Overview of institutional services for persons with disabilities (2014) Table 1: Typology of institutions TYPE OF SERVICE SIZE AGE TYPE OF LEVEL OF SUPPORT TYPICAL LENGTH OF AGE OF SERVICE Supported Living Service (Toetatud elamise teenus) for people with severe mental and intellectual disability 1-5 places living for 1 or 2 people in 1 Adult Mental health problem; Intellectual disability Variable support provided, depending on the residents’ needs Mainly National Mixed lengths of admission 5-10 years Living Service elamise teenus) for people with severe mental and intellectual disability 11-30 places Adult Mental health problem; Intellectual disability 24-hour support provided Mainly Mixed and private Mixed lengths of admission 5-10 years /
24-hour Special Care Service 11-30 places; 30-100 places Adult Mixed 24-hour support provided Mainly Mixed and private Mixed lengths of admission Over 50 years General Care home for elderly people and people with various disabilities 30-100 places Older people Mixed; older people Variable support provided, depending on the residents’ needs Mainly Mixed and private Mixed lengths of admission Over 50 years Special Care Hospital for older people and people with various disabilities 30-100 places Older people Mixed; older people Variable support provided, depending on the residents’ needs Mainly Mixed and private Up to 6 month (average 22 days in 2012) Over 50 years Psychiatric ward in general hospital 30-100 places Adult; Mental health problem 24-hour support provided National National Up to 6 months (average 17 days in 2012) Over 50 years
School (or classes) for students with special needs (Hariduslike laste kool) 6-10 places Sensory disability; Intellectual disability Daytime support provided, no night time staffing Mixed National Mixed lengths of admission Over 50 years Boarding school 6-10 places Sensory disability; Intellectual disability 24-hour support provided Mixed National Mixed lengths of admission Over 50 year Substitute home services for orphans and children without parental care 6-10 places Mixed 24-hour support provided Mainly National Mixed lengths of admission 5-10 years
and 10 care homes in those local governments; e-mail was sent to remaining local governments and care homes in 2013. 74 care homes and 193 local governments filled in the questionnaire. The state’s activities in supporting disabled people and persons receiving pension for incapacity for work (Riigi tegevus puuetega inimeste ja toetamisel) National Audit Office of Estonia (Riigikontroll); national agency Audit was finished in June 2010 2005-June 2010 Desk research (auditing administrative data and documents of Health Insurance Board, local governments and Tax and Customs Board), interviews (with state officials, local governments, disabled National Effectiveness of services for disabled people, including help to re-integrate into labour market
peoples’ associations), and e-mail questionnaire to medical specialists (30 doctors responded). Activities of the state in organising state welfare services for individuals with special psychological needs (Riigi tegevus psüühiliste erivajadustega isikute riikliku hoolekande korraldamisel) National Audit Office of Estonia (Riigikontroll); national agency 2008 2004; 2006 Desk research (analysis of administrative decisions about the rehabilitation plans in 2004 & 2006); site visits to 6 care institutions (control of rehabilitation plans of residents, other administrative documents that provide the standards for the quality of the service in the home); questionnaire to all service National Effectiveness of services for people with mental health problems, intellectual disability and elderly people.
