THE TRANSITION FROM INSTITUTIONAL CARE TO THE FAMILY AND

COMMUNITY BASED SOCIAL SERVICES2014 - 2020

STRATEGIC GUIDELINES FOR DEINSTITUTIONALIZATION OF THE TARGETED SOCIAL CARE INSTITUTIONS

Order No A1-517 of the Minister of Social Security and Labour of the Republic of Lithuania of 16 November 2012

STRATEGIC GUIDELINES FOR DEINSTITUTIONALIZATION OF THE SOCIAL CARE HOMES OF DISABLED CHILDREN DEPRIVED OF PARENTAL CARE AND ADULT DISABLED PERSONS

Order No. A1-83 of the Ministry of Social Security and Labor of the Republic of Lithuania of 14 February 2014

TRANSITION FROM INSTITUTIONAL CARE TO COMMUNITY-BASED SERVICES FOR THE DISABLED AND CHILDREN DEPRIVED OF PARENTAL CARE

2014-2020 YEAR ACTION PLAN

TARGET GROUPS

Children deprived of parental care

(including infants), who are at risk and

their families

Children and young people with the

mental and psychiatric disabilities

and their families

Adults with mental or psychiatric disabilities

and their families

The strategic aim - to create system of a comprehensive range of services that enable every child, person with

disabilities or their families (guardians) to receive individual services according

to their needs and necessary assistance in the community, and

every child deprived of parental care to grow in a safe environment in his

biological or foster family.

1 aim - to ensure a sustainable environment and conditions for each child (and disabled child) to grow in his own family, and for every child deprived of parental care to grow in foster family or family households and to get assistance in the community.

2 aim - to enable adults with

disabilities and their families (guardians) to get community-based services according to their individual needs.

3 aim - promote the change of moral values in the society, while forming a positive public attitude towards restructuring of the system and to ensure the transparency of these processes.

SOCIAL INNOVATIONS FORESEEN1. New forms of community services

3. New institutes for social care providing

4. Integrated developmentplanes for servicesand infrastructure

2. The Cluster of Transition from institutional care to the family and community based social services

THE PRINCIPLE SCOPE OF TRANSITION

FAMILY AND COMMUNITY BASED SOCIAL SERVICES(ACCORDING TO REGIONAL PLANS FOR SERVICES AND INFRASTRUCTURE DEVELOPMENT):

A foster-family care, custodial familiesChild care in a small community foster care homes for children (up to 8 children)

Protected housing/independent living homes, guiding/assistance services for children leaving foster care, etc. Social work and individual help services for the child / young person with behavioral / emotional disorders

Child day care centers

For children deprived of

parental care

Complex services for families and/with children (preventive and interventive) (Social, Health, education )Coordinated assistance for maternal and neonatal care

Mobile anti-crisis help for families at social risk, disabled families Personal Assistant for disabled child / adult caring families

Temporary respite services to family that takes care of a disabled child / adultPsychological, methodological, legal assistance for foster families, adoptive families

Families

Early development intervention for children with disabilities, family counseling, critical pregnancy, etc.Child day care center

The educational programs for development of child self-support/ independent life skillsSocial rehabilitation in a Social rehabilitation center (after institutional care, long term hospitalization)

Group living homes (10 children)Specialized nursing / care in the Special care nursing / care homes

Disabled children

Day care services, integral help, protected housing, social rehabilitation, etc. Integral help at home, mobile anti-crisis help, counseling assistance

Protected workplaceEducation programs for development of independent living skills, mobile crisis management assistance

Protected housing with guiding/assistance services Accommodation in independent living homes with the help of a social worker

Social rehabilitation in a Social rehabilitation center (after institutional care, hospitalization)Group living homes (10 people)

Specialized nursing / care in the Special care nursing / care homes

Disabled adults

THE PROCESS OF TRANSFORMATION OF THE INSTITUTIONAL CARE

I STEP - creation of the necessary

conditions for the transformation

2014-2017

II-A STEP– development of

infrastructure in the regions2017-2020 (2023)

II-B STEP – development of a new forms of services to target

groups2017-2020 (2023)

AT PRESENT WE ARE THERE!

I STEP – CREATION OF THE NECESSARY CONDITIONS FOR THE TRANSFORMATION

• The m ain tas k i s to – create necessary conditions for the transition from institutional care to sustainable development of family and community based social care services in Lithuania:

Evaluate individual

needs of every service

recipient

To determine motivation, the need for a new knowledge and

skills of the staff

Plans:

1) individual care plan for every

resident of a social care institution,

2) institution's plan for the transition,

3) Regional plan of services and

infrastructure

Create methodological basis for a new

type of the services:

methodological documents,

legislation, etc.

