Overview of institutional services for persons with disabilities (2014) Table 1: Typology of institutions TYPE OF SERVICE SIZE AGE GROUP TYPE OF LEVEL OF TYPICAL LENGTH OF AGE OF Crisis centres (Centre de criză) There are 4 centres recorded as functioning in the 1st trimester of 2014 Residential Between 0-8 beneficiaries per centre recorded in the 1st trimester of 2014 Adult Mixed (Mental disability, Psychic disability, Associated disabilities. The information on the of disabilities of is recorded in the 1st trimester of 2014.) 24 hour support provided Local Mixed and private Mixed lengths of admission. (Admission in residential centres can be for a or period of time) X ON determine
Centers for care and assistance (Centre de îngrijire şi asistenţă) There are 110 centres recorded as functioning in the 1st trimester of 2014 Residential Between beneficiaries per centre recorded in the 1st trimester of 2014 Adult (All types of The information on the types of disabilities of is recorded in the 1st trimester of 2014.) 24 hour support provided Local Mixed and private Mixed lengths of admission. X Centres for integration through occupational therapy (Centre de integrare prin terapie ocupaţională). There are 18 centres recorded as functioning in the 1st trimester of 2014. Residential Between beneficiari per centre es recorded in the 1st trimester of 2014 Adult (Except hearing and seeing and rare illnesses The information on the types of disabilities of is recorded in the 1st 24 hour support provided Local Mixed and private Mixed lengths of admission. X impairment
trimester of 2014.) Pilot centres for the recovery and rehabilitation of persons with disabilities (Centre pilot de recuperare şi reabilitare a persoanelor cu handicap). are 3 centres recorded as functioning in the 1st trimester of 2014 Residential Between beneficiaries per centre recorded in the 1st trimester of 2014 Adult Mixed (Physical, mental, psychic, associative The information on the types of disabilities of is recorded in the 1st trimester of 2014.) 24 hour support provided Local Mixed and private lengths of admission. X Training centres for independent living (Centre de pregătire pentru o viaţă There are 2 centres recorded as functioning in Between beneficiaries per centre recorded in the 1st trimester of 2014 Adult (young adults 18-34 years old) Mental health problem and intellectual disability (The information on the types of disabilities 24 hour support provided Local Mixed and private Mixed lengths of admission. X
the 1st trimester of 2014 Residential of is recorded in the 1st trimester of 2014.) Centres for recovery and rehabilitation (Centre de recuperare şi reabilitare are 53 centres recorded as functioning in the 1st trimester of 2014. Residential Between beneficiaries per centre recorded in the 1st trimester of 2014 Adults Mixed (Except hearing and seeing and rare illnesses. The information on the types of disabilities of is recorded in the 1st trimester of 2014.) 24 hour support provided Local Mixed and private Mixed lengths of admission. X Centres for the recovery and rehabilitation of persons with disabilities Between beneficiaries per centre recorded in the 1st Adults. There is also the situation of 12 Mixed (Except hearing and seeing and rare illnesses. 24 hour support provided Local Mixed and private lengths of admission. X 380
personal assistant, maternal assistant or caretaker are on leave or in are temporary lacking working capacity. There are 3 centres recorded as functioning in the 1st trimester of 2014. Residential disabilities of is recorded in the 1st trimester of 2014.) Minimum protected homes (Locuinţe minim protejate). There are 7 homes recorded as functioning in the 1st trimester of 2014. “Minimum” 6-10 places (Between beneficiaries per home recorded in the 1st trimester of 2014/ Maximum 10 places according to Standards) Adults Mixed (Except HIV/AIDS, hearing and seeing and rare illnesses The information on the types of disabilities of Variable support on the needs Mixed and private Mixed lengths of admission. X 14
(Locuinţe moderat protejate). There are homes recorded as functioning in the 1st trimester of 2014. “Moderate” refers to the level of support provided, namely “planned support: it has the purpose of maintaining and developing the skills for an independent life; it ensures planned assistance and when needed; it is done through (Between beneficiaries per home recorded in the 1st trimester of 2014/ Maximum 10 places, according to Standards) hearing and seeing and rare illnesses. The information on the types of disabilities of is recorded in the 1st trimester of 2014.) on the needs and private
