Overview of institutional services for persons with disabilities (2014) Table 1: Typology of institutions TYPE OF SERVICE SIZE AGE TYPE OF LEVEL OF TYPICAL PROVIDER TYPICAL FUNDER LENGTH OF AGE OF SERVICE Kojenecké centrum (Infant care center) 11-30 places (0-3 years) Impairment group not specified 24-hour support provided Local authority / municipality / county Regional/ Mixed lengths of admission Over 50 years Dětský domov (Children’s home) places (3–18 years) Impairment group not specified 24-hour support provided Local authority / municipality / county Regional/ Mixed lengths of admission Over 50 years Dětský domov se školou (Children’s home with school) places years) Impairment group not specified 24-hour support provided Local authority / municipality / county Regional/ Mixed lengths of admission Over 50 years Internát při mateřské, základní, střední škole places years) Sensory disability, Intellectual disability, 24-hour support provided Mixed Mixed government and private Mixed lengths of admission Over 50 years 100 100 100
samostaně zřízené pro děti, žáky a studenty se zdravotním postižením (Boarding house with nursery, basic, and secondary schools, set up for children and students with disabilities) Physical disability Internát při (Boarding house with places Sensory disability 24-hour support provided National National government Mixed lengths of admission Over 50 years ústav (Diagnostic institution) places Impairment group not specified 24-hour support provided National National government Up to 6 month 10-50 years 100
Výchovný ústav (Behavioral institute) places Impairment group not specified 24-hour support provided National National government Mixed lengths of admission 10-50 years nemocnice pro děti (Children’s psychiatric hospital) places (3-18 years) Mental health problem 24-hour support provided National National government Up to 6 Over 50 years nemocnice pro dospělé (Adult psychiatric hospital) Over places Older people Mental health problem 24-hour support provided National National government Up to 6 month Over 50 years Odborný léčebný ústav / ústav medical institute / center) Over places Older people Physical disability 24-hour support provided National National government Up to 6 month Over 50 years Léčebna dlouhodobě nemocných / places Adult, Older people Physical disability, Mixed 24-hour support provided Mixed National government Up to 6 month Over 50 years
2: data sources TITLE/ REFERENCE ORGANISATION COLLECTING DATA YEAR OF DATA COLLECTION PERIOD COVERED BY THE DATA METHODOLODY FOR DATA COLLECTION SCOPE OF DATA SERVICE SCOPE OF DATA COLLECTION Please include: title of the survey, data set, study, report, administrative document etc, including full reference with URL if available Name of organisation/ 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 area, region, federal state, national Services for people with mental health problems, services for people with intellectual disabilities, services for older people, services for children, large residential homes etc Registr zdravotnických zařízení (Health Facility Registry) Ústav zdravotnických informací a statistiky ČR / organizační složka státu (Institute of Health Information and Statistics of the Czech Republic / state organizational unit) 2014 Database is continually updated Date of data extraction: 22.07.2014 Administrative data National Bed facility, long-term stay for the ill and individuals with disabilities
Registr poskytovatelů sociálních služeb (Registry of Social Service Providers) Ministerstvo práce a sociálních věcí České republiky (Ministry of Labor and Social Affairs of the Czech Republic) 2014 Database is continually updated Administrative data National Social service facilities for individuals with disabilities Rejstřík školských právnických osob (Registry of Schools and School Facilities) Ministerstvo školství, mládeže a tělovýchovy České republiky (Ministry of Education, Youth and Sports of the Czech Republic) 2014 Updated 15.7.2014 Administrative data National Residential facility for children, pupils and students with special learning Rejstřík školských právnických osob (Registry of Education Providing Entities) Ministerstvo školství, mládeže a tělovýchovy České republiky (Ministry of Education, Youth and Sports of the Czech Republic) 2014 Updated 15.7.2014 Administrative data National Residential facility for children, pupils and students with special learning needs Adresář škol a školských zařízení (Directory of Schools and Education Facilities) Ministerstvo školství, mládeže a tělovýchovy České republiky (Ministry of Education, Youth and Sports of the Czech Republic) 2014 Updated 15.7.2014 Administrative data National Residential facility for children, pupils and students with special learning needs Výběrové šetření zdravotně postižených osob 2013 (Selective research of individuals with disabilities 2013) Český statistický úřad / ústřední orgán státní správy ČR (Czech Statistical Office / Central Administrational Authority of the Czech Republic) 2014 2007–2013 The actual collection of data took place in 2013, but the document Statistical data The document states the research was based on a randomly stratified sample (according to the categories of doctors and patients). The National Accommodation for individuals with disabilities
