Social- og Indenrigsudvalget 2019-20
SOU Alm.del Bilag 202
Offentligt
2165707_0001.png
Program 3.3.2020
14.45: Welcome / Deputy Mayor Sanna Vesikansa
15-15.30: Presentation of Family Centre operating model / project manager
Anna-Kaisa Tukiala, senior social worker Jaana Toivio, senior social worker
Bettina Von Kraemer
15.30-16: Presentation of social and crisis emergency / social and crisis
emergency manager Pia Mäkeläinen
16-16.30 Tour in the Family centre
Questions, comments, discussion during the presentations and the Tour
1
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0002.png
City of Helsinki
Sanna Vesikansa
Deputy Mayor for Social
Services and Health Care
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0003.png
College of Helsinki Mayors
Jan
Vapaavuori
Mayor
Pia
Pakarinen
Deputy Mayor
Education division
Anni
Sinnemäki
Deputy Mayor
Urban
environment
division
Nasima
Razmyar
Deputy Mayor
Culture and
leisure division
Sanna
Vesikansa
Deputy Mayor
Social services
and health care
division
3
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0004.png
Social Services and Health Care Division
4
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0005.png
Helsinki is a fast-growing city
Helsinki population
5
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0006.png
Helsinki has full responsibility for
health and social services…
For now
6
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0007.png
The integration of social
services and healthcare
7
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0008.png
This is our goal
Shifting the emphasis of services
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0009.png
Health and well-being centre
Health care and well-being services easily accessible for residents.
High-quality services that make a difference, in a productive and client-oriented way.
Supporting self-
treatment and coping
with everyday life
Increasing the client’s
resources
Extensive range of
services, evaluation of
the need together with
the client
Multidisciplinary
support
Well-being
and health from the clients’ perspective, whether the client needs help occasionally or extensively.
Recognising the need for help, close to the client.
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0010.png
Senior service centre
CITY SENIORS
–
LIFE AND DIGNITY
HOSPITAL
SERVICES
BROUGHT
TO THE HOME
HEALTH AND
WELL-BEING
CENTRE
COMPREHENSIVE
SERVICE CENTRE
Service need
assessment and
client counselling
Supporting
agency
Necessary
multidisciplinary
support
24/7
electronic
services and
remote
services
Multidisciplinary care
and rehabilitation
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0011.png
Family centre
Services for families with children under one roof
Services intended for all,
such as maternity and child health clinics
–
Early support,
such as home services
–
Special services,
such as therapy services
11
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0012.png
Youth Social Inclusion
12
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0013.png
Increased Demand For Mental Health
Services For the Youth
•
Survey of school children (grades 8 and 9) shows that experiences of
anxiety has increased from 13,7 % to 15,7 % from 2017 to 2019 in
Helsinki.
•
There is an increased demand of services.
•
We need stronger service chains and also easily available simple
services.
13
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0014.png
Thank you!
14
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0015.png
Family centre
operating model
Social Services and Health Care Sector
City of Helsinki
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0016.png
16
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0017.png
The family centre combines the services offered for children
and families, from universal services to special support
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Maternity and child health clinic services
Home services for families with children
Social guidance for families with children
Maternity and child health psychologist services
Preventative oral health services for children and young
people
Speech therapy for children
Physical and occupational therapy services
Upbringing and family guidance services
Service needs evaluation and support for families with
children
Social work and family work
Child welfare outpatient social work
Intensive child welfare family work
Services for the disabled
Therapeutic work for families with infants
Specialized health care
17
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0018.png
Helsinki
•
Around 643,272 inhabitants
•
6,566 births / in 2017
•
46,033 children between 0 and 6 years of age
•
Each Public Health nurse takes care of
•
40 pregnant women and
•
200-250 children
•
continuity
•
Maternity and child health clinics: 3 family centers,16 clinics, aprx. 215 public health nurses
18
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0019.png
Maternity and child health clinic work in Helsinki
•
Services are given to pregnant women, expecting families, children below the school age and
their families.
•
Visits to the clinic in accordance with the health check-up programme.
•
Doctor services are available at Neuvola.
•
Guidance in small groups for women with gestational diabetes.
•
There are many families with immigrant background and communication is ensured with the help
of interpreters.