only about 2006 or also previous years. the staff in special schools (14 schools). account and allow them to manage well in later life. Providing social and special care services for people with disabilities and special needs in Estonian local governments (Sotsiaal- ja osutamine puuetega ja erivajadustega inimestele Eesti omavalitsustes) The Estonian Patient Advocacy Association (Eesti Patsientide Esindusühing) Data was gathered in 2014 Report does not specify whether the was gathered about 2014 or also previous years. E-mail questionnaire sent to all 226 local governments in Estonia, 133 responded. National Three research questions: To what extent are social services available to people with disabilities in Estonian local To what extent are special care services available to people with special needs in Estonian local What are the main obstacles in
carried out by experts. Analysis of the needs and conditions for people with disabilities (Puuetega inimeste toimetuleku ja vajaduste uuring) Ministry of Social Affairs 2006 2006 Face-to-face interviews with questionnaire (967 respondents among people with all kinds of impairments – anathomical, physical and physiological disabilities) National Overall living and socio-economic conditions, access to education and labour market, provision of services to people with disabilities Access to vocational education for students with special educational needs (Hariduslike erivajadustega õpilaste Author: Inga Mutso 2012 2012 E-mail or on paper questionnaire (92 respondents among parents). Quantitative and qualitative data analysis methods were used. National Services for children with special needs and their access to vocational education. Overview of community-based services for persons with disabilities (2015)
Table 3: community-based services for persons with disabilities Type of service Please provide the name of the type of service in the national language and a translation into English Please indicate if the types of services presented below are given a different name in your country Yes/ No Please indicate if this type of service is available in your country Profile of the users age (children, adults or older persons) type of disability (physical disability, intellectual disability, disability, deaf or hard of hearing, blind) Explanatory information For each type of service, please provide a short description of: the type and level (i.e. 24 hour, daytime, weekends, etc.) of support the service provides; location of the service (i.e. city, town, rural areas); who is eligible for the service who is typically the provider and funder of services (i.e. national government, local government, municipality, NGO, private company, etc.)? Extent to which support is self-directed For each type of service, please provide information about the extent to which users control the support provided. Can individuals using the service: recruit and manage staff providing support; determine the activities for which support is needed; determine how the budget for services and supports is used; choose types of equipment and adaptations to meet their needs? If data are available, please specify number of services operating in the country and the number of users Please provide a full reference for this data, including information about the period covered by the data. Please indicate, if data is based
available, if there has been decrease increase in the last five years Puuetega inimeste sotsiaalteotused (disability allowance) Yes disabled children until the age of 16 and their parents; working age adults; retired persons. Disabled child allowance is paid monthly to a child with a moderate, severe or profound disability for compensation for the additional expenses caused by the disability and for the activities prescribed in the rehabilitation plan; Disability allowance for a person of working age is paid monthly to a disabled person of working age for compensation for the additional expenses caused by the disability; Disability allowance for a person of retirement age is paid monthly to a person of retirement age with a moderate, severe or profound disability for compensation for the Users can take the disability allowance as a direct payment to cover additional costs such as physical adjustment or assistive devices; Users can use it to pay self-financing part of the special care services; Direct payments allow users to employ supporters or commission services for themselves; Disability allowance is paid once a decision concerning the degree of severity of disability is issued by Social Insurance Board (Sotsiaakindlustusamet) and additional expenses In 2014 number of persons receiving the disability allowance was as follows: disabled child allowance 9,853; disability allowance for a person of working age 50,321 and disability allowance for a person of
additional expenses caused by the disability and, upon existence of a rehabilitation plan, for the activities prescribed therein. are defined in person’s rehabilitation plan. retirement age 59,188. Isikliku abistaja teenus (personal assistance service) Yes Service is available for all type of disabled people of any age. The law does not specify the type of user. Service is regulated by the Social Welfare Act (Sotsiaalhoolekande seadus) Daytime service to help people with disabilities or their families to cope with everyday situations. Local government provides Service and the availability of the service depends on specific local municipality. All persons with disabilities are eligible to receive the service. Typically the service provider is physical person who meets the requirements set in the regulation. The local government typically provides the funding, however, Social Welfare Act stipulates that a There are no clear regulations regarding the service and therefore decisions are made locally in each case separately. Social Welfare Act (Sotsiaalhoolekande seadus) stipulates that a person may be charged a fee for social services provided to the person or his or her family. A fee charged for a service depends on the extent and cost of the service and the financial situation of the person and family receiving the service. The authority that provides or pays for the service decides the charging of a fee from a person for social services. There is no data about the number of services or the number of people receiving the services as the local governments provide the service.
person may be charged a fee for social services. The law does not specify the scope, extent etc of the service. There are no minimum standards or guidelines for the provision of the service. The need for the service is identified in the personal rehabilitation plan. Tugiisiku teenus (support person service) Yes disabled people of any age; families that have a child with disability. Service is regulated by the Social Welfare Act (Sotsiaalhoolekande seadus) Daytime service to help people with disabilities or their families to adjust and cope with disability, including socialising activities and learning everyday routines. Local government provides Service and the availability of the service depends on specific local municipality. Persons with disabilities or families that have as child with disability. There are no clear regulations regarding the service and therefore decisions are made locally in each case separately. Social Welfare Act (Sotsiaalhoolekande seadus) stipulates that a person may be charged a fee for social services provided to the person or his or her family. A fee charged for a service depends on the extent and cost of the service and the financial situation of the person and family receiving the service. The authority that provides or There is no data about the number of services or the number of people receiving the services as the local governments provide the service.
