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1 World Health Organisation Regional Office for Europe, Copenhagen

EU Daphne/WHO Training Programme, 2006 Florence Seminar 13-14 November 2006. Introduction to the 10 Step Model of Good Practice for De-institutionalising Young Children into Family Care.

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1 World Health Organisation Regional Office for Europe, Copenhagen

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  1. EU Daphne/WHO Training Programme, 2006 Florence Seminar 13-14 November 2006 Introduction to the 10 Step Model of Good Practice for De-institutionalising Young Children into Family Care C.Pritchard, K.Browne1, G.Mulheir, C.Hamilton-Giachritsis, H.Agathonos-Georgopoulou, M.Anaut, M.Herczog, M.Keller-Hamela, A.Klimackova, I.Leth1, M.Ostergren1, V.Stan, S.Zeytinoglu 1World Health Organisation Regional Office for Europe, Copenhagen

  2. Training and dissemination • Training events planned for 2006 in those countries with the highest rates (30+ per 10,000) of young children in institutional care • Czech Republic, Belgium, Bulgaria, Latvia, Lithuania, Hungary, Romania, Slovakia • Supported by a training manual entitled ‘De-institutionalising and transforming services for children: A guide to good practice’

  3. Monitoring & evaluation 10 Logistics 9 Preparing & moving staff 8 Preparing & moving children 7 Planning transfer of resources 6 5 Design services 4 Country/regional level analysis 3 2 Raising awareness 1 STEPS TO DE-INSTITUTIONALISATION Analysis at institution level Managing the process

  4. Guidelines on a 10 step model of good practice to deinstitutionalise children into family care (1) • Step 1: Raising awareness (e.g. Why close institutions? How institutions operate?) • Step 2: Managing the process, design of strategic plan and multidisciplinary management team • Step 3: Country level analysis; regional situation of children in institutional care, range of existent alternative services and resources, no. of residential care institutions and staff

  5. Guidelines on a 10 step model of good practice to deinstitutionalise children into family care (2) • Step 4: Analysis of institution stock and flow; assessment of children’s needs and potential family situation (e.g. Special needs e.g. disability, can their parents/relatives be found) • Step 5: Design of alternative services • range of services needed to prevent admissions (e.g. mother and baby units) • family based care for children (e.g. return to parents/relative, foster care, adoption) • alternative use for the buildings to develop new services (e.g. day care)

  6. Guidelines on a 10 step model of good practice to deinstitutionalise children into family care (3) • Step 6: Planning transfer of resources from institutional care to community based services (e.g. foster care) • Step 7: Prepare and move children; use of care plans and assessment. Use of transition objects, life story book, visits to new placement, visits from new carers. • Step 8: Prepare and move staff through counselling, retraining and redeployment

  7. Guidelines on a 10 step model of good practice to deinstitutionalise children into family care (4) • Step 9: Logistics; ensure that the move is planned according to each child’s needs and not driven by the system • Step 10: Monitor and evaluate that each child’s move and new placement follows the care plan. All new placements should be followed-up within 3 months and then at 6 month intervals for 2 years

  8. Good practice manual to deinstitutionalise and transform children’s services

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