Reform of the Child Care System |
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![]() Reform of the Child Care System: DEINSTUTIONALISATION – MAJOR PRIORITY |
![]() State Agency for Child Protection |
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1 | Reform of the Child Care System: | 17 | alternative services); Access to the |
DEINSTUTIONALISATION – MAJOR PRIORITY IN | location site and availability of | ||
THE STATE POLICY. 3-6 July 2007. | appropriate transport and communications; | ||
2 | State Agency for Child Protection. | Well developed health and education | |
3 | State Agency for Child Protection. | services in the region and municipality; | |
4 | State Agency for Child Protection. | Enough specialists for work with children | |
5 | ICDPC. State Agency for Child | available; Tendency to reducing the number | |
Protection. To 1000 children on 4 - 18 | of the children in the institution; Good | ||
years, in 2001 5.3 children lived in | interaction between CPD and the | ||
ICDPC, and in 2006 the figure was 4,12 | institution; concept for future | ||
children, taking account of the | development of the institution, included | ||
demographic tendencies, the reduction is | in the municipal strategy; | ||
about 22 %. | Technical-material equipment to allow | ||
6 | IMRCYP and ICYPPD. State Agency for | development of social services; Positive | |
Child Protection. To 1000 children on4 - | attitude and readiness for reforms of the | ||
18 years, in 2001 1,4 children lived in | staff in compliance with the modern | ||
IMRCYP and ICYPPD, and in 2006 the figure | standards. | ||
was 1,04 children, taking account of the | 18 | RESTRUCTURING. Restructuring should be | |
demographic tendencies, the reduction is | understand as allocation of the available | ||
about 26 %. | resource to provision of alternative | ||
7 | IMSCC. State Agency for Child | community based social child care | |
Protection. To 1000 children on 4 - 18 | services. | ||
years, in 2001 13,6 children lived in | 19 | RESTRUCTURING. Criteria: Access to the | |
IMSCC, and in 2006 the figure was 9,9 | location site and availability of | ||
children, taking account of the | appropriate transport and communications; | ||
demographic tendencies, the reduction is | Necessity of the alternative services | ||
about 27 %. | provided and willingness of the society to | ||
8 | State Agency for Child Protection. HOW | develop such services; Availability of | |
DID WE ACHIEVE THAT TOOLS AND APPROACHES. | specific human resources (social workers, | ||
Adoption of plan for reducing the number | speech therapists, psychologists), as well | ||
of children, placed in specialised | as qualified specialists; Permanent | ||
institutions 2003 - 2005; 2004 – | tendency to reducing the number of | ||
Conducting an assessment of the | children, placed in the institution and | ||
specialised institutions; Development and | opportunity for reintegration and placing | ||
adoption of Mechanism for closure, | the children with foster families; | ||
reforming and restructuring of the | Technical-material equipment to allow | ||
specialised institutions for children; | development of alternative services. | ||
Establishment of methods for drafting of | 20 | CLOSURE. Closure should be understand | |
institutional projects; Training on the | as final termination of the activities of | ||
methods of the regional teams in all | the concerned institution. | ||
regions; | 21 | CLOSURE. Criteria: Remoteness and | |
9 | Plan for reducing the number of | isolation of the location site, lack of | |
children, placed in specialised | communications and infrastructure; Lack of | ||
institutions 2003 - 2005. Major objectives | enough health and education services; Lack | ||
To decentralise the institutions and to | of qualified staff in the institution, | ||
increase the quality of the child care in | location site and the region; Poor | ||
them; To develop local network of | technical-material equipment; | ||
community based services. | Unsatisfactory level of the care quality. | ||
10 | Plan for reducing the number of | 22 | CLOSURE. Closure Plan, containing |
children, placed in specialised | clear terms should be elaborated for | ||
institutions 2003 - 2005. General goals | institutions which should be closed; The | ||
and tasks Development of alternative forms | objectives, measures and activities are in | ||
of care and social Community based | two basic directions: regarding the | ||
services; Narrowing of the entrance to | children and regarding the staff; CPD | ||
institutions; Increasing the quality of | produces proper assessment and elaborates | ||
the institutional care; Regulation of the | action plan for each child; The | ||
exit of institutions and reducing the | institution shall be closed when | ||
number of children who pass from one | appropriate alternative for every child is | ||
institution to another; Restructuring of | found; | ||
the specialised institutions and | 23 | RESULTS FROM THE ASSESSMENT OF THE | |
allocation of part of their resources to | INSTITUTIONS BY APPLIYNG OF THE CRITERIA | ||
alternative services provision in the | September – October 2006. 144 institutions | ||