Typically the service provider is physical person who meets the requirements set in the regulation. The local government typically provides the funding, however, Social Welfare Act stipulates that a person may be charged a fee for social services. The law does not specify the scope, extent etc of the service. There are no minimum standards or guidelines for the provision of the service. The need for the service is identified in the personal rehabilitation plan. pays for the service decides the charging of a fee from a person for social services. Residential: Kogukonnas elamise teenus (community living service) Yes An adult with severe, profound or permanent mental disorder Service is regulated by the Social Welfare Act subdivision (Sotsiaalhoolekande seadus) Service aims to create a mode of life similar to a family favourable for the satisfaction of the basic needs and for the Service is not as the type and extent of the service is specified in the rehabilitation plan prepared by the professionals through the examination of the needs of person. part of the As of 01.01.2015 total 143 persons received community living service. In
development of a person together with accommodation and catering; Daytime service every day; Service is provided in place suitable for the provision of the service based on the regulations in Social Welfare Act (Sotsiaalhoolekande seadus). The law does not specify the place, it specifies what must be achieved as follows: the service provider must “create a safe living environment and mode of life similar to a family and favourable for development;” (1146 ); Sole proprietors, legal persons, local governments and the state can provide Service. The most common is the provision of services by the NGOs based on the contract with local examination is rather minimal today. As of 2016 the Ministry of Social Affairs (Sotsiaalministeerium) aims to increase the component of the examination for rehabilitation plan. User of the service has, however, right to choose the service provider. previous years the numbers were as follows: 2014: 136 persons 2013: 116 persons 2012: 114 persons.
request of the persons who receive the service; Service is provided in separate premises to persons with intellectual disabilities and persons with other mental disorders Sole proprietors, legal persons, local governments and the state can provide Service. The most common is the provision of services by the NGOs on the contract with local governments or local governments themselves. In-home: Igapäeva toimetuleku teenus (everyday life support service) Yes An adult with severe, profound or permanent mental disorder Service is regulated by the Social Welfare Act subdivision 2 (Sotsiaalhoolekande seadus) Supporting psychosocial coping, the development of everyday life coping skills and working skills and counselling of the people close to and people living together with the person. Service is not as the type and extent of the service is specified in the rehabilitation plan prepared by the professionals through the examination of the needs of person. part of the examination is rather minimal today. As of 2016 the Ministry of As of 01.01.2015 total 2029 persons received everyday life support service either in their homes or outside (usually at
Daytime service at least 4 hours a month; Service is provided either at home of the person or any other place suitable for the provision of the service; Service is provided by local government who can contract the service to physical or legal person (could be NGO or private company). Social Affairs (Sotsiaalministeerium) aims to increase the component of the examination for rehabilitation plan. User of the service has, however, right to choose the service provider. day centres). In previous years the numbers were as follows: 2014: 1825 persons 2013: 1501 persons 2012: 1502 persons. Päevakeskus (Day care centre) Yes Adults with disabilities without specific limitations Daytime service in specific opening hours provided by the local governments; The scope of the service is not regulated by the law and thus depends on the decision of each local government; Typical day care centre provides support and counselling, some aspects of personal care, social and cultural activities; Local governments decide on the scope of the service and the involvement of disabled people in the regarding the service. There is no data available about the number of day care centres for disabled people.
service means a service supporting the ability of the caregiver to cope or work during the provision of which the care, development and safety of a child is guaranteed by a provider of childcare service. Service is provided to a legal representative of a child with a severe or profound disability until the child is 18 years of age. The service is funded from state budget funds allocated to the local municipality. were as follows: 2014: 857 2013: 697 2012: 653 2011: 587 Hooldamine perekonnas (Foster care for children) Yes Foster care is provided for all orphans and children left without parental care irrespective of whether they have or have not disability. Foster care service is regulated Social Welfare Act (Sotsiaalhoolekande seadus) § 251- 253. Foster care is traditionally 24 hours care where the child lives with the foster family It is available all over country In decision regarding the placement of the child into foster care, the wishes of the child must be taken into consideration. Social Welfare Act (Sotsiaalhoolekande seadus) § 251 states that if a child is subject to foster care the wishes of There is no data about children with disabilities put into foster care. There is data about the total number