Building a comprehensive strategy for de-institutionalization

Transcription

1 + Building a comprehensive strategy for de-institutionalization.. or How to build the house of deinstitutionalization? (a true workshop!) Workshop, ESN-conference, Rome, July 2014

2 Program + 15 min: Presentation from Denmark and Poland 30 min: Group discussion and work: Build your own House of De-institutionalization 15 min: Common reflection

3 The house of DEINSTITUTIONALIZATION IN AARHUS

4 About Aarhus Facts 2 nd largest city in Denmark Residents: approx. 325,000 Department of Social Services Budget: approx 300 million Employees: approx. 2,800 User groups: Disabled adults Social psychiatry and socially disadvantaged Homeless and abusers Children and youth at risk Disabled children

5 Social services for children National level - Denmark Structural reform (2007) Responsibility for specialised social services moved to municipalities Aftermath: Increase in spendings (2010: 5.3bn; increase: 130 mio./yr) Child s reform (2011) Focus on early intervention and quality, continuity in placements, children s rights Increase in use of foster care, network focus Spending increase stopped City level - Aarhus Decrease in use of institutions and increase in use of foster/family care for children and youth Spendings ( m) Placements Foster care Institution Other

6 Social services for children National level - Denmark Structural reform (2007) Responsibility for specialised social services moved to municipalities Aftermath: Increase in spendings (2010: 5.3bn; increase: 130 mio./yr) City level - Aarhus Decrease in use of institutions and increase in use of foster/family care for children and youth Economic crisis! Child s reform (2011) Focus on early intervention and quality, continuity in placements, children s rights Increase in use of foster care, network focus Spending increase stopped Placements Spendings ( m) Foster care Institution Other

7 Out-of-home placements Aarhus

8 Types of placements Aarhus % 90% 80% 44% 44% 41% 39% 36% 34% 32% 70% 60% 50% 40% 34% 32% 31% 36% 41% 48% 49% Public institution Foster family Other 30% 20% 10% 22% 25% 28% 25% 22% 18% 19% 0%

9 The house of deinstitutionalization

10 Prospects for the future We cannot expect higher budgets We must stay focused on: 1. The vision of social inclusion 2. Tight financial management 3. Innovation and rethinking of the social services 4. Welfare technology and making the channels of communication more effective 5. Empowerment of users to self-management and thereby minimizing their need of our services! 6. Releasing the energy of professionalism - but with a clear focus on effects

11 BUILDING A COMPREHENSIVE STRATEGY FOR DEINSTITUTIONALIZATION - the case of Poland Investing in people and communities Social inclusion and social development Rome, July 2014

12 Where are we in the process of DI? Simultaneously: Discussion, shaping the legislative framework, creating the policy, undertaking first actions. Investing in people and communities Social inclusion and social development Rome, July 2014

13 Discussion and conclusions No total institution any more No coming back to the moment from the past - before the deinstitualization process First, creating a better alternative than closing the institution Institutions it was the first necessary step: we can draw sth. out from DI - To recognize and understand the needs - To educate staff Investing in people and communities Social inclusion and social development Rome, July 2014

14 What we are afraid of? The challenges. Unpredictable unwanted outcomes: e.g some cases of individual learning - social skills Autism Quality of service, efficiency of services Contracting the services Investing in people and communities Social inclusion and social development Rome, July 2014

15 What we want to do Reduction the size of institution - step by step action Move the resources from the institutions to services Introduce Less bureaucracy and client centered approach Build the infrastructure (housing problems) Prepare, empower the local community Support the Family and foster family care Foster family ties Investing in people and communities Social inclusion and social development Rome, July 2014

16 What action Use the Euro Funds for DI transition. - running the EU PROGRAMS, setting the standards / monitoring results Run centralised programs to stimulate the local activity - supporting and fostering the local actions - testing and mainstreaming - encouraging to overtake the EU programs by local authorities Sheltered housing, trainings in house-living Day care centers Family assistant Financial support Investing in people and communities Social inclusion and social development Rome, July 2014

17 Build your own DI-house

18 Build your own DI-house

19 Thank you Contact: Martin Bilberg,