Family cohesiveness – legal and parental skills issues that put families at risk in Ukraine Olga...
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Transcript of Family cohesiveness – legal and parental skills issues that put families at risk in Ukraine Olga...
Family cohesiveness – legal and parental skills issues that put
families at risk in Ukraine
Olga Dudina, UkraineXVIII International AIDS conference
July 21, 2010Vienna, Austria
• An estimated 75,520 HIV affected children in Ukraine live with their biological families
• In a number of cases parents are at risk of being deprived of parental rights because of:– Anti-social behavior– Alcoholism/drug dependence– Child neglect and abuse
this can result in a child’s placement into orphanage
Facts
• Implemented by All-Ukrainian Network of PLWH in a partnership with– Elena Franchuk “ANTIAIDS” Foundation– Elton John AIDS Foundation– Romanian Angel Appeal Foundation
• With financial support of– Elton John AIDS Foundation– The Big Lottery Fund– Elena Franchuk “ANTIAIDS” Foundation
• Implementation term: 2008 - 2013
“Children Plus” Project
Project Pilot Sites
One of Four Project Outcomes
To provide a continuum of practical and psychological support to vulnerable families in order to prevent 1,500 children affected or infected by HIV from being placed in
institutions, or becoming street children
• Main Criteria – children infected or affected by HIV
• Additional criteria (one or all):– Brutal treatment– Registration at Centers for Social Services an/or at
Services for Children's’ Rights– Parental drug/alcohol dependence– Parental absence of permanent income/low income– Incomplete family– One of family member’s in prison– One of family member’s death
Selection Criteria
• Family needs assessment
• Preparation of care plan and forming package of services
• Provision of individual comprehensive package of care (multidisciplinary team consisting of Project Coordinator, Psychologist and Social Worker)
• Final evaluation and further planning
Case Management ApproachProject teams provide:
• Individual and family counseling of social worker, psychologist
• “Parenting Schools” for parents
• Self-support groups for family members
• Legal support
• Representing interests of the families in different institutions
• Referral to other agencies/rehabilitation centers
• Educational activities for children at day care room/center
Comprehensive Package of Care
List of services to vulnerable families and their children developed in a cooperation with governmental authorities and implemented
Cooperation with Governmental Authorities
• Food & Nutrition
• Housing Condition & Care
• Protection (from abuse and exploitation)
• Health issue (condition & services)
• Psychological characteristics (emotional health)
• Education & skills (behavior, intellectual activities, and access to education)
Child Status Index as a Monitoring Tool
Child Status Index. How it works
• Baseline assessment
• Based on results: provision of required services
• Next assessments – on bi-annual basis
• Evaluation of positive or negative dynamics of child’s well-being:1. further interventions
2. case is closed
2 years Results
1500
673
829
0 200 400 600 800 1000 1200 1400 1600
Total number ofchildren to beprevented frominstitualization
Number of familiesreached
Number of chilldrenalready prevented from
institualization
• Legal support
• “Parenting schools”
• Child Status Index
Findings so far
– All-Ukrainian Network of People Living with HIV/AIDS:• http://www.network.org.ua
– “Children Plus” Project:• http://www.prosto-deti.org.ua
THANK YOU FOR YOUR ATTENTION