occasional vists of the person responsible with the case and through telephone contacts;” Maximum protected homes (Locuinţe maxim protejate). There are 14 homes recorded as functioning in the 1st trimester of 2014. “Maximum” refers to the level of support provided, namely “permanent support: it has the purpose of providing assistance for 6-10 places (Between beneficiaries per home recorded in the 1st trimester of 2014/ Maximum 10, according to Standards) Adults Mixed (Except HIV/AIDS, hearing and seeing and rare illnesses. The information on the types of disabilities of is recorded in the 1st trimester of 2014.) 24-hour support provided Local Mixed and private lengths of admission. X
an independent life; the protected home ensures 24h assistance through the personnel who lives together with the beneficiaries or in close proximity;” Unspecified protected homes. There are 7 homes recorded as functioning in the 1st trimester of 2014. The term “unspecified” is used here to indicate that the administrative data set does not specify 6-10 places (Between beneficiaries recorded in the 1st trimester of 2014/ Maximum 10 according to Standards) Adults (Mental, psychic and associated disabilities. The information on the types of disabilities of is recorded in the 1st trimester of 2014.) X Local Mixed and private Mixed lengths of admission. X 12
the type of home. Centre for psychosocial and for the prevention of the of persons with disabilities (Centre de consiliere şi prevenirea marginalizării persoanelor cu handicap). There are 3 centres recorded as functioning in the 1st trimester of 2014. Between beneficiaries per centre recorded in the 1st trimester of 2014 Adults Mixed (Except HIV/AIDS, hearing and seeing and rare illnesses. The information on the types of disabilities of is recorded in the 1st trimester of 2014.) Daytime support no night time staffing Local Mixed and private No admission because it is a centre. X 31 al
Centres with occupational profile, day centre types (Centre cu profil ocupaţional, tip centre dezi). There are 2 centres recorded as functioning in the 1st trimester of 2014. Between beneficiaries per centre recorded in the 1st trimester of 2014 Adults (mainly young adults 20-44 years old the 1st of 2014) Intellectual disability (However, 2 have physical and associative disabilities The information on the types of disabilities of is recorded in the 1st trimester of 2014.) Daytime support no night time staffing Local Mixed and private No admission because it is a centre. X Centres for ambulatory services for neuromotor recovery (Centre de servicii recuperare neuromotor Between beneficiaries per centre recorded in the 1st trimester of 2014 Children and adults Mixed (Except seeing and hearing The information on the types of Daytime support no night time staffing Local Mixed and private No admission because it is a centre. X residential residential
asistenţă la domiciliu). There is 1 mobile team recorded as functioning in the 1st trimester of 2014. trimester of 2014 on the needs centre. Services provided at home. are 2 services recorded as functioning in the 1st trimester of 2014. 11-30 places Between beneficiaries per service recorded in the 1st trimester of 2014 Adults Mixed. The types of disabilities are recorded in the 1st trimester of 2014. Variable support on the needs Local Mixed and private No admission because it is a centre. X Classic placement centres (Centre de plasament clasice) 30-100 capacity of 65 persons. Average number of 53 beneficiaries recorded at Children (and up 26 years of age, at the request of the Mixed. 24 hour support provided Local county Mixed budget and county budget) Mixed lengths of admission. The law provides a maximum admission of 26 years. Also, the 10-50 years (since 1997) residential residential al 22
March 2014.) person and by being enrolled in a form of study) ANPDCA stated that children are admitted “Until reaching the objectives in the Individual protection plan in the natural family or adoption)” Classic placement centres (Centre de plasament clasice) 11-30 places (Average capacity of 14 persons. Average number of 14 beneficiaries recorded at 31 March 2014.) Children (and up until 26 years of age, at the request of the person and by being Mixed. 24 hour support provided Private and private Mixed lengths of admission. The law provides a maximum admission of 26 years. Also, the ANPDCA stated that children are admitted 10-50 years (since 1997)
