Fiche (Questionnaire) for the Institute for Social Work intended for the collection of data necessary for
the system of monitoring deinstitutionalization
Dear colleagues,
The Ministry of Labour, Pension System, Family and Social Policy, among other things, collects data, monitors the implementation and reports
on the implementation of the process of deinstitutionalization, prevention of institutionalization and transformation of social service providers
in the Republic of Croatia. Accordingly, a questionnaire was created for the branch offices of the Croatian Institute for Social Work, which takes
about 10 minutes to complete. The requested data are the basis for the indicators of the monitoring system of these processes and were
selected from the Operational Plan for Deinstitutionalization, Prevention of Institutionalization and Transformation of Social Service Providers
in the Republic of Croatia from 2022 to 2027, National Plan for the Fight against Poverty and Social Exclusion for the period from 2021 to 2027,
National Plan for the Development of Social Services for the period from 2021 to 2027, The National Plan for the Equalization of Opportunities
for Persons with Disabilities for the period from 2021 to 2027, the National Plan for the Rights of Children in the Republic of Croatia for the
period from 2022 to 2026 and the National Recovery and Resilience Plan for the period from 2021 to 2026.
We kindly ask you to submit the completed questionnaire by ...
Thank you for your time and answers.

There are 9 questions in this questionnaire.
Data on the respondent and the questionnaire
Name and Surname *
Please enter your answer here:
Function/Role *
Please enter your answer here:
Date*
Please enter the date:
Select a branch office of the Institute for Social Work *
Please select only one of the following answers:
    •   PU (branch office) BELI MANASTIR
   •    PU BENKOVAC
   •    PU BIOGRAD NA MORU
   •    PU BJELOVAR