offers of periods between 2006 and 2012. It is unclear both in the wording of the document and the whether data was recorded for the whole period of 2007-2012 (2013) or only for the year 2013. data set was then reevaluated in order for results to reflect the total population, i.e. to be representative. Výsledky výběrového šetření zrdravotně postižených osob za rok 2007 (Results of research of individuals with Český statistický úřad / ústřední orgán státní správy ČR (Czech Statistical Office / Central Administrational Authority of the Czech Republic) 2008 2007 Statistical data The document states the research was based on a randomly stratified sample (according to the categories of doctors and patients). The National Accommodation for individuals with disabilities
disabilities in the year 2007) data set was then in order for results to reflect the total population, i.e. to be representative. Statistická ročenka z oblasti práce a sociálních věcí 2012 (Statistical annual report from the field of Labor and Social Affairs, 2012) Ministerstvo práce a sociálních věcí České republiky (Ministry of Labor and Social Affairs of the Czech Republic) 2013 2012 Statistical data National Founders, capacities and economic indicators in social services in the year 2012 Příspěvek na péči – analýza dostupných datových zdrojů (Welfare contribution – analysis of available data sources) Ministerstvo a sociálních věcí České republiky (Ministry of Labor and Social Affairs of the Czech Republic) 2012 2007–2010 Administrative data, analyses National Financing of services for individuals with disabilities Komplexní analýza zdrojů – analýza příjmů a výdajů veřejných rozpočtů včetně pojistných a nepojistných systémů sociální ochrany, analýza právních závazků veřejných rozpočtů, analýza Ministerstvo práce a sociálních věcí České republiky (Ministry of Labor and Social Affairs of the Czech Republic) 2013 2007-2012 Administrative data, analyses National Financing of services for individuals with disabilities
soukromých zdrojů (Complex resource analysis – analysis of income and expenditures of public budgets including insurance non-insurance systems of social protection, analysis of legal obligations of public budgets, analysis of private resources) Ústavní sociální služby v České republice. Přehled a charakteristika vybraných sociálních služeb (Institutional social services in the Czech Republic. Overview and characteristics of selected social services) Ministerstvo práce a sociálních věcí České republiky (Ministry of Labor and Social Affairs of the Czech Republic) 2013 2011–2013 Documents / analyses National Capacities, provision and financing of residence services in the field of social services / people with disabilities Ústavní sociální služby pro osoby se zdravotním postižením v jednotlivých krajích Ministerstvo práce a sociálních věcí České republiky (Ministry of Labor and Social Affairs of the Czech Republic) 2013 2011–2013 Analysis / research project Regional Capacities, provision and financing of residence services in the
ČR / mimo hl. m. Praha (Institutional social services for individuals with disabilities in individual regions of the Czech Republic / excluding the Capitol of Prague) field of social services / people with disabilities Analýza ústavní a ochranné výchovy vykonávané v pobytových sociálních službách z hlediska transformace sociálních služeb (Analysis of institutional and protectional education carried out in residential social services in terms of the transformation of social services) Ministerstvo a sociálních věcí České republiky (Ministry of Labor and Social Affairs of the Czech Republic) 2013 2011–2013 Analysis / research project National Capacities, provision and financing of residence services in the field of social services / people with disabilities Kritéria transformace, humanizace a deinstitucionalizace vybraných služeb Ministerstvo práce a sociálních věcí České republiky (Ministry of Labor and Social Affairs of the Czech Republic) National Processes in social services / people with disabilities
sociální péče (Criteria of the transformation, humanization and of selected social care services) Sociální služby a způsob financování – podklad k odborné diskusi (Social services and method of financing – base for professional discussion) Podpora procesů v sociálních službách” / Ministerstvo práce a sociálních věcí ČR (ESF Project “Support of processes in social services” / Ministry of Labor and Social Affairs of the Czech Republic) Not Not dated Administrative data, analyses National Financing of services for individuals with disabilities Transformace sociální péče o děti s nařízenou ústavní výchovou. Dobrá praxe v pobytových službách (Transformation of social care for children with mandatory institutional education. Best practices in residency services) Projekt ESF “Národní centrum podpory transformace sociálních služeb” / veřejná zakázka Ministerstva práce a sociálních věcí ČR (ESF Project “National center for the support of the transformation of social services” / public procurement of the Ministry of Labor and Social Affairs of the Czech Republic 2013 2011–2013 Analysis / research project National Capacities, provision and financing of residence services in the of social services / people with disabilities
