Riskilaste konverents 2012: Pal Christian Bergstrom: Regional office for children, youth and family affairs

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Riskilaste konverents 2012: Pal Christian Bergstrom: Regional office for children, youth and family affairs

  1. 1. Regional Office for children-, youth and family affairs, Northern Norway Pål Christian Bergstrøm, Director general1
  2. 2. Regional Office for children-, youth and family affairs, Northern Norway 15 years of Evidence based practices in children and youth services – Norwegian experiences 1. The Norwegian child welfare system 2. The history and model of introducing EBPs in Norway 3. The child welfare reform, 2004 4. Evaluation 5. New direction – Draft White paper2
  3. 3. Three levels of administration – State level: Norwegian Ministry of Children, Equality State and social inclusion level – State Regional level: The Norwegian Directorate for Children, Youth and Family Regional affairs (BUFETAT) is divided level into five Regional Offices. The County Governor monitor the services. Municipal – Municipal level: 430 municipalities serves their level inhabitants. (Average amount of inhabitants = 5000) (136 in inter-municipal co-operation structures)3
  4. 4. Three levels of administration – responsibility by law – State level: Norwegian Ministry of Children, Equality State and social inclusion level - State Regional level, Bufetat: • Give assistance/guidance to municipal Regional level in difficult cases • Recruit and train foster parents, provide level general guidance • Establish and run institutions Consultation teams Municipal – Municipal level: Everything else! (investigations, level assessment, assistance measures, forward cases to County Social Welfare Board…)4
  5. 5. The Child Welfare Service in 2010 – Statistics 5 mill. inhabitants in Norway 2010: Near 50 000 children received assistance from child welfare services (0-23yo) - 7% increase in one year 84% received voluntary assistance (in the family or as placement outside the family) (up 8%) 16% care orders by force Status: Apprx 1150 children in child welfare institutions (5-10 in prison) Apprx 9000 children in foster homes (770 in MST 4500 in PMTO)  Huge turn in direction of assistance last 10-15 years, from institutions to in-home or foster care. Political and professional advised development5
  6. 6. Regional Office for children-, youth and family affairs, Northern Norway Norway´s adoption and implementation of EBPs • A case for change • The 1997 EBP Conference – starting point • Organizational and strategical approach The National Center for Child Behavioral Development6
  7. 7. Regional Office for children-, youth and family affairs, Northern Norway Norway´s adoption and implementation of EBPs Selected programs: • Parent Managment Training Oregon – PMTO • Multi-Systemic Therapy – MST • Positive Behavior, Interactions and Learning Environment in Schools – PALS • Incredible Years • Aggression Replacement Training - ART7
  8. 8. Regional Office for children-, youth and family affairs, Northern Norway Norway´s adoption and implementation of EBPs National strategy: 1. Long-term funding of program implementation in the regional and local services. 2. Establishment of a National Center to coordinate policy, practice and research 3. A practitioner recruitment strategy for regular service systems 4. Comprehensive therapist/practitioner training, supervision and maintenance programs. A prerequisite in the selection of EBPs 5. State Funding of research on child and adolescent behavioral change and the implementation quality8
  9. 9. Regional Office for children-, youth and family affairs, Northern Norway Norway´s adoption and implementation of EBPs Comments: -weak on cost-benefit analysis -Norwegian model top-down and bottom-up approach -challenge to secure EBPs on local level (support) -implementation approach variations for programmes -adaptations needed for frame conditions9
  10. 10. Regional Office for children-, youth and family affairs, Northern Norway The Child welfare reform in 2004 • Establishment of Bufetat and 5 regions (reinforcing the vertical) • 26 Consulting teams on regional level Objectives: • Quality improvement, EBPs • Improve cooperation with mental health services and education • Equal distribution of services10
  11. 11. Regional Office for children-, youth and family affairs, Northern Norway The Child welfare reform in 2004 – Evaluation • A lot has been achieved • Huge turn in use of services – from institutions to foster care and in-family EBPs • Rise in percentage of children in EBPs11
  12. 12. Regional Office for children-, youth and family affairs, Northern Norway The Child welfare reform in 2004 – Evaluation Challenges: • Recruitment of foster homes • Underuse of EBPs • Communication between Bufetat and Municipalities • Equal distribution • Narrow EBP target groups12
  13. 13. Regional Office for children-, youth and family affairs, Northern Norway The Child welfare reform in 2004 – Evaluation Recommendations from evaluators to the Ministry: • Establishment of one national agency – purveyor of EBPs to both state and local services • Intermunicipal cooperation • Change financing structures13
  14. 14. Regional Office for children-, youth and family affairs, Northern Norway Direction of Child welfare services – Draft white paper • Empower municipalities • Clearify division of responsibility • Change financial structure • Reinforce central responsibility for professional development in Municipalities - EBPs14
  15. 15. Regional Office for children-, youth and family affairs, Northern Norway Conclusion: • Implementation strategy (Needs, selection, prioritizing, organizational model etc) • Top-down and bottom-up have to match (Competence building of service brokers, purveyors and practitioners of EBPs on local level) • Research integration – implementing and evidence- basing • Applicability of EBPs – Norway and Russia15
  16. 16. Have a nice day!16

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