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De-institutionalization & social inclusion

Explore the importance of de-institutionalization for fulfilling child rights, improving outcomes, and addressing social exclusion in the CEE/CIS regions. Learn about the progress, challenges, and next steps in reform efforts.

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De-institutionalization & social inclusion

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  1. De-institutionalization & social inclusion Lessons learned, remaining challenges and steps to accelerate the reform in CEE/CIS

  2. Why de-institutionalization? • Fulfillement of child rights • Achieveing more cost-efficient solutions with better outcomes for the child • As a means to address social exclusion • Because institutionalization in itself is excluding • Because institutionalization creates social exclusion in the long-run • To underpin current social inclusion efforts UNICEF Regional office CEE/CIS

  3. Economic growth – but not for welfare of children! GDP and formal care of children: Source: TransMonee. Analysis based on complete trend data from 16 countries. UNICEF Regional office CEE/CIS

  4. Vulnerability of families w. children Population below the povery line (%): Source: Social Monitor 2006. All persons and children living under the PPP $2.15 poverty line 2002-3, World Bank 2005 UNICEF Regional office CEE/CIS

  5. Rates of children in formal care UNICEF Regional office CEE/CIS

  6. Progress of the reform CEE/CIS • Policy & vision for the reform: decentralization, pluralism, deinstitutionalization, continuum of services; • Legislative changes: Rights of children, continuum to address risk rather than « groups » • Continuum of services: Family support, family substitute • Plurality of service providers: public & private • Gatekeeping: new statutory services, standards, licensing and inspections • Decentralization: Planning and management of services and welfare functions • Deinstitutionalization: closing down & transformation of residential institutions • Cash assistance: better targetting and linking to social service provision UNICEF Regional office CEE/CIS

  7. Next steps… • Development of a continuum of services • Placing child rights at the center • Targetting family • Progressive and planned de-institutionalization • Targetting children in residential care as primary beneficiaries • Parellell reforms of education and health systems • Inclusive education • Family friendly health system UNICEF Regional office CEE/CIS

  8. The continuum of services Family support services Closure & reintegration Statutory services Statutory services Family substitute / family support services Statutory services UNICEF Regional office CEE/CIS

  9. Importance of partnerships • Within Governments, between sectors • Between central and local levels of governance • Between governments and civil society • Between service providers and service users. • International organizations supporting reforms UNICEF Regional office CEE/CIS

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