                                                                                                                                                1
•   PU BRAČ-SUPETAR
•   PU BUJE
•   PU CRES - LOŠINJ
•   PU CRIKVENICA
•   PU ČAKOVEC
•   PU ČAZMA
•   PU ČRNOMEREC
•   PU DARUVAR
•   PU DONJA STUBICA
•   PU DONJI GRAD
•   PU DONJI MIHOLJAC
•   PU DRNIŠ
•   PU DUBRAVA
•   PU DUBROVNIK
•   PU DUGA RESA
•   PU DUGO SELO
•   PU �?AKOVO
•   PU �?UR�?EVAC
•   PU GAREŠNICA
•   PU GLINA
•   PU GORNJI GRAD - MEDVEŠČAK
                                 2
•   PU GOSPIĆ
•   PU GRUBIŠNO POLJE
•   PU HRVATSKA KOSTAJNICA
•   PU IMOTSKI
•   PU IVANEC
•   PU IVANIĆ-GRAD
•   PU JASTREBARSKO
•   PU KARLOVAC
•   PU KAŠTELA
•   PU KNIN
•   PU KOPRIVNICA
•   PU KORČULA
•   PU KRAPINA
•   PU KRIŽEVCI
•   PU KRK
•   PU KUTINA
•   PU LABIN
•   PU LUDBREG
•   PU MAKARSKA
•   PU MAKSIMIR
•   PU METKOVIĆ
                             3
•   PU NAŠICE
•   PU NOVA GRADIŠKA
•   PU NOVI MAROF
•   PU NOVI ZAGREB
•   PU NOVSKA
•   PU OGULIN
•   PU OMIŠ
•   PU OPATIJA
•   PU OSIJEK
•   PU PAKRAC
•   PU PAZIN
•   PU PEŠČENICA
•   PU PETRINJA
•   PU PLOČE
•   PU POREČ
•   PU POŽEGA
•   PU PRELOG
•   PU PULA
•   PU RIJEKA
•   PU ROVINJ
•   PU SAMOBOR
                       4
•   PU SENJ
•   PU SESVETE
•   PU SINJ
•   PU SISAK
•   PU SLATINA
•   PU SLAVONSKI BROD
•   PU SLUNJ
•   PU SOLIN
•   PU SPLIT
•   PU SUSEDGRAD
•   PU SV. IVAN ZELINA
•   PU ŠIBENIK
•   PU TREŠNJEVKA
•   PU TRNJE
•   PU TROGIR
•   PU VALPOVO
•   PU VARAŽDIN
•   PU VINKOVCI
•   PU VIROVITICA
•   PU VRBOVEC
•   PU VUKOVAR
                         5
          •   PU ZABOK
          •   PU ZADAR
          •   PU ZAPREŠIĆ
          •   PU ZLATAR BISTRICA
          •   PU ŽUPANJA
       Employee and activity data
       The number of experts employed by the Institute for Social Work.
       "Newly employed experts" do not include experts who are employed in vacant positions after retirement, termination of employment
       contract or long-term sick leave. Newly hired experts are shown regardless of whether they are employed for an indefinite or definite period
       of time.
       Only numbers can be entered in these fields.
                                                         of which          of which employed in                                        of which employed
                                            on 31        employed in       2022 through EU       as of 31      of which employed in in 2023 through EU
                                            December 2022 (newly           funds (newly          December      2023 (newly hired       funds (newly hired
                                            2022.        hired experts) employed experts)        2023.         experts)                experts)
1.1. Social workers
1.2. Lawyers
1.3. Psychologists
1.4. Social pedagogues
1.5. Educational rehabilitators
Total number of experts (automatic total)
       Number of persons who hold special roles in the social welfare system and who are employed by the branch offices of the Social Work
       Institute *
       Only numbers can be entered in these fields.
                                                                                                 on 31     of which as of 31 of which
                                                                                                 December employed December employed
                                                                                                 2022.     in 2022 2023.         in 2023
        1. Trained social mentors (under all 15 modules covered by the training package)
        2. Active supervisors
                                                                                                                                                 6
                                                                                           on 31    of which as of 31 of which
                                                                                           December employed December employed
                                                                                           2022.    in 2022 2023.     in 2023
3. Case managers involved in deinstitutionalization planning (involved in the
development and implementation of individual change plans or assistance to
deinstitutionalized beneficiaries in integrating into the community), of which:
3.1. As part of the implementation of transformation plans at the level of the Institute
3.2. No implementation of transformation plans at the level of the Institute
4. Managers of family and legal protection measures, of which:
4.1. Managers of family and legal protection measures with completed professional
training according to the licensed program
4.2. Managers of family and legal protection measures employed by the Institute
4.3. External experts implementing these measures (staff of community service centres
and other external experts)
Enter data related to the number of measures of intensive professional assistance and supervision over the provision of child care *
Only numbers can be entered in these fields.
                                                                                            in 2022.                  in 2023.
Pronounced number of measures of intensive professional assistance and supervision over
the provision of child care
1. Number of measures carried out by experts employed by the Institute
2. Number of measures implemented by experts employed in community service centres
(social welfare institutions founded by the Republic of Croatia) or other external experts
Number of users of social mentoring services *
Only numbers can be entered in these fields.
Please enter your answer(s) here:
    • in 2022.

   •   in 2023.
How many employees employed in your branch office used the supervision service? *
Only numbers can be entered in these fields.
Please enter your answer(s) here:

                                                                                                                                       7
   •   in 2022.
   •   in 2023.



Submit your questionnaire. Thank you for filling out this questionnaire.