2013 (Data analysis from report and social service providers’ request for grants for the years 2011 – 2013, Ministry of Labor and Social Affairs, July 2013) Privatizace v sociálních službách pro seniory (Privatization in social services for seniors) Ostravská univerzita v Ostravě / veřejná vysoká škola (Ostrava University / public university) 2013 2010 Qualitative research / technical book National and regional Seniors and people with disabilities in the private sector Autonomie v kontextu zdravotního postižení (Autonomy in the context of disabilities) Ostravská univerzita v Ostravě / veřejná vysoká škola (Ostrava University / public university) 2013 2011 Qualitative research / technical book National and regional People with disabilities Právní úprava náhradní rodinné péče v České republice (Legal regulations on surrogate family care in the Czech Republic) Středisko náhradní rodinné péče / nevládní nezisková organizace (Center for surrogate family care / organizations) 2014 1990-2013 Technical text
Speciální vzdělávání (Special education) Národní ústav pro vzdělávání / příspěvková organizace státu (National Institute for Education / State Public Benefit Organization) Not dated 2011–2014 Administrative data National Education of children, pupils and students with special learning needs in schools set up individually for these pupils (special schools) Občanský zákoník, zákon č. 89/2012 Sb. (Civil Code Act no. 89/2012 Coll.) Vláda České republiky / Government of the Czech Republic 2014 Continual legislative amendment Administrative data, legislation National Institutional education of children with disabilities Zákon o zdravotních službách, č. 372/2011 Sb. (Act on Health Services, no. 372/2011 Coll.) Vláda České republiky / Government of the Czech Republic 2014 Continual legislative amendment Administrative data, legislation National Provision and financing of residence services in the health care system / sick individuals and individuals with disabilities Úhradová vyhláška, č. 428/2013 Sb. (Payment Regulation, no. 428/2013 Coll.) Vláda České republiky / Government of the Czech Republic 2013 2013 Administrative data, legislation National Financing of residential services in the health care system / sick individuals and individuals with disabilities
Zákon o sociálních službách, č. 106/2008 Sb. (Act on Social Services no. 106/2008 Coll.) České republiky / Government of the Czech Republic 2014 Continual legislative amendment Administrative data, legislation National Provision and financing of residence services in the area of social services / individuals with disabilities Vyhláška k zákonu o sociálních službách, č. 505/2008 Sb. (Regulation to the Act on Social Services, no. 505/2008 Coll.) České republiky / Government of the Czech Republic 2014 Continual legislative amendment Administrative data, legislation National Provision and financing of residence services in the area of social services / individuals with disabilities Školský zákon, č. 561/2004 Sb. (Education Act no. 561/2004 Coll.) Vláda České republiky / Government of the Czech Republic 2014 Continual legislative amendment Administrative data, legislation National Provision and financing of residence services in the area of education / children with disabilities Vyhláška ke školskému zákonu, č. 505/2004 Sb.(Regulation to the Education Act, no. 505/2004 Coll.) Vláda České republiky / Government of the Czech Republic 2014 Continual legislative amendment Administrative data, legislation National Provision and financing of residence services in the area of education / children with disabilities
Zákon o sociálně právní ochraně dětí, č. 359/1999 Sb. (Act on the Social and Legal Protection of Children, no. 359/1999 Coll.) Vláda České republiky / Government of the Czech Republic 2014 Continual legislative amendment Administrative data, legislation National Services for children and young people with mandatory institutional education / children with disabilities o výkonu ústavní výchovy nebo ochranné výchovy ve školských zařízeních a o preventivně výchovné péči ve školských zařízeních č. 109/2002 Sb. (Act on the enforcement of institutional education in education facilities and on preventive educational care in school facilities no. 109/2002 Coll.) Vláda České republiky / Government of the Czech Republic 2014 Continual legislative amendment Administrative data, legislation National Provision and financing of residence services in the area of education / children with disabilities Vyhláška, kterou se upravují podrobnosti výkonu ústavní výchovy a ochranné výchovy Vláda České republiky / Government of the Czech Republic Current legislation up to 2014 Continual legislative amendment Administrative data, legislation National Institutional education of children with disabilities
