1. Knowledge for welfare and health National Research and Development Centre for Welfare and Health 1 Integration of social and health care services Lessons from Finland Matti Heikkilä STAKES Finland

2. National Research and Development Centre for Welfare and Health Knowledge for welfare and health2 The classical division [] Social welfare (services) [] Health care services [] Social security benefits (KELA) [] Employment services

3. National Research and Development Centre for Welfare and Health Knowledge for welfare and health3 Hierarchies of action Local municipality: service providing Region: hospital services State functions: - social security benefits - employment offices

4. National Research and Development Centre for Welfare and Health Knowledge for welfare and health4 Sectorial (functional) division of tasks (local level) 1) Primary health care (public health) 2) Social welfare - elderly care - disabled - addicts - child protection - child care (kindergartens) - social assistance 3) Social security benefits 4) Employment office

5. National Research and Development Centre for Welfare and Health Knowledge for welfare and health5 Levels of integration Local political administration Administrative, i.e. joint management Functional: - one example is to organise services along the life course; - the other one is based on target (population) groups

6. National Research and Development Centre for Welfare and Health Knowledge for welfare and health6 Life course base: Model Mikkeli Child families services - child care - health promotion (children and mothers) - child guidance clinics - child protection (children in risk)

7. National Research and Development Centre for Welfare and Health Knowledge for welfare and health7 Working age services - general health care; - mental health services; - alcohol and drugs; - social assistance (benefit) - intermediate labour market (activation) - psycho-social services

8. National Research and Development Centre for Welfare and Health Knowledge for welfare and health8 Elderly care - Home care (= home help + home nursing) - Home care allowance - Supplementary services - Housing services - Residential care (institutions) - Supplementary health (hospital) services

9. National Research and Development Centre for Welfare and Health Knowledge for welfare and health9 Areas gaining greatest benefit Elderly care Children and families in need Addiction (substance abuse) and mental health (“double diagnosis”)