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Integration of social and health care services Lessons from Finland

Integration of social and health care services Lessons from Finland. Matti Heikkilä STAKES Finland. The classical division. [] Social welfare (services) [] Health care services [] Social security benefits (KELA) [] Employment services. Hierarchies of action.

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Integration of social and health care services Lessons from Finland

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  1. Integration of social and health care servicesLessons from Finland Matti Heikkilä STAKES Finland

  2. The classical division • [] Social welfare (services) • [] Health care services • [] Social security benefits (KELA) • [] Employment services

  3. Hierarchies of action • Local municipality: service providing • Region: hospital services • State functions: • - social security benefits • - employment offices

  4. Sectorial (functional) division of tasks (local level) 1) Primary health care (public health) 2) Social welfare - elderly care - disabled - addicts - child protection - child care (kindergartens) - social assistance 3) Social security benefits 4) Employment office

  5. Levels of integration • Local political administration • Administrative, i.e. joint management • Functional: • - one example is to organise services along the life course; • - the other one is based on target (population) groups

  6. Life course base: Model Mikkeli • Child families services • - child care • - health promotion (children and mothers) • - child guidance clinics • - child protection (children in risk)

  7. Working age services - general health care; - mental health services; - alcohol and drugs; - social assistance (benefit) - intermediate labour market (activation) - psycho-social services

  8. Elderly care - Home care (= home help + home nursing) - Home care allowance - Supplementary services - Housing services - Residential care (institutions) - Supplementary health (hospital) services

  9. Areas gaining greatest benefit • Elderly care • Children and families in need • Addiction (substance abuse) and mental • health (“double diagnosis”)

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