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Specialized Social Protection for Cases of High Complexity/ Foster Family Service (PSE-A/SFA)
Children and adolescents
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#2
Services
Geographic coverage:
Relevant for:
Children and adolescents

Description

SFA is part of the Specialized Social Protection (PSE) of the Unified Social Assistance System

(SUAS)[i], aimed at people facing situations of rights violation. Situations of violation covered by the PSE include, for example, homeless or abandoned people, people in institutional care (or their dependents), or people subject to various forms of violence (domestic, slave labor, human trafficking), in addition to children subjected to child labor. 

SFA consists of the provision of temporary care for children and adolescents abandoned or removed from their families as a protection measure. Foster care is provided in the homes of registered foster families. It is expected that it will be possible for children and adolescents to return to their families of origin or, if this is not possible, to be referred for permanent adoption. SFA is responsible for promoting the interest of families interested in sheltering children and adolescents, selecting, training, registering, remunerating and accompanying the foster families, as well as monitoring the sheltered child and/or adolescent and their family of origin. In addition to meeting minimum criteria for accredited families to receive children and youth, there is reflective training to help families develop fostering skills and guide unqualified families in recognizing their limitations.

Referrals to SFA are made by the Specialized Social Protection Reference Units together with the Rights Guarantee System (SGD)[ii] - mainly the guardianship councils[iii] and courts of childhood and youth, using the Brazilian Adoption System (a single register of all administrative records with information regarding adoption processes). 

 


[i] SUAS is the abbreviation in Portuguese for Unified Social Assistance System. According to the MDS: “The Unified Social Assistance System is a public system that organizes social assistance services in Brazil. With a participatory management model it coordinates the efforts and resources of the three levels of government, i.e., municipalities, states and the Federal Government, for the execution and financing of the Brazilian Social Assistance Policy (PNAS), directly involving national, state, municipal and Federal District regulatory structures and frameworks. SUAS has 12 nationally typified services, as listed below. 

  • Basic Social Protection 

  1. PAIF – Protection and Integral Support Service to the Family

  2. SCFV – Service of Community Living and Strengthening of Bonds

  3. DPDI – Basic Social Protection Homecare Service for People with Disabilities and the Elderly

  • Specialized Social Protection 

  1. PAEFI – Protection and Specialized Care Service for Families and Individuals

  2. PCDIF – Specialized Social Protection Service for People with Disabilities, the Elderly and their Families

  3. MSE – Social Protection Service for Adolescents under Probation (LA) and Community Services Measures (PSC)

  4. SEAS – Specialized Care for Vulnerable Populations

  5. SEPS – Specialized Homelessness Services

  6. SAI – Institutional Shelter Services

  7. SAR – Communal Housing Services

  8. SFA – Foster Family Service

  9. SCE – Protection services in a declared public calamity and emergencies

 

These services are subdivided into those of Basic Social Protection (PSB, acronym in Portuguese) and Specialized Social Protection (PSE). The PSB is intended to support people whose social vulnerability exposes them to the risk of having their rights violated, but who are not yet subject to such rights violations. Vulnerabilities that expose people to the risk of having these rights violated include insufficient income, difficulty accessing essential public services (such as health and education), and situations that undermine community and family life (such as in the case of families with dysfunctional relationships or people without ties to their communities). Violations of rights, as already mentioned, are the object of the Specialized Social Protection (PSE) of SUAS, and refer to situations such as abandonment, physical and/or psychological abuse, sexual abuse, use of psychoactive substances, compliance with socio-educational measures, homelessness, child labor, among others.

[ii] SGD is formed by several institutions, such as: federal public agencies, the Public Prosecutor's Office, the Public Defenders' Offices, the Attorney General's Office and state attorney general's offices, police and specialized police stations, guardianship councils, ombudsmen and human rights defense entities responsible for providing legal and social protection, Centers for the Defense of the Rights of Children and Adolescents, among others.

[iii] With the approval of the Statute for the Child and Adolescent in 1990, it was defined that each municipality must have at least one Municipal Council for the Rights of Children and Adolescents, each of which must also house a guardianship council composed of five members elected by society to monitor situations of violation of the rights of children and adolescents. The performance ranges from the collection for the provision of public services, to the interlocution with the competent instances of the judiciary branch to request precautionary measures and/or family removal.

