Positive erfaringer men fortsat store udfordringer i handicapforsorgen

18. november 2013: KANUKOKA's formand gør foreløbig status på handicap-forsorgen efter overdragelsen til kommunerne i 2011.


Kommunernes erfaringer er hovedsageligt positive: Ikke længere dobbeltadministration, kortere sags­be­hand­lingstid og kortere beslutningsproces, mulighed for tilpasning til lokale forhold f.eks. ved etablering af støttepersonkorps. Da der nogle steder er forskellige arbejdsprocedurer, er der dog behov for harmonisering af arbejdsgange.

Sådan er de foreløbige erfaringer, som kommunerne har gjort efter at ansvaret for handicapfor­sor­gen af Selvstyret blev overdraget til kommunerne den 1. januar 2011.

Overdragelsen af handicapområdet omfattede tre hovedområdet: Handicapforsorg herhjemme, handicapforsorg i Danmark og handicapinstitutionerne - områder, der tilsammen havde en økonomisk ramme på omkring 375 mio. kr. ved overdragelsen.

I forbindelse med overdragelsen blev det aftalt, at der skal ske evaluering på området senest juni 2014. Inden denne sker, har det været vigtigt for KANUKOKA at have føling med, hvilke erfarin­­ger, kommunerne har haft indtil nu.

Denne udveksling af erfaringer er allerede sket fortløbende ved forskellige lejligheder - senest her i efteråret på et seminar på socialområdet med deltagelse af kommunernes socialudvalgsformænd, socialdirektører samt repræsentanter for Selvstyret og handicapforsorgen i Danmark.

Hjemflytning fra Danmark

Kommunerne har i flere omgange drøftet muligheden for at flytte grønlandske handicappede hjem fra forsorgen i Danmark. I den forbindelse har kommunerne efterlyst tanker og planer fra Selvstyrets omkring fremtidig hjemflytning, herunder oprettelse af passende in­stitutioner samt uddannelse af ressourcer på området.

Vi i kommunerne er godt klar over, at der skal tages hensyn til, at mange handicappede borgere har boet i Danmark i over 25 år. Vi er ligeledes opmærksomme på, at der vil være udfordringer ved eventuel hjemflytning af meget handicappede borgere, hvor der skal sikres passende institu­ti­ons­plads. Derudover skal det sikres, at de færdigheder, de handicappede borgere har opnået, ikke mistes.

Kun Kommune Kujalleq er begyndt med denne hjemflytning. De øvrige kommuner laver årlige vurderinger for de enkelte borgere, men har ikke aktuelle planer om hjemtagelse.

Vi må regne med, at eventuel hjemflytning planlægges ordentligt i samarbejde mellem Selv­sty­ret, KANUKOKA og kommunerne. Vi har fået at vide, at ved fremtidig hjemtagelse af disse med­borgere vil Region Sjælland - den administrative enhed, der tager imod handicappede fra Grønland - medvirke positivt. Region Sjælland tilbyder at løse special- eller akutopgaver i Grøn­land i denne forbindelse.


Hvad angår anlægsområdet er der fra Selvstyret mangel på udvikling af nye døgninstitutioner til handicappede. Det er alene kommunerne, der opretter botilbud. Bortset fra Kommune Kujalleq har kommunerne van­ske­lig­heder med at finde egnede boliger, der kan anvendes til boenheder / bo­kollektiver / bofæl­lesska­ber, ligesom der er mangel på egentlige handicapboliger.

Kommunerne mangler anbringelsesmuligheder til unge og voksne handicappede. da kommuner­ne er nødt til at anbringe yngre handicappede i alderdomshjem og plejeafdelinger for ældre. Der er mangel på tilbud til yngre personer med psykiatrisk diagnose. Hvis anbringelser i Danmark skal undgås, skal der ske en udvikling på området.

Kommunerne selv er opmærksomme på, at det må være muligt at lave fælleskommunale tilbud, især når vi snakker om sjældne handicap, hvor der ikke behøver at være en institution eller særligt botilbud i hver kommune. Omkring fremtidige fælleskommunale tilbud vil det være oplagt med samarbejde, også med Selvstyret, IPIS (viden- og rådgivningcenter for handicap) m.fl.

Med venlig hilsen
Martha Abelsen
Formand for KANUKOKA

Kontakt for nærmere oplysninger:

Formand Martha Abelsen, maab@kanukoka.gl, mobiltelefon 55 61 39, eller seniorkonsulent Kisea Bruun, kisb@kanukoka.gl, telefon 36 21 00.

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