The Ministry of Health is undertaking a large-scale reform in the care system for children with disabilities by publishing a project to close existing homes and introduce innovative health services. The document, available on the agency's official website, outlines a strategic plan for transforming medical and social care.
A specific example of this change is the Complex Service Center for Children with Disabilities and Chronic Diseases (CSCCDC) in Stara Zagora. According to the draft resolution, the institution will take over comprehensive care for children with various health challenges, expanding its capacity and service scope.
A key point in the proposal is the planned closure of the Medical and Social Care Home for Children (MSCHC) in Stara Zagora starting from September 1, 2025. By that time, all placed children are expected to be removed, and no new children will be admitted to residential care.
The Center in Stara Zagora will have an expanded staff of 179 specialists, representing an increase of 32 work positions. The new model provides for outpatient and inpatient services, including long-term rehabilitation and palliative care for up to six months.
Parallel to the development in Stara Zagora, similar transformations are planned in other areas. For example, in Vidin, the Complex Service Center reports more than a threefold increase in its users since its creation in 2020, which necessitates expanding specialized personnel.
This national strategy has its roots in the National Strategy "Vision for Deinstitutionalization of Children in the Republic of Bulgaria" adopted in 2010. The main philosophy is to move from institutional to family-oriented care, with the state supporting parents instead of replacing them.
On a national scale, the plan provides for the creation of 26 integrated health and social residential care services (IHSRCS), which will serve children with disabilities and specific health needs. Currently, 12 complex service centers and 7 residential services have already been established.
The ultimate goal of the reform is to build a flexible, personalized system that places the child and their family at the center of care, ensuring high-quality medical and social service.