Case management elderly people*
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This procedure regulates the mode of collaboration between the Directorate of Social Assistance and licensed social services for elderly persons operating within the municipality of Oradea, and by exception with social services from other administrative-territorial units that host beneficiaries domiciled within the municipality of Oradea.
Through case management, the social worker within the public social assistance service (SPAS) ensures the coordination of interventions from various fields for the integrated realization of needs and resource assessment, planning and intervention, monitoring and evaluation of the impact of community services provided to elderly persons, for the implementation of the principle of person-centeredness.
Case management is provided in collaboration, by the social worker within the Directorate of Social Assistance and the designated social worker/other specialist from the social service provider/social service.
Beneficiaries - eligibility criteria
Elderly persons are considered, according to the legislation in force, those who have reached the retirement age established by law.
According to Law no. 17/2000, republished with subsequent amendments and additions, the following benefit from the provisions of this procedure: the elderly person, defined at art. 1 para (4), that is, the person who has reached the standard retirement age established by law and who falls into one of the following situations:
a) has no family or is not supported by any person or persons legally obliged to provide such support, in accordance with the legal provisions in force;
b) does not have housing and cannot secure housing conditions based on own resources;
c) does not have own income or the income is not sufficient to ensure the necessary care;
d) cannot manage on their own or requires specialized care;
e) is unable to secure socio-medical needs due to illness or physical or mental condition.
The Directorate of Social Assistance identifies a case through at least one of the following forms:
a) the elderly person's phone;
b) the request of the elderly person/that person's legal representatives submitted to SPAS/FSS for social services or minimum inclusion income;
c) notification received from an FSS regarding:
- the conclusion of a social services contract for the provision of social services to the elderly person;
- suspension of service provision for a determined period;
- termination of service provision.
d) referral from the community healthcare assistant, from another public service or private organization;
e) self-referral;
f) notification from informal caregivers.
Procedure for appointing the case manager/case officer:
The appointment order (MC) is issued respecting the maximum number of cases per person, namely 50 elderly persons, domiciled within the administrative-territorial area of the municipality of Oradea, who have directly addressed (through a written request) the Oradea Directorate of Social Assistance for the granting of social services. When appointing the MC, SPAS takes into account at least: the complexity of the case, the need to ensure continuity in the relationship between the beneficiary and SPAS/social service provider, the MC's professional experience and knowledge regarding the typology of social services for elderly persons, the MC's coordination, communication, and collaboration skills, as well as the chronology of request registrations.
FSS issues the appointment order of the case officer. Decisions are communicated, as appropriate, between SPAS and the local FSS.
MC/RC, in all activities carried out within the stages of case management, respects the professional code of ethics, is based on the principle of respect for inalienable dignity, individual autonomy, including the freedom to make their own choices, and the independence of elderly persons.
Request for the provision of social services
If the elderly person requests the support of the Directorate of Social Assistance for access to social services then SPAS carries out the entire procedure of assessment, planning, issuance of order, etc. If the person does not address SPAS before accessing the social service or does not require the issuance of an order for granting social services as a social assistance measure, then SPAS receives and registers the notification regarding the existence of the beneficiary in the social service, lists the beneficiary in the Register of vulnerable elderly and monitors the situation according to the legal provisions. In this case, the provisions regarding initial notification, initial assessment, intervention/service plan, and appointment of case manager from SPAS no longer apply.
The request for the provision of social services may also be addressed directly to a private social service provider, in which case, if a service provision contract is concluded with the applicant, the provider is obliged to inform, in writing, the administrative-territorial authority in whose territorial area the beneficiary of the respective social service is domiciled or resides, and to register the information in the National Register of Beneficiaries of Social Services.
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In case of dispute, the common law norms are applied
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