•
Around 98–99 % of families utilise maternity and child health clinic services.
•
All maternity and child health clinic services and vaccinations that are part of the check-up
programme are free of charge to families and funded by taxes.
19
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0020.png
Family centre contact channels
Centralised maternity and child
health clinic guidance and
appointment booking service
•
Telephone service, call-back service
•
Chat + chatbot NeRo
Social welfare counselling for
families with children
•
Telephone service, call-back service
• The ‘Need help?’ button
•
Home services for families with
children
Emergency child welfare
services
•
Telephone service
•
Electronic forms for contact with social
services and child welfare notifications
20
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0021.png
The Family support website for families with children in Helsinki
complements the family centre services
www.hel.fi/familysupport
•
Trustful and evidence based information and guidance for families
with children
•
Electronic family coaching
•
The maternity and child health clinic chat and chatbot
•
Need help
–button
for families 24/7
21
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0022.png
Family centre operating model
A service package customised for the client is built
around the client
- Children and families with
occasional service needs
•
Investments are made in providing good access to maternity
and child health care services, and agile and timely early
support
•
Digital services with self-treatment and self-service options are
also offered
•
The maternity and child health clinic team
provides
multidisciplinary early support for children and families
- Children and families with
many service needs
•
An integrated service package is offered, where the
multidisciplinary service needs assessment is only conducted
once and the child’s and family’s matters are coordinated by an
appointed case worker
22
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0023.png
The service needs evaluation and support for families
with children
•
Conducts the service needs evaluation together with the child, family and
cooperation partners
•
Provides support and guidance for the family and helps them seek further services,
if necessary
•
Visits the school, pre-school or maternity and child health clinic, for example, to
support the child, family and those working with them, if necessary
•
The evaluation takes a maximum of 3 months
•
Allows families to have a comprehensive evaluation and support instead of
fragmented and overlapping evaluations
The working group includes:
•
A senior child welfare social worker
•
Child welfare social workers
•
A social worker and psychologist from the Family Counselling Office
•
A social care worker from the adult social work
•
A nurse from the psychiatric and substance abuse services
•
A client who needs several services receives a personal case worker and a
shared client plan
23
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0024.png
24
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0025.png
The Process of Taking Child into Care
Child wellfare
report
Emergency
Placement
Clienthood
Emergency
Placement
No clienthood
Clienthood
Taking child into care
Decision:
-The head
socialworker
OR
- Administrative court
Open care
services
The child returns
home (and/or
the clienthood
will be ended as
unnecessary)
The child
returns home
The child
becomes
independent at
the age of 18
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0026.png
The Client Process of Child Protection in the City of Helsinki
Assessment
Consultations
Open Care
-
Organised work aimed for the change
- Interaction/ meetings with the
Reseives child wellfare
client at office/ house calls
reports
- Client plan
- Finding the suitable services:
•
Intensive family work
Assessment of the need
•
Peer groups
for services
Assessment of the need
for child wellfare
•
•
•
•
•
•
•
•
During Placement (in
Care)
After Care (18 y->)
Offers housing and
support with the
skills needed to
become independent
Offers guidance,
information and
financial support
Support for schooling
and education
Organizes and offers
financial support for
hobbies
Peer goups
Masters the assets
collected during
placement
Networking with the
services
-
-
-
Guidance & information
for both citizen and
authoratives
Emergency placements
No services of child
protecttion during
assessment
-
-
Family rehabilitation
Support for the adolesent
becoming independent
Safe houses
Supportive housing for the mother
and a newborn
Services for the mental health and/
or substance abuse
Services in case of fysical abuse
(for both parties)
Supportive mentors and families
Family counseling, etc.
