Emergency interventions for vulnerable children in difficult life

circumstances

Instituto da Segurança Social : José Falcão Amaro e Miguel Pratas

Santa Casa da Misericórdia de Lisboa : Maria Domingas Fortio

23rd European Social Services Conference

On March 17, 1999Protocol between:Social Development InstituteRegional Social Security Centre LVTSanta Casa da Misericordia de LisboaCasa Pia in Lisbon

He began his intervention on June 1, 1999

On December 12, 2006Additional Protocol: 48 hours 20 daysSCML - City of Lisbon

Emergency Shelter System

Constitution - Operation - Goals - Proceed to the immediate and urgent care Children and youth that in a situation of present or imminent danger to their life or physical integrity; - Set quickly and accurately the most appropriate subsequent referral to family or institutional response. - Resources - With variations - 88 emergency beds - National network of CAT and LIJ - Entities Applicants

Emergency Shelter System Team

Emergency Shelter System

LPCJP (147/99 1 September) Emergency situation - the situation of present or imminent danger to life or physical integrity of the child or young person. = Article 5 point c) = Emergency procedures: Article 91 - Urgent Procedures in the absence of consent. Article 92 - urgent judicial procedures.

Emergency Shelter System

Emergency Shelter System

Difficulties Overcrowding in Emergency Shelter Houses Lack of information at the reception Delays and difficulties in coordination with other

services Institutional host answers insufficient Very time consuming and demanding admissions

process CAT or LIJ → CAE Resistance from institutions to welcome children /

young people with health problems or behavioral Transit to very slow justice

Emergency Shelter System

Residential care

2000 - 2014: 4378 - 313 (annual average)

2011: year with more entries: 331

2013: year with fewer entries: 226

Suspeita / Detecção de Maus Tratos

Situação não urgente

ECMIJ

Diagnóstico

Perigo Perigo urgente

Intervenção

Suficiente e adaptada

Oposição dospais ou do jovem

Situação urgente

Polícia

CPCJ

Sinalização

Investigação

Intervenção(medidas de proteção)

Suficiente e adaptada

Oposição dospais ou do jovem

Sinalização

Tribunal

Medidas de protecção e tutelares cíveis

Sinalização

Sinalização

Investigação sumária

Rede formal

Rede informal

Magalhães, Teresa, 2002

BRIEF characterization CHILDREN AND YOUTH

 1st half 2012 and 1st half 2015

The same percentage of children/youth in Residential Care male and female. 

9090Feminino

Masculino

1st half 2012 - Children and Youth Residential Care N = 198

1st half 2015 - Children and Youth Residential Care

N = 132

More than half (54%) of institutional care  of children and youth were male.

The age group from 12 to 18 years is what takes greater expression (41%) followed by the group up to 6 years representing 39%

1st half 2012 - Children and Youth Residential Care N = 198

In the age group of 0-12, the most significant is the relative to ages up to 3 years (51.8%) , and the aged 13-18 have the highest incidence group between 13 and 15 (60.7%) .

1st half 2015 - Children and Youth Residential Care

N = 132

  Total

  N %

Negligence 72 36,40%

Parental inability 31 15,60%

Abandonment 30 15,20%

Physical abuse and / or psychological 30 15,20%

Others 11 5,60%

Deviant behavior 9 4,50%

Family breakdown 9 4,50%

Sexual abuse (confirmed / suspected) 5 2,50%

Adoption 1 0,50%

  198 100,00%

Other mean: Host Institution's refusal to re-host (1); Institution leakage (4); Judicial decision to transfer institution (3); International arrest warrants (2); Crime committed by the parent (1).

1st half 2012 - Children and Youth Residential Care N = 198

Reason %

Abandonment 15 11,6

Sexual abuse/ Sexual Solicitation 3 2,27

Sexual abuse/ Rape 1 0,7

Temporary Family Support Absence 11 8,3

Deviant behavior 1 0,8

Prior consent Adoption 4 3

Detention of Caregivers 3 2,27

Previous Escape Institution 4 1,52

Parental failure 42 31,82

Physical Mistreatment 18 13,6

Psychological Mistreatment 9 6,8

Negligence 17 12,9

Health Negligence 1 0,8

Lack of Oversight 5 3,8

Total 132 100

1st half 2015 - Children and Youth Residential Care

N = 132

1st half 2012

NegligenceParental disability,Abandonment / Give yourselfMaltreatment Physical and Psychological. 

1st half 2015

Parental inabilityPhysical bad TractNeglectsAbandonment

Top reasons - comparison

Linha Nacional de Emergência Social(Social Emergency National Help Line )

Characterization

It is constituted by a Central Team (in a Call Center) and 18 Social Emergency District Teams

The LNES started its operation on 30th

September 2001 and has as primary objective to give an immediate response in situations requiring urgent action in the field of social protection.

It is a public service available 24 hours a day, all year round.

Goal

To guarantee immediate answer to situations

that need urgent action and to signal and

direct situations of serious social exclusion.

• The calls are firstly received by a team of First Line that screening the calls

• Calls concerning a Social Emergency Situation are then directed to the Central Team

How Does it Work ?

The Central Team elaborate the diagnosis of the situation reported. According to location and characteristics of the situation, the Regional Emergency Team (located in every district in the country), or other institution or services capable to give an answer, could be contacted.

The regional emergency teams will go to the place where the emergency situation locate, in order to give a quick, useful and property answer.

Situations that are not a social emergency, will be send to local social security services, to public health service or to other telephonic help service.

How Does it Work ?

The LNES takes charge of the emergency situations during approximately 48 hours, after that, they are managed by the Social Security local services in the caller’s residential area.

Continuous follow-up is then ensured to promote the social inclusion of the person who request help.

LNES users

Regular groups:

• People victims of Domestic Violence

• People without-shelter

• Children and Young in danger

• Senior in situation of abandonment

9.683 Calls monthly

EDES

Operation of LNES

144

107 processes of Social Emergency monthly

LNES Central Team

2.089 Calls monthly

YearMissed calls

N.º Process

N.º people supported

2010 198 867 2 633 3 4772011 169 019 2 597 3 2772012 151 319 2 248 3 5862013 139 955 2 287 3 7182014 103 818 2 025 2 826

Social Emergency National Help Line

CASA 2014

Annual characterization of the host Situation of Children and Youth

Age groups of children and adolescents in the host (2004/2014)

   2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

0-3 anos 853 1.218 927 974 790 861 858 817 790 747 735

4-5 anos 615 785 587 547 439 490 441 411 403 357 361

6-9 anos 1.918 2.217 1.946 1.715 1.4351.33

9

1.18

5

1.07

7954

928 880

10-11 anos 1.374 1.545 1.416 1.216 1.116

1.05

7953 883 774

725 686

12-14 anos 2.494 3.029 2.788 2.522 2.204

2.23

3

2.18

3

2.07

0

1.94

8

1.90

3 1784

15-17 anos 2.381 3.216 3.183 2.876 2.650

2.58

9

2.60

6

2.70

3

2.74

4

2.83

9 296918-20 anos 904 1.456 1.391 1.414 1.186 994 910 977 944 946 1055>= 21 anos 175 185 -- -- -- -- -- -- -- -- --

N/R -- 182 7 98 136 -- -- -- -- -- --

Total10.71

413.833

12.245

11.362

9.9569.56

39.13

68.93

88.55

78.44

58.47

0

Thank you for your attention!

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