Multidisclipinary cooperation in Finland Marjo Malja Martta October Riga, February 2018 Multidisclipinary cooperation in Finland 26.12.2018 Martta October

Esityksen nimi / Tekijä Lape reform programme The reform (2016-2018) is carried out to promote child and family-oriented services and to create an operating culture strengthening children’s rights and a knowledge-based approach. The goal is to strengthen the wellbeing and resources of children, young people and families. It aims to increase participation among children, young people and families in planning their own services. Support for parenting and low-threshold services are strengthened. Timely support increases the effectiveness of services. 26.12.2018 Esityksen nimi / Tekijä

Esityksen nimi / Tekijä Moving the focus to preventive services and early support and treatment Big change: Reforming Operational culture; Child and family oriented services Improving the quality of services 26.12.2018 Esityksen nimi / Tekijä

Esityksen nimi / Tekijä Family center Family center involves a new way of networking the currently fragmented services for children and families and coordinating them in a child and family-oriented way so that every child and family receives the support and help they may require. Family centre model coordinates health and social services of children and families provided by the (future) counties early childhood education services and other services provided by the municipalities as well as the activities of NGO´s and parishes. 26.12.2018 Esityksen nimi / Tekijä

Esityksen nimi / Tekijä 26.12.2018 Esityksen nimi / Tekijä

LASTA model In the LASTA model, a structured risk assessment form for the collection of information was created and tested. The form is used to support the police in choosing children with higher risk to be discussed in a structured multi- professional meetings. This forms a two-step process intended to create a well- structured routine to improve cooperation between different parties. The aim is to ensure that the best interest of the child would be approached from a variety of perspectives. 26.12.2018 Martta October

Criteria for lasta (1/1) In the pilot project: The police sent an immediate request for background information (with the child’s ID) of all children suspected of having been physically assaulted or sexually abused. The LASTA-coordinator then collected the information by directly accessing health records and by phoning the child´s social worker for information recorded in child protection and/or social welfare records. The police used the forms in deciding, which cases to be discussed in the multi-professional meeting. 26.12.2018 Martta October

Esityksen nimi / Tekijä Criteria for lasta (2/2) Over a third of the cases came to the meetings; thus, the form functions as a screening instrument. In the weekly meeting, a police officer, prosecutor, somatic specialist, forensic psychologist, specialist social worker, child psychiatrist, and crisis work specialist went through each case for 30 minutes each. They assessed the facts, risk factors and protective factors to create a common action plan on how the police, the social services and health services would proceed to ensure all elements of a good response to each case. 26.12.2018 Esityksen nimi / Tekijä

Estimation for need for care after interview Referral to Child Psychiatry unit Suspicion confirmed Yes No Treatment indication points > 11 Yes Yes No Need for specialist health care? Other need for treatment? Yes No No Assessment of need for services under the Child Welfare Act? Need for follow-up? Referral to Family Counselling

Esityksen nimi / Tekijä Thank you! Marjo Malja marjo.malja@stm.fi Ministerial Counsellor Ministry for Social Affairs and Health Martta October martta.october@thl.fi Development Manager, Lawyer Unit of Children, Adolescents and Families The National Insitute for Health and Welfare 26.12.2018 Esityksen nimi / Tekijä