                                                                           8
Fiche (Questionnaire) for State Social Welfare Institutions for data
collection required for the deinstitutionalization monitoring system
Dear fellow practitioners,
The Ministry of Labor, Pension System, Family and Social Policy, inter alia, collects data, monitors the
implementation and reports on the implementation of the processes of deinstitutionalization (DI),
prevention of institutionalization and transformation of social service providers in the Republic of Croatia.
Accordingly, a questionnaire was designed for Social Welfare Institutions founded by the Republic of
Croatia, which will require 10 minutes of your time. The data requested will serve as the baseline for the
indicators of the above-mentioned processes monitoring system and were selected from the 2022-2027
Operational Plan for Deinstitutionalization, Prevention of Institutionalization and Transformation of
Social Service Providers in the Republic of Croatia, 2021-2027 National Plan to Combat Poverty and Social
Exclusion, 2021-2027 National Plan for the Development of Social Services, 2021-2027 National Plan for
Equal Opportunities for Persons with Disabilities, 2022-226 National Plan for Children’s Rights in the
Republic of Croatia, and 2021-2026 National Recovery and Resilience Plan.
We kindly ask you to submit the completed questionnaire by …
We thank you for your time and answers.

Respondent and Questionnaire Details
First and last
name                                                  Function/Role

Date             Day      Month



A. General information on Social Welfare Institution
A1. Name of Social Welfare
Institution



A2. Address of headquarters

A3. County

A4. Phone                       A5. E-mail                        A6. Website

A7. First and last name of
the head of Institution

A8. Name of Branch Office                                    A9. Name of Branch
1                                                            Office 2
A10. Name of Branch Office                                   A11. Name of Branch
3                                                            Office 4
                                                                                                           9
A12. Date of registration in               Month _ _ Year _ _ _                          A13. Registration number
the register of social
welfare service providers

IF THE SOCIAL WELFARE INSTITUTION HAS MORE THAN ONE BRANCH OFFICE, THE DETAILS OF EACH BRANCH OFFICE ARE TO
BE ENTERED IN SECTIONS FROM B TO E

B. General information about the branch

B1. Name of State Social Welfare Institution’s
Branch Office

B2. County:                                                                       B3. Location:

B4. Type of area                                                      �?(1) Urban                                     �?(2) Rural

B5. Address:

B6. Phone                                   B7. E-mail                                          B8. Website

B9. Type of institution:
TICK ONLY ONE ANSWER
      •   Home for Children with Developmental Disabilities and Adults with Disabilities ......................................                          �?(1)
      •   Home for Children and Youth with Behavioral Disorders ...........................................................................              �?(2)
      •   Home for Adults with Mental Disabilities ...................................................................................................   �?(3)
      •   Home for Children without Adequate Parental Care or Children Separated from their Parents ...............                                      �?(4)




C. Data on new jobs / workers

C1. How many family associates were employed by the Social Welfare                                                   As of December             As of December
Institution?                                                                                                             31, 2022                   31, 2023




C2. How many families did family associates cover?                                                                      Throughout                 Throughout
                                                                                                                           2022                       2023


ONLY FOR INSTITUTIONS WITH CHILDREN BENEFICIAIRES
C3. How many managers of intensive professional support measures                                                     As of December             As of December
are employed by the institution?                                                                                         31, 2022                   31, 2023




                                                                                                                                                            10
C4. How many families are covered by professional support or       As of December   As of December
treatment provided by managers of intensive professional support       31, 2022         31, 2023
measures in your institution?




                                                                                              11
D. Data on beneficiaries


 DI. INSTITUTIONAL CARE (ACCOMMODATION)

                                                                             2022   2023
 D1. Capacity as of December 31

 D2. Number of beneficiaries as of December 31, of which
       D2.1 Out-of-pocket beneficiaries
       D2.2 Holders of Croatian Institute for Social Work’s Decision
 D3. New beneficiaries admitted to institutional care (accommodation)
 throughout the year
 D4. Number of beneficiaries who exited from institutional care
 (accommodation) throughout the year
       D5.1 Transfer to another State Social Welfare Institution
 D5. Exits from accommodation throughout




       D5.2 Transfer to another social service provider
       D5.3 Organized housing provided within the same State Social
                                           the year by type of destination




       Welfare Institution
       D5.4 Organized housing provided by another social welfare
       service provider
       D5.5 Foster family
       D5.6 Adoption
       D5.7 Reintegration into biological or kinship family
       D5.8 Independent living in the community
       D5.9 Independent living in the community with personal
       assistant support
       D5.10 Other (adulthood, death, suicide, etc.)


