high, of these 40,000 were presumably disabled in addition to the 193,000 mentioned above. 9. It is not known how this household survey was carried out or whether the information obtained in respect of disabled persons came from medical or lay sources or simply by ascertainment by the investigators of visible or obvious disabilities. It is almost certain that the figures are a considerable underestimate. Nevertheless the total of 193,000 shown plus a number (many thousands no doubt) from among those not counted in hospitals and institutions represents almost 1 per cent, of the entire population and is sufficient to caxise any government to wish to improve its vocational rehabilitation services. - 4 - III. THE TECHNICAL BACKGROUND TO THE MISSION A. Office of Vocational Rehabilitation 1. Historical 10. Effectively, vocational rehabilitation work in the Philippines dates from the passing of the Vocational Rehabilitation Actl in June 1954. This Act created the Office of Vocational Rehabilitation (called in this report the O.V.R.) under the control of a supervisor in one of the four divisions of the Social Welfare Administration. The Supervisor was directlyresponsible for the work of the O.V.R. to the Social Welfare Administrator and, in addition "shall perform such duties as may be assigned to him by the Social Welfare Administrator from time to time" (Republic Act No. 1179, section 7(i)). The functions of the O.V.R. are outlined in the Act referred to above, the text of which is reproduced in Appendix 3. 11. Immediately after the passing of this Act the O.V.R.. established a rehabilitation unit for blind and other disabled persons in the Central Office of the Social Welfare Administration in Manila. According to section 10 of the Act the services provided by the O.V.R. were financed mainly by a yearly draw from the Philippines Charity Sweepstakes and partly by the net income from an annual fund-raising week known as Handicapped Week. Staff salaries were provided from the Social Welfare Administration's ordinary budget which also covered the building of the Barranca Rehabilitation Centre, which is referred to in paragraph 12. 12. During the years 1955-56 the O.V.R. received technical assistance from the American Foundation for Overseas Blind. Mrs. J.M. Sills, an expert from the U.S.A., assisted the O.V.R. during this period and when the training unit was transferred to new buildings in Qiiezon City she helped to plan the work there, especially for the blind. This training unit, initially named the Pilot Adjustment and Training Centre, Barranca, Quezon City, was officially opened on 19 June 1956. (The name of the Centre was changed in 1960 to Pilot Rehabilitation and Training Centre, known in this report as the Barranca Centre.) 13. The Barranca Centre was managed by an Administrative Officer to whom were responsible the Casework Supervisor, in charge of the social workers and all casework concerning the clients; the Chief Instructor, responsible for the training 1 Republic Act No. 1179. An Act to provide for the promotion of vocational rehabilitation of the blind and other handicapped persons and their return to civil employment, 19 June 1954. - 5 - section; the Social Worker, in charge of the Special Services and the Sheltered Workshop Supervisor. A Medical Services Section had "been in operation for a few months, but the doctor in charge of this section had been transferred to Welfareville Institution before the expert arrived. 2. Situation on Arrival of Expert 14. When the expert arrived the Barranca Centre was being used mainly as an adjustment centre accepting blind and other disabled persons for a period of six months, during which period they were undergoing a period of adjustment and various training activities. The Centre had the following classes: daily home living, in which the clients were taught the everyday subjects such as eating and drinking in a proper way, kitchen work, household tasks of different kinds, etc.; travel technique, here the blind were taught to find their way around by using a cane; Braille, here the blind were taught reading and writing in Braille; grammar, in which all were given a little knowledge of basic English, and script, where clients were taught how to write their names so as to be able to sign for their monthly training allowances; typing, in which most of the clients had one hour's instruction a day; doll making, making dolls' heads and faces of papier-mache; brick making, where a few clients received instruction in making hollow blocks for constructional purposes; knitting, in which a few clients knitted sweaters and scarves; painting, in which two or three clients were busy copying pictures; hand loom weaving, attended only by very few clients; rope project, in which instruction was given in making rope from coco-coir; rug making, also a coco-coir project; door mat making, also a coco-coir project; - 6 - (n) .carpentry, simple carpentry work and cabinet making; (o) garment making, basic instruction in making ladies' and men's wear; (p) crocheting, attended only by very few clients; (q) loom weaving, basic knox\rledge in weaving for a few clients; (r) basketry, a popular class for blind clients; and (s) agriculture, a class, which had been started at the end of 1958 but had already attracted a great number of clients. (t) harmonica, a very popular class for blind clients who were later placed in an orchestra called the O.V.R. Rondalla. 15. All persons who wished to be admitted to the Centre had to apply in person to the intake section of the Centre. This meant that applicants from the provinces had to go to Manila before they knew whether they had a chance of being admitted to the Centre or not. After his first visit the applicant was asked to come back to the Centre every day to undergo a variety of tests during an exploratory period lasting from one to four weeks. He attended different classes and was also interviewed by the social worker responsible for his case. He also had to undergo medical examinations and laboratory tests in hospitals or clinics outside the Centre. Finally, the social worker responsible for the applicant would present his case to the weekly staff meeting. Each staff member had the right to vote on the applicant's admission or rejection and, in the case of rejection, the staff decision was final. 16. Clients accepted for training in the Centre were admitted at any time after selection and received an allowance, paid monthly, of ^3.00 per day for each working day of the first month and ?2.00 per working day for the rest of the training period, regardless of where they lived. They moved from class to class during classroom training, spending only one hour in each class. The daily schedule was; 8.00 8.15 10.00 10.55 12.00 1.00 2.00 4.00 to to to to to to to to 8.15 a.m. 10.00 a.m. 10.15 a.m. 12.00 noon 1.00 p.m. 2.00 p.m. 4.00 p.m. 5.00 p.m. - Flag ceremony Classroom training Break Classroom training Lunch Social activities Classroom training Athletics. - 7 - 17. There was no team work among the Centre staff; they never met in case conference to consider the resettlement of individuals; there was no vocational covinselling, only very haphazard methods of psychological testing and no cajor vocational training courses. Each of the 22 social workers employed at the Centre made her own decisions about the kinds of training to be followed by and the classes scheduled for her own clients and she was responsible for their resettlement. The Casework Supervisor responsible for the section had little time to discuss individual clients and their problems with her colleagues for she was mainly occupied in allocating the clients to the various social workers. 18. The duration of any ordinary client's stay in the Centre was limited to six months; at the end of that period he was terminated even if not fully prepared for return to work. At this stage the social worker reported the case history and future plans for the client to the weekly staff meeting, after which the client was sent home. The social worker responsible for him in the Centre also carried en with the necessary follow up, but no proper placement action was taken. 19. Some of the clients who had completed their training course of six months were employed in the Centre as clerks, janitors and assistant instructors; others, known as client trustees, were retained for what was known as specialised training which was indeterminate and resembled a kind of sheltered workshop system. 20. The Centre also had a sheltered workshop, started in 1956, in which some blind clients worked one or two days a week making zinc parts for flashlight batteries. A few other disabled persons were producing mats, trays and baskets for sale but, because of the location of the Centre, there were difficulties in selling the finished products. The sheltered workshop was administered by social workers and could not accept work for the performance of which technical knowledge was necessary. 21. Statistics of the operation of the O.V.R. are given in Appendix 4. The discrepancy between the number of registered clients and the number of clients who underwent training and received a training allowance is due to the fact that a number of applicants who were accepted for training failed to report. 22. The principal difficulties and shortcomings of the O.V.R. Barranca Centre were that it lacked; (a) a systematic application system and proper application forms for clients from the provinces who wanted to be admitted; (b) an over-all supervision of the activities in the Centre; - 8 - (c) a team approach to the rehabilitation problems of the client; (d) medical assistance and guidance; (e) satisfactory vocational guidance and psychological testing; (f) sufficient vocational training (there was a marked absence of a regular training curriculum in the vocational classes); (g) systematic placement procedure for clients; (h) a technical leader for the sheltered workshop. B. National Orthopaedic Hospital 23. The National Orthopaedic Hospital was founded in 1945 and occupied half of the building of the Philippine Mental Hospital. Construction of a new building, which would include a limb and brace shop to be built to the specifications of the Australian Government (see paragraph 27), had been started some years ago. In the report by the U.N. expert, Dr. Henry H. Kessler, referred to in paragraph 1, it was recommended that a rehabilitation institution for the physically handicapped should be constructed in connection with this hospital. 24. The hospital admitted patients with orthopaedic disabilities, including paraplegics, from all over the country, the main efforts at rehabilitation being concentrated on the paraplegics. There was a Physical Medicine and Rehabilitation Department which had no permanent staff, the chief of the department being an orthopaedic surgeon who also performed other duties in the hospital. 25. When the expert arrived there were more than 100 paraplegic patients, located in separate wards for males and females. There were no hopes of rehabilitating many of them; some of them had been in the hospital for over four years, and no steps had been taken to segregate those who might be rehabilitated from the hopeless cases. 26. A rehabilitation team, led by an orthopaedic surgeon, met three times a i^eek to discuss and evaluate the paraplegic cases. The team was composed of two or three doctors, nurses, physiotherapists, the psychologist, the occupational therapist, the chief of the limb and brace shop and the vocational counsellor. 27. The Occupational Therapy Department was under the leadership of a very able occupational therapist, but it was short of equipment and material and could not provide all the occupational therapy needed. It had, however, a small watchrepairing unit, used partly as occupational therapy and partly - 9 - as vocational training, lout this section was also very short of equipment. The psychologist had no equipment and could not perform any aptitude tests. The limb and brace shop was located in a small "building and there was considerable delay in providing the prosthetic appliances needed by the patients. The Australian Government had offered, through the Colombo Plan, to provide equipment, materials and technical assistance in order to expand the department's services, but it would be necessary to construct a building of about 7,000 square feet before the programme could become operative. C. Bureau of Workmen's Compensation, Department of Labour 28. The legislative basis is the Workmen's Compensation Act, No. 348 of 1927, as amended in 1928, 1930, 1936 and 1952. Section 14 of the Act, as amended, provided for the payment of weekly compensation to workers incapacitated by injury or sickness. The responsibility for payment of compensation was placed on employers. 29. Paragraph 8f of the amended Act provided that if a worker killed in an accident left no dependants the employer should pay £"1,000 to the Workmen's Compensation Fund. Section 55 provided that the Fund should be under the custody and control of the Workmen's Compensation Commissioner and should be used for payment of the expenses of the administration of the Act and that any surplus in the Fund should be used for the rehabilitation of persons injured at work. 30. The Act was administered by the Bureatt of Workmen's Compensation. The responsibility for the rehabilitation of persons injured at work was placed on the Evaluation Division of the Bureau. In October 1958 the Secretary of Labour appointed a committee of five members to screen the applications for rehabilitation from disabled xrorkers. This committee met weekly. 31. Requests for rehabilitation were sent to the Evaluation Division of the Bureau and were referred to the Screening Committee. The eligibility conditions for consideration for rehabilitation were that the client should be entitled to compensation, be of working age and have a reasonable chance of obtaining a new job. The decisions of the Committee were sent to the Director of the Bureau of Workmen's Compensation and were finally transmitted to and approved by the Secretary of Labour. 32. After the screening committee mentioned in paragraph 30 had been set up employers were contacted to ascertain if they were willing to finance the rehabilitation of disabled workers. Unfortunately, as the existing legislation did not specifically require them to do so, they generally refused. - 10 - 33. The Bureau of Workmen's Compensation had no facilities itself for the rehabilitation of disabled persons and could onlyact as a referring agency bearing the expenses of rehabilitation. The Screening Committee had its difficulties, particularly with cases from the provinces outside Manila because there were no funds to transport the disabled persons from their homes to Manila. The services provided were also very limited and the processing procedure very slow, with the. result that cases possibly suitable for rehabilitation were overlooked. - 11 - IV. THE WORK OF THE MISSION A. Office of Vocational Rehabilitation, Barranca Centre 1. Approach to the Problem 34. Whilst he worked with all three divisions of the Office of Vocational Rehabilitation (Rehabilitation Standards Division, Rehabilitation Services Division and the Barranca Centre), the expert decided to devote most of his time to the Barranca Centre with the object of securing some improvement in the procedure and the work so that the clients might derive more benefit from their stay. At the same time, he considered that the Centre should co-operate more closely with the National Orthopaedic Hospital so that it might use the services of the orthopaedic consultant at that hospital and obtain assistance in the provision of artificial limbs for orthopaedically disabled clients. 35. There were some initial difficulties in securing full co-operation from the Supervisor of the Office of Vocational Rehabilitation and the staff, not the least of which was due to the fact that the Supervisor had many other duties to perform in addition to those at the Centre and was only able to spare a little time for the expert. It was not until some months after his arrival that the expert was fully authorised to work with the Centre staff in evaluating the different sections of the Centre. 36. Plans were already under way at the time of the expertJs arrival to extend the training period so that the clients could remain in the Centre for a maximum of one year. The expert assisted in drafting this and other proposals during his first few months in the country and these were included in House Bill No. 3082 presented to the 1959 Congressional Session and passed as Republic Act No. 26151 on 2 July 1959 (see paragraph 66 and Appendix 10). 