enrolled in a form of study) “Until reaching the objectives in the Individual protection plan in the natural family or adoption)” Modulated placement centres (Centre de plasament modulate). A modulated placement centre hosts more than beneficiaries and is organized in modules. Each module usually consists in a bedroom, a bathroom and a living room. 30-100 places (Average capacity of 40 persons. Average number of 39 beneficiaries recorded at 31 March 2014.) Children (and up until 26 years of age, at the request of the person and by being enrolled in a form of study) Mixed. 24 hour support provided Local county Mixed budget and county budget) Mixed lengths of admission. The law provides a maximum admission of 26 years. Also, the ANPDCA stated that children are admitted “Until reaching the objectives in the 10-50 years (since 1997)
natural family or adoption)” Apartments The apartments are “residential in individual apartments, in blocks of flats, with no more than residents, according to the surface of the apartments. The apartments are divided as follows: bedrooms, living rooms and bathrooms. The small family homes focus on developing 6-10 places (Average capacity of 9 persons. Average number of 7 beneficiaries recorded at 31 March 2014.) Children (and up until 26 years of age, at the request of the person and by being enrolled in a form of study) Mixed. 24 hour support provided Local county Mixed budget and county budget) lengths of admission. The law provides a maximum admission of 26 years. Also, the ANPDCA stated that children are admitted “Until reaching the objectives in the Individual protection plan in the natural family or adoption)” 10-50 years (since 1997) 8
asistenţă maternală) age, at the request of the person and by being enrolled in a form of study) county budget) protection plan in the natural family or adoption)” Family-type services – maternal assistance (Servicii de tip familial – asistenţă maternală) 1-5 places (1 child per maternal assistant) Children (and up until 26 years of age, at the request of the person and by being enrolled in a form of study) Mixed. (24 hour support Private Mixed and private reaching the objectives in the Individual protection plan in the natural family or adoption)” 10-50 years (since 1998)
Day centres for children with disabilities (Centre de zi pentru copilul cu dizabilităţi) 30-100 places (Average capacity of 38 persons. Average number of 36 beneficiaries recorded at 31 March 2014.) Children Mixed Daytime support no night time staffing. (8 h per day) Local county budget, county budget and local budget) “According to the plan” 10-50 years (since 1997) Day centres for children with disabilities (Centre de zi pentru copilul cu dizabilităţi) Medium capacity of 27 persons. Medium number of 26 beneficiaries recorded at 31 March 2014. Children Mixed Daytime support no night time staffing. (8 h per day) Private Mixed and private “According to the plan” 10-50 years (since 1997) Recuperation centres (Centre de recuperare) Medium capacity of 37 persons. Medium number of 41 beneficiaries recorded at 31 March 2014. Children Mixed Daytime support no night time staffing. h per day. Local county budget, county budget and local budget) “According to the plan” 10-50 (since 1997)
Recuperation centres (Centre de recuperare) Medium capacity of 47 persons. Medium number of 48 beneficiaries recorded at 31 March 2014. Children Mixed Daytime support no night time staffing. 8 h per day. Private and private “According to the plan” 10-50 years (since 1997) Boarding units for special education units 104-120 beds, according to information provided on existing boarding schools in two counties Children (and up until 20 or 21 years o age to provided on existing boarding schools in two Mixed, according to information provided on existing boarding schools in two counties (24 hour support Local County Eu funding and county, to on existing schools in two During school years, according to provided on existing boarding schools in two counties Over 50 years (in Iaşi 10-50 years (in Iaşi and Vaslui to on
Table 2: data sources TITLE/ REFERENCE DATA YEAR OF DATA COLLECTION PERIOD COVERED BY THE DATA FOR DATA COLLECTION SCOPE OF DATA COLLECTION SERVICE SCOPE OF DATA Please include: title of the survey, data set, study, report, administrative document etc, including full reference with URL if available Name of institution that collected the data. Type of organisation e.g. government ministry, local authority, national statistical office academia, NGO Year when data was collected Time period covered by the data/ report Desk research, questionnaire, visits to institutions, design, sampling, administrative data Local authority area, region, federal state, national Services for people with mental health problems, services for people with intellectual disabilities, services for people, services for children, large residential homes etc ‘The number of persons with disabilities’ (Numărul persoanelor cu dizabilităţi), trimester, 2014 MMFPSPV (ministry) 2014 January-March Administrative data National Services for adult persons with disabilities. ‘Statistic data, 31 March 2014’ (Date statistice, 31 Martie 2014) DPDD institution) 2014 January-March Administrative data National Services for people with disabilities. /