D6. Only for those who picked 5.10 other: what other?




                                                                                           12
E. Data on beneficiaries
                                                                                2022          2023
 E1. Capacity as of December 31
 E2. Number of beneficiaries as of December 31, of which
        E2.1 Out-of-pocket beneficiaries
        E 2.2 Holders of Croatian Institute for Social Work’s Decision
 E 3. New beneficiaries admitted to organized housing throughout the
 year
 E 4. Number of beneficiaries who exited from organized housing
 throughout the year
          E 5.1. accommodation with another provider of social services
          E 5.2. organized housing provided by the same state social
 E 5. exits during the year by




          welfare institution
          E 5.3. organized housing provided by another provider of social
          welfare services
          E 5.4. foster family
          E 5.5. adoption
          E 5.6. return to biological or consanguineous family
 destination




          E 5.7. independent life in the community
          E 5.8. living in the community with the support of a personal
          assistant
          E 5.9. other (coming of age, death, suicide, etc.)


 E 6. Please indicate the level of organized housing support provided:
 E 6.1. Comprehensive support
 E 6.2. Daily intensive support
 E 6.3. Daily short-term support
 E 6.4. Occasional support

F. NON-INSTITUTIONAL SERVICES

Please specify here the number of users of non-institutional (users of organized housing not to be
counted here)
                                                                                  year 2022 year 2023
 F1. number of users at December 31st, out of whom
         F1.1. Total privately paying users
         F1.2. Total by decision of the Croatian Social Welfare Institute
         F1.3. Counselling
         F1.4. Expert Assessment
         F1.5. Psychosocial Counseling
         F1.6. Social Mentoring
         F1.7. Family mediation

                                                                                                     13
        F1.8. Psychosocial treatment for the prevention of violent
         behavior
        F1.9. Psychosocial Support
        F1.10. Early Development Support
        F1.11. Assistance with Inclusion in Education Programs and
         Regular Education
        F 1.12. In-home care
        F1.13. Daycare
  F2. new users admitted during the year, out of whom
         F 2.1. Counselling
         F2.2. Expert Assessment
         F2.3. Psychosocial Counseling
         F2.4. Social Mentoring
         F2.5. Family mediation
         F2.6. Psychosocial treatment for the prevention of violent
  behavior
         F2.7. Psychosocial Support
         F2.8. Early Development Support
         F2.9. Assistance with Inclusion in Education Programs and
        Regular Education
         F2.10. In-home care
         F2.11. Daycare


                                                                                                                            during                during
                                                                                                                             2022                  2023
F3. How many adults in the social welfare institutions accessed active
employment measures?
 F3.1. Employment Aid
 F3.2. Traineeship
 F3.3. Training Aid
 F3.4. Self-employment aid
 F3.5. Education and training
 F3.6. Activation Programs
 F3.7. Job Preservation Aid
 F3.8. Permanent Seasonal Worker
                                                                                                                     throughout                 throughout
                                                                                                                        2022                       2023
F4. How many adults attended self-representation courses and
presentations?


 G. Data on the Transformation Plans
 G1. Did the institution ever prepare a transformation plan?
       •   Yes, a plan is in the process of being drafted...... .......................................................................................    �?(1)
       •   Yes, a plan was prepared, but it hasn't been approved by the Ministry.....................................................                      �?(2)
       •   Yes, a plan was approved by the Ministry, but it is not being implemented . ...........................................                         �?(3)
                                                                                                                                                           14
      •   Yes, a plan was approved, and it is under implementation ........................................................................         �?(4)
      •   Yes, a plan was approved, and its implementation has already been concluded.......................................                        �?(5)
      •   No END THE QUESTIONNAIRE HERE .........................................................................................................   �?(6)