2. Intake Procedure 37. The expert began by examining the intake procedure. He suggested that the use of the term "special client" should be discontinued and that disabled persons should not be admitted to training classes until they had been accepted as regular clients. An Act to amend certain sections of Republic Act No. 1179 entitled "An Act to Provide for the Promotion of Vocational Rehabilitation of the Blind and Other Handicapped Persons and their Return to Civil Employment and to Create a National Council on Rehabilitation". - 12 - He designed a set of application forms, which are set out in Appendix 5, and proposed that applications for admission to the Centre should be screened by an Admission Committee, consisting of the Supervisor of the Office of Vocational Rehabilitation (the Superintendent of the Barranca Centre took over this duty in September I960), the Centre Doctor and Casework Supervisor. which would take decisions on the applications. Until a permanent Centre Doctor was appointed, this part of the application would be certified by the doctor who examined the applicant. He also suggested that clients accepted for training should be told to report to the Centre on the first day of the month following acceptance. This action would enable the Training Section to work with monthly groups of trainees instead of with individuals arriving on a variety of dates. The proposals were examined by the Centre staff and were accepted by the Supervisor of the Office of Vocational Rehabilitation in May 1959. 3. Rehabilitation Team 38. The expert then suggested that a Rehabilitation Team should be set up to discuss the clients in case conferences and plan their future. The team was established in July 1959 with the following memberships Casework Supervisor (Chairman) Centre Superintendent Centre Doctor Vocational Counsellor Psychologist Chief Instructor Placement Officer Social Worker. When the Chairman though it desirable, the Chief of the Rehabilitation Standards Division of the O.V.R. and a representative from the Rehabilitation Clearance Section were also co-opted to the team. 39. The expert worked in close contact with each member of the team and he also took part in all the case conferences in order to teach the members of the team their new responsibilities and give them the latest information about new indeas and methods in rehabilitation and the techniques and methods of the special vocational counselling which would be necessary. 40. Whilst the responsibilities of the Casework Supervisor, the Doctor and the Chief Instructor were fairly easily definable, some difficulties arose in connection with other members of the team. Although the social workers were very anxious to learn, none of them was really qualified to act as a vocational counsellor. - 13 - The expert emphasised the importance of vocational counselling and took special steps to train suitable social workers in this field of work, including taking them to visit industrial and other establishments so that they might study occupations suitable for disabled persons, working methods and job analysis. The social workers were nearly all women and, as he considered that there would be considerable advantage in having a male vocational counsellor to deal with men's cases, the expert recommended that the Office of Vocational Rehabilitation should endeavour to recruit at least one male vocational counsellor. 41. Although the psychologist had managed to borrow some equipment from the University of the Philippines it was quite inadequate to enable her to give proper attention to aptitude testing; hence regard was paid solely to the personal attributes of the clients. The psychologist's reports were insufficient to enable the vocational counsellor to analyse the client's interests and ability adequately. The expert, therefore, recommended that some psychological equipment should be ordered from the United Kingdom and the United States. This was done and the equipment arrived in December 1959. 4. Social Services 42. Reorganisation of the social service was also necessary. The duties of the social workers were not arranged in any systematic manner and each of them was responsible for an assortment of clients which led to confusion in their daily activities. For example, one social worker might be responsible for three clients in training, a special client, six client trustees and a number of clients whose training periods had terminated. At the expert's suggestion the system was reorganised so that particular social workers were responsible for different groups of clients. Pour social workers were allocated to clients in training, four to client trustees, six to clients whose training periods had terminated, two to applicants for admission whose cases were pending and three to special service cases. This organisation, which was implemented in September 1959? was much more effective, although it was necessary to allocate additional duties to some of the social workers and, from time to time, to change the groups of clients with whom they were working. 5. Re-evaluation Team 43. In order that the different sections of the Centre might be re-evaluated, a small team was selected for this purpose from the members of the Rehabilitation Team. This team was under the chairmanship of the Chief of Rehabilitation Standards Division with whom the expert worked closely in drafting new plans, rules and regulations. - 14 - 6. Vocational Training Section 44. The vocational Training. Section was re-evaluated first and the Re-evaluation Team in conjunction with the expert recommended that: (a) the classes in agriculture, dressmaking, tailoring, carpentry and basket work, which were the only ones carried on as real vocational courses in the Centre, should he selected as the major courses in which each client should receive a minimum of four hours' training per day; (b) a sighted instructor, able to control the work of the two blind assistant instructors, should be assigned to the basketry class and a separate qualified instructor appointed for the carpentry class; (c) the tailoring and dressmaking classes should be separated and a separate instructor appointed for each (the tailoring instructor was appointed early in I960), 45. In order that the trainees should be able, on completion of their courses, to compete with able-bodied trainees from the regular vocational schools, courses of study, based on the curricula of the regular vocational schools, were prepared by the expert in co-operation with the Centre's Chief Instructor. These courses were followed as closely as possible but there were some difficult practical problems to be solved. The main problems were the different educational attainments of the trainees, the lack of training material and equipment and the short period of training each day. 46. The re-evaluation of the Vocational Training Section was completed in September 1959 and the reorganisation of the work of the social workers (see paragraph 42) was then implemented. 47. In January 1959 some equipment had been ordered for the Office of Vocational Rehabilitation from the Colombo Plan. The list was revised after the expert's arrival to include sewing machines and machines for the carpentry class. Most of the equipment was eventually received but it could not be installed because the electric motors of the machines were of the wrong type and needed to be changed. When this change has been effected, the carpentry class in particular should be able to function more effectively. The expert also obtained a number of sewing machines for the tailoring and dressmaking classes in July I960 and the classes then operated satisfactorily. At the end of the expert's mission 30 clients were in training in these classes, some working in the morning and others in the afternoon classes which each lasted four hours, but the clients only worked a total of four hours a day each. - 15 - 48. In order that the clients might get the greatest possible "benefit from their stay at the Centre and he properly prepared for subsequent employment it is to he recommended that their hours of training in the major courses (see paragraph 44) should be increased so that each can have six hours actual training per day. Combined with this development there should be an examination and overhaul of the existing courses. This should be followed by an investigation of the extent of the employment openings available for trained disabled persons which could lead to the setting up of new training courses to meet the demand. 7. Medical Services 49. Whilst the members of the Rehabilitation Team (see paragraph 38) had been making good progress with their work, the lack of the services of the medical member was impeding the smooth working of the team. Early in 1959j the expert requested that a doctor should be assigned to the Barranca Centre. He repeated his request in August 1959 and also asked for the assignment of a qualified nurse. The request was ultimately presented to Congress at its I960 session. Eventually in July I960 a doctor took up his duties at the Barranca Centre. 50. The Doctor could not be present at all times at the Barranca Centre and when he was visiting hospitals or conferences a medical social worker was left in charge of his office. This arrangement was not satisfactory and it is recommended that the request for the appointment of a qualified nurse for the Barranca Centre be considered urgently. 8. Placement Service 51. Prior to the arrival of the expert, placement of the clients who had completed their training periods had been undertaken by the social workers in respect of their own individual clients. These clients had received very little real vocational training and attempts at placement were on a haphazard basis consisting mainly of contacts by the social workers with some factories, other establishments, friends and relations. 52. With the introduction of the longer training periods and the reorganisation of vocational training, some of the clients had the opportunity of becoming qualified in occupations such as carpentry, tailoring and dressmaking. The expert suggested at this stage that a special Placement Unit should be set up and that placement work should be undertaken by placement officers who should devote their whole time to finding suitable jobs for clients who had completed the training course. Two social workers were transferred from general social work to placement work in November 1959 and they were taken on instructional visits to industrial - 16 - establishments and instructed in job analysis by the expert. The Placement Unit which was administered by the Rehabilitation Services Division, and located in the Office of Vocational Rehabilitation, was functioning satisfactorily at the end of the expert's mission. Nevertheless, it is considered that additional placement officers, of whom at least one should be male, will be needed to handle the steadily increasing number of clients who have completed trainingin the Centre. 53. Whilst an increase in the number of placements can be expected as the placement Y/orkers gather experience, the possibilities of the placement of disabled workers should not be overestimated in view of the prevailing high levels of unemployment and underemployment in the Philippines. It must also be admitted that influence can play an important part in securing employment whether it be in the civil services, factories, industrial and other establishments. It is, therefore, most probable that only a limited percentage of the clients who have completed training courses will be placed in the open market; many of them, particularly those who have completed training courses in agriculture, basketry, dressmaking and tailoring, will have to resort to selfemployment. 54. It is, therefore, recommended that tne Office of Vocational Rehabilitation should include in its future budgets an item for the purchase of material and equipment for clients who need to set up in self-employment (e.g. a sewing machine for one trained in tailoring? working toolsj a few pigs, chickens, etc. for a trainee from the Agricultural Section, etc.). 9. Follow up 55. Prom the outset the expert tried to establish a followup system to ascertain the results of the rehabilitation programme at the Barranca Centre. In July 1959 letters were sent to the first 200 clients who had completed their training period and, although only 30 persons replied to the letter in four months, letters were sent to the next 200 clients and the process continued until all clients who had terminated up to December 1959 had been contacted. 56. Following this preliminary essay, a regular follow-up system was initiated and was still in progress when the expert left. Follow-up forms were to be sent by the social worker responsible for the case to all clients six months after the completion of training and again at the end of one year after the completion of training. If necessary, further follow-up action would be taken at a later stage until the result was finally ascertained. - 17 - 10. Sheltered Workshop 57. During his visits to industrial establishments the expert discovered that there was a great deal of goodwill towards assisting disabled persons to secure employment. Among these establishments there were some radio factories which were willing to send winding and assembly work to the Barranca Centre's sheltered workshop provided the work could be controlled by a competent person. Unfortunately, as there was no technical person in charge of the sheltered workshop, it was difficult to accept orders requiring technical and mechanical skill. There were good opportunities for such work or will be in future and it is recommended that a technically qualified person, preferably with experience in a radio factory or a fine precision workshop, should be appointed to act as manager of the sheltered workshop. 11. Dormitory Accommodation 58. The Barranca Centre is non-residential, clients reporting at 8 a.m. and leaving at 5 p.m. Those from outside the Manila area had to find lodgings and pay for them out of the daily allowance they received whilst at the Centre - $.3 per day for the first month, ^.2 per day for the remaining months. 59. Officials of the Field Clearance Section, a section of the Rehabilitation Services Division of the Office of Vocational Rehabilitation, who were responsible for co-ordination between the Barranca Centre and the regional and provincial offices of the Social Welfare Administration, assisted the clients in finding accommodation but because of their limited means they were usually accommodated in slum districts. This frequently had bad effects, particularly on young persons, and what was gained during training periods' might have been destroyed by bad influences in or near their living quarters. It is considered that the clients should be under more rigid control both in the Barranca Centre and during their free time and it is therefore recommended that a dormitory to accommodate at least 50 clients should be built on the Barranca Centre premises and that better allowances should be given to those who have to live in lodgings. 12. Over-all Supervision and Control 60. During his two years' mission the greatest problem encountered by the expert was the lack of over-all supervision of the Barranca Centre. The Supervisor and many social workers had other duties to perform in the Central Office of the Social Welfare Administration. This sometimes led to difficulties at the Barranca Centre where nobody with the over-all responsibility - 18 - for the running of the Centre was present on a permanent basis. The Supervisor was very frequently called upon to undertake other duties at the Social Welfare Administration and was seldom able to devote more than a part of his time to the Office of Vocational Rehabilitation. It is strongly recommended that the Supervisor of the Office of Vocational Rehabilitation should be left to his work of planning and implementing the rehabilitation programme of the Social Welfare Administration and should only be called upon to perform other duties in an emergency. 61. In theory, an administrative officer had the over-all responsibility for the economic and administrative aspects of the Barranca Centre but she was not in over-all control and supervision of the technical and the educational work. In July 1959 her official title was changed from Administrative Officer to Superintendent but no changes were made in her real duties as she still had to spend many hours in the Social Welfare Administration Central Office on other duties. This was bad for the Centre which felt the lack of a leader. 62. Following representations by the expert, in AugustSeptember I960 the position of the Superintendent was reviewed and additional responsibilities placed upon her. The position at the end of the mission was that the Superintendent had the over-all supervision of all sections of the Barranca Centre and was also charged with the responsibility for continuing the work established by the expert and for implementing his recommendations. The Superintendent had also taken over the functions of the Supervisor as member of the Admission Committee of the Centre (see paragraph 37). 