1 regione lombardia – d.g. famiglia e solidarietà sociale the legal framework on social services...

1Regione Lombardia – D.G. Famiglia e Solidarietà Sociale

The legal framework on Social Services at national and regional level :

Law 328/00 and the implementation of piani di zona in Lombardy Region

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Themes

• The legal framework and the themes of the political and cultural debate

• The legislation on Social Services

• The bodies involved and the roles in planning and the implementation of social actions

• The Piani di Zona in Lombardy Region:– What are they?– Which are their aims?– How are they ruled?

• The importance of Law 328/00 and the Piani di Zona

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The themes of the political and cultural debate:

• To provide institutional answers to social needs at a level which is closer to people

• To support social organizations in meeting social needs

• To increase efficacy and efficiency of answers through economy of scale and planning processes for joint management

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The pillars of the legal framework

• Constitutional Reform and Federalism:The actions connected with social services are coordinated by the Regions (main choices/planning) and Municipalities (Administration/Management)

National Law 328/00: It is the “Framework law on social services” it provides a new tool for the management and “construction” of services: the Piani di Zona

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The legal context

How to apply the How to apply the contents of Law contents of Law

328/00328/00 in Lombardy Region in Lombardy Region in the welfare systemin the welfare system

How to apply the How to apply the contents of Law contents of Law

328/00328/00 in Lombardy Region in Lombardy Region in the welfare systemin the welfare system

The The institutional/legal contextinstitutional/legal contextThe The institutional/legal contextinstitutional/legal context

Regione Lombardia – D.G. Famiglia e Solidarietà Sociale

The The Italian Governement:Italian Governement: Law 328/2000Law 328/2000

The The Italian Governement:Italian Governement: Law 328/2000Law 328/2000

Lombardy Region Lombardy Region before Law 328/00before Law 328/00

•Regional Law n. 1/86Regional Law n. 1/86

.Social Welfare Plan 1988-.Social Welfare Plan 1988-19901990

•Regional Law 31/97Regional Law 31/97


• Social-Health PlanSocial-Health Plan 2002-20042002-2004

Lombardy Region Lombardy Region before Law 328/00before Law 328/00

•Regional Law n. 1/86Regional Law n. 1/86

.Social Welfare Plan 1988-.Social Welfare Plan 1988-19901990



• Social-Health PlanSocial-Health Plan 2002-20042002-2004

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THE SOCIAL REFORMTHE SOCIAL REFORM

Law 328/00: Framework Law for the implementation of an Law 328/00: Framework Law for the implementation of an integrated system of actions and social services integrated system of actions and social services

It is the Law reforming the welfare system aiming at providing citizens and families with an integrated system of social services, a better quality of life and equal opportunities in order to prevent, abolish and reduce needs, difficulties and lack of autonomy conditions

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THE SUBJECTS DEFINED BY LAW THE SUBJECTS DEFINED BY LAW 1/41/4

• GOVERNMENT– it defines the principles and objectives of the social policy through the National Plan on actions and social services

–it identifies a minimum standard level for services provided

–it states the minimum structural and organizational standard level for setting up services

–it defines the professional profiles of people working in the social field

–it defines the repartition of the fund coming from Fondo Nazionale Politiche Sociali must be divided

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• Regions:– Identification of the territories where the law is applied– Planning, coordination of social actions– Monitoring of the implementation of social services and of the integration among the planned interventions, in particular between social and health actions– Definition of the criteria for the authorisation, accreditation and monitoring of structures– Distribution of Resources of the Fondo Nazionale Politiche Sociale (National Fund for Social Policies) to the local areas – Planning and funding the professional training of the personnel engaged

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• Provinces

– They participate in the planning of the integrated system of services according to the rules defined by Regions which defines the roles of Provinces on the following points:

•Collection of information on the needs and resources available (supply and demand)

•Study on relevant social phenomena

•Promotion on training/updating courses

•Participation in the definition of Piani di Zona

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• Municipalities– They are in charge of administrative functions on social actions at local level

–Planning and implementation of the system of social services at local level

–Supply of services, including economical services

–Authorisation, accreditation and monitoring of social services

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LOMBARDY LOMBARDY REGION…REGION… • Within the planning system it gives a role also to Aziende Sanitarie Locali for:

– Checking the indications provided by the Region

–Technical and Planning Support

–Promotion of the integration between social services and health services

•ASL: on behalf of the Region it is in charge of ASL: on behalf of the Region it is in charge of monitoring and funding according to L.328/00 monitoring and funding according to L.328/00

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Besides this….Besides this….