WWW – English: a) O projektu (about the project) b) Dokumenty projektu (project documents) Interviews Krajský úřad Moravskoslezský kraj (Regional Office of the Moravskoslezský Region) July 2014 Up to June 2014 Interviews: Health Department (by telephone); Education, Youth and Sport Department (by telephone); Social Affairs Department (in person and by telephone) National, regional, Principles of financing residence services for citizens of various age groups with disabilities Interview Dům duševního zdraví v Ostravě / privátní zdravotnické zařízení (Home for Mental Health in Ostrava / private health care facilities) July 2014 Up to June 2014 Interview done in person and by telephone Private sphere Principles of provision and financing of residence services for clients with mental illness Interview Centrum podpory transformace – společnost pro deinstitucionalizaci sociálních a zdravotních služeb / nevládní nezisková organizace (Center for the Support July 2014 Up to June 2014 Interview done in person, by telephone and in writing National, regional, local, private sphere Process of of social and health services focused on individuals with disabilities
of Transformation – an organization for the deinstitutionalization of social and health care services / organization) Interview Výzkumné centrum integrace zdravotně postižených / nevládní nezisková organizace (Research Center for the Integration of the Disabled / organization) July 2014 Up to June 2014 Interview done by telephone National, regional, local, private sphere Financing of residence services for children, pupils and students with specific learning needs Interview Psychiatrická nemocnice Bohnice / příspěvková organizace Ministerstva zdravotnictví republiky [státní příspěvková organizace] (Bohnice Psychiatric Hospital / state organization of the Ministry of Health of the Czech Republic) July 2014 Up to June 2014 Interview done by telephone National Psychiatric care reform Interview Národní rada osob se zdravotním postižením České republiky / nevládní nezisková organizace (Czech July 2014 Up to June 2014 Interview done by telephone National Process of of social and health care services focused benefit
National Disability Council / non-profit organization) on individuals with disabilities Zpráva o stavu a hospodaření organizace v roce 2011 (Report on the state of finances and organization in the year 2011) Psychiatrická nemocnice Bohnice / příspěvková organizace Ministerstva zdravotnictví republiky (státní příspěvková organizace) (Bohnice Psychiatric Hospital / state organization of the Ministry of Health of the Czech Republic) Not dated 2011 Annual report of the organization Individuals with mental illness Výroční zpráva Slezská diakonie (Annual report of Slezská Diakonie) Slezská diakonie / nevládní nezisková organizace – církevní (Slezská Diakonie / non-profit organization) Not 2013 Annual report of the organization People with disabilities and seniors, people in need, danger or emergency Výroční zpráva 2013 (Annual report 2013) Charita Česká republika (Charita Czech Republic) Not dated 2013 Annual report of the organization People with disabilities and seniors, people in need, danger or emergency Zpráva o činnosti (Activity report) Diakonie Českobratrské církve evangelické (Evangelical Church of Czech Brethren) Not dated 2011-2012 Annual report of the organization People with disabilities and seniors, people in need, danger or emergency benefit
Zpráva o činnosti za rok 2011 (Activity report for the year 2011) Dětské centrum Plzeň (Children’s Center – Pilsen) 2012 2011 Annual report of the organization Children with disabilities Inspekční zpráva (Inspection report) Jedličkův ústav a Mateřská škola a Základní škola a Střední škola / příspěvková organizace hlavního města Prahy (Jedlička Institute, Nursery, Basic and Secondary School / public-benefit organization in Prague) 2008 2008 Inspection report of the Czech school inspection Children, pupils and students with physical disabilities Výroční zpráva 2012 (Annual report for the year 2012) Fokus Sdružení pro péči o duševně nemocné / nevládní nezisková organizace (Fokus Association for the care of the mentally ill / non-profit organization) 2013 2012 Annual report of the organization Individuals with mental illness Výroční zpráva Rok 2013 (Annual report for the year 2013) Palata Domov pro zrakově postižené / příspěvková organizace hlavního města Prahy (Palata Home for the Visually Disabled / public-benefit organization of the Capitol of Prague) Not dated 2013 Annual report of the organization People with visual 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 (i.e. 24 hour, daytime, weekends, etc.) of support the service provides; location of the service (i.e. city, town, 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 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 available, if there has been