63. At the beginning of 1956 a reorganisation plan (No. 50) in respect of the Social Welfare Administration was drafted by the Government Survey and Reorganisation Commission. An extract of the part of this plan covering O.V.R. is given in Appendix 6. The plan became operative in the summer of 1959 but the part concerning the Office of Vocational Rehabilitation contained a good deal of overlapping and by then needed revision. The expert suggested some necessary changes and rewrote the staff functions; these were accepted, and implemented in the summer of I960. The present plan, based on the expert's recommendations, gives a clearer picture of the total activities of the O.V.R., especially in the Barranca Centre. (The revised organisation of the O.V.R., the revised organisation and functions of the Barranca Centre and the job descriptions of the Superintendent, the Medical Officer, the Casework Supervisor and the Chief Instructor are given in Appendices 7 to 9.) - 19 - 13. Rehabilitation Officers in the Provinces 64. In the autumn of 1959 an in-service training course, in which the expert participated by giving some lectures, was held for six social workers who were to become rehabilitation workers in six of the Social Welfare Administration's regional offices. These trained rehabilitation workers took up their duties in the provinces in October 1959 but, for a variety of reasons, only two continued in post, one in Manila and one in Dagupan. Subsequently two additional new rehabilitation workers were assigned to the cities of Naga and Zamboanga and another one, under training in the Barranca Centre, was scheduled to take up her duties in Cebu city at the end of I960. It is recommended that rehabilitation workers should also be assigned as soon as possible to the Social Welfare Administration's regional offices in Tugurgarao, Iloile and Davao. 65. These rehabilitation v/orkers in the regional offices should expect to receive some assistance from the Director of these offices. This is a new experimental service and these newly recruited and trained officials should not be too rigidly controlled and should be allowed to act on their own initiative as much as possible, particularly because they are feeling their way in their districts and must make their efforts in the directions which it appears to them will yield the best results for the disabled as well as for the O.V.R. service. 14. Regional Adjustment and Training Centres 66. During the expert's mission the Fourth Congress of the Republic, at its Second Special Session, passed Republic Act No. 2615 which amended certain sections of the Vocational Rehabilitation Act (Republic Act No. 1179) referred to in paragraph 10. Republic Act No. 2615, whose text is reproduced in Appendix 10, amended the original Act in three ways? it increased the maximum training period for disabled persons from 6 to.12 months (see paragraphs 18 and 36); it established a National Council on Rehabilitation (see paragraphs 86 and 87); it authorised the establishment of nine Regional Adjustment and Training Centres over a period of four years at Dagupan, Juguegaro, San Pablo, Naga, Iloile, Cebu, Cagayan de Oro, Davas and Zamboanga. 67. The Social Welfare Administration maintained eight regional offices, 55 provincial offices and six city offices. The regional and provincial offices visited by the expert had very poor accommodation and were ill equipped, many of them being without telephones and typewriters and only two or three of them having any means of transport. The staff were allowed to spend a few pesos on public transport, but they had to use their own - 20 - money and claim vouched expenditure subsequently from Manila; these claims were not settled very promptly and one provincial office had unsettled claims dating hack to 1957. In passing it is therefore recommended that the staff in the regional and provincial offices of the S.W.A. should he given sufficient funds to cover the travelling and other expenses incurred in their duties. They should not have to meet these expenses out of their salaries. 68. The regional and provincial offices also had great difficulty in assisting disabled persons because they had no money for transporting clients from their homes to the Barranca Centre in Manila. Some of the offices visited by the expert had no funds from which to assist indigent people who approached them for aid and they had to rely on the goodwill of civic-minded people; one or two shipping companies, for example, provided free transport for disabled persons going to Manila. This state of affairs should not be allowed to continue and it is recommended that the Office of Vocational Rehabilitation should provide funds for the transportation of clients in its budget. 69. As a result of these visits to the Social Welfare Administration's regional and provincial offices the expert came to the conclusion that the whole organisation was not sufficiently strong as yet administratively or financially to support the number of rehabilitation centres proposed in Republic Act 2615. Even if these centres were supposed to be self-supporting with a special budget, it seemed inevitable that once the regional and provincial offices ran into difficulties they would call on the rehabilitation centres for support. Moreover, it seemed likely that, because of the lack of trained staff, lack of financial resources and the administrative civilisation in Manila, it would be a long time before all the proposed rehabilitation centres can be built, 70. It is therefore recommended that the Social Welfare Administration should plan to establish only three regional rehabilitation centres over the next decade. These might preferably be built in Dagupan, Cebu and Zamboanga; Dagupan, in the northern part of the island of Luzon, could receive clients from that part of the country; Cebu could receive clients from the middle of the country5 and Zamboanga, on the southern tip of the island of Mindanao, could cover the southern part of the country. The remaining six regional centres can be set up once the first three have been successfully established and operated. A site is now available in Dagupan and construction of this first centre could start in 1961. A description of the organisation and functions of this first regional centre was worked out jointly by the expert and the Chief of Rehabilitation Standards Division of the Office of Vocational Rehabilitation; this is reproduced in Appendix 11. Placement services were not - 21 - included in the functions of the regional centres as this duty was placed on the rehabilitation worker in the Social Welfare Administration regional office, who should he appointed without delay. The rehabilitation centre was supposed to he located in the same town or city as the regional office. B.. The National Orthopaedic Hospital 71. Each week whilst he was in Manila the expert attended one or two meetings of the Rehabilitation Team which met at the National Orthopaedic Hospital to discuss patients' cases. The most noticeable feature of these meetings in the early stages of the mission was that the doctors did not appear to know the patients. Paraplegic patients were frequently not visited by a doctor for weeks and the doctors discussing the cases in the Rehabilitation Team were not those who were responsible for the same patients in the wards. 72.. Personal contact with the patients was left to nurses, social workers, the psychologist and the vocational counsellor when the last named was eventually appointed. The nurses carried the greatest burden and, because of the absence of doctors in the paraplegic wards, they were really responsible for the patients. The social workers did not obtain sufficient detail about the patients' problems and their reports to the team conferences frequently left the rest of the team to solve a number of problems. 73. The psychologist had no equipment to enable him to undertake aptitude testing of patients. On advice from* and with the help of, the expert, material for psychological testing, including aptitude testing, was ordered from the United States and the United Kingdom. This material was received early in I960. 74. The staff of the National Orthopaedic Hospital did not include a vocational counsellor, but a social worker was paid by the Philippine Charity Sweepstakes to act as such on a half-day basis at the hospital. As it was obvious that a great many of the patients needed guidance and counselling, the expert suggested early in I960 that two vocational counsellor posts should be created in the hospital. These officers would, in addition to their counselling work, be responsible for the social work involved in the patients' return to their homes and in finding suitable work for them. Two vocational counsellors were appointed in July I960, one of whom underwent in-service training at the Barranca Rehabilitation Centre, the other being due to start her training early in 1961. 75. The Occupational Therapy Department at the National Orthopaedic Hospital was ably led by a trained occupational therapist, but the accommodation was much too small and, - 22 - unfortunately, there was no room for its expansion in the existing hospital premises. The only action which the expert was able to take to improve matters was to arrange for the recruitment of two watch repairers for the watch repairing unit, the purchase of some small tools, the donation of five wheelchairs from the C.A.R.E. Organisation for use by the patients in the watchrepairing unit and the purchase of some books on rehabilitation. 76. As the National Orthopaedic Hospital is a normal hospital and patients have to be discharged on completion of their treatment, the hospital should not expand its own vocational rehabilitation services. There is also a need for many more beds for orthopaedic patients in the hospital, it being necessary quite frequently to put two patients in one bed in the emergency wards. It is therefore recommended that the Department of Health should approach the Social Welfare Administration with a view to arranging for the O.V.R. to undertake the rehabilitation of paraplegic patients. This might be achieved by building a dormitory for them in the Barranca Centre and subsequently employing them in the Centre's sheltered workshop. C. The Bureau of Workmens1 Compensation 77. The expert arranged to attend the weekly meetings of the committee appointed in the Evaluation Division to screen applications for rehabilitation from injured and disabled workers. At these meetings the expert took the opportunity to brief the members on the principles of vocational rehabilitation. He found that the nurse and the social worker of the Evaluation Division were examining cases for rehabilitation and contacting employers with a view to resettling the injured workers. No active rehabilitation procedure was, however, set up until the expert succeeded in linking the Bureau of Workmen's Compensation with the National Orthopaedic Hospital and the Barranca Centre. 78. The expert considered it essential that there should be close co-operation and co-ordination between the Bureau of Workmen's Compensation, the Office of Vocational Rehabilitation and the National Orthopaedic Hospital. Co-operation was necessary with the National Orthopaedic Hospital because many of the disabled workers required artificial limbs and braces and the National Orthopaedic Hospital was. one of the very few hospitals in which such appliances were made. The expert considered that the Bureau of Workmen's Compensation could pay for these appliances out of the Rehabilitation Fund provided it was certified that they were absolutely necessary to enable disabled workers to enter suitable employment. In spite of his efforts satisfactory financial arrangements with this end in view had not been completed by the end of his mission. It is recommended that such arrangements should be made as soon as possible. - 23 - 79. A number of disabled workers needed vocational training before they could enter a new occupation. Go-operation between the Bureau of Workmen's Compensation and the Office of Vocational Rehabilitation was therefore necessary because vocational training for the disabled was really available only in the Barranca Centre. Following the expert's representations and suggestions the Office of "Vocational Rehabilitation and the Bureau of Workmen's Compensation agreed that clients should be sent to the Barranca Centre for training and that the Bureau of Workmen's Compensation would make a "per capita!: payment to the Office of Vocational Rehabilitation in respect of each client. 80. The number of cases discussed by the Screening Committee was not large but they were often brought up for rediscussion on more than one occasion, unnecessarily so, it seemed to the expert. Furthermore, because of the slow administrative procedure, it proved difficult for the Screening Committee to make any decisions favourable to the disabled workers. It is to be hoped that methods can be adopted to speed up the procedure so as to avoid delays in arriving at decisions. 81. Most of the injured workers whose cases were discussed by the Screening Committee came from the greater Manila area. The number of cases coming from the provinces for rehabilitation was very small. This was thought to be due in part to the fact that the long delays in the official settlement of cases under the Workmens' Compensation Act probably led to the direct settlement of many cases between employers and workers for sums much less than were provided for in the Act. Another reason was the great difficulty, in regular compensation cases, of meeting the cost of the transport for disabled workers coming from the provinces to Manila. At the instigation of the expert the question of whether the Rehabilitation Fund could bear the expenses of transportation of the disabled and their vocational training in institutions other than the Barranca Centre was submitted to the Auditor General. The Auditor General expressed the opinion that reasonable expenses incurred in the transport of disabled workers from their places of residence to Manila or other places of training and their return home, and the payment of subsistence allowances to them whilst undergoing training, were properly chargeable to the Rehabilitation Fund, provided that these and other items of expenditure in connection with rehabilitation were itemised in a special budget to be approved by the President. Despite the Auditor General's favourable opinion no action had been taken in this respect by the end of the expert's mission. This is a measure that could help a number of disabled workers, more especially when further rehabilitation training centres are offered. It is therefore recommended that it should be put into operation as soon as possible. Furthermore every effort should be made to administer the Rehabilitation Fund in as flexible and positive a way as possible so as to ease the task of the Screening Committee and provide more opportunities for disabled persons to receive vocational rehabilitation. - 24 - 82. The Bureau of Workmen's Compensation could also render considerable assistance by arranging to provide fully trained disabled workers who are unable to compete in the open market and for whom self-employment is the best form of resettlement with the equipment necessary to enable them to commence in business on their own account. It is recommended that the Bureau of 7/orkmen's Compensation should regard the purchase of equipment and materials for starting small businesses and workshops as a necessary item in the rehabilitation of the disabled and properly payable from the Rehabilitation Fund. 83. Some of the members of the Screening Committee, in company with placement officers and vocational counsellors from the Barranca Centre and a vocational counsellor from the National Orthopaedic Hospital, took part in surveys of 33 industrial establishments in the Manila area. The expert participated in 25 of the visits, the objects of which were to ascertain the types of employment suitable for rehabilitated disabled workers and to give some idea of the work performed in industrial establishments, .job analysis and work traditions. It was understood at the end of the mission that this programme was to be continued with visits to other establishments. This is to be recommended. D. Department of labour 84. The export also tried to establish co-operation with the Manpower Service of the Department of labour in the placement of disabled persons and to set up a section in the Department for that purpose. It was not possible to find any official in the Department with the necessary experience and qualifications. Moreover, even had a suitable person been found, it would have been difficult to provide suitable accommodation for him in the Manila Employment Office. The expert therefore, abandoned this intention for the time being. 