Ministry of Social Affairs and Health

Brochures 1999:6eng

1.10.1999


7 Costs of social welfare and fees collected from clients

Municipalities’ expenditure for social welfare in 1997 came to 4,4 billion euro. As much as 87 per cent of this was expenditure for social services and 13 per cent was expenditure for income security. Expenditure for social welfare services came to about 14 per cent of all social expenditure.

Of expenditure for social welfare, about 50 per cent was directed at children and families with children, through day-care, child home care and private care allowance, maintenance allowance, and child welfare for children and young persons. Older persons accounted for nearly 25 per cent of expenditure and persons with disabilities for less than 14 per cent. The remaining expenditure comprised income support, welfare for intoxicant abusers and other expenditure.

In 1997 fees collected from clients covered about 12 per cent of expenditure for social services, the remainder being distributed between the State and municipalities. Client fees accounted for approximately 15 per cent of children’s day-care expenditure. Among the social services provided without a fee are social work and child guidance and family counselling. In the case of other social services, too, fees may be left uncollected on the basis of the client’s maintenance liability or for reasons related to income or welfare.

Social Welfare Expenditure of Municipalities by Function in 1997 (Appendix 1)

 

Million  euro

Percentage paid by client fees
Administration

120

0.0

Children’s day-care

1,371

15.4

Child care allowance and private care allowance1)

353

Maintenance support 2)

81

Institutional care for children and young people

127

3.3

Home help for families with children

33

6.5

Other services for families with children

151

3.8

Institutional care for older persons

576

21.1

Institutional care for persons with disabilities

140

5.0

Sheltered work and vocational rehabilitation

95

5.8

Home help for older persons and persons with disabilities 

320

16.3

Other services for older persons and persons with disabilities 

497

10.6

Services for intoxicant abusers 

71

8.1

Income support (social assistance)3)

511


Total 


4,447



Social services, total 


3,854


12.1

Municipal income security, total 

593


Total


4,447

 

1) Including municipal increments (36 million euro)
2) Gross expenditure for maintenance support (129 million euro) minus the maintenance allowance payments collected from the parent liable for maintenance (48 million euro)
3) Gross expenditure for income support (548 million euro) minus the amount reclaimed (37 million euro)

Social Welfare Legislation (Appendix 2)

Social Welfare Act (710/1982 ); date of entry into force 1 January 1984

The Social Welfare Act contains provisions on the responsibility to provide social welfare and its administration, on the procedures for implementing social welfare and regulations on lodging an appeal against decisions made by municipalities in social welfare. The Social Welfare Act defines the social services, which are social work, child guidance and family planning, home help services, housing services, institutional care, family care and support for informal care, as well as other tasks regulated in special legislation and falling under the sphere of municipal social welfare. The Act also contains provisions on the confidentiality of social welfare and on access to and handing over of information. The Social Welfare Decree (607/1983, 1 January 1984) contains certain provisions supplementing the Social Welfare Act.

Act on Planning and Government Grants for
Social Welfare and Health Care (733/1992) 1 January 1993

The Act on Planning and Government Grants for Social Welfare and Health Care contains provisions on the setting of national social welfare and health care goals and stipulations on how municipalities can arrange functions in the social welfare and health care sector. In addition, the Act contains provisions on government grants for the operational social welfare and health care costs of municipalities and joint municipal boards and on government grants for the financing of investment projects. The Act also contains provisions, among others, on the Basic Security Guarantee Board operating under the Ministry of Social Affairs and Health and on lodging an appeal against decisions concerning government grants.

Act on the Monitoring of Private Social Services (603/1996) 1 January 1997

The Act on the Monitoring of Private Social Services is applied to private social services generated for a fee by service-providers running a business or practising a profession. It is not applied, for example, to family care based on a service agreement. The Act contains provisions on the prerequisites both for operational units providing social services and for the personnel working at such units, as well as provisions pertaining to the licence required for having activities round the clock and to the compulsory registration of activities other than those operating round the clock. The Act also lays down provisions with regard to the monitoring authorities, the content of monitoring and the means available for the monitoring authorities to intervene if shortcomings are observed. In addition, the Act contains provisions on the registration of service-providers. More detailed provisions on execution of the Act are contained in the Decree on the Monitoring of Private Social Services (1208/1996).

Act on Children’s Day-care (36/1973) 1 April 1973

The Act on Children’s Day-care lays down provisions on the organisation of children’s day-care at day-care centres, through family day-care providers, through monitored play activities or as other day-care activities. The Act contains provisions on the right of a child’s parents to receive for their child a place, arranged by the municipality, in a day-care centre or with a family day-care provider, other stipulations on day-care, and provision on the objectives and content of day-care. The Act also contains provisions on the administration of day-care. More detailed provisions on execution of the Act are contained in the Decree on Children’s Day-care (239/1973).

Act on the Child Home Care Allowance and
the Private Care Allowance (1128/1996) 1 August 1997

The Act on the Child Home Care Allowance and the Private Care Allowance stipulates, in conformity with the Act on Children’s Day-care, that the parents of an under school-aged child who opt not to place the child in municipal day-care have the right to financial support for arranging the child’s day-care elsewhere. The Act contains provisions, e.g. concerning the structure, size and payment of the allowances. The Act also lays down provisions pertaining to reclaim, lodging of an appeal, and confidentiality.