community for the children and their | for children assessed; 6 institutions | ||
families. The Plan contains also a line of | proposed for closure - 5 ICDPC and 1 | ||
urgent measures related to development of | IMRCYP; 118 institutions proposed for | ||
the child protection departments’ | reforming - 65 ICDPC; 22 IMRCYP; 31 IMSCC; | ||
capacity, which should perform activities | 20 institutions proposed for restructuring | ||
directly connected to reducing the number | - 16 ICDPC; 3 IMRCYP; 1 IMSCC. | ||
of children in institutions as: prevention | 24 | REGIONAL TRAININGS “MONITORING OF THE | |
of abandonment and reintegration of | RIGHTS OF THE CHILD” drafting of | ||
children in their biologic families, | institutional projects for development of | ||
provision of foster care services, etc. | the institutions for children in the whole | ||
11 | Assessment of the specialised | country April - May 2007 How was the | |
institutions 2004. Objective: Assessment | process structured and implemented? | ||
of the technical-material and human | Results, conclusions, proposals. | ||
resource of the institutions and quality | 25 | Preparatory stage and creation of | |
of the child care they provide; Tools: | supportive environment for process | ||
“Assessment card for the specialised | implementation. Drafting of Instructions | ||
institutions for children”, prepared by | for closure, reforming and restructuring | ||
SACP experts and approved by the Ministry | of the specialised institutions for | ||
of Health, Ministry of Education and | children. Drafting of joint project of | ||
Science and Social Assistance Agency; | SACP, SAA and UNICEF on the | ||
Additional methods for collection of | deinstutionalisation. Training of experts | ||
information used by the commissions were | from SACP and outdoor experts on | ||
reviews of the papers kept in the | application of the methods for drafting of | ||
institutions, interviews of the directors | institutional projects. Regional | ||
and members the staff, talks with the | trainings. Organisation of the process and | ||
children, as well as complete monitoring | gathering of regional team to RDSA to | ||
and inspection of the technical material | prepare and manage institutional projects. | ||
equipment. The assessment was conducted by | Consultation, provision of expert support | ||
interinstitutional commissions chaired by | and assistance. | ||
experts from SACP and representatives of | 26 | Major objectives. To describe the | |
the Regional Social Assistance | logic of the process of drafting | ||
Directorate, Social Assistance | institutional projects, to outline the | ||
Directorate, Regional Inspectorate on | project framework and mechanisms for | ||
Education, Regional Healthcare Centres and | monitoring and evaluation. To achieve | ||
municipal administrations; | common understanding on concepts such as | ||
12 | Assessment of the specialised | “reforming”, “restructuring” and | |
institutions 2004. Reports were prepared | “closure”. To assess the needs of the | ||
for the status of each of the assessed | community to develop various services for | ||
institutions in which the institution | children and families. To identify the | ||
location, access to social and health | major interested parties and partners in | ||
services, technical material equipment, | the process. | ||
quality of the child care, number, | 27 | Results from the trainings. | |
qualification of the staff as well as the | 28 | Results from the trainings Practical | |
opinion of the staff regarding institution | results. Framework models were elaborated | ||
reformation were given in details; | and basic stages of the institutional | ||
Conclusions and recommendations were drawn | projects for different types of | ||
regarding care quality improvement and | institutions were marked. Framework model | ||
possibilities for reforming and | was elaborated and basic arrangements and | ||
restructuring; Summary reports for the | activities of the closure plan were | ||
status of the three types of institutions | marked. Motivated regional teams were | ||
were prepared; The reports were presented | formed to prepare and manage the projects. | ||
to the attention of the President of the | Local teams were structured on the | ||
Republic of Bulgaria, Minister of Health | territory of 86 municipalities. Analysis | ||
and Minister of Education and Science, as | models for children at risk and their | ||
well as to the Minister of Labour and | needs were elaborated in the | ||
Social Policy; Important part of the | municipalities. Schedule plan model for | ||
assessment were the conclusions about the | the work of the regional and local teams | ||
quality of the care, problems in them, and | were drafted. Future activities were | ||
concrete recommendations on the | defined. | ||
improvement of the quality of the child | 29 | Results from the trainings. | |
care. | Effectiveness of the trainings | ||
13 | Development of Mechanism for closure, | Harmonisation of the information and | |
reforming and restructuring Basic steps: | understanding regarding the national | ||
Assessment of the institutions for | priorities and strategic goals of the work | ||