85. Nevertheless matters ought not to rest tuere, for the Department of labour should be fully drawn into the vocational rehabilitation programme and should assume its rightful share of the work and responsibilities. It is therefore recommended that at the earliest possible moment a Placement Unit for the disabled should be established, preferably in the Manila Employment Office. The placement officer allocated to this task should be authorised to visit industrial establishments in the Manila area (which current regulations would not allow him to do) to locate suitable openings for the disabled and should help persons referred to him from the Barranca Centre, the National Orthopaedic Hospital, the 3ureau of Workmen's Compensation and other agencies. In the long run selective placement of the disabled should be taken over by the Department of labour, to which it properly belongs, but until this comes about all disabled persons seeking employment should be referred to the Placement Unit of the Office of Vocational Rehabilitation. - 25 - E. National Council on Rehabilitation 86. The U.N. expert, Dr. Henry H. Kessler, in his report on his visit to the Philippines in 1956 (see paragraph 1) recommended that an Interdepartmental Committee should be established so that each department could be kept informed of the rehabilitation activities being carried out in the other departments. This recommendation was finally implemented in 1959 with the passing of Republic Act 2615 (see Appendix 10). The statutory functions of this Committee, known as the National Council on Rehabilitation, included the formulation of policy for the rehabilitation of the disabled in the Philippines, the co-ordination of rehabilitation programmes and the preparation of necessary rules, regulations etc. for this purpose. In addition to these functions, it is recommended that the Council should also concentrate its efforts on the placement of handicapped workers and that the members of the Council should actively support this object. 87. The members of the Council, all officials of high rank, were appointed on 15 July I960. Many of them did not, or were not, able to attend the Council meetings regularly. This was most unfortunate. It should be realised that the implementation of the rehabilitation programmes in the country depends very mnch on the work and efforts of this Council which represents a forum where the interests and problems of all the interested government departments may be discussed. It is desirable to have members who carry authority in the departments and agencies which they represent. But if it continues to be difficult for senior officials to attend the Council meetings regularly because of their other responsibilities it is suggested that they should make way for technical members of their staff who could attend meetings regularly and become active members of the Council. - 26 - V. EVALUATION OP THE WORK 8 8 . The e x p e r t encountered a good many d i f f i c u l t i e s i n h i s e f f o r t s t o a t t a i n the o b j e c t s of h i s m i s s i o n . At t h e o u t s e t t h e r e v/as some d e l a y i n s e c u r i n g t h e c o - o p e r a t i o n of t h e S u p e r v i s o r of t h e Office of V o c a t i o n a l R e h a b i l i t a t i o n ; t h i s was l a r g e l y due t o the f a c t t h a t he had o t h e r j o b s to do and was not a b l e t o devote h i s f u l l time t o the work of the Office of V o c a t i o n a l R e h a b i l i t a t i o n . S i m i l a r l y , t h e r e o r g a n i s a t i o n of t h e B a r r a n c a Centre was impeded by t h e l a c k of o v e r - a l l s u p e r v i s i o n . Here a l s o , u n t i l l a t e i n I 9 6 0 , t h e S u p e r i n t e n d e n t had t o u n d e r t a k e o t h e r d u t i e s i n t h e S o c i a l Welfare A d m i n i s t r a t i o n which took up a g r e a t d e a l of h e r t i m e and she was, i n consequence, unable t o s u p e r v i s e the Centre on a p e r manent f u l l - t i m e b a s i s . 89« D e s p i t e t h e s e d i f f i c u l t i e s , t h e e x p e r t was i n s t r u m e n t a l i n e f f e c t i n g improvement i n t h e B a r r a n c a C e n t r e , n o t a b l y by i n t r o ducing a new i n t a k e procedure and a r e h a b i l i t a t i o n team, r e o r g a n i s i n g t h e S o c i a l S e r v i c e and V o c a t i o n a l T r a i n i n g S e c t i o n s , s e t t i n g up a Placement Unit i n t h e Office of V o c a t i o n a l R e h a b i l i t a t i o n and i n i t i a t i n g a p r o p e r procedure f o r t h e f o l l o w - u p of c l i e n t s as w e l l as t r a i n i n g t h e s t a f f i n new methods. He was a l s o a b l e to make recommendations i n c o n n e c t i o n w i t h t h e improvement of o t h e r a c t i v i t i e s of t h e C e n t r e . 90. The expert was able t o suggest some improvements in the operation of the vocational r e h a b i l i t a t i o n s e r v i c e s a v a i l a b l e a t the National Orthopaedic Hospital and the r e h a b i l i t a t i o n programmes of the Bureau of Workmen's Compensation. He also managed t o improve the co-operation between these two organisations and the Office of Vocational R e h a b i l i t a t i o n . The development of the l a t t e r action i s , however, contingent to some extent on e a r l y a c t i o n being taken by the Government t o l i b e r a l i s e the present r e s t r i c t i o n s on the uses to which the R e h a b i l i t a t i o n Fund of the Bureau of Workmen's Compensation may be p u t . 9 1 . The outstanding event during the mission, i n which the expert played a p a r t , was the passing of Republic Act 2615 i n July 1959 which increased the maximum t r a i n i n g period for the disabled at the Barranca and other centres operated by the O.V.R. from 6 t o 12 months, authorised the s e t t i n g up of nine Regional Adjustment and Training Centres and s e t up a National Council on Rehabilitation. The increase i n the authorised t r a i n i n g time w i l l provide f o r more o p p o r t u n i t i e s for the disabled c l i e n t s at the Barranca Centre and is a great step forward. The immediate e f f e c t s of these other amendments t o the o r i g i n a l Vocational R e h a b i l i t a t i o n Act of 1954 have been inconsiderable as y e t ; but they do hold a future promise for the widening and improving of the vocational r e h a b i l i t a t i o n f a c i l i t i e s i n the P h i l i p p i n e s . - 27 - 92. Unfortunately, the expert's efforts to persuade the Manpower Service of the Department of Labour to assume the responsibility for the placement of the disabled, at first from the Manila Employment Office, were unsuccessful. This is much to be regretted as it throws the full responsibility for placement, which is essentially an Employment Service function, on the O.V.R. which is not as well equipped or staffed for this purpose as is the Manpower Service. No doubt in time this situation will be rectified, the sooner the better. - 28 - VI. BECOMMEHDATIONS 93. In spite of what has "been'achieved as a result of this mission there is still much to he done and many aspects of the question to be dealt with. The following recommendations are therefore made to complete what has already been started and to help with development and expansion of services to meet future needs, especially for vocational training. Some of these points on which follow-up action is needed have already been indicated in the text of this report, others are a logical outcome of the state of development reached so far. A. Social Welfare Administration 1. The Supervisor of the Office of Vocational Rehabilitation should be allowed to devote his full time to the implementation of the national rehabilitation programme. He should not be given other duties not connected with his official functions. 2. The Superintendent of the Barranca Centre should be allowed to devote her full time to the supervision and control of the centre. Other extraneous duties unconnected with this task should not be put on her. 3. The Office of Vocational Rehabilitation should make renewed efforts to secure the appointment of a qualified nurse for the Barranca Centre. 4At least one male vocational counsellor should be recruited for the Vocational Counselling Section of the Barranca Centre. 5. Additional placement officers, at least one of whom should be a male, should be recruited for the Placement Unit in the Office of Vocational Rehabilitation. 6. Further technical training staff are needed at the Barranca Centre: (i) (ii) (iii) a sighted instructor for the basketry class to supervise and assist the two blind assistant instructors? an instructor for the carpentry class; an instructor for the dressmaking class. When the last appointment has been made it will enable the tailoring and dressmaking classes to become quite separate. - 29 - 7. A technically qualified person should be appointed to act as Manager of the Sheltered Workshop at the Barranca Centre. When this appointment has been made, an expansion of the activities of the Sheltered Workshop should be aimed at. 8. The vocational training courses at the Barranca Centre selected as major courses (agriculture, dressmaking, tailoring, carpentry and basketry) should be overhauled to see that they meet the needs of the employment market and are at the right technical level to ensure adequate preparation of disabled clients. New courses should be added when the need is felt and the opportunity occurs. 9. The hours of daily training for each trainee in the major vocational training courses at the Baranca Centre should be increased to six as soon as possible. 10. The Office of Vocational Rehabilitation should provide funds in its budget for: (i) the transportation of clients living in the provinces to and from Manila; (ii) a sum for the purchase of materials and equipment for clients who need to set up in business on their own account at the end of their rehabilitation and training. 11. The Office, of Vocational Rehabilitation should consider the building of a dormitory in connection with the Barranca Centre to accommodate 50 clients. Better allowances should be given to those living in lodgings. 12. A Rehabilitation Officer should be assigned on a permanent basis to each Regional Office of the Social Welfare Administration as soon as possible. These officers should be given allowances to cover their travelling and other expenses incurred in performing their duties. 13. Caution should be exercised and care taken over the creation of Regional Training and Adjustment Centres. These should be limited to three over the next ten years preferably situated in Dagupan, Cebu and Zamboanga. The remaining regional centres should be set up once the first three have been successfully established and operated and the necessary experience gained. - 30 - B. National Orthopaedic Hospital 14. The Department of Health should co-operate with Welfare Administration with a view to arranging for the Office of Vocational Rehabilitation to. undertake the vocational rehabilitation of paraplegics and possibly their subsequent employment in the sheltered workshop at the Barranca Centre. 0• Bureau of Workmen's Compensation 15• Co-operation between the Bureau, the Office of Vocational Rehabilitation and the National Orthopaedic Hospital should become closer and should be strengthened so that everything possible can be done to arrange the rehabilitation of injured disabled workers. 16. The procedure adopted by the Screening Committee set up in the Evaluation Division should be simplified and streamlined so that early decisions on cases suitable for rehabilitation can be made and applied. 17. More flexibility should be introduced into the uses of the Rehabilitation Fund so that it can be used for: (i) the purchase of orthopaedic appliances essential for rehabilitation and employment purposes; (ii) (iii) the purchase of equipment and materials for starting small workshops as a necessary item in the rehabilitation of the disabled who will become self-employed; the transportation of injured and disabled workers living in the provinces to and from Manila; (iv) rehabilitation facilities available at any recognised institution. D. Department of Labour 18. The Department of Labour should reconsider its attitude towards the placement of the disabled. It should set up a placement service of this kind with experienced and selected staff so as to co-operate with the Placement Unit of the Office of Vocational Rehabilitation. This could be based initially on the Manila Employment Office and then extended to other employment offices as experience is gained. - 31 - E. National Council on Rehabilitation 19. Everything should be done to ensure that the members of the National Council on Rehabilitation are selected from persons who have an interest and competence in the subject, have time to attend the meetings and to take an active part in the work of the council. P. Further International Assistance 20. The Government has already indicated that it now wishes to concentrate future efforts on the vocational training aspects of the rehabilitation programme. It has accordingly requested: (i) the services of an expert on the vocational training of the disabled; (ii) a fellowship for a vocational training instructor. 21. It is recommended that the services of this expert should be used in order to have advice on the vocational training of the disabled in general and the extension of appropriate facilities. This should include not only the vocational training facilities available at the Barranca Centre and any regional centres that may have, or may be in course of being, set up,- and at the National Orthopaedic Hospital, but also any other vocational training facilities to which the disabled have, might have or should have access. A draft job description for this expert appears in Appendix 12. 22. It is also recommended that the fellowship requested, if granted, should be awarded to the Chief Instructor at the Barranca Centre. 23. Furthermore it is recommended that the Government should consider the desirability of requesting further fellowships, at a later date, for some of the Rehabilitation Workers in the Regional and Local Offices of the Social Welfare Administration and some of the personnel at the proposed Regional Adjustment and Training Centres. - 32 - APPENDIX 1 Departments, Agencies and Offices in Manila National Economic Council Department of Education Department of Labour Social Welfare Administration Pilot Rehabilitation and Training Centre, Office of Vocational Rehabilitation Social Security System National Orthopaedic Hospital Veterans Memorial Hospital V. luna General Hospital Philippine General Hospital School for the Deaf and Elind American Foundation for Overseas Blind Quezon Institute Don Bosco Vocational School Rodriguez Vocational School International Co-operative Administration Philippine College of Arts and Trades Philippine College of Commerce Y.M.C.A. - 33 - APPENDIX 2 Visits made to Offices of Social Welfare Administration and Department of Labour, Hospitals and Vocational Schools in the Following Cities and Towns Town or City Province Aparri Cagayan Tuguegarao Cagayan Baguio Mountain Province Dagupan Pangasinan Los Banos Laguna San Pablo Laguna Naga Camarines Sur Legaspi Albay Cebu Cebu Iloilo Iloilo Bacolod Negros Occidental Davao Davao Cotahato Cotabato Cagayan de Oro Mis amis Oriental Iligan lanao del Norte Mar aw i Lanao del Sur Zamboanga Zamboanga Jolo Sulu Bongao Sulu Basilan Zamboanga del Sur - 34 - APPENDIX 3 REPUBLIC ACT No. 1179 AH ACT TO PROVIDE FOR THE PROMOTION OP VOCATIONAL REHABILITATION OP THE BLIND AND OTHER HANDICAPPED PERSONS AND THEIR RETURN TO CIVIL EMPLOYMENT Be it enacted by the Senate and House of Representatives of the Philippines in Congress assembled: SECTION 1. This act may be cited as Vocational Rehabilitation act. OBJECTIVES SECTION 2. (a) To provide for the promotion of vocational training for the blind and other persons disabled by natural and/or accidental causes resulting in job handicaps in the form of physical or mental impairment and their subsequent return from helplessness to competence, from dependency to self-sufficiency, from hopelessness to active participating and contributing members of society; (b) To prepare such disabled persons for suitable employment so as to place them on the right jobs suitable to their abilities and talents; (c) To train them to be able to take their rightful place in the economic and social activities of the country; and (d) To make available to such persons vocational rehabilitation services as a legal right. VOCATIONAL REHABILITATION OFFICE SECTION 3. Creation of.