2. •SRA
5 credits
*1ect- 26.6 hrs of work!
DSS (SRA) - ‘at a glance’
Challenges causing marginalisation e.g.
unemployment, homelessness, poverty, loneliness
Relevant legislation
Rehabilitative services
Different participatory, socio-pedagogical,
community-based and narrative methods in adult
social work
- Prakash Dhakal
3. Outcomes!
The students will be able to:
•Know different challenges affecting the everyday life of
adult population in Finland
•Apply legislation in the field of adult social work
•Know the services, support and benefits available for
service users, empower service users.
• Use different participatory, socio-pedagogical,
community-based work and narrative methods in adult
social work
- Prakash Dhakal
5. CORPORATIST
MODEL (conservative
social insurance)
UNIVERSALIST MODEL (soc ial
democratic/ institutional)
RESIDUAL
MODEL
(liberal model)
Nordic Welfare - ‘at a glance’
public benefits/services for everybody
redistribution from everybody to everybody
“people’s insurance” - high taxes
security for all as citizens, at given levels of
income for example Germany, Spain . It is
based on merit!
Equality as residents. It is based on residence.
For example, Finland, Norway, Sweden and
Denmark. Not for poor- everyone!
Benefits for the poors only / low taxes.
Safteynet confined to those who fail to manage
otherwise. For example USA
Finland spends $3,500 per person on health care each year. America burns
through $7,400 per person and still leaves millions without coverage.
- Prakash Dhakal
6. Strategy for adult social work
Cultural work to address
stereotypes
Relief ( short term) Prevention (longterm)
Welbeing
Major Responsibility: local govt & municipalities
Major Source: tax
Short term emergency help
Longer term strategies in the
area of e.g. health, housing
etc…
Education and training
(upstream intervention)
reducing isolation and
fragmentation
- Prakash Dhakal
7. Rehabilitation
Think in pairs:
• What is rehabilitation?
• Is it important? Why?
• Name few rehabilitation services in your country and/
or in Finland.
• Who pays for it?
- Prakash Dhakal
8. Rehabilitation
Rehabilitation for
• improving functional capacity
• independent coping
• Wellbeing
• possibilities for participation and employment of
people dealing with ill health, disability or incapacity.
- Kela ( social insurance) and occupational pension institutions pay rehabilitation allowances in the
form of income support. Majority of the rehabilitation is for free!
- Prakash Dhakal
9. Rehabilitations in Finland
• Medical rehabilitation ( muscular-skeletol, neuro diseases)
• Rehabilitative work experience- Includes statutory
rehabilitation for long-term unemployed people. Traininngs,
coaching
• Vocational rehabilitation- If illness is likely to cause work
incapacity, the Kela and Tela provide statutory assistance for
a return to paid employment
• Rehabilitative psychotherapy- If the capacity to work or
study is at risk due to mental health problems, Kela
compensates the costs of rehabilitative psychotherapy for
16-67 year-olds.
10. Rehabilitations in Finland
• Social rehabilitation
This is used to enable people who have become severely socially
excluded to participate again in society by strengthening bases
of their social functional capacity and social interaction.
• Rehabilitation in the event of workplace or traffic accidents
Statutory rehabilitation is provided in the event of workplace
accidents, occupational disease or traffic accident, paid for by
accident and motor insurance institutions.
• Rehabilitation under the Military Injuries Act
Statutory rehabilitation arranged for all who need it.
• Disability services
Statutory services.
11. Rehabilitations in Finland
• Medical rehabilitation for people with severe
disabilities. Statutory services.
• Other forms of social and health care rehabilitation
provided according to municipal resource capacity.
• Special education in comprehensive schools
Rehabilitation includes medical rehabilitation within
health care, and rehabilitation for people with
disabilities, drug and alcohol rehabilitation and social
rehabilitation within social welfare.
• Vocational special needs education.
13. ADULT SOCIAL WORK
Who are the actors?
Adult social work- Finnish case
- Prakash Dhakal
Unemployment
Family
Disability
Homelessness
Addiction
Mental
sickness
Topic/ issue Group/ subgroup
Immigrant,
priosoners,
Mental health
Youths
Elderlies
Mental
Geography
Ethnic
groups
Religious
groups, etc
14. Adult Social work- Finnish case!
- Prakash Dhakal
The main aim is to strengthen the private and
communitarian responsibilities
1.Economical success and encouraging society
2.Activating “ideal” citizenship
3.responsible workers ( professionally equipped) on
labor markets
4.