Child Welfare Act (683/1983) 1 January 1984

The Child Welfare Act contains provisions on the responsibility to organise child welfare; on development of the growth environment and experimental activities; on support for parents in the upbringing of children; and provisions on family-oriented and individual-oriented modes of child welfare services, which include support functions in case work, taking children into custody and their placement in substitute care, and after-care. The Act lays down provisions on the preconditions for support functions in case work and on the preconditions for taking a child into custody; on the content of support functions in case work; on procedures in taking a child into custody; on the care of a child taken into custody and the child’s position in substitute care; and provisions on the operational prerequisites for child welfare institutions and on the sanctions and limitations to be used in such institutions.

The Child Welfare Act also has, among others, provisions pertaining to the lodging of an appeal and to monitoring the care of children placed with private care-givers.The Child Welfare Decree (1010/1983) has supplementary provisions concerning execution and application of the Child Welfare Act.

Act on Services and Assistance for the Disabled (380/1987) 1 January 1988

The aim of the Act on Services and Assistance for the Disabled is to promote the prerequisites of a person with disability to live independently and to interact with others as an equal member of society, and to prevent and remove obstacles and disadvantages caused by disability. The Act contains provisions on the services and financial support organised for persons with disability, and provisions on development of their living conditions and services. More detailed grounds for receiving services and supportive measures have been laid down in the Decree on Services and Assistance for the Disabled (759/1987). The Act also contains provisions dealing, among others, with co-operation in disability-related matters, with a municipal council for disability-related affairs, and with lodging an appeal concerning matters referred to in the Act.

Act on Special Care of Mentally Handicapped Persons (519/1977) 1 January 1978

The Act on Special Care of Mentally Handicapped Persons contains provisions on the services included in special care and on the organisation of special care. More detailed provisions on execution of the Act are contained in the Decree on Special Care of Mentally Handicapped Persons (548/1997).

Family Carer Act (312/1992) 1.7.1992

Family care and a family home are defined in the Social Welfare Act. The Family Carer Act lays down provisions pertaining to a family care-giver. The Act stipulates the family care-giver’s qualifications, fees and compensation for costs as well as drawing up of the agreement for family care. In addition, the Act contains provisions concerning the family care-giver’s right to free time, work instruction and training. With regard to the fee and compensation, the Decree on Fees and Compensation Paid to Family Carers (240/1992) supplements the Family Carer Act.

Act on Welfare for Substance Abusers (41/1986) 1 January 1987

Welfare services for intoxicant abusers are given to people who have problems in their use of intoxicants and to their families and close persons. The Act contains provisions concerning the principles, content, and organisation of welfare services for intoxicant abusers. The Act also lays down provisions on the involuntary care of intoxicant abusers, and on the sanctions and limitations used during involuntary care. In addition, the Act has provisions pertaining to the lodging of an appeal. More detailed provisions on execution of the Act are contained in the Decree on Welfare for Substance Abusers (653/1986).

Act on Maintenance Security (671/1998) 1 January 1999

The Act on Maintenance Security lays down provisions concerning the amount of maintenance allowance paid to a child, application for and granting and payment of maintenance allowance. If necessary, action to collect, confirm or alter maintenance payments can also be taken by virtue of the Act. In addition, the Act contains provisions on collection of maintenance payments from the parent liable for maintenance. The Decree on Maintenance Security (672/1998) contains supplementing provisions.

Act on Social Assistance (1412/1997) 1 March 1998

The Act on Social Assistance contains provisions on income support, which is income security as the last resort. The Act stipulates the objective of income support and who is entitled to receive it. Also laid down in the Act are provisions pertaining to the structure and amount of income support; these are supplemented in the Decree on Social Assistance (66/1998). In addition, the Act on Social Assistance gives procedural regulations concerning application for, and granting and payment of, income support as well as procedural regulations concerning reclaim of income support.

Decree on the Professional Qualifications of Social Welfare Personnel (804/1992) 1 January 1993

This Decree is applied with regard to the professional qualifications of social welfare personnel working for municipalities or joint municipal boards to the extent that other provisions concerning these professional qualifications are not stipulated elsewhere. The Decree also contains provisions as to the grounds on which a person lacking the professional qualifications laid down in Decree can be hired for social welfare tasks temporarily.

Act on Client Fees in Social Welfare and Health Care (912/1992) 1 January 1993

A fee can be charged from clients using municipal social welfare and health care services, unless otherwise stipulated by law. The fee can be collected from the person in accordance with the ability to pay. The Act on Client Fees in Social Welfare and Health Care contains provisions on the maximum fee and on which social welfare and health care services are provided free of charge. The Act and the Decree on Client Fees in Social Welfare and Health Care (912/1992), which supplements the Act, contains provisions concerning, among others, the fees for child welfare, children’s day-care, home help services and institutional care and the factors to be taken into account in determining the fee, or in waiving or lowering the fee. In addition, the Act contains provisions pertaining to the lodging of an appeal concerning fees, penalty interest and debt recovery.

Under preparation: Act on the Status and Rights of Social Welfare Clients

The intention is for the Act on the Status and Rights of Social Welfare Clients to contain the central provisions concerning the social welfare client’s legal protection, the aim being to clarify the client’s status. The intention is also for the Act to contain provisions dealing with the social welfare client’s treatment, right of self-determination and participation. In addition, the Act will contain provisions pertaining to confidentiality and the obligation to keep matters secret and to both the client’s and the authorities’ right to receive information and obligation to relinquish information. With entry into force of this Act, the corresponding provisions of the Social Welfare Act will be repealed.