•Lombardy Region has aimed at involving the subjects working in the Third Sector

in the planning phase

Methods of Programmazione Negoziata

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How Lombardy Region has adopted How Lombardy Region has adopted Law 328/00Law 328/00

Lombardy Region had to keep in consideration a consolidated system of social services built before of Law328/2000 was in force. This has been the reason why it adopted the Law through “CIRCOLARI AND LINEE DI INDIRIZZO” That defined:•The territories•The model of governance of piani di zona•The role of Asl, of Provinces and of other subjects as volunteers, associations, cooperatives •The objectives, in particular to guarantee in each territory the necessary services and new ways of answering to needs, through social vouchers•The monitoring and checking system of implemented activities, the expenses carried out for social services and the use of money

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PIANI DI ZONA PIANI DI ZONA within Law 328/00within Law 328/00 (art. 19)(art. 19)

Piani di Zona are the tool to define, plan and implement social services, provided by subjects of the public sector, of the Third sector and of private subjects District is the area considered of the right dimension for an integrated planning and management of services, that is to say for a Piano di Zona Piani di Zona aim to:

–develop the actions for the home care of people in difficulties –rationalize and strengthen the existing services

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PIANI DI ZONA within Law 328/00PIANI DI ZONA within Law 328/00

•The planning of Piani di Zona must always be done in association

•The agreement of the program is the legal tool on which the plan is based

•The agreement must be undersigned by all the Municipalities of the District

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The area in which PIANI DI ZONAThe area in which PIANI DI ZONA are are carried outcarried out

What are districts?

Aggregation of several Municipalities: they are aggregation already identified for the organization of health services. The Region has decided that thegroups of Municipalities already organized for running together health services will be the same groups running together the Social Services according to the Piani di Zona.

The number of Municipalities changes depending on the population

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IMPLEMENTATION OF Piani di Zona

2003 : 1° year of the implementation of social planning at local level

1st implementation of Piani di Zona: 2003-2005

December 2005: Elaboration of PIANI DI ZONA the years 2006-2008

At the present the 1st year of the second round of Piani di Zona is being implemented


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“ “GOVERNANCE” of the PIANO DI ZONAGOVERNANCE” of the PIANO DI ZONA

Organisation at institutional level of the Piani di Organisation at institutional level of the Piani di Zona:Zona:

•Political Body: assembly composed by Mayor of the District

• Technical Body: l’ufficio di piano, tool for the coordination , preliminary investigation, management of the implementation of the piano

•tavoli tecnici ( analysis and technical planning )

•The subjects of the Third Sector that participate in the planning through the participation in the technical discussions


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Lombardy Region Territory


Lombardy: 9.246.796 inhabitants 1546 Lombardy: 9.246.796 inhabitants 1546 Municipalities Municipalities

More than 70 % of Lombardy Region More than 70 % of Lombardy Region Municipalities has a population that is less Municipalities has a population that is less than 5000 abitantithan 5000 abitanti

Milan: 1.256.211 Inhab. Milan: 1.256.211 Inhab. Pedesina Pedesina : 31 : 31 Inhab.Inhab.

