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Regions - NGO.pl
The legal framework on Social Services at national
and regional level :
Law 328/00 and the
implementation of piani di zona in Lombardy Region
Regione Lombardia – D.G. Famiglia e Solidarietà Sociale
1
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
2
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
3
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
4
The legal context
The institutional/legal context
The Italian Governement:
Law 328/2000
Lombardy Region
before Law 328/00
•Regional Law n. 1/86
How to apply the
contents of Law
328/00
in Lombardy Region
in the welfare system
.Social Welfare Plan 19881990
•Regional Law 31/97
•Regional Law 1/2000
• Social-Health Plan
2002-2004
Regione Lombardia – D.G. Famiglia e Solidarietà Sociale
5
THE SOCIAL REFORM
Law 328/00: Framework Law for the implementation of an
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
6
THE SUBJECTS DEFINED BY LAW
1/4
• 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
7
THE SUBJECTS DEFINED BY LAW
2/4
• 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
8
THE SUBJECTS DEFINED BY LAW
3/4
• 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
9
THE SUBJECTS DEFINED BY LAW
4/4
• 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
10
LOMBARDY 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 monitoring and
funding according to L.328/00
11
Besides this….
•Lombardy Region has aimed at involving the
subjects working in the Third Sector
in the planning phase
Methods of Programmazione Negoziata
12
How Lombardy Region has adopted
Law 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
13
PIANI DI ZONA within Law 328/00
(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
14
PIANI 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
15
The area in which PIANI DI ZONA are
carried 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
16
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
Regione Lombardia – D.G. Famiglia e Solidarietà Sociale
17
“GOVERNANCE” of the PIANO DI ZONA
Organisation at institutional level of the Piani di
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
Regione Lombardia – D.G. Famiglia e Solidarietà Sociale
18
Lombardy Region Territory
Lombardy: 9.246.796 inhabitants
Municipalities
1546
More than 70 % of Lombardy Region
Municipalities has a population that is less than
5000 abitanti
Milan: 1.256.211 Inhab.
Inhab.
Pedesina : 31
From 2002 municipalities have associated
in order to plan social services in 98 Piani
di Zona
19
Regione Lombardia – D.G. Famiglia e Solidarietà Sociale
WELFARE SYSTEM IN LOMBARDY REGION
and the carrying out of Law 328/00
heavy
structured
evoluted
light
transferred
subsidiary
possibility for the citizen to build
up autonomously answer to needs
(planning  ex. Family nursery )
Strengthen of orientation function
for the citizen, in case of particular
complexity and need
(development of family
association phenomenon  ex.
data base)
20
Regione Lombardia – D.G. Famiglia e Solidarietà Sociale
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
21
Regione Lombardia – D.G. Famiglia e Solidarietà Sociale
“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:
Tool for supporting direct or
indirect care by relatives or of
informal assistance through
solidarity networks
VOUCHER SOCIALE:
Tool for purchasing social
personal services by public and
private accredited providers
22
Regione Lombardia – D.G. Famiglia e Solidarietà Sociale
FUNDING 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:
-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 reinsertion 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
23
inside and outside the jail
-homeless: first contact activity, hosting and social re-insertion
FUNDINGS
Fondo 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
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
24
(contributions?) of Citizens
Social Expenses of Lombardy Region, Years 2000-2004
(Millions of Euro)
660,00
647,83
640,00
637,17
620,00
646,38
600,00
602,79
580,00
560,00
540,00
544,81
520,00
500,00
480,00
2000
2001
2002
Regione Lombardia – D.G. Famiglia e Solidarietà Sociale
2003
2004
25
Spesa sociale dei Comuni
FUNDS
FOR EXPENSES IN THE SOCIAL SECTOR
Regional Social Fund
8%
National Social Fund
other
3%
2%
other Local bodies.
1%
Users
17%
municipality
69%
Regione Lombardia – D.G. Famiglia e Solidarietà Sociale
26
26 – Canali di finanziamento
How are services provided:
• 1 Service provided by 1 Municipality
•More Municipalities associate themselves answering in a
better way to needs and having economy of scale
27
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
28
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