- In order to ensure the most effective scheme of vocational rehabilitation of the blind and other handicapped persons to implement the social welfare program of the government in the amelioration of this deprived class of society, there is hereby established a Vocational Rehabilitation Office hereinafter referred to as the Office. The Office shall be under the executive supervision and control of the Social Y/elfare Administration and shall be headed by a chief who shall be referred to as supervisor shall be appointed by the Social Welfare Administrator and shall receive a compensation of five thousand four hundred pesos per annum. - 35 - POWERS AND DUTIES OP THE SOCIAL WELFARE ADMINISTRATOR SECTION 4. shall: Under this act, the Social Welfare Administrator (a) Designate the Vocational Rehabilitation Office as the sole agency for the administration, supervision and control of the Vocational Rehabilitation program;. (b) Formulate the program, policies and methods in carrying out the work to render any or all services for the blind and handicapped persons; (c) Provide that the vocational rehabilitation program be made available only to classes of employable individuals defined under this act; (d) Appoint qualified and technical personnel to carry out the work of the Vocational Rehabilitation Office as provided herein; (e) Appoint, subject to civil service rules, such staff members as may be necessary and proper to carry out this Act. Said staff members shall be composed of public officials whose status and conditions of service are such that they are independent of changes of government and of improper external influences, and recruited with sole regard to their qualifications; and that such persons shall be free from political domination and influence, and that subject to the needs of the service, they shall be assured of stability of employment in keeping with the highest standards of personnel administration; (f) Promulgate rules and regulations governing the administration of this Act; and exercise such powers and delegate such of these powers, except the making of rules and regulations as he finds necessary in carrying out the purposes of this Act. THE VOCATIONAL REHABILITATION PROGRAM SECTION 5. To effect and facilitate rehabilitation of disabled individuals, the office shall adopt and maintain a plan, to be known as Vocational Rehabilitation Plan, which shall be as follows i (a) Early start. - The Office shall take care of the prompt location of the blind and handicapped either by correspondence or other means, so that rehabilitation may begin before he is unduly subjected to the disintegrating effects of idleness and hopelessness. - 36 - (b) Rehabilitation diagnosis. - The Clinic of the Office shall subject each individual to medical examination, personal interviews and tests of aptitudes and interests with a view to meeting his problems and needs, discovering the nature and extent of his disability, and determining the type of work he might best perform. These medical examinations may also be secured from hospitals and other allied government agencies according as each individual case may require. (c) Counseling and Guidance. - Each individual shall be given advice and made to understand by the counselor designated by the office for each individual of his assets and liabilities, the causes of his problems and steps necessary to correct these difficulties so as to enable him to adjust to his handicaps and select the type of job fitted to his abilities. (d) Medical Service. - Physical restoration, when needed to remove or reduce disabilities shall be furnished and secured for the individual by the Office or by other allied government agencies on behalf of the client. (e) Vocational Training. - Having selected a specific job goal through the help and advice of the counselor, the Office shall furnish the disabled the necessary training and education necessary to fit them for the chosen work. (f) Auxiliary Service. - The Office shall provide transportation, books and other training materials, occupational tools, equipment and licenses when necessary during the period of vocational rehabilitation. (g) Placement. - The Office shall secure for each individual employment best suited to his capacity and talents and for which he is trained. (h) Pollow-up. - The Office shall conduct the follow-up on the individual's job performance for a reasonable time to make whatever adjustments may be necessary, or to provide further medical, surgical, and psychiatric care if needed, or to supplement training if required. PERSONNEL STANDARD SECTION 6. General requirements of personnel of the Office. The officers and staff members of the Office should have a general knowledge of the adjustment and vocational training for the blind and other disabled persons. And a knowledge of all the services, both public and private, available to the blind and other disabled persons| and must be conversant in the casework techniques incident to the employment problems of the blind and other handicapped persons. - 37 - DUTIES AND POWERS OP THE SUPERVISOR OP THE VOCATIONAL REHABILITATION OPPICE SECTION 7. It shall be the duty of the Supervisor; (a) To supervise and coordinate all rehabilitation services to the blind and other handicapped persons. (b) Over-all supervision of the disabled persons undergoing training in the Adjustment Center. (c) To advise the different blind and other handicapped groups and associations in their activities for self-help. (d) To keep track of the latest progress in rehabilitation service, of the blind abroad and to direct efforts for the application of such which may be applied to the disabled persons in the Philippines. (e) Whenever possible, to render vocational information service, self-inventory service and counseling service to the blind and other handicapped persons to help them determine decisions and plans to improve their lot. (f) To supervise and arrange the placement to training of the blind and other handicapped persons to the right job, either in sheltered workshop, self-employment, or employment with business or industrial or agricultural countries. (g) To help maintain public relations especially among the local, civic, religious and welfare agencies as those abroad. (h) To help promote cordial relationship and healthy recreational activities among the organizations of the blind and other handicapped persons. (i) To perform such duties as may be assigned to him by the Social Welfare Administrator from time to time. SECTION 8. To establish immediately an Adjustment and Training Center for the disabled persons with the following characteristics: (1) A concentrated, individualized program for each client. (2) The nucleus, at least, of a full-time staff. This nucleus shall consist of a rehabilitation specialist who shall act as supervisor of the Centers qualified vocational counselors and instructors for the work projects and a property clerk. - 38 - (3) The evaluation, through an "item" approach, of the individual as a total personality. (4) Opportunity for participation in a group as a motivating and learning device. (5) An organized and systematic program to: a. Assist each individual to acquire efficiency into special techniques necessary to perform the demands of daily living; b. Help each individual gain insight into his physical, psychosocial and vocational needs; c. Provide exploratory or try-out work experiences to J (1) Demonstrate the wide Variety of tasks each individual can perform; (2) More thoroughly evaluate the attitudes and skills of each individual; (3) Train each individual to perform certain household tasks; (4) Develop desirable work habits and attitudes; (5) There is a terminal point for each individual in the center program; (6) There is a consolidation of the program experiences by the "item" to form the basis for future planning with each individual; (7) In general, the Adjustment Center is a process of developing within the clients a proper perspective toward his disability, as well as that of developing certain basic skills of the client in order to compensate for his handicap and loss of normal faculties. (A) Program flexibility. - Flexibility in the outlined program may be obtained without sacrificing orderly procedure. While there must be a general schedule of instruction going on all the time, there has to be a schedule for an individual that will meet his needs in line with his capacities, his previous experiences and his objectives. - 39 - (B) Program "balance. - An individual's program may be kept in balance through the use of a schedule which will be of maximum benefit to him. The formulation of such a schedule will be made apparent through consideration of diagnostic reports and proposed objective. (O) Client introduction to Center. - The introduction of the client to the center and to the program is of utmost importance since his first impressions are the most lasting. All preliminary reports of the client should be reviewed very carefully by the person who interviews him upon his arrival at the center. The first few days should be taken up by a free program of orientation to the center, both the physical plant and the program. When more experienced trainees are available,, the new client should be assigned to a trainee whose interest and background most closely parallel his own and through this trainee he will soon become familiar with the various classrooms and extra curricular opportunities provided by the center. A similar procedure can be adopted for use by centers that serve clients who enter in groups. The Adjustment Center should operate eight hours a day, five instructions days per week for a minimum duration of three months with individual extensions possible up to a maximum of six months. There shall be a gratuity allowance for the trainees to be fixed by the Social Welfare Administrator, and assigned as maintenance while in training, (D) Discharge of clients from Center. - When, through staff conference it is determined that a client is prepared to accept vocational training or placement, definite plans are made for his discharge. If the counselor or the referral agency, concurs in the findings of the staff, the trainee is then called in for a personal conference at which time his entire progress is reviewed with him. At this conference also is ascertained his understanding of his future plans name by the referral agency. The definite time of departure is agreed upon, and transportation arrangements are made. Any necessary notification to his family, cooperating persons or agency, is sent. It is very important that the trainee have a thorough understanding of his future plans and that he is satisfied in his own mind that he is ready for the next step in his rehabilitation program. (E) Records of Center Program. - The center workshop and agricultural projects should maintain and preserve service, employment and other operating records in sufficient detail to evaluate the capacities and limitations and his needs in relation thereto, outline his program, chart his progress and record his ultimate disposition. - 40 - The employment records for each client should show, in addition to identifying information, the kind of work performed, the hours worked (daily and weekly), the amount produced, the rate of pay, the amount earned in cash and otherwise, the date of payment and the period covered. The amount of premium pay for overtime work cash subsidies or other cash assistance, deductions from wages etc., should be recorded as separate items. In addition to the above records, which apply to both homebound clients and those working in the workshop, each homebound client or a person in the home of a homebound client should maintain a daily record of work performed. In addition to the identifying information such record should show for each workday the date, the starting and stopping times, the total hours worked, and the units produced. This record should be submitted to the center at stated intervals and should become part of the employment records. All employment records should be preserved 'by the center for at least such periods as may be required by the Social Welfare Administration. The center project should have adequate accounting operation, sales and other records essential to the effective management of their responsible management board or committee at least quarterly, Their bocks should be audited annually by a certified public accountant or government auditor designated for that purpose. ELIGIBILITY SECTIOIT 9. person must: To be e l i g i b l e for vocational r e h a b i l i t a t i o n a (a) Be of work age. (b) Have a substantial job handicap in the form of physical or mental impairment. (c) Have a reasonably good chance of becoming employable or of getting a more suitable job through rehabilitation service. AVAILABILITY OP FUNDS SECTION 10. Money to be made available for the purpose of the Act shall be raised by: (a) Authorizing the President of the Philippines to set aside an annual fund raising week to be known as "Aid tc the Blind and other Handicapped Week". Money realized from such - 41 - fund raising campaign shall constitute a trust fund to be known as "Blind and Handicapped Fund" which shall he under the control and administration of the Social Welfare Administrator. (b) Authorizing the Philippine Charity Sweepstakes Office to hold, coincident with the fund raising week, one special sweepstake race the whole proceeds of which shall after deducting the payment of prizes and expenses provided in Act Numbered Forty-one hundred thirty, as amended by Commonwealth Act Numbered Five hundred forty-six, be turned over to the Social Welfare Administrator which shall constitute a part of the said Blind and Handicapped Fund. (c) Authorizing the appropriation out of any funds in the National Treasury not otherwise appropriated any such sums as may be necessary to carry out the purposes of this Act. The construction of the Training Center may be drawn from this allocation. DEFINITIONS SECTION 11. The following terms as used in this Act have the following meanings. (a) Vocational Rehabilitation or rehabilitation services. ~ Any service necessary to render a disabled individual fit to engage in a remunerative occupation. (b) Blind. - A person having visual acuity not to exceed 20/200 in the better eye with correcting lenses, or visual acuity greater than 20/200 but with a limitation in the fields of vision such that the widest diameter of the visual fields subtends an angle no greater than twenty degrees. But a person who is blind in one eye only, or who has a visual acuity greater than 20/200 without a field defect shall not be considered blind for the purposes of this Act. (c) Disabled Person. - Includes not only the blind but also persons, with substantial job handicap in the form of physical or mental impairment. EFFECT IV IT Y SECTION 12. APPROVEDs This Act shall take effect upon its approval. (SGD) EULOGIO RODRIGUEZ President of the Senate (SGD) JOSE LAUREL JR. Speaker of t h e House of R e p r e s e n t a t i v e s - 42 - Finally passed by the Senate on May 19, 1954, in consolidation with Senate Bill No. 143. (SGD) FIDEL EEUARES Secretary of the Senate This Act, which originated in the House of Representatives, was finally passed by the same on May 18, 1954* (SGD) NARCIZO PIMENTSL Secretary of the House of Representatives APPROVEDi 11:00 A.M. June 19, 1954 (SGD) RAMOII MAGSAYSAY • President of the Philippines - 43 - APPENDIX 4 Office of V o c a t i o n a l Rehab H i t a t i on - C a s e l o a d f o r the F i s c a l Years 1954-1960 Number of clients registered 1954-1955 " Blind Deaf mute Orthopaedic Others 106 31 109 47 293 1955-1956 Blind Deaf mute Orthopaedic Others Statistics C l i e n t s t r a i n e d and i n r e c e i p t of a t r a i n i n g ; allowance 1954-1955 Blind Deaf mute Orthopaedic Others 1955--1956 30 8 45 8 1956-1957 Blind Deaf mute Orthopaedic Others 54 11 69 20 1957-1958 Blind Deaf mute Orthopaedic Others 58 22 53 64 197 1957--1958 61 12 82 Blind Deaf mute Orthopaedic Others 1761958-1959 Blind Deaf mute Orthopaedic Others 65 12 75 _2? 181 1£56:-1957 154 Blind Deaf mute Orthopaedic Others 34 184 91 Blind Deaf mute Orthopaedic Others 67 20 63 46 5 64 10 125 1958--1959 60 27 80 -2i 203 Blind Deaf mute Orthopaedic Others 48 16 62 3 129 1959-1960 1959-1960 Blind Deaf mute Orthopaedic Others GEAND TOTAL 43 19 70 11 143 1,060 Blind Deaf mute Orthopaedic Others GRAND TOTAI 41 16 51 4 112 928 APPENDIX 5 APPLICATION FORMS - BARRANCA CENTRE Case N o . V R Republic of the Philippines Office of the President Social Welfare Administration OFFICE OF VOCATIONAL REHABILITATION SWA-OVR FORM W o . 1. (7/1/60) APPLICATION FOR REHABILITATION AND/OR VOCATIONAL TRAINING "" (Municipality) Cross Reference; Name Case No. PA Cl-J Region Category; (Provincial Office) (Date of Application) PRTC Case No; (Do not complete this) "(Municipality or City Office)" (Source of Referral] (Address of Source) PART A Block I - Identifying Data; 1. Name ef Applicant; (Surname) (Given Name) (Other Name) 2. Applicant's Address; 3. 4. 7. 10. 12. 14. 17. Permanent Temporary Parent's or Nearest Relative's Name; and Address: . 5. Date of Birth: 6. Place: Age; 8. Nationality; 9. Religion: Sex; 11. Position in the Family: Breadeamer Civil Status; Dependant No. of Dependants; 13. Occupation: 1 5 . Nature of Employment: Temporary:_ Monthly Income: 1 6 . Other Sources of Income of Family: Permanent: Total Income of Faiiily: Block II - Educational Background and Training of Applicant: 1 8 . School Attendance: Highest Grade Attained Name and Address of Last School Attended Year of Attendance Primary Intermediate High School 1 College 1 9 . Other Training ] Type of Training Where Taken J 1 l 1 •\ J I l l 20. Period of Training • _i_ -n rt i • i / l a I • J_ Favorite Subject and/or Activity: Block III - Work Experience: 21. Jobs Held or Work Engaged in (Start with first) i i From ' l 1 i i i • 1 - i i , 1 • To ! | Work i i 1 , i Type of ! , Pl°yer and Address i 1 " i 1 • l i l Em [ Monthly ( Income i i j Reasons , for Leaving j , ' I ' 1 i i I I i i i i ' i 1 1 1 i i i • i i ! i • 1 • • I SWA-OVR Form No. 1 (7/1/60) PRTC Case No: (Do not complete this) Case No. VR Page -4 - (Municipality) (Name of Applicant) PART B 1. What efforts have been made to resettle applicant without Rehabilitation and Vocational Training? 2. Is school placement recommended? 3. What suitable occupations are available locally for applicant? 