This procedure regulates the way in which the Social Assistance Directorate collaborates with 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 residing in the municipality of Oradea.

Through case management, the social worker within the public social assistance service (SPAS) ensures the coordination of interventions from different fields for the integrated realization of needs and resources assessment, planning and intervention, monitoring and evaluation of the impact of community services provided to elderly people, with a view to implementing the principle of person-centered care.

Case management is ensured in collaboration, by the social worker within the Social Assistance Directorate and by the social worker/other designated specialist, from the social service provider/social service.

Beneficiaries - eligibility criteria

According to the legislation in force, elderly persons are considered persons who have reached the retirement age established by law.

According to Law no. 17/2000, republished with subsequent amendments and completions, the provisions of this procedure apply to: the elderly person, as defined in art. 1 paragraph (4), meaning the person who has reached the standard retirement age established by law and who is in one of the following situations:

a) has no family or is not supported by a person or persons legally obliged to do so, according to legal provisions in force;

b) has no housing and no possibility to provide housing conditions based on own resources;

c) does not earn own income or such income is not sufficient to provide the needed care;

d) cannot manage on their own or requires specialized care;

e) is unable to provide for their socio-medical needs, due to illness or physical or mental condition.

The Social Assistance Directorate identifies a case through at least one of the following forms:

a) the elderly person's phone;

b) the request of the elderly person/their legal representatives submitted to SPAS/FSS for social services or for minimum social inclusion income;

c) notification received from an FSS regarding:

- signing a contract for social services for the provision of social services to the elderly person;

- suspension of services for a determined period;

- termination of services provision.

d) referral by the community medical assistant, from another public service or a private organization;

e) self-referral;

f) notification from informal caregivers.

Procedure for appointingthe case manager/case responsible:

The appointment order for (CM) is issued with respect to the maximum number of cases per person, namely 50 elderly people, residing in the administrative-territorial area of the municipality of Oradea, who have directly addressed (by written request) the Social Assistance Directorate Oradea for the provision of social services. When appointing the CM, SPAS considers at least: the complexity of the case, the need to ensure continuity in the relationship between the beneficiary and SPAS/social service provider, the professional experience and knowledge of the CM regarding the typology of social services for the elderly, the CM's coordination, communication and collaboration skills, as well as the chronology of the registered requests.

FSS issues the appointment order for the case responsible. Decisions are communicated, as appropriate, between SPAS and FSS at local level.

CM/CR, in all activities carried out as part of the case management stages, 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 provision of social services

If the elderly person requests the support of the Social Assistance Directorate for access to social services, then SPAS carries out the entire procedure of evaluation, planning, issuing the order, etc. If the person does not address SPAS before accessing the social service or does not require the issuing of a service provision order as a social assistance measure, then SPAS receives and records the information regarding the existence of the beneficiary in the social service, notes the beneficiary in the Register of Vulnerable Elderly and monitors the situation according to legal provisions. In this case, the provisions for initial information, initial evaluation, intervention/service plan, appointment of a case manager from SPAS no longer apply.

The request for provision of social services may also be addressed directly to a private social service provider, in which case, if a service contract is concluded with the applicant, the provider is obliged to inform, in writing, the administrative-territorial authority on whose territory the beneficiary resides and to register the information in the National Register for Record of Persons Beneficiaries of Social Services.