Special care refers to comprehensive treatment, education and care as well as individual special-needs education for the young people who put their health and development at a particularly severe risk through their actions. This is concerned with substitute care measures temporarily organised in a closable space, help in “stopping” young people who are behaving aggressively, running away, committing a lot of crimes or addicted to substances and putting their life situation in balance.
The aim is to safeguard the young person’s physical, mental and social welfare as well as to promote the success of support measures after special care. Putting an end to these behaviours is meant to help the young person and is possible with the influence of a safe physical environment (ward), clear daily rhythm and programme as well as constantly present and sufficient personnel. Temporary care provided at a special care unit has the duration of 30 days and it can be continued at most for 90 days if necessary due to the young person’s condition. Determining the need for care is based on an assessment by social and health care specialists of the young person and his or her life situation.
The treatment at a special care unit is based on intensive individual and group work as well as personal key-worker work. In addition to the multiprofessional working group, a doctor and a psychologist also participate in the young person’s treatment. Intensive cooperation is carried out with the family and different networks throughout the entire period. An individual special care plan determining the care needs and objectives and used implementation methods is prepared for the young person. Basic education is provided under the instruction of a special teacher with a home school principle at the unit.
A special care unit is a safe and trustworthy operating environment which emphasises the significance of interaction as a support for welfare. At the end of the special care, the young person is discharged to a suitable place according to plan. The further plan is prepared to be as realistic as possible together with the authority responsible for the placement, parents and the unit where the young person will be placed.