4. Will rehabilitation and vocational training assist client in local placement? 5. What social and economic problems do you know which i^ill affect the applicant during rehabilitation and training? 6. Will previous employment take him back after rehabilitation and vocational training? 7. Do you recommend rehabilitation and vocational training? reasons for recommendations. Give 8. Will applicant need SWA Transportation Assistance? 9. Business and home address of applicant's last doctor. (IMPORTANT: Social Worker should please arrange for an X-ray or fluoroscopic Examination and findings thereof known before applicant is sent to a medical officer. Applicant must have a seven months1 TB Negative Reportto be considered eligible for rehabilitation services* otherwise a medical certificate need not be executed by a medical officer and the application need not be sent to the PRTC, OVR.) SWA-OVR Form No. 1 (V/l/60) ' | Case No. VR Page PRTC Case No; i (Do not complete this) ' - 5- (Municipality) (Name of Applicant) PART C (To be completed by applicant's doctor or indicated doctor) Full name of applicant: (Surname)" (Given "Name) Category? 1. Date of Injury: Age at Disablement 2. Description of Disability: 3. Did the disability arise from any of the following: - Please check - ( ) War, ( ) Industrial Accident, ( ) Disease, ( ) Congenital, ( ) or Other Causes Specify. (a) Please check - Categories (Please refer at the back) 4-. When was treatment started? a. Has treatment been completed? b. Or is further treatment necessary? 5. Has he any physical aids or prosthetic appliances? Does he need any? 6. Please delete those functions applicant cannot perform: Walking, Sitting, Climbing, Lifting, Pulling, Stooping, can use his/her fingers independently. 7. Is there a speech defect? 8. Is there a hearing defect? 9. Has he any defect of the eye? Please check: ( ) Total loss of sight ( ) Partial visual handicap (Within legal definition) 10. If the applicant suffers from epilepsy, is it major or minor? 11. Has he any mental defect? 12. Has he pulmonary tuberculosis or any other lung ailment? _ I SWA-OVR Form No. 1 (7/1/60) Case No„ VR i i PRTC Case No: , (Do not complete this) I (Municipality) Pa Se - ~- i (Name of Applicant) i Block IV - Veterans1 Status; 22. Have you served in the Armed Forces? If YES, Check: Army Navy Air Force 23. 25. Last Ranks 24. Serial Number: Reasons for Discharge: (Attach certified copy of discharge papers) Is your disability service connected? Yes 26. Yes No No Block V - Plans of Applicant: 27. 28. 29. Are you willing to undergo vocational training? Yes No Does your wife/husband/parent/guardian agree to your going to the SWAOVR Centre for the period of rehabilitation and/or vocational training? Yes No If accepted at the Centre in which trade do you wish to be trained? First Choice ' Second Choice . Block VI - Application for Vocational Rehabilitation: I, the undersigned would like to apply for the vocational rehabilitation services which may be necessary to prepare me for employment. It is understood that information regarding my vocational preparation, medical records, and other personal data may be released when necessary in developing a rehabilitation plan for me. I hereby further declare that the above information about myself is true. (Signature of Applicant) Residence Tax Certificate Number Issued at Date NOTED: (Intake Social Worker) Note: Social Worker should attach Part A -Intake Observation and Part B and Part C - Medical Certificate duly completed before having this application sent to the Centre. SWA-OVR Form No. 1 (7/1/60) Case No. VR Page - 3- PRTC Case No; (Do not complete this) (Municipality) 1 (Name of Applicant) PART A - 1 INTAKE INTERVIEW AND OBSERVATION Dates APPEARANCES ATTITUDE; l) Towards his problem - 2) Towards his handicap - 3) Towards the need to request for agency's help - SWA-OVR Form No. 1 (7/1/60) PRTC Case No; (Do not complete this) 1 Case No. VR Page - 6_ (Municipality) (Name of Applicant)' 13. What is his blood pressure? After Physical Exertion a) Systollic b) Diastollic 14. Apart from his disability as shown above is he otherwise in good health and free from infectious diseases? (Please see attached laboratory and clinical examination). 15. Are there other pertinent findings that may hinder him from undergoing vocational training? (Specify) 16. Do you think that rehabilitation/vocational training would benefit the applicant so as to secure gainful employment? 17. Recommendation - (Light, Medium* Moderately Heavy, Heavy work). (Date) (Signature of Examining Doctor Name; (Please Print]" Provincial Address; Home Address; - 51 OVR - CF - No. I Republic of the Philippines Office of the President Social Welfare Administration OFFICE OF VOCATIONAL REHABILITATION Barranca, Quezon City PART D (To be completed by the Admission Committee) Name: Date: Category: 1. I consider this applicant n on Sligihlp non-eligible for Rehabilitation Vocational Training (If non-eligible, please state reason) Medical Officer Date 2. I consider this applicant '•^'J^igibie' ^ o r Rehabilitation Vocational Training (If non-eligible, please state reason) Chief of Social Service Date 3. I consider this applicant • ^ 1 - g - y e for Rehabilitation Vocational Training (If non-eligible, please state reason) Social Welfare Supervisor Date PART E 1. I consider this applicant ^ f r ^ e for Gratuity non-eligxble (If non-eligible, please state reason) Date: Chief of Activation 2. Entered in register of applicants on date: Case Number: Accepted/Rejected Date Local OVR Representative notified of result of application for entry into Centre Date: OVR Superintendent - 52 ~ OVR - CF - No. 3 Republic of the Philippines Office of the President Social Welfare Administration OFFICE OF VOCATIONAL REHABILITATION Barranca, Quezon City APPLICATION NOTICE To: Date: Dear This is in reply to your application for rehabilitation services at the Office of Vocational Rehabilitation dated . We hereby inform you that the Admission Committee has approved/rejected your application. Reasons for approval/rejection: Yours sincerely, Intake Worker/Chief Rehabilitation Clearance Section OVR, PRTC, Quezon City NOTE: For Approved Application: Upon receipt please complete Reply Slip with enclosed stamped envelope. Please report at the Intake Section on , REPLY SLIP To Date: : Intake Worker/Chief Rehabilitation Clearance Section OVR, PRTC, Quezon City Dear This is to inform you that I received my Application Notice on I shall arrive on at the OVR Centre. Thank you. Yours sincerely, Applicant's Signature - 53 - Republic of the Philippines Office of the President Social Welfare Administration OFFICE OF VOCATIONAL REHABILITATION Barranca, Quezon City REFERRAL SHEET SECTION 1. INTAKE 2. ACTIVATION 3. Casework Supervisor 4-. Social Worker 5, Chief Instructor DATES J ' From: ' • P i "l R' | Medical Officer 7. Rehabilitation Standards 8. Vocational Counsellor ' : ' Psychologist - ' ! ! i ' i ( ' ' i i i ?' ' < I R i i i' ' i i A ' i ', ' i i i " 1 , ! i i ' ' i 1 ' ' | i ' ' ' ' . ' | ' ' ti j ! i ' ' i ' ' ' ' ' I ' t R 1 ' ' ., i i ', ' i , i Ai ' i ' ' ' ' ' ' R i i i ' ' :' Rehabilitation Team 11. Vocational Training 12. Placement Services Ai R' ' ,R, ' 13. Rehabilitation Clearance Section Rj Ai ' ' ' 1 ' • ' R Staff Conference A 1 ' ' i ! l . . ' i ' ! 1 1 1 , '• i i I ' , i i ' i I From: ' ! t 1 1 i ' ' i i i ' ] f '• 1 i ' , ' \ I R A i < ' i R A ' ' ] .i OTHER REFERRALS R - Referred A - Action Taken ' <• 10. 1A, i ' g_; 9. ' I R. 1 6. • .' '' . A To: To: ' ' i ' ( • ' i ' j i ' - 54 - APPENDIX 6 Extract from the Government Survey and Reorganisation Committee's Plan No. 50 ARTICLE VII - OFFICE OF VOCATIONAL REHABILITATION 14. The Office of Vocational Rehabilitation is reorganised with the following functions: (a) Administer a program of material or caeh assistance for indigent physically handicapped who are undergoing vocational trainingj (b) Administer a training program for the physically handicapped, such program to include training in vocational pursuits and in social adjustment? (c) Counsel and test physically handicapped to determine their aptitudes; (d) Administer a workshop for the physically handicapped with the dual purpose of training and of production of goods for sale in private marketing outlets; (e) Arrange for employment opportunities for the physically handicapped through placement services and through a public educational campaign; (f) Administer a demonstration training center; and (g) Administer an educational program for adult blind as well as for children, 15. The Office of Vocational Rehabilitation shall be financed by appropriations from the General Fund as contained in the General Appropriation Act. Functions of the Office of Vocational Rehabilitation Sec. 19. The Office of Vocational Rehabilitation shall be responsible for functions including, but not limited to, those enumerated in Section 14 of the Plan. This Office shall establish policies, standards, rules and regulations for the guidance and compliance of the field offices to which related social case studies and follow-up activities are delegated. Sec. 20. The Office of Vocational Rehabilitation shall have a Division of Rehabilitation Standards, a Division of Rehabilitation Services and a Pilot Rehabilitation Training Center. - 55 - Sec. 21. The Division of Rehabilitation Standards shall have the following functions, among others: (a) develop training programs for physically handicapped persons emphasizing vocational rehabilitation; (b) provide technical guidance and advice to the Pilot Rehabilitation Training Center in carrying out the training program; (c) review and evaluate operations of the rehabilitation program and make recommendations for adjustments as may be necessary; (d) study and formulate measures for the improvement of the basic techniques involved in the rehabilitation process; (e) correlate the rehabilitation program with the over-all program of the Administration; and (f) maintain liaison with and draw advice and assistance.from agencies, both public and private, concerned with the welfare of physically handicapped persons. Sec. 22. The Division of Rehabilitation Services shall be responsible for the development of programs to provide rehabilitation services to the physically handicapped clients of the Administration. This Division shall have a Services to the NonBlind Section, a Services to the Blind Section, and Advisement Services Section and a Placement Services Section. (a) The Services to the Non-Blind Section shall have the following functions, among others: (1) initiate and develop a program to provide medical, economic and social services to the physically handicapped clients other than the blind; (2) review and evaluate field operations in this area for necessary adjustments in the program; and (3) provide policy guidance and consultative services to personnel concerned in the field offices. (b) The Services to the Blind Section shall have the following functions, among others; (1) initiate and develop a program to provide medical, economic, and social services to the physically handicapped clients who are blind; (2) review and evaluate field operations in this area for adjustments in the program as may be necessary; and - 56 - (3) provide policy guidance and consultative services to personnel concerned in the field offices. The Advisement Services Section shall have the following functions, among others? (1) initiate and develop plans and programs for aptitude testing of physically handicapped clients, including counselling and advisement services, to assist them in their vocational adjustment problems; (2) review and evaluate field operations in this area for necessary adjustments in plans and programs; and (3) provide policy guidance and consultative services to personnel concerned in the field offices. The Placement Services Section shall have the following functions, among others: (1) develop a program for placement of physically handicapped people; (2) encourage and develop employment opportunities for the physically handicapped through public contacts and educational campaigns; (3) maintain liaison with employers hiring rehabilitated physically handicapped persons for post-placement review; and (4) provide policy guidance and consultative services in this area to personnel concerned. Sect. 23. The Pilot Rehabilitation Training Center shall the following functions, among others; (1) Administer the training program for the physically handicapped, including training in vocational pursuits and in social adjustment; (2) administer a workshop for the physically handicapped with dual purpose of training and of production of goods for sale in private marketing outlets;. (3) certify and recommend trained physically handicapped for employment opportunities through the placement services^ and (4) conduct follow-up of the physically handicapped who have undergone training in the Center for their complete social adjustment. - 57 - : •a s <Q CD a "g•H.o03 •rl §' O o O © ra « !> •H In <D R PM ti 1 o • ti h H cd Q> CQ ro • H TI >> - P t-i > •H rt <D H « P H a> in O ti © h (i) o H P I CJ * i-4 cd ti _, o ti •H O •P cd o O > -H -p a} -P -H rH «H -H O ,0 cd <p .ti ti o ti •H -P -P o cd •P •* • H S CQ •H fi • H o a> •rl « <H CM o •H o a> Ti •p u cd .ti ti o ti cd O «H a\ ri £ <M o «u •H Pu rH O CO 11 i-i cd >» •H -p O -H o •H 1-1 ,a o -P : CQ CD • H O ti •H •H o rap •H -P cd N •H CD r l O '• - p - P XI ti ti to © D o •H - P ti a G» cd * H bO ti * • T ) • H •H p=l fi cd <H - P O W ti •H ti •H 01 fc CQ •H CD CO O CQ •H <=J ti o •H <H Cw O EH -P O «H 0 t H CO 0) -P CO t i rH •H .ti O a) fH « H cd o rCHH a> CD o s= •H «H <H o 1 rt ti £j O o •H «H -P ti O M C> •H rH ,Q £ CD CO ti o •H •P ti O •rt > TJ CO s §g Ti P* rH «H •> cd «M rH Cd ftO -H C O O -H •£oc cSS 1 - 58 - Center ti is . o o M EH •p co EH •<I4 <H •H o 0 o cd o > o ACD t PH r-H cd H o PH c o Cj -p •H r-H •H cd .ti CD (Ei > O co PZ o CO o CD CO CD CO ti co t3 -P -P CO ti o -p i CD O cd r-l •H -p > Pi 6 o CD CO CD CO •H •H ti o o CO 0 •H •p o Sec EH -a) O > FH +> c ti o rvice 0) O •H «H ti CO Adv isemen S O l—( •H rH pq tion iD u o O £CD -Blin a cd 1-3 i-H cati o «H o o •H the B pcj -d •H ervice <H fi •H •P Cd N •H -P cd •p •H s CO o CO ehabilitat ion Staiadard u a A u 0 o •H Divis ion of -p l-l 1-3 M PP CD ti tio CD .ti •p erv ices Traini cd Pilot Reh ilitatio ti Vocational Training Social Services C ion C O •H -P ce -p •H iH •H ,0 Cd .fl 0 ion i Regional Adjustment and Training Centre - 59 - • p co cd 0 -p o •rl -H rH > •H H ,Q 0 cd CO J2 © •P Pi 0 tJ § O +i 0 cd o - P C! • H cd 0 o C(! rH PM 0 a o w cd X> 0 Cd r H . C CJ 0 •H « r- •O rl rH cd 0) C rl o •H CQ - P • H cri o •H o X •O % •^ '-'< CD »H 0 a] o «M • H +> +» 8 > <u <H o rH «H >a O CJ) (d •rl -P O O <H CO o c o •H •H 3 0 H 0 -P O C •H 0 •P O -P •H r-l •H ,Q cd .0 0 P=i tiO C 'rl C -H cd H E-i CO 0 to 0 Pn O o •H cd a o •H A co fc H R o •H £0 0 CO •H H CJ «4 O o CO r-i cd o •H •O 0 S cd PI +cd> £ 0 CO o r-\ cd •H O 0 P>4 o o to •H •P cd > CD •rl C cd bi r4 Research o Public Information Service rH t*0 to 0 ti Staff Development Service M fO a •K o :* T3 0 H 0 -P r-i 0 .