Federal managing body (expense authorizer)

The Secretariat for Social Assistance (SNAS) of the Ministry of Social Development and Assistance, Family and Fight against Hunger – MDS (which during 2019-2022 was designated Ministry of Citizenship – MC), by means of an inter-federative SUAS management structure. Funding is co-participatory between the three levels of government: municipal, state and federal.

Main implementing partner at the municipal level

Referrals are made by the Specialized Social Protection Reference Units together with SGD (mainly guardianship councils and courts of children and youth), and under the care of Foster Families: families willing to receive children and adolescents on a temporary basis, until a more permanent housing and care option is available. 

These families are screened and registered by Specialized Social Protection Reference Units together with SGD (mainly guardianship councils and child and youth courts).

Initiative start date

The Service was instituted and regulated from the Brazilian Typification of Social Assistance Services, published on November 11, 2009 and reissued in 20141,2.

Initiative end date

Currently in operation.

Descriptive typology(ies) of the initiative

It is mainly a foster (housing) care service, with a component of Service of Community Living and Strengthening of Bonds (SCFV).

Conditionalities

N/A

Target audience / eligibility criteria

Children and adolescents (0 to 18 years) – including those with disabilities, to whom the Judiciary Branch applies a protection measure, due to abandonment or violation of their rights, whose families or guardians are temporarily unable to fulfill their care and protective function.

There are also minimum criteria for selecting registered families to receive children and young people, such as3:
 

  • Be of legal age;

  • Not in the process of qualification or qualified in the Brazilian Adoption System, according to Art.34 § 3 of the Statute for the Child and Adolescent (ECA);

  • Agreement from all family members residing in the household;

  • Reside in the municipality or region;

  • Have no criminal record, psychiatric impairment and/or dependence on psychoactive substances (rule for all family members residing in the household);

  • Be available to participate in the initial training process;

  • Have time to attend the activities scheduled by SFA and for the

systematic monitoring of the technical team;

  • Meet the commitments necessary for providing care for the child and/or adolescent (school pick up and drop off, visits to the doctor and other professionals, extracurricular activities, school meetings, among others);

  • Commitment to the protection service until the child and/or adolescent is referred to their family of origin and/or extended family or foster family.

 

In addition to these minimum objective criteria, families undergo reflective analysis to assess their ability to meet more subjective criteria, such as:

  • Affective and emotional availability;

  • Family relationship;

  • Understanding of the role of a person providing support and clarity regarding the situation of the fostered child;

  • Sufficient emotional conditions and resources to deal with separations;

  • Broad family and community relationships;

  • Family routine;

  • Motivation consistent with the role;

  • Expectations consistent with family care and the profile of children and adolescents served by the modality;

  • Respect for social, belief, racial, sexual, gender differences, among others;

  • Aptitude for care, educational capacity and openness to develop new skills and competencies;

  • Flexibility and proactivity;

  • Empathetic listening and non-violent communication skills;

  • Emotional stability;

  • Respect and appreciation of the history, identity and relationship of the child and/or adolescent with their family of origin;

  • Respect for the rules and laws that guide SFA;

  • Openness to request help and collaborate with the technical team.

Eligibility verification mechanisms and the role of administrative records and other databases

Children and adolescents are appointed by decision of the Judiciary Branch, and Foster Families are previously registered by joint analysis of the guardianship council and Specialized Social Protection Reference Units. The analysis for registering eligible families includes verifying documents to ensure they meet the minimum criteria. (of a more objective nature), while the more subjective aspects are worked on with the families through reflective analysis that includes individual interviews, observation of family dynamics, and collective training. At the end of this process, the families themselves should self-assess their ability to take on the responsibilities required by the service4.

Estimated coverage

According to the SUAS 2022 Foster Family Census, in August 2022 there were According to the SUAS 2022 Foster Family Census, in August 2022 there were 543 registered Foster Families, taking in a total of 1961 children and adolescents.

Description of benefits

According to the SUAS Foster Family Census, foster families receive an average of R$ 1,101 per child/adolescent fostered.

The service basically consists of foster care with proper social assistance until the conditions for the return of the child or adolescent to their family are restored, or a more permanent housing and care option is defined.