children by interinstitutional | with children at risk. Accelerating the | ||
commissions; The interinstitutional | process of reforming and restructuring of | ||
commissions at sub national level apply | the institutions. Updating municipal | ||
the criteria for closure, reforming and | policies for provision of services to | ||
restructuring of the specialised | children and families in the community on | ||
institutions for children for every | the basis of assessment of the local | ||
institution on territory of the region; | services and children at risk on the | ||
The commission should make a proposal for | territory of the municipality. Enriching | ||
closure of the institutions which were | and development of the capacity of the | ||
assessed with less than the minimum | participants in the child protection | ||
admissible number of points; A development | system. | ||
plan should be prepared together with the | 30 | Results from the trainings. | |
staff of the institutions assessed with | Effectiveness of the trainings Achieving | ||
number of points exceeding the minimum | clarity on many issues related to projects | ||
admissible number of points; | organisation and differentiating the role | ||
14 | ASSESSMENT OF THE INSTITUTIONS BY | of various authorities, as a precondition | |
APPLIYNG THE MECHANISM FOR CLOSURE, | for good planning and implementation of | ||
REFORMING AND RESTRUCTURING. Apart from | the projects. Improved interinstitutional | ||
the qualitative dimension, the assessment | cooperation on regional level through | ||
had also quantitative dimension through | extended exchange of information between | ||
developed and put into practise points | experts from different institutions | ||
system. The first criteria direction - | working in the field of child care. | ||
institutions location and access to them – | Reducing the stress and the strain of the | ||
might be assessed with maximum of 30 | people working with children at risk. | ||
points; the second dimension – technical | 31 | For 2006 the CPD social workers have | |
and material equipment might be assessed | worked over 3 792 cases of prevention of | ||
with maximum of 25 points and the third | placement in institution. 2 042 from the | ||
dimension - quality of the child care | cases were successfully completed. The | ||
might be assessed with maximum 45 points. | social workers have worked over 3 149 | ||
The criteria were initially approbated and | cases of reintegration. 1 509 children | ||
it was approved that the minimum | were successfully reintegrated in their | ||
admissible number of points for the | biologic families and 634 children – were | ||
institutions was 40. Institutions assessed | adopted. EFFECTIVENESS OF THE CHILD | ||
with less than 40 points total should be | PROTECTION SYSTEM. | ||
proposed for closure. | 32 | EFFECTIVENESS OF THE CHILD PROTECTION | |
15 | CRITERIA FOR CLOSURE, REFORMING AND | SYSTEM. For 2006 the number of children | |
RESTRUCTURING. Institutions location and | placed with families of their relatives or | ||
access to them Number of population – | friends is 1 955 or with 200 more in | ||
maximum 5 points. Infrastructure – maximum | comparison to the previous year. Total | ||
10 points. Transport and communications – | number of children placed with families of | ||
maximum 15 points. Technical material | their relatives or friends in Bulgaria is | ||
equipment Enough number and room of the | 5 536 until 31/12/2006. | ||
premises – maximum 8 points. Condition of | 33 | Day centres to institutions. There are | |
the building – maximum 12 points. Quality | day centres for children with disabilities | ||
of the equipment/furniture – maximum 5 | to 18 IMSCC. Of total number of 28 IMRCYP | ||
points. Quality of the child care Health | in the country, day centres were opened to | ||
care – maximum 9 points. Response to | 4 of them. Their capacity is 80 places. | ||
education and training needs – maximum 9 | Since 1/1/2007 IMRCYP “Viara, Nadezhda i | ||
points. Individual child care – maximum 9 | Lyubov" in Pazardzhik was | ||
points. Opportunities for social | restructured in day centre for children | ||
integration and adaptation of the children | with disabilities. | ||
– maximum 9 points. Activities to rebuild | 34 | Week and day care – services, provided | |
and keep in touch with the parents – | in institutions. Up to 31/12/2006 in IMSCC | ||
maximum 9 points. | there were 30 children directed to week | ||
16 | REFORMING. Reforming should be | care and 267 children directed to day | |
understand as improving the quality of the | care; Up to 31/12/2006 in ICDPC there were | ||
institutional care and opening of the | 296 children directed to week care and 112 | ||
institution for provision of alternative | children directed to day care; Up to | ||
social child care services. | 31/12/2006 in institutions for children | ||
17 | REFORMING. Criteria, which | with disabilities there were 30 children | |
institutions must meet: Necessity of the | directed to week care and 42 children | ||
services provided (institutional care and | directed to day care; | ||
Reform of the Child Care System.PPT |
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