supports is used; choose of equipment and adaptations to meet their needs? 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/ care All persons with disabilities; parents or guardians of people with disabilities under 18 yrs of age; not distinquished by form of but by impairment severity. The provision is not limited by age—the cannot only be requested for children younger than 1 yr of age. For people under Closest to the idea of a personal budget is the care benefit; not tested; the financial assistance is differentiated into 4 levels according to impairment severity. The care can be provided by a close person, assistant of social service (§ 83) or social services provider registerd in the register of social service providers (§85), or home The care benefit allows persons to purchase services, e.g. personal assistance. The services are provided according to individual plan of assistance Theoretically the person with disability can and manage For the budget for this providison please see above: questions no. 13, 25. The Statistical Yearbook an average montlz number of paid-out care benefits: under 18 yrs
18 years of age, guardians or parents apply for the care benefit. The provision of care benefit is linked to long-term residence in the Czech republic, citizenship and their family members. and other institution of social services The service/benefit is provided in all areas of the Czech republic the providers of care covered and paid for by the care benefit; The activities covered by the benefit can be defined by the user, should be stated in the individualised plan of social service and contract under which it is provided. The benefit is paid out monthly by regional authorities (Employment Office) of age: 26,8 18 and above years: 294.5 SUM: 321.3
Personal assistance (typically purchased through earmarked cash allocations, the purpose of which is to pay for any assistance needed) Yes Users of services are defined under the Social Services Act (Zákon o sociálních službách) as ‘People with reduced independence’; the service is offered without a time limit in the natural surroundings for activities needed by the service user.’ Typically used by adults and older persons with disabilities. The range of services are defined under the Social Services Act (Zákon o sociálních službách); in general it includes assistance with everyday personal care, hygiene, food, and the household, as well as assistance with education, pedagogical and social activities, providing contact with the social environment and assistance in defending one’s rights in personal matters. The service is provided in the time defined by the users (and limited by the level of personal The law does not specify self-directed nature of the service; personal assistance is provided on the basis of the contract between the user and the provider of the service and according to a plan for individual development drafted by the user with the assistance and in communication with the providers. The users determine and The number of providers in the whole of the Czech Republic as currently listed in the online Register of social service providers: 224 are regional differences in the numbers of providers of PA, below numbers from some regions to illustrate this): Prague: 27;
budget), the service is available without time limitation; location defined by the user; typically provided by organisations, sometimes using volunteers. plan the activities. The services is covered from the care benefit or personal funds. As noted above in section A., the current scales of care benefit in most cases do not cover the need of assistence of people with disabilities. South Bohemia: 18; South Moravia: 23; Karlovy Vary: 7; Plzen: 9; The number of of personal assistance in 2013: and youth under 18 Years of age: 1,617; Adult men: 2078
3,487 (see also above, q. no. A4/29 Residential (usually scale residential services in the community – such as group homes, protected homes, family type arrangements, etc.) Yes The profile of services and users differs for each of the residential services; from the definition of services in the Social Services Act (Zákon o sociálních službách) Shelters (Azylové domy), temporary residential services to people faced with losing their home; not specifically directed at people with disabilities; Half-way houses (Dům/domy na půl cesty), assist people leaving institutions Shelters Provide temporary assistance but cannot be relied on for long-term assistance. They provide food or help securing food, housing, assistance with defending one’s rights in personal matters. Half-way houses provide housing, contact with the social Shelters; houses typically have rules of conduct; a maximum length of stay for its clients; both services are paid for (typically from benefits of social welfare). The services can also be provided by the state budget distributed and governed by regional In 2013, there were 215 shelters in the CR assisting 6,661 people; and 34 half-way houses assisting 355 people in that year The number of providers of Supported independent living in the