16. Family net work- Genogram!
- Prakash Dhakal
1. A genogram is a family map or history that uses special symbols to
describe relationships, major events, and the dynamics of a family
over multiple generations. It is used to identify patterns of
violence, abuse and mental and physical illnesses in the family
background of the service-user.
“To begin a genogram you will need to interview family members
first. Then, you can use standard genogram symbols to create
documents your family has specialized history.”
17. Family net work- Genogram!
- Prakash Dhakal
2. Deciding What You Want to achieve with a Genogram:
Empowering the service User?
•Genograms can focus on a number of hereditary patterns and
issues including substance abuse, mental illness, sexual and
physical violence, as well as many physical illnesses.
•Genograms can provide social workers with a visual document
that tracks the history of the service users current social and
health problems through your family bloodline
Researching Family History
18. - Prakash Dhakal
3. Decide how many generations you need to represent in
your genogram practice. Usually three generations!
This will give you a clear idea of who you will need to
approach for information to complete your diagram and
whether this will be possible given people's ages and
geographical location.
Family net work- Genogram!
19. 1. Look at your own history.
You have a wealth of information within your own
personal history that can help you with a baseline.
https://www.youtube.com/watch?v=nGXEnLrR3EY
http://www.genogramanalytics.com/examples_genograms.htm
Family net work- Genogram!
22. Case management
‘'Case Management” is a commonly used
term in human services that has a variety of
meanings and permutations* in practice.
Over time, various models of “Case
Management” have emerged. Given
managed care and systems reform, “Case
Management” is a role in transition.
*each of several possible ways in which a
set or number of things can be ordered or
arranged.
23. What is Case management?
Case Management” has been defined as a
somewhat limited but nonetheless important
way of trying to make human services work
better, i.e., the activities undertaken by a
professional using professional tools on
behalf of an individual or family that
needs multiple services, facilitating their
movement through the service delivery
process.
25. - Prakash Dhakal
Services have become more specialized
Resources allocated are insufficient
It connects service recipients to needed resources
Buffers the service recipient from the stress of navigating the
bureaucracy
Enables service recipients to manage their own lives within
the scope of their resources and abilities
Why service coordination?
26. - Prakash Dhakal
Family Stability Model
• For families with less intensive needs/less risk
• plan created with written/verbal feedback from provider
• Family and community worker responsible for plan and
execution
• AT LEAST monthly contact until case closur
• Guidence, councelling and coaching.
Model of service coordination
27. - Prakash Dhakal
Referels->asessment -> coordination process begins
Family team Model-
• For families with intensive needs/ complex situation
The process is a way to improve the lives of children with
complex needs and their families. It is not a program or a
type of service, but a team based planning process used
to develop plans of care that are individualized based on the
strengths and culture of the children and their family.
The plan is needs-driven rather than service-driven, although
a plan may incorporate existing categorical services, if
appropriate to meet the needs of the consumer. The initial
plan should be a combination of existing or modified
services, newly created services, informal supports, and
community resources, and should include a plan for a step-
down of formal services
Model of service coordination
28. - Prakash Dhakal
Family team Model Plans are designed by a team of people most
important to the caregiver, youth, and other family members
Plan is driven by and “owned” by the family, youth, and other
family members.
Strategies in the plan include supports and interventions across
multiple life domains and settings (i.e., behavior support plans,
school interventions, basic living supports, help from friends &
relatives)
Natural supports and unique strengths are emphasized in team
and plan development
Plans include supports for adults, siblings, and family as well as
the “identified youth”
Model of service coordination
29. - Prakash Dhakal
Imagine of a case, develop a
family network or social
network. Plan case
management using model (s)
mentioned above. Use service
cordination that exists in the
surrounding of the user case.
Group work
32. Thank-you!!
Citation:
Lauri Uljas teaching material from previous
years
Ministry of social welfare and health ttp://stm.fi
Einar Overby (lecturers 2008)
Val Harris (2009)
Boas (2008)
Butler and Wintram (1991)
Tuscarawas County Family and Children first
council, http://www.tcfcfc.org
http://www.servicecoord.org
(
Prakash Dhakal
