Child and youth welfare facilities
Worsening through
standard cost model
feared
It must be noted in this context that minors with special individual needs
require several hours of individual care every day, as they can usually only
take part in school class for a short period and have to be collected early. Unlike
the children and adolescents cared for in socio-pedagogical residential groups
to date, they also need individual care in the afternoon. They have to be taken
out of the group frequently because they cannot be integrated in groups with
eight other children for a longer period of time. Such individual care is not
manageable with the additional staffing of 0.25 FTE per child with special
individual needs stipulated in the draft regulation, as even at maximum
capacity with four minors requiring special care there is only one additional
FTE. In the socio-therapeutic groups where these children have been cared for
to date, there was a far higher staffing ratio with a maximum permissible
group size of eight children as opposed to the planned nine children.
Besides, the higher daily allowance could be settled for every child with no
time limit, making it possible to provide an additional high-quality, needsbased programme. Now the “individual care” model can only be settled
for a maximum of four children so that even at full capacity less funds are
available for the groups. The additional package also has a time limit. This
too was not the case to date, as the higher daily allowance covered the total
care time. It is also unrealistic that all shared accommodations will accept
minors with special needs, which can be attributable to the composition of
the groups due to the age range or different types of problems. The peculiarity
of group dynamics in large facilities limits the implementation of the concept
of social inclusive housing in the socio-pedagogical care centres of the Land.
Another problem is the necessity of a connection to a department of child
and adolescent psychiatry and psychotherapy, which is not the case in many
facilities. If, however, just a few or no minors with special individual needs
can be accepted per shared accommodation for this reason, it can be assumed
that the basic model intended for residential care will not suffice to guarantee
the customary quality of socio-pedagogical care provided to date. It is thus to
be feared that the, in principle, positive introduction of inclusive residential
groups will result in a deterioration of socio-pedagogical care if more staff is
not made available for implementing the changes or if the required funds
are calculated too sparingly. Savings are always at the expense of the already
disadvantaged children and adolescents who cannot grow up in their family.
The NPM thus recommended raising the care ratio in the regulation and
aligning the daily allowances with the increased demand.
Less therapies for the
partial residential areas
75
A worsening of the situation is also feared for minors who are in partial
residential care. They need more therapy in the form of logo, occupational
and physiotherapies because they have a lot of catching up to do due to what
was missed in their parental home. The therapies were paid for by child and
youth welfare services to date. In the future, the health care system will finance
these therapies. However, this cannot be implemented in practice, as there are
no local out-patient care structures in many areas in Lower Austria. The NPM
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