The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation...
-
Upload
abraham-park -
Category
Documents
-
view
215 -
download
3
Transcript of The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation...
![Page 1: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/1.jpg)
The Steady Path of Deinstitutionalization? Lessons from Serbia.
Danilo Vuković
Social Innovation Fund
![Page 2: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/2.jpg)
Introduction: basic characteristics
• Network of public social services: centers for social work, residential institutions, plus day care centers, clubs, etc.
• Good geographical coverage, decent tradition, no group is systematically left out (perhaps except Roma)
• Non-state actors exist: self-help associations, private service providers
• Developed foster care (• School of social work, School for special
education
![Page 3: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/3.jpg)
…
• Postponed post-socialist transformation: decade of poverty and deterioration of public services
• Residential institutions: low quality of services, ineffective and inefficient, not client oriented and paternalistic approach
• Centers for social work: low outreach of community services, focus on administrative work
• Network of other services is underdeveloped • Professional standards and licensing system
inadequate or non-existent
![Page 4: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/4.jpg)
Financing mechanisms
• National level: residential institutions, foster care, cash benefits, partly centers for social work
• Local level: alternative (community based) services, e.g. day care, home care and help, shelters, clubs, etc. Not obligatory
![Page 5: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/5.jpg)
Strategies
• National “plan” for the transformation of institutions, 2003-2004.
• National Strategy for the Development of Social Protection, 2005.
• High expectations. E.g. general mid-term transformation plan and for each institution,
• Goals only partly achieved
![Page 6: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/6.jpg)
The process
• Plan for the transformation of the institution: moratorium, closing down, developing new services. Unclear lead role
• Development of alternative forms of care. Lead roles: ministry, local self-governments, Social Innovation Fund, FOPD
• Higher mid-term costs, SIF as a transitory mechanism
• Individual treatment plans for beneficiaries in institutions (for the beginning, children without parental care) as a tool
![Page 7: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/7.jpg)
Implementation approaches (1)
• SIF: 212 local projects in 4 years. Development of community based services. Good coverage, broad focus. Bottom-up
• New services developed, incomplete geographical distribution
• Lack of national policy guidance• High dependence on local self-
governments
![Page 8: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/8.jpg)
Implementation approaches (2)
• Ministry and SIF: Local social policy planning. 104 municipalities (⅔), strong involvement of local administrations
• Funding the implementation of the local strategic plans and establishing community based services
![Page 9: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/9.jpg)
Implementation approaches (3)
• Ministry: moratorium for children without parental care younger then 3 years, ITPs, network of foster families (campaign, recruitment, education)
• SIF: 13 transformation projects (62% of RI applied, 45% covered by projects). Development of foster care, kinship care, specialized foster care, new service in the institution (day care, supported and independent living), support to natural families etc.
![Page 10: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/10.jpg)
Results of the 13 transformation projects
• Motivation of professionals
• New services developed, new foster families recruited, preventive programs
• Transformation, but incomplete
• Resistance in the institutions
• Mixed massages from national level
• Uncertain future of the program in 2008
![Page 11: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/11.jpg)
New approach
• National planning. Apartments for independent living and day care centers (from NIP, “software” from SIF). Top-down approach
• Regional centers for foster care (state budget and SIF)
• Transformation?
![Page 12: The Steady Path of Deinstitutionalization? Lessons from Serbia. Danilo Vuković Social Innovation Fund.](https://reader031.fdocuments.us/reader031/viewer/2022020417/5697bfad1a28abf838c9bc6d/html5/thumbnails/12.jpg)
Summary
• Several strategies, visible but incomplete results
• Vibrant and motivated social sector
• Stronger involvement of local self-governments, lack of incentives
• Policy discussion and decision needed: role of public and private sectors, role of CSW (entitlements and direct service provision)