Social assistance monitoring may vary according to the specific analysis of the social assistance teams in each case, and should be guided to ensure that the children received have the following rights:

  • Be fostered in a unique way;

  • Have their situation of separation, disruption, and rights violations addressed;

  • Have their identity, integrity and life history preserved;

  • Have access to a welcoming and healthy environment;

  • Have access to a space that meets quality standards for hygiene, habitability, health, safety, comfort, personal care, rest, and proper nutrition;

  • Have access to an environment and conditions favorable to the child and adolescent development process;

  • Have ensured family, community and social coexistence;

  • Have access to sectoral public policy services, according to their needs;

  • Have a sense of action based on respect for oneself and others, founded on ethical principles of justice and citizenship;

  • Obtain civil documentation;

  • Work on life projects and achieve autonomy;

  • Have family bonds established and/or preserved, in the impossibility, to be integrated into a substitute family;

  • Be informed about rights and responsibilities;

  • Express their opinions and needs;

  • Increase their family's protective capacity and overcome their difficulties;
  • Be ready to transition out of the service.

Benefit delivery methods

The benefit includes foster care by an accredited family and psychosocial support within the same environment.

Orçamento/ gasto anual

SUAS funding is shared by the three levels of government (Federal Government, states and municipalities). Resources are allocated in blocks and minimums, which have some flexibility to finance the various SUAS initiatives (see Policy Brief on SUAS financing). The table below illustrates the budget executions (co-financing) of the Federal Government for discretionary actions of the Secretariat for Social Assistance/ Social Assistance Fund (SNAS/FNAS) between 2002 and 2022 (in real values corrected to December 31, 2022). These values encompass the entire universe of services, programs, costing of management activities and investment of SUAS, so they do not refer only to SFA costs.

Federal budget executions with discretionary actions of SNAS/ FNAS between 2002 and 2022 (in real values adjusted for December 31, 2022)[i]

 

Ano

R$ Milhões de BRL

2002

3.885,20

2003

3.023,38

2004

2.308,34

2005

3.208,81

2006

2.615,90

2007

3.039,44

2008

2.902,20

2009

2.957,95

2010

3.252,75

2011

3.049,13

2012

4.040,07

2013

4.587,86

2014

4.320,93

2015

3.457,79

2016

3.485,66

2017

2.899,13

2018

2.995,74

2019

3.628,10

2020

5.010,93

2021

1.281,80

2022

2.295,75

Although we did not find consolidated values on the resources specifically directed to SFA financing, it is assumed that the Fixed Minimums of High Complexity I and II (namely, High Complexity I Minimum – Child/ adolescent; High Complexity I Minimum, High Complexity II Minimum – Street Pop – Sheltering Service for Adults and Families; and High Complexity II Minimum – Inclusive Residence) are the most directed to SFA financing the Communal Housing Services (SAR) and Individual Shelter Services (SAI). In 2022, the Federal Government transferred a total of R$ 73,065,520.73 to these Minimums[ii] (an amount corresponding to 5% of the total expenses of the Federal Government specifically directed to the 12 social assistance services nationally typified by SUAS this year).

 


[i] Data from 2002 to 2020 extracted from (GoB, Min. Citizenship 2021d), and 2021 and 2022 data extracted from (GoB, CGU 2022). Monetary correction of amounts made using the Citizen Calculator of the Central Bank of Brazil (GoB, Central Bank, n.d.)

[ii] Minimum values extracted from (GoB, Min. Social Development 2023a) and associated with specific services according to the authors' interpretation from (GoB, Min. Social Development 2013; Public Prosecutor's Office of Bahia, n.d.)

Positive findings regarding the efficiency of the initiative

A quasi-experimental academic study points out that the implementation of SUAS generated expansion and improvement in the provision of services, as well as improvement of administrative capacity at the municipal level, even controlling for more specific political factors5

However, we did not identify robust studies on the impacts of SFA in a more specific way.

Most relevant aspects aimed at children and adolescents

The entire initiative is specifically aimed at serving children who, at least temporarily, are unable to live with their respective families of origin. In addition to the offer of shelter and care by the Foster Family, there is also psychosocial monitoring.

Most relevant aspects aimed at the inclusion of women and girls

In addition to SUAS´ general orientation to empower girls and women through its different services, including, therefore, PwD, there are no specific aspects aimed at this audience.

According to the SUAS Foster Family Census of August 2021, however, this service receives mostly girls (52% of the total).