ONLY FOR THOSE INSTITUTIONS WHOSE ANSWERS TO THE QUESTION E1. WERE 1, 2, 3 OR 4, I.E. THOSE INSTITUTIONS WHO
HAVE PREPARED THE TRANSFORMATION PLAN SO FAR
G2. What is the timeframe for the Plan implementation?
  From       Month                 Year                to                                            Month                                Year




                                                                                                                                                    15
Fiche (Questionnaire) for other Social Service Providers
Dear fellow practitioners,
The Ministry of Labor, Pension System, Family and Social Policy, inter alia, collects data, monitors the
implementation and reports on the implementation of the processes of deinstitutionalization (DI),
prevention of institutionalization and transformation of social service providers in the Republic of Croatia.
Accordingly, a questionnaire was designed for other social service providers, which will require 10
minutes of your time. The data requested will serve as the baseline for the indicators of the above-
mentioned processes monitoring system and were selected from the 2022-2027 Operational Plan for
Deinstitutionalization, Prevention of Institutionalization and Transformation of Social Service Providers
in the Republic of Croatia, 2021-2027 National Plan to Combat Poverty and Social Exclusion, 2021-2027
National Plan for the Development of Social Services, 2021-2027 National Plan for Equal Opportunities
for Persons with Disabilities, 2022-226 National Plan for Children’s Rights in the Republic of Croatia, and
2021-2026 National Recovery and Resilience Plan.

We kindly ask you to submit the completed questionnaire by …

We thank you for your time and answers.



1. Questionnaire completion date


2. Name of Service Provider – please indicate your FULL NAME


3. Address of Service Provider


4. County

    ZAGREB

    KRAPINA-ZAGORJE

    SISAK-MOSLAVINA

    KARLOVAC

    VARAŽDIN

    KOPRIVNICA-KRIŽEVCI

    BJELOVAR-BILOGORA

    PRIMORJE-GORSKI KOTAR

    LIKA-SENJ

    VIROVITICA-PODRAVINA

    POŽEGA-SLAVONIA


                                                                                                          16
    BROD-POSAVINA

    ZADAR

    OSIJEK-BARANJA

    ŠIBENIK-KNIN

    SPLIT-DALMATIA

    ISTRIA

    DUBROVNIK-NERETVA

    ME�?IMURJE

    CITY OF ZAGREB

    VUKOVAR-SRIJEM

5. Please indicate e-mail address, phone/cell phone number and first and last name of the person completing
this questionnaire:




6. Please select the type offered below that the service provider belongs to:
     - Institution founded by:

    RC

    County

    Other
   - Local and regional self-government unit i.e. the City of Zagreb
   - Association
   - Religious community
   - Other legal person
   - Natural person as a craft (trade) / family home

7. Please indicate the beneficiary groups using your services:

    Adults with disabilities (excluding persons with mental disabilities)

    Adults with mental disabilities

    Children with developmental disabilities

    Children and young adults without adequate parental care

    Children and young adults with behavioral disorders

8. Please indicate the types of social services you provide:
                                                                                                        17
- Counseling
- Professional assessment
- Psychosocial counseling
- Psychosocial treatment for the prevention of bullying
- Assistance with integration into early childhood education and regular schooling
- Psychosocial support
- Early developmental support
- Comprehensive assessment and planning
- Semi-residential care
- Home assistance
- Organized housing
- Institutional care (accommodation)

9. Please indicate the beneficiary groups using the institutional care (accommodation) service:

     Adults with disabilities (excluding persons with mental disabilities)

    Adults with mental disabilities

    Children with developmental disabilities

    Children and young adults without adequate parental care

    Children and young adults with behavioral disorders

10. Please indicate the beneficiary groups using the organized housing service:

     Adults with disabilities (excluding persons with mental disabilities)