Public information

and education, social

marketing

II STEP DEVELOPMENT OF SOCIAL SERVICE INFRASTRUCTURE IN THE REGIONS

I I - B STE P :

• The main task is to - on the basis of the Regional Service andinfrastructure development plans to develop infrastructure of communitybased social services

• RESULT – INFRASTRUCTURE IS IN PLACE TO PROVIDE COMPLEX AND COORDINATED

COMMUNITY BASED SERVICES FOR THE TARGET GROUPS

I I -A STE P :

• T h e m a i n ta s k i s to – on the basis of the Regional services andinfrastructure development plans, to provide new forms communitybased social services for the target groups

• RESULT – COORDINATION AND COMPLEX SERVICES PROVIDED FOR THE TARGET GROUPS

MAIN ACTIVITIES IN 2014-2015Activity Data

Establishment of the WG for developing a n Action Plan for “DI Process” February 2014

Addressing Regional Councils for the Development , NGOs for the suggestions how residential care institutions could be restructures and community based services developed

June 2014

Regional round table discussions with the representatives of municipalities, NGOs, social care institutions at the Regional Councils for the Development on the “DI process”

June –October 2014

Summarizing up round table discussions : drawing up the visions on how the social care services could be organized in the region

November-December 2014

Monitoring group for the implementation of the “DI Plan” has been set up May 2014 ( amendments in November 2014 )

Pilot social care institutions for restructuring has been selected April- May 2015

National Agreement on “DI Plan” has been signed between MoSSL, MoES, MoH, MI, Association of Municipalities and Council of NGOs

May 2015

National Agreement on “DI Plan” has been signed between MoSSL and National Council of Judges June 2015

WG on restructuring of Infant Homes (MoSSL + MoH) has been set up March 2015

Action Plan on implementation of implementation measure “ DI Plan” has been approved (OP of EU SIF for 2014 – 2020)

February 2015

Description of Project Financing Conditions (DPFC) to implement the measure “ DI Plan” has been adopted May 2015

Preparation of the proposal for the List of the State Projects to implement 1st Step of “DI Plan” June 2015

Adoption of the List of State Projects June 2015 (planned)

Signing of Trilateral Agreement August 2015 (planned)

INFANT HOMES FOR THE CHILDREN WITH DEVELOPMENTAL PROBLEMS

CHILD CARE HOMES RESIDENTIAL INSTITTUIONS FOR DISABLED CHILDREN

SOCIAL CARE INSTITUTIONS FOR DISABLED PERSONS

1. Vilniaus sutrikusio vystymosi kūdikių namai (Vilnius)

1. Pabradės vaikų globos namai 1. Pabradės socialinės globos namai

1. Strėvininkų socialinės globos namai

2. Lietuvos sveikatos mokslų universiteto ligoninės viešosios įstaigos Kauno klinikų filialas Vaikų reabilitacijos ligoninė „Lopšelis“ (Kaunas)

2. Vilniaus vaikų socialinės globos namai „Gilė“

2. Vilijampolės socialinės globai namai 2. Pabėgėlių priėmimo centras

3.Klaipėdos sutrikusio vystymosi kūdikių namai (Klaipeda)

3. Saugų vaikų globos namai 3. Ventos socialinės globos namai

3. Lavėnų socialinės globos namai

4. Šiaulių miesto savivaldybės sutrikusio vystymosi kūdikių namai(Siauliai)

4. Klaipėdos vaikų globos namai „Rytas“

4. Visagino socialinės globos namai

5. Alytaus apskrities sutrikusio vystymosi kūdikių namai (Alytus)

5. Šiaulių vaikų globos namai „Šaltinis“ 5. Kalvarijos socialinės globos namai

6. Panevėžio A. Bandzos kūdikių ir vaikų globos namai

6. Didvyžių socialinės globos namai

7. Obelių vaikų globos namai 7. Adakavo socialinės globos namai

8. Alytaus vaikų globos namai 8. Dūseikių socialinės globos namai

9. Valkininkų vaikų globos namai „Spengla“

10. Viešvilės vaikų globos namai

11. Plungės vaikų globos namai

SELECTED SOCIAL CARE INSTITUTIONS FOR INFANTS, CHILDREN AND PERSONS WITH DISABILITIES FOR REFORMING (Oder of the Minister of MoSSL No. A1-271 , 5th of May, 2015)

REGIONAL LOCALIZATION OF SELECTED SOCIAL CARE INSTITUTIONS TO BE REFORMED

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