-
-
-
-
Meets the child and
parents/ guardians during
the in care placement
Individual client plans for the
-
child and the parents
Collaboration with other
services
Evaluating of the possibilities
-
for the child to return home
-
Support for the adolesent
becoming independent
Networking with the services
Finding the suitable services
-
in collaboration with the staff
-
of the foster care
-
Networking with the services
Placements
-
-
-
Open care placement
Emergency placement
Taking into care
The Foster Care Offers:
- Family work
- Family counseling
- Support for the
schooling
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0027.png
Different Placements in Child Protection Services
Open Care Placement
-
-
Emergency Placement
Taking Child into Care
Justfication:
1. The growth and/or development of
the child is/are endangered severely
2. The services in open care are:
- Insufficient and/or
- Impossible
3. The placement is in the best interest
of the child
Always in effect INDEFINITELY
still only untill the age of 18
Warrants the after care
The guardianship and obligations
for maintenance won’t change
Authorities collect and master assets
for the child that will be used to
support the independence process
-
-
Short term (from days to months) - IMMEDIATE SEVERE DANGER:
- The child is beeing endangered
Foster families and facilites
by his/her family
specialised in emergency
- The childs behaviour endangers
situations and assessment
him/herself or others
Decided in collaboration with
- Evaluation made by the social worker
the family
- Decision made by the head social worker
- Guardian
- Lasts max. 30 days and can be
- Child over 12 years old
NO MEASURES OF RESTRICTION: continued with a new decision for
-
an additional 30 days
- Holding the child
max. 60 days in total
- Tests for the intoxication
-
- After the emergency placement:
- Inspecting the belongings
-
- A new decision of open care placement
- Restricting the right to leave
- Taking the child into care
the premisess
-
- The child returns home
- Restricting the right for
Support with open care services
contacting close ones
- Measures of restriction are common
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0028.png
What practical changes will the family centre
operating model introduce?
•
Opening hours will be extended
•
Strong universal services will become easily accessible
•
Timely and agile early support will be available
•
The multidisciplinary service needs evaluation and support for families
with children will be available, when necessary
•
Special services as required
•
Tailored services that suit the client
•
Multidisciplinary support and team work
•
Digital, electronic and mobile tools
•
In addition, professionals visiting homes and daycare centres
28
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0029.png
29
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0030.png
The benefits of the family centre operating model
1. From the client’s perspective, access
to services will be improved
•
More diverse services provided under one roof
•
Complicated service networks will become simpler
•
Appointments available in the evenings, as well
•
Self-care, electronic and digital services, chat, smart referrals and medical history forms (Apotti +
ODA)
•
Client satisfaction is measured with feedback systems and surveys
2. Better effectiveness
with fewer appointments
•
More diverse services provided under one roof
•
A team work model and multidisciplinary operation
3. Productivity
will increase from the employee’s perspective
•
More agile consultation possibilities
•
A team work model and multidisciplinary operation
•
New work methods, communality, ground rules.
4. Employee satisfaction is monitored and evaluated with feedback, workshops and surveys
30
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0031.png
The progress of the family centres
•
Itäkatu
•
The first of the family centres, began operating in
June 2017
•
Vuosaari
•
Introducing the family centre and health and well-
being centre concepts in existing facilities
•
Began operating in June 2018
•
Kallio
•
Began operating in June 2019
•
Kamppi / City center of Helsinki
•
Autumn 2021
•
Western and northern Helsinki Family centres
•
2027
31
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0032.png
Family centres in Helsinki
https://www.youtube.com/watch?v=JIGPD8Iihgk&feature=youtu.be
32
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0033.png
Examples of services brought to the families’ and
children’s own environment
•
At the maternity and child health clinic:
•
Home visits
during pregnancy for mothers who require special support, conducted together with other
operators, such as the head instructor of the home services, a social care worker or a social worker from
Child Welfare Services.
•
Home visits to parents with their first child
•
In the child health clinic at daycare model,
a daycare centre and oral health care operators work together
to organise health checks for 3-year-olds at daycare
•
Other workers providing services for families with children:
•
The family workers of home services and the social care workers for families with children work at the client
families’ homes
• The needs evaluation for home services is conducted at the family’s home, often in cooperation with other
operators
•
During the service needs evaluation for families with children, the workers often meet with the families at
their homes, but can also visit the school, daycare or hospital, for example, when necessary
•
Family work is conducted at the home and other development environments of the child In urgent situations,
the intensive child welfare family work team will visit the family’s home in under 24
hours
33
 SOU, Alm.del - 2019-20 - Bilag 202: Meddelelse om materiale fra Social- og Indenrigsudvalgets studieturen til Finland den 1-3. marts 2020
2165707_0034.png
Thank you!