Deinstitutionalising the System of Care for Vulnerable Children in the Czech Republic

Deinstitutionalising the System of Care for Vulnerable Children in the

Czech Republic

Marta Miklušáková

Department of Social and Family Policies

Ministry of Labor and Social Affairs

Institutions in the Czech Republic

•Residential care in the CR•Beneficiaries•Numbers•Structural funds: Pros and Cons

Challenges:

•Large numbers of institutions + beneficiaries•Sectorial fragmentation•Non uniform central policy

Institutions in the Czech Republic: Numbers(by the end of 2011)

•Total no of children placed in institutional care based on a court decision: 7.468•No of „voluntary placements“: about 2.500•Institutions under the Ministry of Health (infant facilities for children up to 3 yrs of age): 1.428•Institutions under the Ministry of Health: 7.150•Institutions for disabled persons: 834

Infant Institutions in the Czech Republic: Numbers I

(by the end of 2012)

Infant Institutions in the Czech Republic: Numbers II

(by the end of 2012)

UN CRC: Concluding observations 2011

12. While noting that the State party’s Ministry of Labor and Social Affairs (MoLSA) has been mandated to coordinate implementation of the Convention, the Committee remains concerned about the fact that coordination between the different government ministries, departments and institutions dealing with children’s rights is insufficient at national, regional and municipal levels.


36. The Committee reiterates its recommendation (CRC/C/15/Add.201) for the State party to introduce a comprehensive legal provision establishing the right of the child to participate that would be applicable to courts, administrative bodies, institutions, schools, childcare institutions and families in matters affecting children, and guarantee the right to appeal against the decisions, in accordance with article 12 of the Convention. … The Committee also recommends that the State party take measures to allow for the direct hearing of the views of the child in all proceedings involving children, providing adequate safeguards and mechanisms for ensuring that such participation can be carried out effectively, free of manipulation or intimidation…


46. Drawing attention to the Guidelines for the Alternative Care of Children …, the Committee calls upon the State party to urgently formulate a coherent national policy on de-institutionalization, and in particular to:(a) Develop comprehensive assessments of the family situation, preventive services, admission criteria and strategies to reduce the number of children living in care institutions and ensure that placement of children in institutions is only used as a last resort and regularly monitored and reviewed in cases where it is applied;(b) Develop community-based family-type services and foster care to avoid institutionalization of children.(c) … establish a uniform set of standards for public and private institutions and voluntary homes and a system to monitor them regularly;


(e) Ensure the timely development of individual childcare plans from the time a child enters an institution and strengthen inclusive education policies and practices, thereby facilitating the child’s expeditious return to a family-type environment;(f) …(g) Ensure that the proposed improvements to the system of institutional care are guided by a clear timeline with concrete benchmarks for implementation which are effectively monitored at regular intervals.

De-Institutionalization in the Czech Republic: Aims and Strategies

• Prevention services • Emergency protection services• Substitute family care

Strategies

• Focus on the work with families and creation of conditions for a network of services for families and children (the service providers will include NGOs).

• Mandatory procedures for the local authorities in charge of protection of children.

• Increased support of foster care, incl. temporary foster care, changes in the trainings for prospective foster parents, creating conditions for the introduction of support and respite services for both new and existing foster families.

De-Institutionalization in the Czech Republic: Positive Development

• Government National Plan of Action (2012) +• Action Plan to Fulfill the National Strategy 2012-2015• Amendment to the Act on Social and Legal protection of

Children (2013)• IP Systematic Transformation of Care for Vulnerable

Families/Children, ESF (2012+)• EEA Financial Mechanisms (CZ04)

Reform involves a shift from a system that depends heavily on institutional placements, to a system that focuses primarily on family and community based care.

National Plan/Strategy

CR Government commitment to create a functional system to protect consistently all rights of children and to meet their needs by 2018.

Basic principles + 16 areas of activities to gradually fulfill this objective, incl:

•activities, fulfillment indicators, time schedules •responsibility•human and technical resources•financial costs, funding resources and the impact on public budgets •legislative changes required to achieve the objectives •the monitoring mechanism•Strategies to involve civil society and children

Regular evaluation.

Amendment to the Act on Social and Legal protection of Children (2013) vis-à-vis Foster

Care

• Increased financial remuneration for foster parents• Remuneration related to no of children, health conditions, type of

care

• Agreements on Foster Care• Related training + respite entitlement

• Increase in no of applicants for foster care• Increase in no of applicants for temporary foster care (7 in 2012, 89

in mid-2013, expected 150 by the end of 2013)• Most of temporary foster parents fully involved• Majority of children leaving temporary foster care for permanent

solution in 2-3 months

Trends in Numbers I

Trends in Numbers II: No of institutionalized children

ESF Project “Systemic Support of Processes within the Transformation of the System of Care

for Vulnerable Children and Families”

Focus areas:

• Analysis (demo, services, foster care)• Quality Standards • Assessment / Individual Planning• Development of Services• Strengthening Foster Care• Training• PR

Budget: Eur 8,8 mil.

Prevention mechanisms

• Quality Standards (local authorities + service providers)• Assessment / Individual Planning (GIRFEC)• Family Group Conferences (pilot 2014)• Development of Services

Strengthening Foster Care

• Piloting new system of training for prospective foster parents (PRIDE) in three regions;

• Adapting PRIDE to Czech audience;• Development of services in the three pilot regions;• Local recruitment campaigns;

Foster Parent´s Training in the CR

Act on the Social and Legal Protection of Children: •Standard training 48hrs•Temporary/ Emergency FC 72hrs •Regional Governments in charge of the content•Psychological testing•No time limits •Analysis 2013: Significant differences in both length, content, scenario

PRIDE training

Step by step:

• Licence agreement with CWLA• Translation of PRIDE• Arranging for extra topics to be included (+ temporary FC)

• Recruitment of lecturers• Identification of 20 prospective PRIDE trainers

• Training of trainers: May – December 2013• Training of prospective foster parents: September 2013 –

January 2014

PRIDE training II

Training of prospective foster parents: September 2013 – January 2014

Three pilot regionsOlomouc region 3 groupsOstrava region 3 groupsZlín region 3 groups

each group per about 15about 130 individuals

Highly positive feedback from lecturers, applicants, regions.

Thank you

Marta MiklušákováDepartment of Social and Family PoliciesMinistry of Labor and Social AffairsPrague

[email protected]

Deinstitutionalising the System of Care for Vulnerable Children in the Czech Republic

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