SDS in Finland - experience from the first phase

SDS in Finland - experience from the first phase

• 1.
  Self-Directed support inFinland – Experience from first phase Aarne Rajalahti, property director Service Foundation for People with an Intellectual Disability
• 2.
  Getting started –”I Know What I Want” –project 2010 - 2013 Main drivers • Deinstitutionalization-process for people with intellectual disabilities going on • Growing pressure caused by public tendering; – All health and social services under public procurement, if not produced by public sector, mainly by price – Price competition leads to abnormally low prices – Institutional practices leave no room for innovation – Growth of Care business • Growing need for more individual services • Service vouchers introduced • Growing awarness of systems around Europe; especially progress in England
• 3.
  Getting started –”I Know What I Want” –project 2010 - 2013 • Joint project by Service Foundation for People with an Intellectual Disability and FAIDD • Starting from scratch; –What terms to use? –What is the Finnish context? –What learnings there are in other countries? –How does this all fit in law, policies and practices? • Expert group by various stakeholders • Bringing people together • Raising awarness
• 4.
  First experiments –successful progress • The first experiments were conducted in two municipal districts with 20 people with intellectual and/or physical disabilities, and 30-40 members of staff in the disability services • Much effort in creating common understanding about Self-Directed Support • Service user groups and individual support in planning • Families involved • Staff involved in all levels • Political leaders involved
• 5.
  Self-directed support (personalbudgeting) SystemFunding State Regions Fees Choice and control Person centered planning Evaluating of support needs Personal budget Support planning Decision-making Organizing support and services Evaluation Public sector Private sector NGO’s Flexible solutions Aarne Rajalahti 2016 Social services Health services
• 7.
  Some difficult parts •Many people don’t know what’s possible and what options are there • Some have very few people in their social circle, institutionalization has taken people apart from families and local communities • For those who need it, there has to be support available for people to plan, make decisions, organize support and ensure the coverage and quality of services -> the need for good social work is always there • ”Resource allocation” and the ”price tag” of services • Some juridical aspects need to be clarified before SDS is possible in social care legislation.
• 8.
  Some great points •It’s possible! • People get individual solutions and support • Empowerment of people with disabilities and their families during process –”It’s like my son is suddenly more self confident and therefore taller” –The families have gotten new strength to enhance their family members lives –Many have learned new things from services • Social workers / case managers realize the importance of the voice of a person and have moved towards real companionship and personalisation • Circle of positive change • Opportunities for good service providers!
• 9.
  Kiitos! Aarne Rajalahti Property Director ServiceFoundation for Persons with an Intellectual Disability [email protected] Tel: +358 207 713 516