Short break in Poland reality or future?

Peter Kuzniak

Imago foundationPresident of the board

• Our support system: how it works or not in Poland• Why short break is not called short break, but many

other things• The potential of institutions and professionals• Good practices - short break providers• Coalition for short break and personal assistant services• Plans for the near future

What do I want to tell you about?

The system

The system:funds – law - institutions

• State fund for rehabilitation of disabled persons• Health care fund• Social care fund• Education fund• Local government funds• European structural funds• Nongovernmental initiatives• Volunteering• Private money• Companies money

The system:services

• Rehab services (including rehab tours)• Medication• Grants for NGOs• Therapy• Special education• Day care institutions• Sheltered employment schemes• Occupational therapy• Architectural barriers• Transport• Assistive Equipment• Personal assistant services

The system: malfunction 6% RULE (min. 25 employees) = 380euro per month per full time job position

1,25 billion euro annualy

State Fund for Rehabilitation of Disabled Persons

NGOsEmployers:Sheltered labour market

Local govern. bodies

CATALOGUE of SERVICES:• Rehab services• Salaries reimbursement• Grants for NGOs• Sheltered employment• Occupational therapy• Architectural barriers• Assistive Equipment and devices• Short break• Supported employment –job coaching

The system:where’s the money?

880,612

2,846,832

2,967,110 3,054,421

18.1%18.6% 18.2%

19.4%

20.8%21.4% 21.8% 22.2%

23.0% 22.7%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

The system:where’s short break?

• Rehab tours - over 6 000 per year; over 200 000 clients annually• Day care institutions – over 740; over 26 000 clients• Sheltered employment companies (97; 4000 employees)• Occupational therapy workshops (over 700 hundred; 25 000 clients)• Hundreds of projects carried out by NGOs…• Families, relatives, friends…

The system:paradigm shift

• institution-based approach• dislocated funds and services• white spots• top-down management

• client-based approach• down-top management• accessibility• inclusion

Short break: opening doors

STANDARDS

PROFESSIONALS

INSTITUTIONS

MONEY

LEGISLATION

CARERS

CLIENTS

Short break: PAS opening doors for family relief

• Changing regulations 2012 -

2015: PA services might become

accessible in every county

• ESF 2014-2020: funds for short

break and PA services

accessible in every region

• Transnational activity –

transferring know - how

Good practices:Theater Grodzki association

PAS Center

1. A x 3

EMPLOYMENT

EDUCATION

SOCIAL LIFE

Good practices:Theater Grodzki association

2. DIVERSE CLIENTS

• Beginning 2013

• Clients (60 annually)

• 15 assistants

• 20h per client per month

Good practices:Theater Grodzki association

3. ORGANIZATION STANDARD- Human resources structure

- Training program and recruitement procedures of PA, supervisions

- Services providing standard (what, when and how to get it)

Good practices:Theater Grodzki association

4. FinancingEMPLOYERSPrivate companies

GRANTSUniversities

ESF 2014 – 2020 (+3)

CLIENTS

Volunteering

Good practices:Theater Grodzki association

SERVICES FOR OTHER TARGET GROUPS (50+)

5. Alternative ways – growth potential

TRAININGS FOR PA

SERVICES FOR EMPLOYERS – supported employment

SOCIAL INTEGRATION CENTER

Good practices:Association YES!

SHORT BREAK HOTEL SUNRISE• Clients: persons with

intellectual disabilities or

combined and their families

• Persons under 10– day care

(45)

• Persons over 18 – 24/7 (40)

• Beginning 2014

Good practices:Services

• Around 21 days per year,

24/7, including holidays

• Leisure time activities

indoor and outdoor

• Personal hygiene

• Nurse care – after care

• Workshops

• Independent leaving skills

development

Good practices:FINANCING MECHANISMS

• Townhall „citizens budget”

• Public State Fund for

Rehabilitation

• Volunteering

• Fundraising (e.g. Say YES!

Running event)

• Donations

• Private money (service costs

partially covered by clients)

Good practices:PERSONNEL

Vice Coordinator/Therapi

st

Full time personnel (4)

Coordinator

Psychologist

Physiotherapist

VolunteersAdditional personnel – part time, flexible working schemes (30)

Therapists, Instructors,

Nurses

Good practices:Imago foundation

Short Break Program

• Clients (50 annually): diverse

group of persons with

disabilities, including

combined and their families

• Beginning 2014

Good practices:Transfer and adapt

III 2013III 2015

IX 2014II 2015

II 2015XI 2015

XI 2015

Study visit

Study visits

ISBA Conference

SeminarConference

Good practices:Services

• Leisure time activities indoor

(at home) and outdoor

• Education support

• Transport support

• Self-care support

• 16-20h per month per client

• Service provided through the

network of assistants

Good practices:PERSONNEL

Persons with master’s

degree: e.g. pedagogy,

special pedagogy - 10

Good practices:FINANCING MECHANISMS

• Public State Fund for

Rehabilitation

• Volunteering

• Fundraising

• Private money (service costs

partially covered by clients)

• European Social Fund

• Projects outside core activity

FUTURE PLANSCOALITION

Established May 2016

Goals: to promote and develop SB

and PA programs

15 organizations operating on

national, regional and cross regional

level

FUTURE PLANSTNC PROJECTS

Granbohus

Sandnes Commune

Red Cross

Wolfenbuttel

City of

Reykyavik

Ability West

Shared Care

Scotland

FUTURE PLANSIncubation of SBP in Poland

Know – how

transfer

Development

of local SBP

Testing SBP

nr 1

Testing SBP

nr 2

Testing nr 10

SBP

EvaluationSustainability

WORKSHOPS – SEMINARS – EXPERT WORK – STUDY VISITS –

EMPOWERMENT – TRAININGS – PUBLICATION

FUTURE PLANSNorway – Poland - Iceland

• Study visit Poland:

November 2016

• Study visit Norway:

January 2017

• Study visit Iceland:

March 2017

• Final report:

April 2017

Peter Kuzniaktel. kom.: 691 270 754

e-mail: piotr.kuzniak@fundacjaimago.pl

Imago foundationHallera st. 123, Wrocław 53-201

www.foundationimago.pl