2017/07/25 by Rait Kuuse, Karmen Toros · 1 citation
Social Sciences · Economics, Econometrics and Finance · #Social Policy and Reform Studies #Healthcare innovation and challenges #Housing, Finance, and Neoliberalism
paper · doi:10.1080/13691457.2017.1357024
openalex publication_date 2017/07/25 · openalex created_date 2025/10/10 · openalex updated_date 2025/11/06
Deinstitutionalization is a key issue in the field of social policy. The community-based services movement has challenged the role of institutions as far back as the 1950s, but it is a relatively new development in Central and Eastern Europe. EU membership and the use of structural funds have been key elements of change in many countries; however, the Soviet heritage still overshadows progress and decision-making in social policy. Though deinstitutionalization’s overall meaning and aims are generally well known, less information is available about the processes and policies underlying deinstitutionalization. In post-communist countries, deinstitutionalization is often narrowly associated with large institutions, but its embedment in the social welfare policy framework is less discussed. Nevertheless, first attempts to change the design of social services to more participatory and integrated solutions are evident. For more than 20 years, developments in the field of social-welfare policy have aimed to reduce the gap between Estonia and other developed countries. This article reviews relevant documents in Estonia’s social welfare policy reforms from re-independence to the present. The article discusses the prospects and challenges for achieving deinstitutionalization’s intended goals in Estonia.