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Community for All Pilot Project: Deinstitutionalization in Orhei

This pilot project aims to evaluate and provide alternative community-based services for residents of Orhei Residential Institution, promoting their integration into families and the community. The project analyzes opportunities and barriers for implementation, including legal, social, human resources, and financial aspects.

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Community for All Pilot Project: Deinstitutionalization in Orhei

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  1. Community for All pilot project - OrheiLucia Gavrilita, Deputy Minister MSPFC Chisinau-September, 22, 2008

  2. Background of the project Memorandum of Understanding between • Ministry of Social Protection, Family and Child (MSPFC) • Open Society Mental Health Initiative (OSMHI)/ Soros Foundation Moldova (SFM) • Hope and Homes for Children UK (HHC UK) • Keystone Human Services International USA (KHSI) / Keystone Human Services International Moldova Association (KHSIMA)

  3. Achievements • Evaluation of Mental Health Opportunities Programs in Moldova (CReDO Case Study) • Individual Assessments of Residents • Consultancy Group • Analysis of the Opportunities and Barriers regarding project implementation

  4. Summaryof Orhei Residents Evaluation • 321 residents • Evaluation Period : March-June 2008 • Multidisciplinary team: psychologists/psycho-pedagogues, social workers, psychiatrists, special educators • Evaluation approach: individual psycho-social and medical assessments, family assessments.

  5. Orhei Residential Institution • The Home for Boys with Mental Disabilities in Orhei was founded in 1948. • It functions under the supervision of the Ministry of Social Protection, Child and Family who also funds it. Consequently, the decision of placement in is in most cases taken by the Ministry. • The recommendation for placement is based on the decision of the rayon-level specialized commissions (PMPCs) and approved by the Ministry.

  6. Reason for placement

  7. Residents’ Family Situation

  8. Residents by age groups

  9. Types of disabilities

  10. Recommendations for Placement - Summary

  11. Chisinau, 59 residents

  12. Balti, 15 residents

  13. Southern Region, 33 residents(Basarabeasca, Cahul, Cantemir, Ciadir-Lunga, Cimislia, Comrat, Leova, Stefan-Voda, Taraclia, Vulcanesti)

  14. Central Region, 119 residents(Anenii-Noi, Cainari, Calarasi, Criuleni, Causeni, Hincesti, Ialoveni, Nisporeni, Orhei, Straseni, Telenesti, Ungheni)

  15. Northern Region, 44 residents(Donduseni, Drochia, Edinet, Falesti, Floresti, Glodeni, Ocnita, Rezina, Riscani, Singerei, Soroca, Soldanesti)

  16. Transnistria, 17 Residents(Camenca, Dubasari, Ribnita, Slobozia, Tiraspol)

  17. Abandoned or Orphaned, 33 residents

  18. Opportunities and Barriers • Legal Framework • Social Services Framework • Human Resources Framework • Financial Framework

  19. Legal Framework • The Law on Social Protection of People with Disabilities (No 821-XII / 24.12.1991) • The Law on Social Assistance (No 547-XV / 25.12.2003) • The Draft of the Social Integrated Services Strategy • The Draft of the Social Inclusion of People with Disabilities Strategy • The Draft of Social Services Law

  20. Social Services Framework • 37,2% of Orhei beneficiaries are adults; • In 145 cases there are no social services; • In 149 cases there are some support social services but not recommended by the evaluation team; • In only 28 cases there are services that support deinstitutionalization process.

  21. Human Resources Framework • Capacity development of the local key professionals (social assistants, nurses, psychologists, teachers) that will work for / assist the replaced children integration in the community or family

  22. Financial Framework (I)Annual Residential Care Cost per Child

  23. Financial Framework (II)Community Based Services - Estimated Costs

  24. Community Based Alternatives to Institutional Care(project model) • Immediate Biological Family (Adults and Children) • Extended Biological Family (Adults and Children) • Adoption Services (Children) • Foster Care Services (Children) • Therapeutic/Specialized Foster Care Services (Children) • Shared Living (Adults) • Community Homes (Adults) • Community Homes (Children) • Supported Living Services (Adults)

  25. What should be done for deinstitutionalization process • National Program for Reforming the System of Care for People with Disabilities • Regulatory frameworks fornew community based services • Quality standards for community based services • The personal assistance scheme • Information package/guidelines and training for communities

  26. … Sometimes, it’s seems to be too much and hard work to get to a result, but if you do not target far you cannot achieve what you proposed…

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