‘Reply no. 2897/ANPDCA/05.08.2014’ (Răspuns nr. 2897/ANPDCA/05.08.2014) National Authority for Protection and Adoption (NACPA) (Autoritatea Naţională pentru Protecţia drepturilor Copilului şi Adopţie, ANPDCA) institution) 2014 ? – 31 March 2014. The ANPDCA does not mention the initial date of the period covered by the data. Administrative data National Public and private services for children with disabilities. ‘Reply no. 266/01.08.2014’ (Răspuns nr. 266/01.08.2014) MMFPSPV (ministry) 2014 ?- August 2014. The MMFPSV provides general information regarding the institutions for adults with disabilities and there are is specific time frame for this information. Administrative data National Services for people with disabilities. ‘Reply no. 17/30.08.2014’ (Răspuns nr. 17/30.08.2014) ISJ Iaşi (local authority) 2014 ? – August 2014. The ISJ Iaşi does not Administrative data authority area Boarding schools for
şi Protecţia Copilului, DGASPC). ‘The Audit of Social Services in Romania: Consolidated report’ Hopes and Homes for Children Romania (HHC Romania) 2012 2011 Questionnaires sent to 45 local DGAPSC and 159 institutions for children with disabilities. Visits to institutions. Interviews with DGASPC staff, the staff of the institutions for children and with children who were institutionalised. National Services for children ‘The Audit of Social Services in Romania: Executive report’ Hopes and Homes for Children Romania (HHC Romania) 2012 2011 Questionnaires sent to 45 local DGAPSC and 159 institutions for children with disabilities. Visits to institutions. Interviews with DGASPC staff, the staff of the institutions for children and with children National Services for children
who were institutionalised. 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, psycho-social disability, deaf or hard of hearing, blind) Explanatory information For each type of service, please provide a short description of: the type and (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 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 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
providing support; 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? period covered by the data. Please indicate, if data is available, if has been decrease increase in the last five years Direct payments / personal budgets/individual budget (cash payment enabling service users to employ personal assistants or freely choose using various service providers) YES (direct payments), in all 41 counties plus Bucharest. All people with disabilities. All types of impairment. Amount of budget allowance varies according to degree of disability (moderate, substantial, severe) from RON 166/€37.70 per month to RON 202/€45.90 per month. Budget allowances are provided by the Ministry of Labour, Family, Social People with disabilities can use the individual budget as they wish. In Romania there are only direct payments (disability allowance), and not personal budgets or individual budgets.
reference Government Decision no. 989/2014. registered as severe and accentuated as of September, 2014: 640,548 Personal assistance (typically purchased through earmarked cash allocations, the purpose of which is to pay for any assistance needed) Asistentul personal sau însoțitor YES, in all 41 counties plus Bucharest. Only persons with severe disabilities. Art. 42 of Law 448/2006 mentions the cases in which a personal assistant or a care giver (companion) is ensured and the conditions. The person with disabilities who qualifies for this service can opt between the two measures. The functions of the personal The level of benefit for a care-giver is RON 665 (approximately €151). The level of benefit for personal assistance is RON 724 (€164). Service is available across the country. People with disabilities may use personal assistance as they wish, in the that those entitled to personal assistant may opt for personal assistant or the cash allowing them to pay a care giver and to appoint (and most frequently this is the case) a member of the family in this position, which is Information not available at national level.
