At Akraneskaupstaður, a conscious decision was made to co-operate on two major implementation projects: the implementation of a new law on service integration for children's prosperity, and the implementation of the "child-friendly municipality" program. This was done, among other things, by hiring a project manager for both the children's prosperity and child-friendly municipality projects. It was clear from the beginning that the two projects were closely related and should be implemented in a coordinated way.

The task involves creating a child-centred and comprehensive welfare service for all children in Akranes. The goal was to increase understanding and awareness of all who work with or for the benefit of children and families, on the rights of children and the importance of listening to their voices, and promoting equal opportunities and participation for all children and young people in Akranes.

IMPLEMENTATION

The law on children's prosperity provides for the first time a harmonized measure that describes the hierarchy of services for the well-being of children in three service levels. A harmonized hierarchy gives an overview of service systems and a picture of how to ensure efficient and continuous services appropriate to all children. This procedure is in line with the implementation of the child-friendly municipality project, and therefore the decision was taken to implement the children's prosperity law alongside the work on the child-friendly municipality project in Akranes.

The implementation of the two projects in Akranes began in the autumn of 2021. A campaign of education and information was conducted where all service providers under the terms of the children's prosperity law, along with the municipal staff and elected representatives, were given an introduction to the new law and the changes that were ahead in services to children and families, as well as an introduction to the implementation of the child-friendly municipality project. The presentation went to all preschools, primary and secondary schools in the town, as well as to the West Iceland Health Institute and later to the police, day-care parents, the district commissioner and sports associations.

The implementation steps of both projects were worked out. A questionnaire was sent out to both children and municipal employees.

Staff also took an online course on the Convention on the Rights of the Child, and a child-friendly social event was held at the town office where staff took part in various games related to children’s issues. The law was reviewed, as well as the goal of becoming a child-friendly municipality providing excellent welfare services for all children, where equality and participation is key.

Social media were used to promote the project, for instance on the Day of the Rights of the Child, and in other ways as needed. Videos were made about the children's prosperity project, where the Convention on the Rights of the Child was quoted, linking the projects together further.

The case managers in the welfare and human rights fields were recruited and contact persons were designated, as the children's prosperity law requires. These children's prosperity parties also took part in implementing the child-friendly municipality project, by overseeing education about the project in their workplace. For example, the contact person in the preschool was given the responsibility to ensure that all preschool staff received necessary education about the Convention on the Rights of the Child and other education required in the implementation process of the child-friendly municipality project.

THE RESULT

The result of the project has been that the services for children and families in Akranes have become better and more focused, among other reasons due to the implementation of the children's prosperity law. Child services are now delivered based on different levels, with support teams, early support and cooperation between contacts and case managers.

There has also been a great awareness of the right of children and young people to participate in matters that concern them. Thus, the introduction of the children's prosperity project has not only been directed at those who provide the services (service providers according to law) but also and no less at those who receive the services, which are children, young people and families.

Furthermore, those who work at Akraneskaupstaður and are not directly involved in services for children, i.e. elected representatives, departments, councils and committees, have become more aware and more involved in implementing changes and new ways of thinking when it comes to protecting, caring for and participating children in Akranes.

Source: Exemplary projects - child-friendly municipalities 2023 (in Icelandic)

The Árborg children's prosperity team was established at the beginning of 2022 when the law on service integration for children's prosperity took effect. The members of the team came from school services, leisure services and welfare services, which form the family service sphere at Árborg along with the sub-institutions. The role of the team was to lead the implementation of multidisciplinary practices, to develop work processes, to press for their early adoption, and to develop a level-based system for providing service.

The children's prosperity team, a multidisciplinary group, started the journey towards development and implementation of service integration in Árborg by examining the depth of the procedures and practices within the family service areas, in order to identify challenges and opportunities.

There was an existing well-maintained procedure between preschool and primary schools and school services to address concerns about children’s development and well-being. In addition, there was already a strong tradition of multidisciplinary teamwork around children’s issues between specialists in school services, leisure services, counsellors in welfare services for disabled people and child protection. Furthermore, the leisure services have played a key role in the solution work by providing both timely input and more specialised resources.

The question was therefore, what was the children's prosperity law to add? Were services not already timely and integrated?

IMPLEMENTATION

To better understand the value and benefits of the children's prosperity law, it was necessary to examine how it interacts with other laws and regulations that have shaped the practice of family services.

This included examining conventional thinking within the professions and departments in order to understand how those ideas have shaped professional vision and work methods within the family services. The children's prosperity team used their consultations to reflect on procedures from different perspectives, and on the regulations that representatives followed into their departments. The project manager also led a thoughtful conversation with principals in preschools and primary schools, contacts and case managers, where the work methods of institutions and departments were examined.

Looking back, these conversations were professionally enlightening and laid the foundation for the steps that needed to be taken during the implementation period. On the surface, a pattern of ideas about the nature and benefits of integrated services without barriers emerged. These ideas had to be bridged into a common vision to ensure that all service providers were on the same path when implementing the law. Recognition that departments of the family services approached matters differently from different legal bases was the first step to a common vision. Trust between professional groups and humility towards the responsibility that comes with having the authority to communicate information between service providers was the next step.

Understanding the importance of supporting the development of professional practices was the final step. The joint vision of the Árborg team came to be that clear information and channels in administration were the key to creating secure connections between service providers, and an important prerequisite for being able to provide integrated service without barriers. In effect, this involved removing structural barriers by first integrating internal activities. Work processes that needed to be connected and well-documented were drawn up with efficient communication and using accessible tools.

The digital services of the municipality, the personal data protection officer and the municipality’s document manager were then involved in the development process, and worked with the children's prosperity team towards forward-looking solutions to simplify cooperation across service systems. In the development process, representatives from the National Agency for Children and Families with their specialized knowledge were also involved, along with colleagues in other municipalities that were on the same path.

THE ROUTE

Strong inter-disciplinary collaboration resulted in the development of digital solutions that support efficient and integrated service systems. The development process is now in its final stages and the implementation of these digital solutions is well under way. The framework is based on using the forms that have been published by the National Agency for Children and Families in the design of legal system templates.

• Request for a conversation with a contact person on the island.is website: The aim is to facilitate access for parents and children to contact persons through a request online for a conversation to assess the need for integration of services. The requests are directly transmitted into the primary service case system, which is intended to support effective responses to conversation requests.

• Primary service case system: The goal is for the contact point to have access to a web-based processing area that supports professional and efficient case handling. A template for the assessment interview and a plan for the next steps is available, along with a digital signature system for requests for service integration. The contact point can, following an assessment interview, in a simple and secure manner, share the results and signed request for integration through the case system to the child welfare services team, who then assign a case manager for the issue. Information on processing status is stored directly in the child's case record, which ensures that there is no interruption in its handling.

• Family services case system: The goal is to connect the primary service case system and the family service case system so that the processing can become compatible across systems. The case manager has access to an electronic template for a support plan that ensures service providers access to the document at the processing stage and in its final version. Templates for meeting minutes and approved projects will also be available in the case system and linked into a child's case in the primary service.

The lessons learned by the Árborg team in this implementation process are that the prerequisite for integration is to ensure effective internal processes, in line with the administration in each municipality. Digital solutions will in the future support professional and integrated processing of cases, so that service providers' time is effectively used to support the well-being of children and families through cooperation between service providers.

June 2024