Transformation of Out-of-Home Services for Children in North Macedonia: Towards Individualized and Child Tailored Care

Natasha Bogoevska, Suzana Bornarova, Sofija Georgievska
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Abstract

Abstract Republic of North Macedonia in the last several years undergoes comprehensive social protection reform. The reform processes have been focused on furthering the processes of deinstitutionalization, decentralization and pluralization of social services delivery. The transformation of social protection institutions has been one of the key priorities in this period, specifically out-of-family services for children. In this respect, alternative care services for children without parents and parental care has been strengthened and promoted. Foster care as a traditional form of protection has been given particular attention and has undergone considerable changes. This article will review key reform processes in the domain of social protection in the country, with focus on social services for children without parents and parental care. To do this, results from recent empirical research will be presented. Mixed methodology research findings target current conditions in respect to foster care, small group homes and supported living as services used for placement of children without parents and parental care as well as professional approaches used to provide for individualized and child-tailored care. Cross-cutting issues relate to human rights, basic human needs and social integration of children.
北马其顿儿童家庭外服务的转变:走向个性化和儿童量身定制护理
北马其顿共和国在过去几年中进行了全面的社会保障改革。改革进程的重点是促进提供社会服务的非机构化、权力下放和多元化进程。社会保护机构的改革是这一时期的关键优先事项之一,特别是为儿童提供家庭外服务。在这方面,加强和促进了为没有父母和父母照料的儿童提供的替代照料服务。寄养作为一种传统的保护形式得到了特别重视,并发生了相当大的变化。本文将审查该国社会保护领域的主要改革进程,重点是为没有父母和父母照料的儿童提供的社会服务。为此,本文将介绍最近实证研究的结果。混合方法的研究结果针对寄养、小团体之家和支助生活方面的现状,这些服务用于安置没有父母的儿童和父母照顾,以及用于提供个性化和适合儿童的照顾的专业方法。贯穿各领域的问题涉及人权、人的基本需要和儿童的社会融合。
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