Families with chronically ill children

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elizestrada
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Families with chronically ill children

Post by elizestrada » Mon Jul 31, 2006 12:53 pm

What is the situation for families with chronically ill children in Finland? Does the state offer any assistance besides medical care? For example, if a small child is ill so frequently that one parent cannot work (because said child is awake all night many nights per week) does the state provide any financial assistance? Does it depend on the severity of the illness, in terms of whether its considered to be absolutely 100% untreatable and incurable, i.e., severe autism with profound mental retardation, versus whether the child is mostly functional in other ways (severe GERD, chronic gastritis and failure to thrive)?

Just curious.

In the USA, if you're interested in knowing, the child w/severe autism would be eligible for some type of social security assistance depending on the family income (if they are living above the poverty line, they don't get much if anything.) The child w/GERD, gastritis and FTT is eligible for nothing. :?. I have friends in situation #1, I and other friends are in situation #2. My friends with autistic children are supposed to get a few hours of respite care per month, though they cannot get an aide to not quit.

ETA: written at 5:43 a.m. Eastern Standard Time after yet another night of no sleep. :?



Families with chronically ill children

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Hank W.
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Post by Hank W. » Mon Jul 31, 2006 2:56 pm

http://www.kela.fi => Families with children and Sickness/Disability

Say there is a grant for stay-at-home-caretaker-for-a-family-member - but even the money is not good they have "miracle cures" happen in the the counties who need to cover the costs. Any kind of assistance of course they try to wiggle out from paying...
Cheers, Hank W.
sitting here like a lemon looking for a gin.

elizestrada
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Post by elizestrada » Mon Jul 31, 2006 6:33 pm

Thanks, Hank.

My friend whose 11 year old son is severely autistic and functions at the level of an 18 month old baby got a check one month from US Social Security for $8.00 Also, the geniuses there only give him assistance 11 months of the year. :? :? Not sure what's going on with that 12th month.

Rosamunda
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Post by Rosamunda » Mon Jul 31, 2006 6:40 pm

Also there are many excellent non-govt organisations and associations that help parents and families of handicapped children. The Mannerheim League is one, and they do have a network of carers offering respite care. Then there are organisations that regroup, say, families of autistic children. All these associations can qualify for grants (from the national gambling fund! and from the govt or municipality). There are some other organisations (I know an excellent one in Malmi) that do great work with families of severly mentally and physically handicapped children.

For kids with less severe autism there are some mainstream schools with a "special" section for kids with handicaps (such as Downs Syndrome) and other learning disabilities.

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Hank W.
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Post by Hank W. » Mon Jul 31, 2006 9:06 pm

elizestrada wrote:Also, the geniuses there only give him assistance 11 months of the year
I guess we can make a general assesment of the "looks good on paper" vs. "reality" is a global thing. Mind you, Finland does have a pretty comprehensive welfare system, but theres always a lack of funds.
Cheers, Hank W.
sitting here like a lemon looking for a gin.

zlingen
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Post by zlingen » Sun Aug 27, 2006 9:13 pm

This is a very broad complex issue which is difficult to answer with any hope of usefulness. I am/was father to my chronically ill, physically and mentally disabled daughter Nellie who died in the summer of 2005 shortly after she had turned 7. I am relatively certain that her care was as good as what we could have expected her to receive in the US, and that we didn't have to worry about going bankrupt due to the costs. But in terms of services (therapies, practical help at home, etc.), it depends an awful lot on where you are within Finland. We were in Turku until Nellie was almost 6, and Turku is well known amongst parents of disabled children for being a particularly bad place to be if you want decent services. We did receive quite a lot of help even in Turku, but we had to pretty constantly fight for it. We got therapies and a certain number of taxi rides per week to get her around, some home help for my wife every week so that she could get a breather, and money my wife received so that she could stay at home and care for Nellie. For many years, Turku paid my wife the middle class of that home care money, although my daughter required full-time care and technically speaking should have qualified for the highest class. Our opinion of course, and no use arguing at this point.

During the spring of 2004-2005, we wanted to get a lift system installed to help us handle Nellie, since she was getting very tall and heavy (even though she was disabled, I am very tall and Nellie got those genes from me). In Turku this was not going to be possible. So we moved a short distance outside Turku at that point to Lieto, and from a services perspective things improved quite a lot. We still got taxi rides to therapies, speech, physical, and occupational therapy, 12 hours of home assistance per week. My wife's home care income class was raised to the highest level. Most importantly, we felt that the system cared about our situation and really did their best within the existing system to help us. Nellie was about to go to a special school for disabled children when she suffered a stroke during the summer of 2004. At the school, the town of Lieto was going to provide her with a full-time assistant to help her through the school days.

It should be stressed that even though we did receive quite a lot of help, my wife had to work hard to get it. And there are always problems with any system. I am American and I alone couldn't have managed it. The administrators generally could speak English under duress, but it was never easy, and a translator was provided only once. My wife is Finnish and did most of that stuff. Dealing with the medical establishment is a whole 'nother can of beans. I have always imagined that American doctors are likely more sympathetic, at least on the surface, than most Finnish MDs. I have generally had a difficult time dealing with the Finnish MDs as I have found them to be overly professional when some humanity would have helped a great deal. There are always exceptions of course, and stereotypes shouldn't be made based on my experiences. And as I stated above, this may all be in my imagination since I've been in a foreign country for all of this.

The last year of her life, Nellie was in a respite care home. That was undoubtedly the worst year of my life. She was too sick to come home without full-time nursing care in our home, and neither Turku nor Lieto could find nursing care for us at home due to a nursing shortage. We weren't sure we wanted to bring her home with full-time nursing, and our uncertainty contributed to them not finding enough nurses. In this case we have definitely cried over spilt milk because we would have done things differently knowing how things were to end up.

To answer your exact questions: The amount of money a parent will get DOES depend on the "severity" of a child's illness, but the amount will not be nearly what a parent would make at work. Not even close. But it is SOMETHING. The parents of a child who can function, i.e. feed him/herself will receive somewhat less than the parents of a child who needs full-time care, i.e. to be fed, clothed, etc.. There are usually 2-3 classes in my experience, but I am not an expert. My wife received around 400-500€ / month (difficult to remember right now).

I hope this helps. I am glad we were here in Finland for Nellie's life. We had no idea she'd be disabled when we moved here (my wife was pregnant when we came), but I have always been relieved that we were here rather than in the insurance-driven American medical system. Just my experiences.

Wishing you all the best,
Peter Lingenfelter
peter.lingenfelter@gmail.com


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