requires assistance of another person’, as defined in the Social Services Act (Zákon o sociálních službách). Typically provided in smaller housing units, flats for people who are leaving institutionalised forms of care; it is supposed to train people with disabilities to live independently in the future; typically has a time limit (e.g. the service is provided to one person for 2 years.); service provided on the basis of an individual plan of provided in running a household and training in the abilities to do so; educational activities (including support in childcare); mediating contact with the social environment; social therapeutic activities; assistance in defending one’s rights in personal matters; the form and extent of the support is defined by the user; typically, the users have to qualify to be accepted into programs of supported independent living; i.e. there needs to Therapeutic communities All of services typically define the responsibilities of both the service users and providers in the contract which regulates their relationship and the provision of the service. Are paid either from the care benefit or other social welfare benefits, and supported by Sheltered homes: in the whole CR: 194 Prague: 16 Central Bohemia: 34 Karlovy Vary: 5 South Bohemia:11 South Moravia:17 Plzen:6 Vysocina: 11 Therapeutic communities
Typically provided as a collective housing even if in smaller groups than homes and larger institutions; however, neither the Social Services Act (Zákon o sociálních službách) nor Decree 505/2006 Coll., sets the maxiumu capacity for this service. Therapeutic communities (Terapeutické komunity) Community service (also for the short term) ‘for people dependent on addictive Therapeutic communities The assitance and support offered differ according to the needs of the users; defined for each establishment. are bound by the quality standards in social services.
substances or people with a chronic psychiatric disability who are willing to be reintegrated into ordinary life’. 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) Yes Care/nursing service (Pečovatelská služba; partially overlaps with PA; unlike PA, the care service is provided for care activities and is thus time-limited); The service is provided in the home or in institutions, and to people ‘with reduced independence due to age, chronic illness or disability and to families Care service The service is provided for specific activities or of care; activities include everyday care, personal hygiene, food, household, contact with the social environment. Care service Organised as self-direction of the user not defined other than in the Standards of Quality of social services. The numbers of Care service providers in the of the CR in 2013: 746 (cf. the number of providers of PA). The number of users of this service: and under
offered to adult people with disabilities, seniors within set times of day; the objective of the service is to support the user’s independence and enable them to live independently as long as possible. Day Centres stacionáře); Centres of Weekly Care(Týdenní stacionáře) Forms of services provided to both children and adults with disabilities, oftentimes people with combined disabilities; the target groups are Week Centres differs by the objective and temporal scope of the services provided. Day or Week Centres are intended for people who need regular assistance, whereas in Centres of Day Care serve as a follow-up service for clients who have left institutionalised care. Moravia:18 Vysocina: 6 The number of users of Centres of Day Care: (at 31.12. 2013): 821 Day centers: in the of the CR: 287 Prague: 33 Central Bohemia:
specified by each provider; also provided for people with addictions or psychiatric disabilities; some of the providers set age limits on the potential users. 43 Karlovy Vary: 5 South Bohemia:13 South Moravia:30 Plzen:13 Vysocina: 20 The number of users, (to 31.12. 2013): 2,692 Family support / Respite care (provides supports to carers in 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) Yes Respite care (Odlehčovací služby); field or residential services provided to people ‘with reduced Respite care Assistance provided in everyday personal care, hygiene, food, and housing (if Respite care services are paid according to the contract the users and providers; the payment for the services The number of users of Respite care: and youth: 772