£ CO - 60 - APPENDIX 8 SOCIAL WELFARE ADMINISTRATION OFFICE OF VOCATIONAL REHABILITATION Organisation of the Pilot Rehabilitation and Training Centre. Barranca Pilot Rehabilitation and Training Centre 1 Superintendent 1 Secretary General Service 1 Caretaker -E Social Service 1 Casework Supervisor Property Property Clerk Vocational Training 1 Chief Ihst, Intake Service 1 Senior Intake Worker 1 Junior Intake Worker Medical Social Service 1 Medical Social Worker Social Casework Service 16 Social Workers Vocational Counselling Service 1 Senior Vocational Counsellor 1 Junior Vocational Counsellor Psychological Testing Services 1 Psychologist X Special Services 1 Guidance Counsellor Agriculture Class 1 Agriculturist Garment Trade Instruction 1 Garment Trade Instructor 1 Tailoring Inst. Carpentry Class 1 Carpentry Inst. Basketry Class 1 Basketry Inst. Brickmaking 1 Client Tutor Metal Work 1 Instructor Typing Class 1 Instructor English I and II 1 Instructor Braille Class 2 Instructors Knitting Needle Craft 1 Instructor Coco-coir Project 1 Instructor Travel Technique Class .1 Instructor Daily Home Living 1 Instructor Harmonics Class 1 Instructor Sheltered Workshop 1 Workshop Manager (Group Workers) Social Hour Unit In-charge Group Leaders Citizenship Training 1 Unit In-charge Group Instructors Group Leaders Adapted Physical Education 1 Unit In-charge Group Instructors Group Leaders Library Services 1 Unit In-charge Medical Service 1 Medical Officer - SI - APPE2DIX 9 FUMCTI0M5 OF THE PILOT H E M E I LI TAT I OF AM) TRAININGCENTRE. BARRANCA (A) Administers the training programme for the disabled, including training in vocational pursuits and in social adjustments. (B) Administers a workshop for the disabled with the dual purpose of providing specialised training and terminal employment. (C) Certifies and rocommends, through the Placement Services, trained disabled persons for employment opportunities. (D) Conducts follow up of disabled who have undergone training in. the Centre for their complete social adjustment. (E) Reviews and evaluates procedures in co-operation and in co-ordination with the Rehabilitation Standards Division and the Rehabilitation Services Division. (p) Provides social work students with field experience and. practical application of theoretical knowledge about vocational rehabilitation. (G) The Pilot Rehabilitation Training Centre provides the following servicess Social Services, Vocational Training, Medical Services, Special Services and Sheltered Workshop. SOCIAL SERVICE (A) Conducts intake service where pertinent data are gathered to determine client's eligibility for the services; determines client's needs, problems and interprets Centre's needs. Vocational evaluation is provided by work samples and job-task testing. (B) Assists in solving family personal problems; interprets results of evaluation of rehabilitation team to client and his family; aids in adjustment of client and his family; conducts intensive casework; aids in adjustment of client to his disability, to treatment, to environment and to vocational programmes; arranges referrals to appropriate communitjr re-sources; works on placement in co-ordination with the Placement Officer. - 52 - (C) Provides psychological services to determine client's ability and aptitudes. (D) Possesses the physical restoration and other medical assistance needed by the client. (E) Assists client with his financial problems whilst in active training through the gratuity assistance. (P) Provides vocational counselling services to ascertain educational background, former occupation and the kind of work in which he would like to be trained. (&) Assists in the establishment of the client's rehabilitation plan. SPECIAL SERVICES (A) Provide a recreational, citizenship and leadership training programme to give disabled persons experience of group and other social activities whilst undergoing vocational training. (B) Supervises study hour, social hour, student government, and adapted physical education. SHELTERED WORKSHOP (A) Provides renumerative employment for eligible clients until such time as arrangements are made for open placement. (B) Provides terminal employment for those who by the nature of their handicap are unable to work in competitive industry and those who work best under close supervision. (C) Provides work therapy, on-the-job training, develops work tolerance and work habits under competitive pressures. JOB DESCRIPTIONS Job descriptions of the Superintendent, Rehabilitation Medical Officer, Casework Supervisor and Chief Instructor are attached. - 63 - SPPERHSTTENDENT (1 Takes charge of all technical and administrative work in the Pilot Rehabilitation and Training Centre. (2 Directs and co-ordinates services in the P.R.T.C. in order that clients may "benefit as much as possible from the programme. (3 Execute policies and regulations and work plans as adopted. (4 Reviews and evaluates procedures and operations in the P.R.T.C. in co-ordination with Rehabilitation Standards Division and Rehabilitation Services Division. Evaluates'cases of the P.R.T.C, as member of the rehabilitation team. (5 (6 Certifies and recommends trained disabled persons for employment opportunities. (7 Conducts periodic inspection of the Centre. (8 Is responsible for personnel management of the Centre: (a) gives administrative decisions on personnel problems within the limit of his authority; (b) approves applications of the staff for maternity, sickness and vacation leave. (9 Conducts correspondence with other agencies. (10 Submits periodic report to the O.V.R. Supervisor about' the accomplishments, problems and needs of the P.R.T.C. (11 Requisitions materials needed at the Centre. (12 Controls the proper distribution of equipment and supplies it to the different sections and projects of the Centre. (13 Maintains public relations. (14 Meets visiting officials. (15 Supervises construction of the Centre which is still in progress, including screening of requisitions, purchases and deliveries. (16) Performs such other function as may be assigned. - 64 - Special Assignments (1) Assists in the preparation of the proposed budget of the O.V.R. (2) Assists in the interpretation of the budget and the programme to the Budget Commission, General Auditing Office and Congress. Notes; This and the following job description were prepared by the Rehabilitation Standards Division of the O.V.R. September 1960. REHABILITATION MEDICAL OFFICER Studies and interprets the medical referrals and requests completed by local doctors. Conducts medical and physical examinations of clients upon admission to the Centre. Suggests necessary referral or request to different specialists of government or private hospitals for proper diagnosis, evaluation and treatment if necessary. Diagnoses and treats clients, staff members and their dependants in the clinic. Advises the vocational counsellor on the physical capacities and work tolerance of the clients. Participates in all meetings of the rehabilitation team in formulating or following up the clients' rehabilitation plan. Conducts periodic and continuous medical and physical check-ups of these clients during training. Advises on physical activities suitable for clients. Advises clients when discharged on how to take proper care of themselves in co-ordination with the respective social workers. Visits hospitals and confers with the appropriate authorities about the different laboratory requests or referrals for proper co-ordination if necessary. Performs home visits if very necessary and upon recommendation of the social worker. - 65 - (11) Communicates with the proper health authorities, either by letter or personal contact, with permission of the administration in case of reportable diseases. (12) Inspects health facilities in work areas, buildings and other premises of the Centre to see that they provide adequate means of prevention of any hazards. (13) Issues medical certificates to clients and staff members of the O.V.R. upon request. (14) Attends evaluation meetings in other rehabilitation agencies when deemed advisable. (15) Makes periodic reports about the accomplishments, problems and needs of the Medical Section to the Superintendent of the Centre. (16) Attends regular staff meetings. (17) Performs such other functions as may be assigned. • CASEWORK SUPERVISOR (1) Supervises Intake Service, Medical Social Services, "Vocational Counselling Services, Psychological Testing Services at the Pilot Rehabilitation and Training Centre of the Office of Vocational Rehabilitation, Social Welfare Administration, Barranca, Quezon City. (2) Assigns cases to social case workers in accordance with the problems, needs and interests of the clients. (3) Supervises social caseworkers in their continuity of service to client through adequate and up-to-date case recordings of action talc en. (4) Holds individual regular case conferences with each social caseworker to discuss workers' problems, the action taken, the plans and other pertinent problems. Suggests procedures to be followed and possible sources of assistance. (5) Presides in the evaluation of cases as chairman of Rehabilitation Team, Together with the members of the team assists in the interpretation of psychological testing results, vocational counsellor's recommendation, reports from Chief Instructor and results of medical examination with a view to the formulation of the rehabilitation plan for the client* - 66 - (6) Studies and schedules cases for evaluation'in accordance with the working procedures of the P.R.T.C. (7) As member of the admission team of the P.R.T.C. studies and recommends cases for active and vocational training and other rehabilitation services. (8) Arranges regular monthly meeting of social caseworkers. Special speakers on assigned topics are invited to acquaint the social workers with the latest trend in social work and rehabilitation. (9) Confers with Supervisor, P.R.T.C. officials and other divisions, agencies, regarding common problems and follows up difficult or unusual cases. (10) Makes consolidated narrative report regarding social services rendered to clients, submitted to the Administration, P.R.T.C. (11) Assists Administration in all assignments and reassignments of workers within her field of supervision. (12) Performs such other functions as may be assigned. CHIEF INSTRUCTOR JOB DESCRIPTION (1) Supervises and co-ordinates instructions at the Vocational Training Section of the Office of Vocational Rehabilitation. This training section is composed of classes offering the four major courses; thirteen minor courses; two courses for the blind and five required activities. (2) Assists Rehabilitation Standards Division in formulating policies, objectives and work plans for the section, through the Supervisor, P.R.T.C. (3) Prepares the cou.rse of study for commercial crafts which is adapted to the limited abilities of the disabled students. Supervises clients' activities in course. (4) Undertakes research for effective vocational instruction. Observes instructors' teaching methods said gives comments and suggestions for improvement. (5) Prepares progress reports for the evaluation of individual trainees in the Training Section in co-operation with their respective instructors. - 67 - Confers with other members of the rehabilitation team in evaluating cases. Co-ordinates with Casework Supervisor in problem cases. Represents the Training Section at the Rehabilitation Team in planning and in following up the vocational courses'for the rehabilitation plans of each disabled trainee. Attends to changes of clients' schedules as approved by the Rehabilitation learn. Collates all reports of each instructor and makes the over-all monthly report'on the Training Section to the Superintendent* P.R.T.C. Requisitions supplies, equipment and materials for the training sections and'distributes them upon request to the different classes. Prepares budget estimates for the Training Section's operations and submits this to the Sliperintendent. Attends to visitors making observation tours of the Training Section. As a member of the School Placement Committee, in specific assignments at the parochial schools said vocational schools looks for schools that could aid disabled trainees in carrying out specialised courses which are temporarily not given by the Centre. Also visits trainees'in schools and assists in their evaluation and advancement. - 68 - APPENDIX 10 H. No. 3082 FOURTH CONGRESS OP THE REPUBLIC OP THE PHILIPPINES SECOND SPECIAL SESSION Begun and held in the City of Manila on Monda^r, the first day of June, nineteen hundred and fifty-nine /REPUBLIC ACT No. 26157 AN ACT TO AMEND CERTAIN SECTIONS OP REPUBLIC ACT NUMBERED ONE THOUSAND ONE HUNDRED SEVENTY-NINE,'ENTITLED "AN ACT TO PROVIDE POR THE PROMOTION OP VOCATIONAL REHABILITATION OP THE BLIND AND OTHER HANDICAPPED PERSONS AND THEIR RETURN TO CIVIL EMPLOYMENT", AND TO CREATE A NATIONAL COUNCIL ON REHABILITATION Be it enacted by the Senate and House of Representatives of the Philippines in Congress assembled: SECTION 1, Subsection (b), section seven of Republic Act Numbered One thousand one hundred seventy-nine, is amended to read as follows; "(b) Over-all supervision of the Pilot Adjustment and Training Center and ail the regional training centers that may be established." SEC. 2. The second paragraph of subsection (c), section eight of Republic Act Numbered One thousand one hundred seventynine, is amended to read as follows: "The Pilot Adjustment and Training Center a.nd the regional training centers that may be established shall operate eight hours a day, five instruction days -ger week for a minimum duration of three months with individual extension possible up to a maximum of twelve months." SEC. 3. Two new sections are inserted after section eight of Republic Act Numbered One thousand one hundred seventy-nine to read as follows: "REGIONAL TRAINING CENTERS "SEC. 8-A (l) Creation - To ensure that vocational rehabilitation services shall benefit the blind and other handicapped in the provinces, there shall be established, in addition to the now existing Pilot Adjustment and Training Center at Barranca, Cubao, Quezon City, according to the period hereinafter specified suitable regional adjustment and training centers for vocational rehabilitation, as follows: - 69 - "For the fiscal year nineteen hundred and sixty, Region No. 1, comprising the provinces of Ilocos Sur, Ilocos Norte, Abra, La Union, Mountain Province, Pangasinan, Zambales, Tarlac and the cities of Baguio and Dagupan, possibly in the regional headquarters at Dagupan City; and Region No. 7, comprising the Provinces of Misamis Occidental, Zamboanga del Sur, Zamboanga del Norte and' Sulu and the cities of Zamboanga, Gzamis and Basilan, possibly in the regional headquarters at Zamboanga City. "For the fiscal year nineteen hundred and sixty-one, Region No. 4, comprising the provinces of Camarines Norte, Camarines Sur, Albay, Sorsogon, Catanduanes and Masbate and the City of Naga, possibly in the regional headquarters at Naga City; and Region No. 5, comprising the provinces of Negros Occidental, Romblon, Antique, Capiz, Aklan and Iliolo and the cities of Bacolod, Roxas and Iloilo, possibly in the regional headquarters at Iloilo City; "For the fiscal year nineteen hundred and sixty-two, Region No. 2, comprising the provinces of Cagayan, Isabela, Nueva Vizcaya and Batanes, possibl^r in the regional headquarters at Tuguogarao, Cagayan; and Region No. 8, comprising the provinces of Suricao, Bukidnon, Misamis Oriental, Lanao, Agusan, the cities of Davao, Butuan, Cagayan de Oro and Marawi, possibly in the regional headquarters at Cagayan de Oro City; and Region No. 9, comprising the provinces of Cotabato and Davao and the cities of Davao and Cotabato in the regional headquarters at Davao City. "For the fiscal year nineteen hundred and sixty-three, Region No. 3, comprising the provinces of Nueva Ecija, Pampanga, Bulacan, Bataan, Rizal, Quezon, Cavite, Laguna, Batangas, Oriental Mindoro, Occidental Mindoro, Marinduqe and Palawan and the cities of Cabanattian, Pasay, San Pablo, Tagaytay, Cavite, Trece Martires, Lipa, Quezon and Manila, possibly in San Pablo City; and Region No. 6, comprising the provinces of Negros Oriental, Bohol, Leyte, Samar and Cebu and the cities of Cebu, Dumaguete, Calbayog, Tacloban and Ormoc, possibly in the regional headquarters at Cebu City. "(2) The establishment of these regional adjustment and training centers shall be at the cost of at least fifty thousand pesos each and shall be patterned after that of the first pilot project now in operation. The funds for these constructions may be drawn from the fiduciary funds of the Office of Vocational Rehabilitation. And the operating expenses of all existing rehabilitation centers under the Office of Vocational Rehabilitation shall be incorporated in the General Appropriation Act to be marked as 'Special Purposes for Vocational Rehabilitation'. - 70 - "(3 The following'shall compose the nucleus of the staff for such regional centers with, the corresponding compensation: "(a One superintendent, at ^3,984 per annum, range P43 "(b One clerk, at #1,476 per annum, range P23 "(c One intake social worker, at ^1,884 per annum, range P28 "(d One social worker, at ^1,884 per annum, range P28 "(e One homebound social worker, at £'1,884 per annum, range P28 "(f Two vocational counselors, at 1*1,884 per annum, range P28 "(g One part-time physician, at ^1,800 per annum, range P27 "(h One chief instructor, at ^3,108 per annum, range P38-40 "(i One Braille instructor, at ^1,716 per annum, range P24-32 "(3 One travel technique instructor at ^1,716 per annum, range P24-32 "(k One craft instructor, at ^1,716 per annum, range P24-32 "(1 One rural project instructor, at Pi,716 per annum, P24-32 '(m One clerk-laborer, at ^1,152 per annum, range P18 "(n One caretaker, at ^1,152 per annum, range P18 "(o One guard-driver, at ^1,440 per annum, range P22 "The compensation for the staff of the regional centers shall be drawn from the fiducia^ fund of the Office of Vocational Rehabilitation which are its net proceeds from the Philippine Charity Sweepstakes draw as stipulated in section ten (b) of Republic Act Numbered One thousand one hundred seventy-nine. - 71 - "NATIONAL COUNCIL OP REHABILITATION "SEC. 8-B. (a) Creation - In order to have a central body to coordinate activities relating to all phases of rehabilitation of handicapped persons, there is hereby established a National Council on Rehabilitation, hereinafter referred to as the Council. "The Council shall have fifteen members composed as follows: "The first six members shall be nominated by the heads of the following Government agencies; Department of Health; Department of Education; Department of Labor; Department of National Defense; Social Welfare Administration and the Social Security System, which shall be referred to as Group I. "Under Group II, shall be four representatives from medical, educational, scientific and legislative fields; four representatives from civic, financial, industrial, labor organizations, and one representative from radio and press. "All these fifteen members shall be appointed by the President to compose the National Council on Rehabilitation. "(b) Term of Office - Each appointed member of the Council shall hold office for