Managing Change: from Institutional to Community Care John Halloran CEO European Social Network

1. European Social NetworkSocial Services In Europe Managing Change: from Institutional to Community Care John Halloran CEO European Social Network www.esn-eu.org

2. European Social NetworkWho we are and what we do Who we are: >> An independent network for social directors and senior professionals in public services. >> 88 Members in 29 countries – associations of social directors and professionals, municipalities, counties, regions, research institutes and regulatory agencies >> Supported by the European Community Programme for Employment and Social Solidarity (PROGRESS 2007–2013).

3. European Social NetworkWho we are and what we do Together with our members: >> facilitate good practice exchange >> bridge the gap between European policy-making and local care practice and management. >> deliver social policy and social care practice knowledge >> advocate empowerment of users, across service boundaries and quality in service management.

4. European Social NetworkA vision for the future Vision of future social care system >> Listeningto service users and carers and communities >> Partnership that respects dignity and rights >> Everyoneshould have control over their lives Care in large institutions is not compatible with this vision

5. European Social NetworkA vision for the future >> A hidden population living in long-stay institutions: 1.2 million persons with disabilities 300 000 persons with mental health problems 150 000 children >>While an institutional setting may provide physical security (food, shelter), it also fosters dependency, over-protection and exclusion of service users and cannot offer the sense of well-being that stems from being included in society

6. European Social NetworkDeveloping community care ESN’s work on the transition from institutional to community care >> Seminar and Working Group on Developing Community Care >> High-Level Advisory Committee on Developing Community Care>> Training Programme on transition focusing on Czech Republic, Hungary, Poland and Slovakia>> Member of the European Expert Group on Transition from Institutional to Community Care

7. European Social NetworkDeveloping community care ‘Managing Change’: Training programme for New Member States >> Aim: Launched in November 2011, to provide participants with the expertise in strategic planning and operational service management to develop the principles, values and skills necessary to develop modern community-based services and close institutional care services >> Participants: 16 individuals from Czech Republic, Hungary, Poland and Slovakia>> Profile: public sector directors and middle management; from national ministries and some NGO providers

8. ESN’S Report on Developing Community Care ESN published a new report entitled ‘Developing Community Care’ >> Makes the case for community care, outlines the first steps in deinstitutionalisation and identifies key elements for good community care >> Draws on policy material, practice examples and advice from ESN’s Policy & Practice Group on Developing Community Care (2009-2010) and its High-Level Advisory Committee on Developing Community Care >> Available in English, Polish, Czech, Hungarian and Romanian.

9. Making the case for community care There is a powerful case for the transition from institutional to community care: >> Service users’ experiences >> International human rights instruments >> Social work principles>> The economic case

10. Taking the first steps towards community care Deinstitutionalisation requires a vision for change and leadership, combined with the participation of all those affected: >> Avision for deinstitutionalisation>> Local leadership>> Involvement of users, their families and the community >> Funding

11. Managing community care: challenges and opportunities Key elements for an effective and coordinated delivery of community care: >> Strategic area needs assessment and planning >> Information and advice >> Individual needs assessment >> Service capacity and availability >> Choice >> Quality assurance, inspection and improvement >> Social inclusion

12. Managing Change Conclusion: Social Work and Deinstitutionalisation IFSW: Social work promotes social change, problem solving in human relationships as well as the empowerment and liberation of people to enhance well-being.  In solidarity with those who are dis-advantaged, the profession strives to alleviate poverty and to liberate vulnerable and oppressed people in order to promote social inclusion. 

13. Managing Change Conclusion: Social Work and Deinstitutionalisation Please note; this is not just an issue for central Europe and Balkans but one for all of all of Europe and the World The transition to community-based care is a major social change that will liberate vulnerable people and promote social inclusion.

14. THANK YOU! John.Halloran@esn-eu.org