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Published byLily Brewer Modified over 11 years ago
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Transforming Institutions: Changing mandates, care standards and financial arrangements Ms. Vesna Bosnjak, Senior Expert, ISS International Social Services
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The Themes Present mandates/ Legacy of the past Could all institutions transform? How should the transformation be legitimized? Mandate and internal regulations of a transformed institution
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Present mandates/ Legacy of the past Mandates based on deficiency/ medical criteria and unchangeable Clients segregated by risk and/or age Quality assurance through standardisation of staff qualifications and environmental conditions Earmarked funds from stable budgetary sources stimulating institutional placements
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Could all institutions transform? Location, quality of infrastructure, staff competencies and profiles of children indicate potential/ reasons for transformation, upgrading or closure Location and quality of infrastructure determine capacity to attract qualified personnel, as well as potentials for shifting mandates towards community based care
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Could all institutions transform? Closure should not be a quick-fix solution, quick closure is often harmful to some or most of the children Are institutions less likely to transform if transferred to municipalities?
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How should the transformation be legitimized? Temporary mandates allowing for management and program changes (including partial de-regulation of previously defined mandates) Ad-hoc regulatory framework with inclusion of new stakeholders, planned targets and availability of funding for transition costs (retraining, development, and/or severance payments to staff)
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Mandate and internal regulations of a transformed Institution Mandates established as complexes of two or more services stipulated by law (or decided upon by relevant authorities) and needed in the local/regional environment Admission criteria, job descriptions, procedures and service outcomes adjusted to new mandate Multiplicity of financial sources and modalities of payments according to type of services provided
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