Main points of intersectorality of the initiative

Guidelines and references for other networks such as education, health and basic social protection, of medium and high complexity, in addition to interaction with SGD.

Actions taken by the initiative during the Covid pandemic

The specific adaptations of SFA varied greatly in each context, given the flexibility of state and municipal teams to adapt according to the specific needs of each context. However, there was a set of more structuring actions with an effect on SUAS in general, such as:

  • Several municipal teams developed voluntary joint efforts to support the application for Emergency Aid (AE, acronym in Portuguese) via application, although SUAS was not directly involved in AE.

  • The Federal Government maintained the IGD-Aid payments even with the temporary suspension of SUAS responsibilities in support of the program (and the PBF program itself) in 2020 and much of 2021.

  • The Federal Government generated instructional material with service protocols considering the challenge of avoiding agglomeration.

  • Through Ordinance MC No. 369, of April 29, 2020, the Federal Government distributed R$ 2.4 billion to SUAS as extraordinary credit distributed as follows among the municipalities with the highest prevalence of elderly, PwD, migrants and homeless people:

    • R$ 9.1 million was transferred to the interiorization of Venezuelan migrants and refugees;

    • R$ 158.1 million were allocated to the purchase of PPE for SUAS professionals working on the front line, serving, for example, sheltered elderly, homeless people and victims of rights violations;

    • R$ 185.6 million were transferred to the purchase of food from the elderly and people with disabilities served in the SUAS network;

    • R$ 577.7 million for the co-financing of social assistance actions, according to the needs of each location considering the pandemic.

  • Through Ordinances MC No. 378, of May 7, 2020, and MC No. 468, of August 13, 2020, R$ 1.5 billion were also transferred to: (a) the reorganization of activities in SUAS units; (b) the purchase of other items necessary to deal with the emergency; or (c) the expansion of social assistance offers during the pandemic. Of these:

    • R$ 1 billion was specifically intended to reinforce basic social protection actions;

    • R$ 437.2 million were specifically intended to reinforce Specialized Social Protection actions6,7,8.

In addition to the transfer of funds, several technical guidance notes on work in the context of the pandemic were released by the MDS.

References
  1. GoB, Min. Desenvolvimento Social. 2009. Tipificação Nacional de Serviços Socioassistenciais - Texto da RESOLUÇÃO No. 109, DE 11 DE NOVEMBRO DE  2009. https://www.prattein.com.br/home/images/stories/PDFs/Tipificacao_AS.pdf.

  2. GoB, Min. Desenvolvimento Social. 2014. Tipificação Nacional de Serviços Socioassistenciais. https://central.to.gov.br/download/231761

  3. GoB, Min. Cidadania. 2021. Caderno 4. Guia de Acolhimento Familiar. Mobilização, seleção e formação de famílias acolhedoras. https://familiaacolhedora.org.br/wp-content/uploads/2022/03/04_coalizao_mobilizacao_selecao_familias-WEB.pdf.

  4.  GoB, Min. Cidadania. 2021. Caderno 4. Guia de Acolhimento Familiar. Mobilização, seleção e formação de famílias acolhedoras. https://familiaacolhedora.org.br/wp-content/uploads/2022/03/04_coalizao_mobilizacao_selecao_familias-WEB.pdf

5. Cavalcante, Pedro, e Beatriz Bernarde Ribeiro. 2012. “O Sistema Único de Assistência Social: resultados da implementação da política nos municípios brasileiros”. Rev. Adm. Pública 46 (dezembro). https://www.scielo.br/j/rap/a/bwPZgHkvMbPcWCcYcgKHtPb/?lang=pt#.

6. GoB, Min. Cidadania. 2022. “Atuação da Proteção Social Especial do SUAS durante a pandemia da COVID-19”. https://aplicacoes.mds.gov.br/sagi/pesquisas/documentos/relatorio/relatorio_226.pdf

7. GoB, IPEA. 2022. “Boletim de Políticas Sociais -  acompanhamento e análise N. 29, 2022.” https://portalantigo.ipea.gov.br/portal/index.php?option=com_content&view=article&id=39098&Itemid=9.

8. IPEA. 2021. “Boletim de Políticas Sociais: Acompanhamento e análise. Assistência Social”, Políticas Sociais: acompanhamento e análise, 27. http://dx.doi.org/10.38116/bps28/assistenciasocial.