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

UNICEF Regional office 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! Source: TransMonee. Analysis based on complete trend data from 16 countries. GDP and formal care of children:

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

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 Closure & reintegration Family support 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