the beginning of the 1980s with the introduction of a home care allowance for elderly and disabled people
(Social Welfare Act), and it became a topic of real social interest in the 1990s when home and institutional care
services were subject to cutbacks and support for informal care and assisted living was increased. Since 1993
the caregivers allowance has been a statutory social service which is governed by the Social Welfare Act and
the Decree on Support for Informal Care. The Support for Informal Care Act came into effect at the beginning of
2006.
Support for informal care is defined in the care and service plan and includes the supply of services required
by the invalid and compensation, leave and support services for the carer. The amount of compensation is set
according to how binding and demanding the care is. The minimum allowance (2017) is 392,00 euros per month,
and 784,00 euros per month during a transition period when the care is very demanding and the caregiver has to
take temporary leave from his or her job. The family caregiver is entitled to at least two days leave per
month .The family caregiver is entitled to at least three days leave per month when he or she is providing round-
the-
clock care. The caregiver’s allowance can be claimed when
1.
a person needs medical care or nursing
due to impaired faculties, sickness, disability or similar, and a family
member or close associate is prepared to take responsibility for their care with the help of the necessary
services;
2.
the health and ability of the caregiver fulfils the requirements for providing family care;
3.
the provision of care, together with other necessary social and health
services, is sufficient with regards to the
well-being, health and security of the person being cared for;
4.
the home of the person being cared for is suitable with regards to health and other conditions; or the granting of
support is considered to be in the best interests of the person being cared for.
The actual amount of people participating in some level of family care is however considerably higher, although
the exact figure would be difficult to estimate as there is no register. The numbers in Finland have been
estimated at 150,000 people over 60 years old and 300,000 people of all age groups. Support for informal care
is a systemic innovation from the 1980s which generates added value in the service system, and family care has
become an essential part of the present system of caring for the elderly. The inclusion of the care given by one
family member to another in the official social service system has made both the individuals concerned and
society as a whole redefine their mutual rights and obligations. Family care is currently subject to active research
and development,
which is all to the good, and new methods to support care-giving families individually are
being developed. Different kinds of organisations have a big part to play in this development work because
versatile support for family carers requires multi-actor cooperation between municipalities,
organisations,
congregations and private service providers.
Päivi Voutilainen
– Counciller of Social affairs,
Ministry of Social Affairs and Health
Reija Heinola
– Managing director,
Central Union for the Welfare of the Aged
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