І. PROTECTION OF CHILDREN AND ADULTS IN
RESIDENTIAL SOCIAL CARE
Throughout 2020, one of the main focuses of attention of the Ombudsman
and the NPM was the rights of children and adults in residential care through the
principles of care deinstitutionalisation in the conditions of a pandemic crisis.
Unfortunately, a great part of the recommendations related to the systemic
problems of these vulnerable groups of persons have not been taken into account
by the responsible administrative authorities and instead of being resolved, the
problems are increasing and deepening.
The inspections carried out in 2020
found an alarming tendency for
accelerated transition of children from
homes for medical and social care at
the end of the year while the new social
care has not been built yet. Some
children are accommodated at familytype placement centres for children with
disabilities, others are reintegrated,
placed in foster care or adopted, while
children with grave disabilities are
accommodated at the four homes for
medical and social care for children still
working until the end of 2021.
In this regard, on 18.12.2020 the
Ombudsman acting as the NPM contacted
the Minister of Health and the Minister of
Labour and Social Policy with a
recommendation to suspend temporarily
the transition of children from homes for
medical and social care, especially of
those with grave disabilities, until the
construction of the new social care,
preparation of the teams and the children,
and overcoming the complex epidemic
situation.
Critical findings
Regardless of the fact that the last
stage of the
deinstitutionalisation process
of the care for children
related to the homes for
medical and social care is
underway, it is inadmissible
to move children with grave
disabilities to different
institutions within short
periods and in the conditions
of a pandemic.
Main recommendations
Observe the principles of
deinstitutionalisation when
transitioning children and adults
to alternative care, including
advance preparation following an
assessment of their individual
needs, while the admitting
institutions need to be ready and
familiar with their individual
needs.
An NPM team carried out surprise
inspections at the Homes for Medical and Social Care for Children in Pleven and
Stara Zagora.
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