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Programme to address
reform in child and family
services
Government Programme:
In 2025, Finland is an
inventive, caring and safe
country where we all can
feel important. Our
socie...
Finland is safe
Finland is inventive
Finland’s economy is
sustainable
Finland as part of Europe
The Government’s objective...
The Government’s key projects:
Activities to a new level with a single input
4
Input into all
key projects
totalling EUR 1...
Key projects of the Ministry of Social Affairs
and Health
5
Services to be based
on client needs
Health and wellbeing
will...
6
Why is there a
need for more
prevention and
early support?
One in ten health and social services clients
needs various services a great deal
7
One in ten needs help often and for
ma...
8
Costs of health and social services for children
and young people
(estimate from 2013)
EUR
3billion per
year
Services fo...
Children and young people placed outside the
home, in custody, and in emergency placement
in 1991–2014
9
Children and youn...
Child protection measures in 2013
10
64 500
child protection
notifications
concerning a child
4 200
children in
emergency
...
Children’s foster care costs have risen sharply
11
Foster family
EUR 30 000/year
Residential family home
EUR 50 000/year
I...
Early support for families pays
12
This money can buy
• Intensive family work for over
seven years
• The family could rece...
Services face challenges in the management of encounters
and in coordination
13
Services are
scattered through
many sector...
Objectives of the Programme
to address child and family
services
14
Rights of the child
and the child’s
best interests
Diversity of families
Strengthening of
resources
Child and family
orien...
How are we bringing about this change?
16
1. An operating culture strengthening children’s rights and a
knowledge-based ap...
17
2. Child and family-oriented services
 The starting point is the client’s individual service needs.
 The child’s, ado...
Results expected of the programme in decision-
making and in the service system in 2019
18
 Municipalities, counties and ...
Results in children’s wellbeing expected of the
programme in 2025
19
 Parity among children, young people and families
ha...
Indicators
20
 The interaction between children/young people and their parents has improved.
 Loneliness among children/...
Demanding servicesSpecialised services
Child and family services are reorganised
21
Demanding specialised
services in chil...
22
Schedule and
monitoring
23
Financing
EUR 40 million.
Mainly as support for
reform in municipalities
and counties
The development work is based on ...
Schedule 2016–2019
24
 Starting seminar, January 2016
 Publication of the project plan, April 2016
 County visits, spri...
www.stm.fi/hankkeet/lapsi-ja-perhepalvelut
26
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Lape-muutosohjelma perusesitys englanniksi

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Yleisesitys Lapsi- ja perhepalveluiden muutosohjelmasta englanniksi

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Lape-muutosohjelma perusesitys englanniksi

  1. 1. Programme to address reform in child and family services
  2. 2. Government Programme: In 2025, Finland is an inventive, caring and safe country where we all can feel important. Our society is based on trust.
  3. 3. Finland is safe Finland is inventive Finland’s economy is sustainable Finland as part of Europe The Government’s objective: Finland is on a path of sustainable growth 3 Vision: Suomi 2025 – built up together Situational awareness
  4. 4. The Government’s key projects: Activities to a new level with a single input 4 Input into all key projects totalling EUR 1 billion EUR 130 million for the Ministry of Social Affairs and Health’s key projects on wellbeing and health
  5. 5. Key projects of the Ministry of Social Affairs and Health 5 Services to be based on client needs Health and wellbeing will be fostered and inequalities reduced Implementation of the Programme to address child and family services EUR 130million Home care for older people will be developed and informal care enhanced in all age groups Career opportunities for people with partial work ability Enhanced health and wellbeing
  6. 6. 6 Why is there a need for more prevention and early support?
  7. 7. One in ten health and social services clients needs various services a great deal 7 One in ten needs help often and for many types of problems. As their companion they require a professional who will ensure that they receive the help they need. 10% of clients 80–90% of resources for health and social services
  8. 8. 8 Costs of health and social services for children and young people (estimate from 2013) EUR 3billion per year Services for people with disabilities approx. EUR 50 million Specialised medical services EUR 1 000 million Institutional and family services in child protection EUR 734 million Basic healthcare EUR 511 million Other social services for children and families EUR 468 million Oral healthcare EUR 225 million
  9. 9. Children and young people placed outside the home, in custody, and in emergency placement in 1991–2014 9 Children and young people placed outside the home of whom children taken into custody of whom children needing emergency placement
  10. 10. Child protection measures in 2013 10 64 500 child protection notifications concerning a child 4 200 children in emergency placement 10 700 children in custody Source: National Institute for Health and Welfare
  11. 11. Children’s foster care costs have risen sharply 11 Foster family EUR 30 000/year Residential family home EUR 50 000/year Institutional care EUR 90 000/year year 2006 year 2010 EUR 430 million EUR 620 million Source: National Institute for Health and Welfare, Kuusikkokuntien lastensuojelun työryhmä 2014
  12. 12. Early support for families pays 12 This money can buy • Intensive family work for over seven years • The family could receive family counselling over 400 times • Almost 3 000 hours of home help services could be organised Costs of taking a child into custody EUR 18 000–72 000 per year Average savings each time taking a child into custody is prevented EUR 60 000 per year Average savings from avoiding institutional care EUR 90 000 per year This money can pay for two family work employees The shift of emphasis to early support is the main objective of the Programme to address child and family services. Source: National Institute for Health and Welfare Vaikuttavuus ja kustannukset website pages
  13. 13. Services face challenges in the management of encounters and in coordination 13 Services are scattered through many sectors and in many service points. Services have been organised mainly with an administrative and organisational orientation. Client data are dispersed into numerous documents and registers.
  14. 14. Objectives of the Programme to address child and family services 14
  15. 15. Rights of the child and the child’s best interests Diversity of families Strengthening of resources Child and family orientation Principles steering the reform
  16. 16. How are we bringing about this change? 16 1. An operating culture strengthening children’s rights and a knowledge-based approach  Models for assessing the impacts of decisions on children are designed and applied.  Tools for child-focused budgeting are devised.  Tools are created for monitoring the health and wellbeing of children and young people as well as for monitoring services.  The child-friendly municipality model is spread.  The know-how and tools for professionals are revamped to support the reform.  Models for network management of child and family policies and services across administrative boundaries are designed and applied.  National steering, legislation and management are revised to support the reform focused on children, young people and families.
  17. 17. 17 2. Child and family-oriented services  The starting point is the client’s individual service needs.  The child’s, adolescent’s and family’s overall situation is taken into account.  Bringing support into the child’s and adolescent’s growth environment and daily life is primary. Parents are supported in reconciling work and family life.  The focus of services is shifted from remedial services to preventive services common to all, and to early support and care.  Rehabilitation services for children and young people whose functioning calls for special support are realised in cooperation among the different actors.  One official or professional is responsible for the continuity of services and for the coordination of multi-sector cooperation.  Children, young people and families have a stronger role in planning and implementing their own services than previously.  Children’s, young people’s and families’ own agency is strengthened by supporting voluntary activity and the related preconditions.  People with disabilities should also have the opportunity to participate and receive services.
  18. 18. Results expected of the programme in decision- making and in the service system in 2019 18  Municipalities, counties and State authorities have received tools for decision-making based on knowledge and children’s rights and for promoting the operating culture.  In each county and in the municipalities within its area, all services for children, young people and families have been coordinated into a child and family-oriented entity of services. The reform work has begun in the municipalities and counties.  National steering, legislation and management have been revised to support the reform focused on children, young people and families and carried out in cooperation among various ministries.  Timely access to services has improved once the focus of support has shifted from remedial services to preventive services common to all, and to early support and care. Cost savings have been achieved by shifting the focus.  The know-how of and tools for professionals working with children, young people and families have been revamped to support the reform.  The county and municipal level has well-functioning structures and agreement practices for cooperation with organisations and parishes. The support forms produced by these actors for children, young people and families are part of the service entity. It has been possible to respond cost-effectively to the wellbeing needs of children, young people and families within the framework of diminishing public appropriations.
  19. 19. Results in children’s wellbeing expected of the programme in 2025 19  Parity among children, young people and families has increased, inequality has decreased, and people have learnt to take differences and diversity into consideration.  The resources and life management skills of children, young people and families have improved and their experiences of receiving help, being engaged and being encountered have strengthened.
  20. 20. Indicators 20  The interaction between children/young people and their parents has improved.  Loneliness among children/young people has decreased.  Every child has have at least one secure and permanent adult relationship.  Bullying in early childhood education and at school has decreased.  Every child/young person has a hobby.  Interruption of education has decreased (in both basic education and secondary education).  The attachment of children and young people to school has become stronger.  The violence experienced by children has decreased.  Parents’ intoxicant abuse and mental health problems, as well as the damage these cause to children, have decreased.  The harm caused to children by parents’ divorce has decreased.  Children’s, young people’s and parents’ experience of inclusion in services (early childhood education, school, child protection, healthcare and rehabilitation services, etc.) is improved.  The use of family-friendly approaches has increased at workplaces and the workload experienced by parents has decreased.  The functionality of the service system as experienced by children, young people and families has improved.
  21. 21. Demanding servicesSpecialised services Child and family services are reorganised 21 Demanding specialised services in child protection Demanding psychiatric services for children and young people Services for people within the scope of criminal sanctions Demanding services for immigrants and asylum seekers Demanding services for intoxicant abusers Family centre model - maternity and child health clinics, family work - early childhood education - digital service possibilities - jorganisations, parishes and peer support services - support for parenting and the couple relationship - services for divorcing families School as support for the wellbeing of children and young people - student welfare services: - school and student healthcare - psychologists and school social workers - peer student and tutor schemes - The KiVa School antibullying project Child protection Specialised medical services Services for people with disabilities Low-threshold services
  22. 22. 22 Schedule and monitoring
  23. 23. 23 Financing EUR 40 million. Mainly as support for reform in municipalities and counties The development work is based on partnership and network management An important starting point for the project is partnership between the State, municipalities, parishes, organisations and other private service providers. Multi-sector services require network management, service- ecosystem thinking and service design know-how. The entity is created for the operating environment of the municipalities and counties of the future. Digitalisation must be taken into account in development work.
  24. 24. Schedule 2016–2019 24  Starting seminar, January 2016  Publication of the project plan, April 2016  County visits, spring/summer 2016  Application for government grants, August– September 2016  County reform programmes, 2017-2018  Ending of the key project, December 2018  Government policy outline for the new child and family services model and its management at the end of the project period, in 2018/2019
  25. 25. www.stm.fi/hankkeet/lapsi-ja-perhepalvelut
  26. 26. 26

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