    Adults with mental disabilities

    Children with developmental disabilities

    Children and young adults without adequate parental care

    Children and young adults with behavioral disorders


11. INSTITUTIONAL CARE (ACCOMMODATION) – to be completed by providers once for each group of
users checked at question 9:




                                                                                                  18
                                                                         2022   2023
11.1. Capacity as of December 31

11.2. Number of beneficiaries as of December 31, of which
       11.2.1 Out-of-pocket beneficiaries
       11.2.2 Holders of Croatian Institute for Social Work’s Decision
11.3. New beneficiaries admitted to institutional care (accommodation)
throughout the year
11.4. Number of beneficiaries who exited from institutional care
(accommodation) throughout the year
          11.5.1 Transfer to another State Social Welfare Institution
          11.5.2 Transfer to another social service provider
11.5. Exits from accommodation




          11.5.3 Organized housing provided within the same State
thoughout the year by type of




          Social Welfare Institution
          11.5.4 Organized housing provided by another social welfare
          service provider
          D5.5 Foster family
          D5.6 Adoption
          D5.7 Reintegration into biological or kinship family
destination




          D5.8 Independent living in the community
          D5.9 Independent living in the community with personal
          assistant support
          D5.10 Other (adulthood, death, suicide, etc.)




                                                                                       19
12. ORGANIZED HOUSING – to be completed by providers once for each group of users checked at
question 10:



                                                                          year 2022     year 2023
 12.1. capacity at December 31st
 12.2. number of users at December 31st, out of whom
         12.2.1. privately paying users
         12.2.2. by decision of the Croatian Social Welfare Institute
 12.3. new users admitted during the year
 12.4. number of users exiting during the year
        12.5.1. accommodation with another provider of social services
 12.5. exits during the year by




        12.5.2. organized housing provided by the same state social
        welfare institution
        12.5.3. organized housing provided by another provider of
        social welfare services
        12.5.4. foster family
        12.5.5. adoption
        12.5.6. return to biological or consanguineous family
 destination




        12.5.7. independent life in the community
        12.5.8. living in the community with the support of a personal
        assistant
        12.5.9 other (coming of age, death, suicide, etc.)

 13. Please indicate the level of organized housing support provided:
 13.1. Comprehensive support
 13.2. Daily intensive support
 13.3. Daily short-term support
 13.4. Occasional support




                                                                                               20
14. Please indicate the number of beneficiaries of non-institutional services (excluding beneficiaries
of organized housing).
                                                                                   2022         2023
 14.1 Number of beneficiaries as of December 31, of which
        14.1.1 Out-of-pocket beneficiaries
        14.1.2 Holder of Croatian Institute for Social Work’s Decision /
 Referral
        14.1.3 Counseling
        14.1.4 Professional assessment
        14.1.5 Psychosocial counseling
        14.1.6 Social mentoring
        14.1.7 Family mediation
        14.1.8 Psychosocial treatment for the prevention of bullying
        14.1.9 Psychosocial support
        14.1.10 Early developmental support
        14.1.11 Assistance with integration into early childhood education
 and regular schooling
        14.1.12 Home assistance
        14.1.13 Semi-residential care
 14.2. New beneficiaries admitted to non-institutional services throughout
 the year, of which:
        14.2.1 Counseling
        14.2.2 Professional assessment
        14.2.3 Psychosocial counseling
        14.2.4 Social mentoring
        14.2.5 Family mediation
        14.2.6 Psychosocial treatment for the prevention of bullying
        14.2.7 Psychosocial support
        14.2.8 Early developmental support
        14.2.9 Assistance with integration into early childhood education
 and regular schooling
        14.2.10 Home assistance
        14.2.11 Semi-residential care




15. Please indicate the total number of employees providing the ORGANIZED HOUSING SERVICE – all
permanent and fixed-term employees:
- Senior assistants,
- Assistants,
- Educators,
- Representatives,
- Managers,
- Administrative staff and other workers who cannot be classified into any of the above-listed categories.


                                                                                                             21