From 2002 municipalities have From 2002 municipalities have associated in order to plan social associated in order to plan social services in 98 Piani di Zonaservices in 98 Piani di Zona

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WELFARE SYSTEM IN LOMBARDY REGION WELFARE SYSTEM IN LOMBARDY REGION and the and the carrying out of Law 328/00carrying out of Law 328/00

light

transferred subsidiary

possibility for the citizen to build up autonomously answer to

needs (planning ex. Family nursery )

(development of family association phenomenon ex. data base)

heavystructuredevoluted

Strengthen of orientation function for the citizen, in case of

particular complexity and need


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The structure of social services system in Lombardy Region

• “Unità di offerta”:– Home assistance – Daily cicle and half residential– Residential

• Diversification for need area (elderly, disabled, minors and family, poverty and marginalization, immigration, dependence)

• Diversification on the base of kind of difficulty and need of answer

• “Titoli sociali” (social voucher)

– Actions to strengthen of the capabilities of “taking care” of the family and support to the free choice concerning the access to personal services


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““TITOLI SOCIALI”TITOLI SOCIALI”““TITOLI SOCIALI”TITOLI SOCIALI”“Titoli sociali” are planned and used for actions of

help for home assistance of persons in difficulties, to be carried out supplying:

BUONO SOCIALE:BUONO SOCIALE: Tool for supporting direct or direct or indirect care by relatives indirect care by relatives or of informal assistance through solidarity networkssolidarity networks

VOUCHER SOCIALE:VOUCHER SOCIALE: Tool for purchasing social personal services by public and private accredited providers


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FUNDING OF SOCIAL AND ASSISTANCE SYSTEMFUNDING OF SOCIAL AND ASSISTANCE SYSTEM

The social and assistance system is financed by the Fondo Nazionale per le Politiche Sociali (National Fund for Social Policies), composed by the fundings for the different sectors, by regional autonomous resources and by municipality resources. It has the following characteristics:Target and functions:Target and functions:

-Minors-in difficulties: social and assistance services provided at home level, residential (community and centres of first aid for mothers and children) and within the criminal sector-minors-area of social and educational actions: social and educational activities carried out in day nursery, micro-nursery, “spazi gioco”, centres for young people aggregation, daily recreational centres-elderly: home assistance -disables: home assistance provided at home and insertion and working re-insertion activities -drug addicted and psychiatric patients: insertion and working re-insertion activities -immigrants and emigrated: social, cultural and working integration activities-nomads: actions for social and cultural integration -convicted adult and minors: training and working activities, support activities inside and outside the jail-homeless: first contact activity, hosting and social re-insertion

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FUNDINGSFondo Sociale RegionaleFondo Sociale Regionale (Regional Social Fund): composed by regional autonomous resources for social and assistance activities and by resources coming from the regional “leggi di settore”(l. r. 23/99).

Fondo Nazionale per le Politiche Sociali (National Fund for Fondo Nazionale per le Politiche Sociali (National Fund for Social Policies)Social Policies). Until the year 2000 it was composed only by fundings for the national “Leggi di settore”; since 2001 it has been integrated by a part of the fund for the development of social actions and services ( l. 328/00).

Autonomous Resources of Municipalities and co-participation (contributions?) of Citizens

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Social Expenses of Lombardy Region, Years 2000-2004 (Millions of Euro)

602,79

544,81

637,17 646,38

647,83

480,00

500,00

520,00

540,00

560,00

580,00

600,00

620,00

640,00

660,00

2000 2001 2002 2003 2004

Spesa sociale dei ComuniRegione Lombardia – D.G. Famiglia e Solidarietà Sociale

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FUNDS FOR EXPENSES IN THE SOCIAL SECTOR

other2%

Regional Social Fund 8%

National Social Fund3%

Users17%

municipality69%

other Local bodies.1%

26 – Canali di finanziamentoRegione Lombardia – D.G. Famiglia e Solidarietà Sociale

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How are services provided:How are services provided:• 1 Service provided by 1 Municipality1 Service provided by 1 Municipality

•More Municipalities associate themselves answering in More Municipalities associate themselves answering in a better way to needs and having economy of scalea better way to needs and having economy of scale

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MAIN ELEMENTS OF LAW 328/2000

• Role of institutions• Role of the Third Sector• Definition of the minimum supply of services: what must be assured at

district (territorial area) level:– Social Service and Social Secretariat– First social aid– Home care Assistance – Residential and Semi-Residential – Centres for residential host or daily community centres – The valorisation and support to family responsability – The tool for the associated planning: piani di zona

1 regione lombardia – d.g. famiglia e solidarietà sociale the legal framework on social services...

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