specific needs of children and elderly left behind as a ... - IOM Moldova

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CHAPTER II BOX 18 Model of providing specialized services. Temporary Placement Centre in the municipality (FG_EE_urban) “The centre has been working for about 2 years. We have 8 people in placement and 24 people attending the day-care centre. The beneficiaries of the daycare centre attend for a month, but those in placement stay from 1 month to 3 months and they can stay longer if they don’t have wood for heating in winter or something else. We collaborate with the mayoralty and if they accept, the beneficiary can stay for 3 months more. The centre has employed 3 social workers and one psychologist. We provide various services. The person comes in the morning, drinks his/her tea and afterwards is involved in activities with the psychologist, social worker and medical nurse. We invite the doctor only if someone needs to be examined. At 13.00 PM they have lunch but those in placement eat 4 times a day: in the morning, in the afternoon, at 14.00 PM and at 18.00. I am in charge within the centre to develop the memory, creative therapy, testing, individual consultation. The social worker deals with different handicrafts activities. The elderly also attend the centre that is located nearby “Socium”. There they have computers and sewing machines. We have beneficiaries who attend the centre with great pleasure as they are eager to learn something new although some of them are 70 years old. Approximately 50% of our beneficiaries are lonely and have children who are labour migrants They are longing to visit the centre because they have no one to socialize with, they watch TV and that’s all... they do not need the food as much as they need communication and understanding....” Specialized social services imply the involvement of multiple specialists to maintain, rehabilitate and develop individual capacities aimed at helping to solve these difficult situations. These include day-care specialized services and temporary placement centres providing medical and psychological assistance. Most often these centres combine specialized support with primary care activities. Temporary Placement Centres, as a rule, are set up by representatives of civil society with the support of international organizations: the centre “Reîntoarcere” (“Return”) has for 2 years offered support to homeless people. Many of them do not have documents to prove their identity (Identity Cards). We accept them, try to get new identity cards for them and later on we place them in a boarding home provided by the Republic of Moldova. They benefit from all facilities. They stay in the centre as long as it is necessary to make them a new ID. While obtaining the documents they get a residence at the centre for 6 months. If the centre “ Reîntoarcere” doesn’t have enough space we appeal to other centres for support. For example, we have a good collaboration with the centre from Rezina” (FG_EE_urban). The mobile team is a new type of community service recently developed: “in the municipalities, a mobile team was formed to identify lonely homeless people” (FG_EE_urban). 214
Policies and mechanisms existing on the protection of children and the elderly Central public authorities involved in providing social services for the elderly are the Ministry of Labour, Social Protection and Family and the Ministry of Health. At this level social services with high specialization are administered. The social services with high specialization are the most requested ones due to limited access to other social services. Residential care services (24/24 hours) are oriented towards the elderly that face extremely serious problems. Residential care services demand high costs not reflecting and satisfying entirely beneficiaries’ needs. They could benefit from social services in families or in their communities. There are 4 residential psycho-neurological institutions with high specialization subordinated to the Ministry of Labour, Social Protection and Family and the health resorts from Vadul lui Voda and Segheevka, Ukraine also provides services to the elderly. It is important to note that these types of services can be managed by central authorities or by local public administration authorities of the 2nd level (district). “The institutionalization process of the elderly takes place after assessing their needs. Still, the goal of the reform of the social assistance system is to avoid institutionalization, finding all solutions to render support to the elderly at their homes as well as in their community. If all resources were already used, the elderly has to pass the stages described by the mechanisms of referring beneficiaries within the social assistance system” (III_EE_7). Over the last years an increased demand for this type of services was observed as well as obstacles in accessing these: “it is very difficult to place an old person in a placement centre, only with the help of MLSPS from Chisinau. To get their permission you have to advance well-founded arguments and it is a great success if a person aged 100 is placed there” (FG_EE_urban). The essential feature of residential care services for the elderly lie in the fact that these services do not treat beneficiaries individually; in many cases the institution’s employees do not have experience and knowledge in working with the elderly; there is no system to re-assess the situation of the elderly for a potential integration in the family or community. Thus, these peculiarities of the residential system bring to a halt all connections of the family with the institutionalized elderly, leading to their social isolation and a chronic dependence upon the residential system. It is worth mentioning legal actions taken to improve local public authorities’ capacity for developing particular services. In this regard a relevant issue is the potential to develop services at the local level: “authorities do not posses enough knowledge to work out functioning regulations of specific services or institutions. They ask for the ministry’s support in finding a solution” (III_EE_8). Medical care services for the elderly left behind are supported by the social insurance fund and are included in the set of services covered by com- 215
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SPECIFIC NEEDS OF CHILDREN AND ELDE
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CONTENTS Foreword .................
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Foreword quence of migration and in
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List of boxes List of boxes Box 1 B
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Executive summary elderly adjust to
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Executive summary • To develop fo
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Executive summary For private servi
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Executive summary - To offer inform
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Executive Introduction summary grat
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Methodology Executive Introduction
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Chapter I The lack of care and affe
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The perception of labour migration
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The perception Children’s of labo
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The health of family members The in
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The integrity of migrant families t
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Page 169 and 170: The well-being of migrants’ house
Page 179 and 180: Values and life plans 1.7. Values a
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Page 183 and 184: Values and life plans abroad as I d
Page 185 and 186: Values and life plans Extremely mar
Page 187 and 188: Chapter II Some children whose pare
Page 189 and 190: Normative aspects tection the child
Page 191 and 192: Normative aspects The legislation o
Page 193 and 194: Normative aspects Amongst the other
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Page 197 and 198: Policies and mechanisms existing on
Page 213: Policies and mechanisms existing on
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Page 231 and 232: Some children protest against the a
Page 233 and 234: Conclusions and recommendations (in
Page 235 and 236: Conclusions and recommendations sum
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Page 239 and 240: Conclusions and recommendations - T
Page 241 and 242: Conclusions and recommendations - T
Page 243 and 244: Annexes Code Age Sex Residence envi
Page 245 and 246: Annexes Annex 4. Data on focus grou
Page 247 and 248: Annexes Annex 8. Certificate for th
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