Residential (usually small scale residential services in the community – such as group homes, protected homes, family type arrangements, etc.) Locuințe protejate YES, in all 41 counties plus Bucharest. All people with disabilities. All types of impairment. Institutional residence is available across the country. Services in the community are available only in some counties such as Alba, Dambovita, Arad, Bihor, Brasov, Cluj, Constanta, Dolj, Giurgiu, etc. People with disabilities may benefit from social services based on their individual needs and personal assessments – this is what normally what the instrument of personal individualized plan is meant for. However, this is treated rather formally and it cannot be considered as a genuine instrument of involvement of people with disabilities in related The number of institutions decreased from 250 in 2012 to 229 at the end of 2013. From 2008 to 2012 the number of institutions increased progressively from 209 in 2008 to 250 in 2012, while the number of community services increased from 55 in 2008 to 109 in 2013, according to data compiled based on the responses communicated to IPP by all the 41 General Directorates of Social
to their living choices. Assistance and Childcare. In-home (home help, home care service) (home help consists of assistance with household tasks, such as shopping, cleaning, cooking, etc. Home-care services include assistance with daily routine tasks such as getting up, dressing, bathing and washing or taking medicines) Servicii la domiciliu YES, in all 41 counties plus Bucharest. All people with disabilities. All types of impairment. Service is available across the country. is no cost standard for home-based care. Usually care is provided by local authorities through public social assistance services. We could not identify a centralization regarding services. Day care centres (service provided during set periods of the day; includes support, and some aspects of personal care, as well as social and cultural activities) YES, in all 41 counties plus Bucharest. All people with disabilities. All types of impairment. Service is available across the country. Service is available to all persons with disabilities, including carers and children with disabilities, based on assessed needs. Day care centres are provided by General Directorates for Social Assistance and Child Protection (Direcțiile 21 day care centres for adults with disabilities (especially with intellectual disabilities) operated in Romania at the end of 2013,
Centre de zi Generale de Asistență Socială si Protecția Copilului, DGASPCs) at county level, or by local councils at local level. for 960 beneficiaries (coordinated by the DGASPCs). Family support / Respite care (provides supports to carers in their caring role and allows them to have a break, may be formal or informal, and may be provided in the home or out of the home) Centre respiro YES, in all 41 counties plus Bucharest. Carers of all people with disabilities. Carers of persons with all types of impairment. Amount of standard cost for respite care is RON 1,416 (€321)/month/beneficiary. Service is available across the country. Usually care is provided by local authorities through public social assistance services. At the end of 2013, 3 functional respite care centres, for 21 beneficiaries, were available in Romania (coordinated by the DGASPCs). Foster care (where children are placed in the domestic YES, in all 41 counties plus Bucharest. All children with disabilities. Service is available across the country. Foster care is provided by the DGASPCs. Not available
environment of a family that is not their own) Plasament familial All types of impairment. Informal support (help provided by another person to the user - family members, relatives and friends - without any official forms of support) Sprijin informal YES, in all 41 counties plus Bucharest. All children with disabilities. All types of impairment. is no support from local/national budgets for informal carers for people with disabilities. This is provided informally by NGOs. - No statistics available Peer support/counselling (provided by with the counsellor and the client having equal status, and sharing experience and assistance in gaining independence and self-confidence) Not available in Romania.
Circles of support (informal group of people close to the user to whom she/he can turn for support) Not available in Romania Crisis intervention and emergency services (various activities aimed at supporting an individual or a family to overcome a difficult situation, for example,: individual and family counselling, crisis resolution teams (usually rapid support for people living in the community who are experiencing a mental health crisis) and emergency foster care where children at risk of neglect or abuse) YES, in all 41 counties plus Bucharest. For different categories of people (victims of domestic violence, abused children, homeless persons, young people with psycho – social disabilities. All types of impairment. Service is available across the country. Service is available to all persons with disabilities, including carers and children with disabilities, based on assessed needs. Services provided by the DGASPCs. At the end of 2013, 29 emergency services were available for 1,280 beneficiaries.