independence due to disability or chronic illness including psychiatric illness situation requires the assistance of another person provided in their natural social environment’ as defined in the Social Services Act (Zákon o sociálních službách); also offered to people caring for seniors Early care (Raná péče) A service offered to parents and child(ren) with disabilities up to 7 applicable), mediating contact with the social environment; social therapeutic activities…; respite care also includes health care and defending a person’s rights in personal matters; the service can be offered for 24 hrs (it usually has to be ordered in advance) or during the day. Early care Typically, providers specify what groups of children with disabilities they provide with services; the service is provided is partially health care provided to people using respite care is covered by health insurance; the maximum amount is set for each item of care by Decree 505/2006 Coll. Early care Not a paid fully covered by the state budget 6,044 men: 3,183 Early care users for 2013 and youth: 3,491 Men: 17 :
yrs of age; the Social Services Act (Zákon o sociálních službách) also describes other support services focusing on services supporting families with children, people with disabilities and seniors in social inclusion (Sociálně aktivizační služby pro rodiny s dětmi, Sociálně aktivizační služby pro seniory a osoby se zdravotním postižením) with the objective of supporting the families and preventing the institutionalisation of children with disabilities; focuses on supporting the parents and other members of the family in being able to provide the care the child needs. Foster care children are placed in the domestic environment of a family that is not their own) Yes Temporary Foster Care (Pěstounská péče na přechodnout dobu) Temporary Foster Care A temporary social service for children whose parents The number of children in foster care (at 31.12.2013):
Defined by the Social and Legal Child Protection Act (Zákon o sociálně-právní ochraně dětí) Foster Care (Pěstounská péče) Some studies argue that there is a larger share of children with disabilities than in biological families. cannot/do not want to care for them; it is limited to one year, in which period the state system of foster care has to find a permanent solution; the placement of the child must be decided by a court at the suggestion of the Office of Child Social-Legal Protection (Orgán sociálně-právní ochrany dětí); the foster parents are trained professionals; professional foster parents are prepared to take care of a specific group of children; the foster parents are paid for the 16 174; out of which 427 are children with disabilities Ministry of Labour and Social Affaires, Yearbook of Statistics of Social Services (Statistická ročenka z oblasti práce a sociálních věcí, MPSV); the 2013 edition is the most recent one available to date; available at:
period in which they provide the service. Foster Care Also in this service, the foster parents are professionally trained; a child in foster care has an individual plan of care; the foster parent cooperates with other professionals, has to write regular reports on the child’s development; foster parenting is paid by the state. ; p. 93, table no.8.5. Interestingly, the Ministry of Labour and Social Affaires Yearbook records also numbers of abuse, sexual abuse, disintegrated by age, social background, perpetrators, yet not in relation to disability of the child. Informal support Yes – but not codified As this service is not codified, we were unabled to The Manual of Institutional Transformation
(help provided by another person to the user - family members, relatives and friends - without any official forms of support) and as a specific ‘social service’. find any more information about its users. In November 2014 the Ministry of Labour and Social Affaires launchd an analysis exploring the situation of informal carers as well as people relying on informal provision of care. First results were promised in 2015. emphasises the use of community resources – especially family, friends, public services and community-based services, however the informal forms of services are not defined and codified in the Social Services Act (Zákon o sociálních službách). Peer support/counselling (provided by non-professionals with the counsellor and the client having equal status, and sharing experience and assistance in gaining independence and Yes This service is not codified in the Social Services Act (Zákon o sociálních službách). A regional network of counselling and offices providing
(Zákon o sociálních službách); typically organised by and for specific groups; sometimes and supervised by professionals (psychotherapists, educators) 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 Yes The residential services offered in cases of abuse: Shelters, Centres of Intervention (Intervenční centra); Crisis Help (Krizová pomoc) Care in Need (Tísňová péče), Crisis Hotline Centres of Intervention: social-therapeutic services in moments of crisis to enable the person to bridge the crisis moment and enter the therapeutic process; support for self-advocacy and personal matters; providing housing and food Centres of Intervention – number of users in 2013: 0 Crisis statistical yearbook records 363