a term of four years, except that any member appointed to fill a vacancy occurring prior to the expiration of the term for which his predecessor is appointed shall be appointed for the remainder of such term; and except that, of the members first appointed, Group I shall enjoy four years of office, members of Group II shall be appointed with three holding office, for three years, another three for two years and the next three for one year as designated by the President at the time of appointment. "None of these members shall be eligible for reappointment until a year has elapsed after the end of his preceding term; however, the six members from Group I shall enjoy eligibility of reappointment to ensure continuity and direction of program without the stipulated one year provision. "(c) Duties and Functions - It shall.be the duty and function of the Council; 11 (l) To formulate policies regarding rehabilitation of the handicapped in the Philippines; "(2) To help provide proper coordination of existing rehabilitation programs so as to extend maximum services to the blind and other handicapped persons and to prevent or minimize overlapping of services. - 72 - "(3) To help determine standards and criteria for all organizations and agencies engaged in rehabilitation work, whether governmental or voluntary; "(4) To formulate rules and regulations to implement the purposes for which the council has been established; "(5) To initiate appropriate actions, including legal, for any violation of such rules and regulations which shall be promulgated; "(6) To initiate research on rehabilitation; "(7) To compile- statistics on the following? "(aa) Consus of handicapped individuals in the Philippines in relation to number and classification; "(bb) Census of rehabilitation facilities; "(cc) Census of rehabilitation needs; "(dd) Census of already qualified handicapped workers; and "(ee) Census of employment opportunities; "(8) To conduct and supervise campaigns to raise fund as provided for in section ten (a) of Republic Act Numbered one thousand one hundred seventy-nine; and "(9) To submit annual report to Congress. "(d) Chairman - The fifteen members of the Council shall appoint its chairman 'by democratic process from among its members within fifteen days from the date of appointment while meeting in banc. "(e) Executive Secretary - The Council is also empowered to appoint an executive secretary outside of its members by s, majority vote. The executive secretary shall be paid an annual compensation of five thousand four hundred pesos which shall be drawn from the fiduciary fund of the Office of Vocational Rehabilitation which are its net proceeds from the Philippine Charity Sweepstakes draw a.s stipulated in section ten (b) of Republic Act Numbered One thousand one hundred seventy-nine, and shall possess the following qualifications; At least five years experience with accepted competence in rehabilitation work, at least a four-year college course graduate and with good moral standing. - 73 - "(f) Compensation of the members of the Council - The members of the Council which shall meet at least six (6) times a year shall receive no compensation, hut shall he entitled to an honorarium not exceeding twen^-five pesos per meeting; and shall also be entitled to receive an allowance for actual and necessarytraveling and subsistence expenses while so servijig away from their places of business." SEC. 4. This Act shall take effect upon its approval. Approved, August 1, 1959 EULOGIC RODRIGUEZ President of the Senate Finally passed by the Senate on May 21, 195So FIDEL H. HECTARES Secretary of the Senate DAL7IAL Z. ROMUALDEZ Speaker of the House of Representatives This Act, which originated in the House of Representatives, was finally passed by the same on July 2, 1959. BTOCEITCIO B. PAREJA Secretary of the House of Representatives Approved: CARLOS P. GARCIA President of the Philippines 002341 - 74 - APPENDIX 11 FUNCTIONS AND ORGANISATION OP REGIONAL ADJUSTMENT AND TRAINING CENTRES FUNCTIONS; The functions of the Regional Training Centre are similar to those of the Pilot Rehabilitation and Training Centre and trill provide social services and vocational training for the blind and other physically-handicapped persons in their respective regions. PROCEDURE FOR APPLICATION AND ADMISSION 0F_0.V.R. "CLIENTS TO THE REGIONAL CENTRE I. Eligibility Requirements To be eligible for vocational rehabilitation a person musts 1. Have a substantial job handicap in the form of physical or mental impairment. 2. Be of working age. 3. Have a reasonably good chance of becoming employable or of getting a more suitable job through rehabilitation service. 4. Be willing to undergo vocational training. II. Intake• 1. Applicant who presents himself at the centre is referred to the intake worker where he is asked to fill up the required forms. If unable to complete the forms, the intake worker assists him. 2. From the intake worker where Part A of the application form is completed, client's application is referred to the social worker who makes a home visit, subsequent visits and follow ups, the purposes of which are to gather collateral information needed in filling up Part B of the application form to complete case study. 3. Simultaneously, social worker, after explanation to the client of the purposes, makes the referral to the medical officer for the completion of Part C of the application form. 4. The social worker completes the case study of client and consolidates the application form - Parts A, B, C. Application is then sent to the Admission Team for their comments and approval. ~ 75 - 5. The Admission Team, which is composed of the medical officer and the superintendent of the centre will meet and discuss with the social worker the case presented. Accepted - If the case is accepted, the superintendent registers the case and through the intake worker sends notice to the applicant informing him of the approval and the appropriate date he has to report at the centre. Rejected - If the case is rejected, the superintendent registers the case as rejected and through the intake worker sends notice to the applicant informing him of the rejection and the reasons for it. (The Admission Team completes Part D of the application form.) III. Activation A. Classification of clients: Clients at the centre will he classified into two groups: active clients and the special clients. 1. All newly-registered clients duly certified by the Admission Team as eligible for vocational training shall he considered active clients. They shall, however, he classified into: active clients without gratuity, active clients with gratuity and clients on specialised training. (a) Active clients without gratuity entitlement are those who are financially able to maintain and support themselves while undergoing vocational training. (b) Active clients with gratuity entitlement are those who are eligible to enjoy the benefit of gratuity during the training period due to inadequate income. (c) Clients on specialised training are those who have undergone a training period but who are reactivated later owing to the need for specialised training at the centre. 2. Special clients (a) those who are given special services other than training. Services provided are material assistance, medical and homebound services, counselling and placement, and — Ib (b) those who have finished their vocational training but whose placement is still pending. Sheltered workshop facilities on piecemeal compensation are provided for them. Gratuity Entitlement 1. The social worker assigned to the client should prepare the following necessary forms; (a) Application Form (Parts A, B, C, D) (b) Form for Gratuity Entitlement (c) Case summary of client. 2. All the requisite forms specified above must be completed at noon or before the last Friday or the last preceding office day of the month at the superintendent's office for processing and inclusion in the list of active clients for the next month. 3. List of active clients must be presented to the staff for comments. This includes; (a) active clients with gratuity ? (b) active clients without gratuity; (c) clients on specialised training. 4. The effective date of active clients with gratuity entitlement begins on the first regular working day of the following month when all forms are duly completed and the gratuity entitlement recommendation had been approved by . 5. Amount of gratuity benefits; Active clients eligible for gratuity receive three pesos (^3.00) for the first month of active training (daily) and two pesos (^2.00) a day for the next succeeding months. Duration of Training 1. For both the active clients and those on specialised training the duration of training shall be eight (8) hours a day, five (5) instruction days per week for a maximum period provided for by the law. - 77 - Record of attendance; Active clients" names should be contained in a record of attendance. This will record attendance, undertime and absences. Undertime - penalty of a proportionate deduction from the daily gratuity. Absences - unless excused, the client will forfeit the corresponding day's gratuity, Extension of training for active clients with a minimum of six months' activation. (a) Social worker shall file a request for her active client for an extension of another six months, in the form prescribed for the purpose, to administration. (b) The form must be filed five days before but not later than five days after the expiration of said six months' period. (c) Failure of the social worlcer to comply with the requisite forms shall mean the cancellation of the name of the active client from both the record of attendance and pajrroll. Note; The Rehabilitation Tean shall examine all requests for extension and recommend appropriate action. Postponement of training shall last for a period of not more than six months, except in the case of medical treatment when postponement is indefinite. (a) The following reasons may cause postponement; (1) Medical treatment - when medical treatment is necessary a medical certificate should be secured. (2) School placement— (other than vocational training) a certificate from the principal of the school showing admission of the client is important. (3) Placement - a certificate from the management of the establishment would be needed. In other cases, an explanatory letter from the client's social worker would suffice. - 78 - (b) Request for postponement; (1) Postponement form must be completed by the social worker. (2) Tills must be presented to the Rehabilitation Team and be forwarded to the superintendent for approval. (3) 5. Active clients enjoying gratuity benefits shall be removed from the payroll during the postponement period. Clearance' (a) Clients enjoying gratuity benefits must, upon completion of prescribed period of training, complete the necessary clearance form, otherwise their gratuity for the last allotment shall be withheld. (b) Non-gratuity clients shall, upon the termination of the period of training, likewise complete and submit a certificate of clearance to the superintendent. IMPORTANT; Requirements for clients on specialised training will be the same as that of the Pilot Rehabilitation Training Centre. Rehabilitation Plan Exploratory period; (a) On one of the initial days of the exploratory period the social worker refers the client to the chief instructor for testing on the different vocational projects. After the testing, a list of projects is recommended by the chief instructor, based upon the choice of the client; this list must give the client enough projects to choose from. (b) The client is then examined liy the medical officer of the centre to determine his physical fitness for the projects he plans to take. (c) After the vocational orientation and medical examination, the client goes back to the social worker and presents the list of projects suitable for him as certified bjr the doctor. (d) The client is then referred by the social worker to the chief instructor for scheduling. - 79 - (e) In the course of his training, during the exploratory period, the client is referred to the vocational counsellor who will interview him to find out about his education, former occupation, the kind of work he would like to be trained in, etc. (f) The vocational counsellor then refers the client to the psychologist for a battery test. Before testing, the counsellor will confer with the psychologist regarding the client's plan and state clearly what he wants to know about the client. iifter the tests have been conducted, the psychologist will discuss the tests' results with the vocational counsellor who thereafter presents a tentative plan to the social worker. Meanwhile, the social worker continues her study, observation and follow-up of the client's progress in his exploratory period. (g) The tentative plan should be presented to the client in case the client disagrees; if he disagrees, he is referred back, to the vocational counsellor for further counselling. (h) After two to four weeks of training, the social worker submits the case study with the tentative plan to the superintendent before it is scheduled for presentation to the Rehabilitation Team to determine the final rehabilitation plan for the client. 2. Rehabilitation Teai: (a) The members of the Rehabilitation Team vrill meet and discuss the tentative plan of the client. The team shall be composed of the following? (1 Superintendent - chairman (2 Social worker of the client (3 Chief instructor (4 Vocational counsellor and psychologist (5 Vocational counsellor and placement officer (6 Medical officer. When vital to the plan, the superintendent may ask other members of the staff to attend. 80 -. (b) After the meeting of the Rehabilitation Team, the social worker will have another conference with the client and will present the decision of the team - in case the client was not present during the meeting. (c) If they both agree on the plan, a permanent schedule will be made. (d) During the client's active training, the social worker continues the follow up to see if the plan is being carried out. When necessary, the case will be presented to the Rehabilitation Team for discussion. (e) The case is again discussed by the team in his third month of training. A final review of the case is made before he terminates training. (f) The case is finally referred to the vocational counsellor - placement officer for placement. (Prepared by: REHABILITATION STANDARDS DIVISION, O.V.R., October 1960) - 31 - REGIONAL TRAINING CENTRES PERSONNEL ORGANISATION CE'iRT 1 1 1 1 Superintendent Clerk Caretaker Guard/Driver 1 Social Service 1 1 1 1 i Medical Service Part-time Physician Intake Worker Social Worker Homebound Worker Vocational Counsellor (Placement Officer) 1 Psychologist Vocational Counsellor j Vocational j Training j1 Chief j Instructor 1 Braille Instructor 1 Travel Technique Instructor 1 Craft Instructor 1 Rural Project Instructor o lerlc Labourer ~ 82 - REGIONAL TRAINING CENTRES PLOW CHART from other. nReferrals Agencies and Provinces Regional Centres Intake Worker Sooial Worker Medical Officer Admission Team Siiperintendent Intake Worker Social Worker Chief Instructor Medical Officer Chief Instructor Vocational Counsellor Psychologist u_„ Rehabilitation Team — Social Worker* Placement Officer * Same social worker as the first one APPENDIX 12 Draft Job Description for I.I.O. Expert Post: Expert General Field: Vocational Training of the Disabled, including the Blind Operational HQ: Manila area Duration: 12 months When Required: October 1961 Duties: To advise the Government, especially the Departments of Education, Health and labour and the Social Welfare Administration on the vocational training of the disabled and the extension of appropriate facilities in this regard. Particular attention will be devoted to the vocational training workshops at the Pilot Rehabilitation and Training Centre, Barranca, Quezon City, and any other regional rehabilitation centres which may be set up by the Office of Vocational Rehabilitation, Social Welfare Administration. The expert's duties will include: (i) an examination of existing vocational training facilities for the disabled and how these might best be co-ordinated, improved and extended; (ii) advice on the establishment of further or alternative training courses and the utilisation of new equipment; (iii) preparation of revised training programmes and syllabi; (iv) advice on up-to-date methods of workshop practice, inspection and supervision\ (v) advice on the selection of suitable vocational training staff, especially workshop instructors, and on the training of this staff; (vi) advice on the practical work, testing and assessment of disabled persons. - 34 - Qualifications5 (i) Sound general and technical education with an engineering background; (ii) experience of the organisation and administration of programmes of vocational training for the disabled, including the blind, and the selection of suitable training trades? (iii) wide practical experience of the organisation, lay-out, management etc. of vocational training centres or schools for the disabled. (iv) Experience in the selection and training of staff. language; English essential.