on the rapid closure of these institutions and creation of protective social system
that includes a network of services (integrated services and educational,
psychosocial and protection measures and support mechanisms) for children that
are in conflict with the law. Children should not be punished for events related to so
called status-related offences for which the adults are not criminally liable. The reaction
to these violations should be subject to a policy of in the area of caring for the child, not
of the sanctioning system.
Strategic goals of the Action Plan for implementation of the Concept of state
policy in the field of justice for the children (2013-2020) and in the Roadmap for
implementation of the Concept of state policy in the field of justice for the children
(2013-2014), are adequate, but it is a still a matter of concern the implementation of
activities for achievement of strategic objectives. The above documents do not impose
deadlines for the implementation of the reform in the field of the services.
VIII. SOCIAL AND MEDICAL SOCIAL INSTITUTIONS FOR CHILDREN
1. Social institutions for children
In 2014 the process of deinstitutionalisation of children with disabilities entered
the final phase, namely the removal of children from homes for children with mental
retardation and infant homes and their placement in centres for family-type
accommodation (CFTA). The NPM inspected 20 small CFTAs (groups of homes). Upon
inspection the team identified some deficiencies on the part of SACP and the Agency for
Social Assistance (SAA) in the placement of children in these centres. Thus, as a national
ombudsman, acting as a NPM, I have sent an official statement to the institutions
responsible for the process of deinstitutionalisation of children with disabilities.
My strong recommendation is not to mix children with persons with
disabilities in CFTA, as the needs of these two categories are different and this leads to
very great difficulties for staff in caring for them.
Users of the new social service need to be prepared adequately for their
relocation in CFTA. During the inspections performed in the home for children and
young people with mental retardation (HCAMR) – city of Kula, HCYMR - village of
Gomotartsi, HCAMR – city of Berkovitsa, orphanage – city of Pleven, the team of the NPM
found that estimates of the needs of children with disability performed before bringing
them out in order to determine where they will be accommodated are subject to
constant change. This leads to many problems, both in the work of the staff in the home
where the child is and for the teams of CFTA, where it will be transferred. As for children
with disabilities need longer preparation for their move, this leads to mental health
problems for the children. During the inspections in different HCAMR the team of the
NPM found that health care for children with severe disabilities do not meet the needs of
the children and thus directly endanger their health and their lives.
An example of this is the lack of qualified staff at night – there are no medical
professionals and the medications to children on severe medical therapy are given by
carers. It is important to note that training to work with children with disabilities of the
personnel in CFTA is insufficient, leading to inability to adequately respond in a crisis
situation or even to identify such. According to the director of CFTA – city of Cherven
Briag, there was a high turnover and replacement of more than half of the staff of the
social services. This problem also occurs in other CFTAs. There are cases of children
transferred back from CFTA to the homes from which they had been transferred. The
team of the NPM believes that it is necessary to have a clearly set criteria and approach
38
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents