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Family and Child Support Services. Breakout Session 3 Building and Reforming Child Care Systems Bishkek, 12-14 May 2009. Focus on Development of Human Capital and Resources.

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family and child support services

Family and Child Support Services

Breakout Session 3

Building and Reforming Child Care Systems

Bishkek, 12-14 May 2009

focus on development of human capital and resources
Focus on Development of Human Capital and Resources
  • General prevention of vulnerability (education, health care, income, employment, housing, guarantees of human rights fulfillment for all)
  • Entire system is geared towards empowerment, social inclusion and focused on reaching the most vulnerable
  • Provision of safety nets in situations of crisis, including social security and cash benefits
services for children and families at risk
Services for children and families at risk
  • Statutory Services (non-delegable government functions that decide on eligibility for services and funds to be used, assess the needs, plan, refer to services, monitor outcomes)

- case management

- gate keeping

  • Family Substitute Services (provision of out-home care for children without parents or whose best interest it is to be separated, temporarily or permanently, form parents)

- adoption

- kinship care

- foster care

- small group home

- small institutions

  • Family Support Services (all families, including the above)
examples of family support services
Examples of Family Support Services:
  • Day care centers, extended day care, head-start services
  • Family outreach (respite services, wrap-around services, personal assistants for disabled)
  • Psycho-social support services (counseling, self-support groups, hotlines, diversion mechanisms)
  • Legal support (representation, mediation)
what are qualitative and equitable fs services
What are “qualitative” and "equitable”” FS Services?
  • See Quality as the quality of outcomes
    • Objective measures of service outcomes (independence, self-reliance, healthy lifestyles…, as per Plan)
  • See Equity as equal quality of outcomes
    • No statistically significant differences among different groups on outcome indicators
    • No statistically significant differences among in-group and out-group social cohesion and social distance
who can provide fs services
Who can provide FS services?
  • State

- services founded/organized by national, regional, local government authorities

- new services provided by former residential institutions

  • NGOs and private service providers

- accredited and contracted by the government (national or local) to provide specialized services

what needs to be assured
What needs to be assured?
  • Quality standards (safety, skills and competences of staff, content of service…)
  • Licensing
  • Accreditation
  • Inspection (standards are TOOLS for inspection!!!)
  • Professional support and training for service providers

both, for state and non-state providers

why do we highlight the need for diversity and continuum of services
Why do we highlight the need for “diversity” and “continuum” of services?
  • The central role of social services is to fight poverty and social exclusion (prevent separation/disintegration of families)
  • In order to do so, social services have to be accessible to those who need them and to cover the wide range of needs for all population, at all ages;
  • Therefore, the respect of the so called “4 A’s” in the social services field is crucial:
key requirements in social services field
Key requirements in social services field

Available – development of the services spectrum, sustainability, continuity, well geographically distributed

Affordable – everybody can benefit from the services at a reasonable cost.

Accessible – community-based, mainstreamed and/or specialized services, gate keeping mechanisms,

Accountable – financial and organizational transparency/ good governance

Choice – person with disabilities have the right to accessible information, and a framework that provide a possibility to choose and define his/her individual project

Qualitative – person centered services, monitoring mechanisms, standards and principles


what about the money
What about the money?
  • It is more expensive and less effective to invest in institutions, but…
  • Transitional costs are significant and necessary
  • All services should have guaranteed financial sources (local, national level)
  • Redistribution of funds on the government level is also possible
  • Some new solutions can be introduced without significant addition in costs
  • Cost should be calculated per capita rather than per establishment
from pilot projects to system
From Pilot Projects to System
  • Political commitment
  • Technical knowledge
  • PLAN !!!
  • Synchronization of actions and various sectors within the system
  • Joint effort (all relevant ministries – no single ministry can do it alone)
  • Coordination, implementation monitoring - from the highest level (who has the “power” over ministries? local authorities? Institutions?)
what effect at policy level
What effect at policy level?
  • New procedures and planning “tools”
    • Revision of the gate keeping system ;
    • Maps of needs and services;
    • Data collection, coherent information system at national level etc.
  • New types of services to be designed and regulated by law, especially for the “transitional phases”; ex. early detection centres, day centres, mobile teams, vocational training, mediation for employment, supported housing etc.
  • New types of qualifications and functions (ex. support teachers, mediators etc.); which means articulated policies between various ministries
what effect at local level
What effect at local level?
  • A stronger visibility of users and user’s interests and needs;
  • Recognition of the role of NGOs in introducing new types of services (flexibility, multi-disciplinary, person-centered)
  • A regulatory framework allowing municipalities to use their resources for the local needs;
    • (Sub) contracting and funding procedures
    • Decentralization
    • Statistical and planning tools at local level;
  • Needs-driven policy at local level