Service Difficulties, Internal Resolution Mechanisms, and the Needs of Social Services in Hungary—The Baseline of a Development Problem Map
Abstract
1. Introduction
- What are the basic problems that hamper the daily functioning of social services the most, and what is the order of importance of the problem system? What are the main challenges and difficulties identified by the professionals concerned?
- What are the most significant specific target area and target group problems within each service area?
- In the cases where the phenomena are considered “major” or “very big problem”, what are the concrete solutions, mechanisms, and practices utilized by the services concerned to alleviate and address these phenomena?
- What external help would be needed to address the above problems, and what changes would be necessary to alleviate or eliminate them?
- What are the most important external professional support solutions that social services need right now?
2. Materials and Methods
3. Results
3.1. General Problems and Their Possible Solutions
3.2. Specific Problems and Their Possible Solutions
3.3. Problem Map
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
Characteristic | N | Percentage |
---|---|---|
Institutional completion | 166 | 82.6% |
Duplicate (all personal) completion | 35 | 17.4% |
All responses | 201 | 100.0% |
County | ||
Győr-Moson-Sopron County | 79 | 47.6% |
Veszprém County | 87 | 52.4% |
Maintainer | ||
Local government | 85 | 51.2% |
Nonprofit | 43 | 25.9% |
Church | 21 | 12.7% |
Central government/state | 17 | 10.2% |
Size | ||
0–5 number of professionals | 56 | 34.8% |
6–10 number of professionals | 38 | 23.6% |
11–20 number of professionals | 31 | 19.3% |
21–… number of professionals | 36 | 22.4% |
Operation | Median | Mean |
Number of professional staff, persons | 10 | 13 |
Number of other staff, persons | 2 | 4 |
Number of unfilled professional staff, persons | 1 | 2 |
Other staff unfilled, persons | 0 | 1 |
Number of people waiting, waiting list, persons | 8 | 16 |
Number of cases | 43 | 80 |
Number of beneficiaries | 60 | 121 |
Service area | N | Percentage |
Basic care for the elderly | 48 | 28.9% |
Specialized care for the elderly | 36 | 21.7% |
Care for people with disabilities | 37 | 22.3% |
Family and child welfare center | 20 | 12.0% |
Care for people with addiction | 19 | 11.4% |
Care of psychiatric patients | 17 | 10.2% |
Care for the homeless | 10 | 6.0% |
Respite care for children | 7 | 4.2% |
Target group | N | Percentage |
Elderly | 95 | 57.2% |
Children | 63 | 38.0% |
Families | 62 | 37.3% |
People living with disabilities | 46 | 27.7% |
Addiction patients | 28 | 16.9% |
Psychiatric patients | 24 | 14.5% |
Homeless | 17 | 10.2% |
Appendix B
Specialized Care for the Elderly | Score |
Increasing demand for care, higher care needs | 3.50 |
Lack of cooperation between health and social services | 3.17 |
Infrastructure development, adapted to needs | 3.09 |
Lack of simple, transparent, concise professional protocols | 2.85 |
Low staff preparedness | 2.83 |
Basic care for the elderly | |
Increasing number of psychiatric patients in care | 3.12 |
The presence in care of people with dementia who are not under conservatorship | 2.91 |
Difficulties in catering for people with special needs due to lack of capacity | 2.88 |
Problems related to the rights of people with moderate to severe dementia and their representation (signature, guardianship, representation) | 2.76 |
Getting elderly to day care | 2.45 |
Care for people with disabilities | |
Lack of professionals with specific qualifications | 3.05 |
Lack of employment opportunities for a physiotherapist (lack of resources) | 2.89 |
Development employment needs cannot be met with current funding. | 2.81 |
The group breakdown required in day care cannot be ensured by the minimum number of professionals required. | 2.39 |
Difficulty of cooperation with other social and health services | 2.34 |
Legal inconsistency: in support services, a personal assistant has become a helper, while a driver has become a caregiver. | 2.33 |
No professional guidelines for documentation of planned care | 2.27 |
Care for people with addiction | |
Specific training is not sufficient. | 2.67 |
Funding and staffing shortages due to parallel presence (e.g., conflict between care for the homeless and addiction care) | 2.58 |
Difficult to reach and involve the target group | 2.50 |
Lack of support to expand professional methodology | 2.38 |
Access to information is not satisfactory. | 2.29 |
Scarcity of development employment opportunities | 2.08 |
Lack of teamwork between social workers, psychiatrists, and psychologists | 2.08 |
Care for the homeless | |
Complete care is not sufficiently represented in the social and health systems. | 3.92 |
Few places to accommodate people who are unable to care for themselves | 3.92 |
Increase in the number of psychiatric patients amongst the homeless | 3.92 |
Increase in the number of addiction patients amongst the homeless | 3.75 |
Conflicts in TEVADMIN system (e.g., Day Care Centre for Psychiatric Patients conflicts with the Transitional Accommodation for the Homeless) | 3.67 |
There are no best practices or protocols to follow concerning health problems caused by withdrawal. | 3.58 |
Care of psychiatric patients | |
Lack of specialist psychiatrists | 3.32 |
Lack of cooperation between health and social services | 2.77 |
Specific training is not sufficient. | 2.67 |
Co-occurring care for people with different psychiatric illnesses creates many difficulties. | 2.67 |
Scarcity of development employment opportunities | 2.64 |
Addicts, people with neurological disorders, dementia, homeless addicts in the psychiatric system | 2.48 |
Conflicts in TEVADMIN (e.g., Care for the homeless) | 2.40 |
Family- and child-welfare services | |
Prevention, recreation, and children’s programs are under-resourced, even though under legislation are a core task. | 2.81 |
Difficulty of cooperation with specialized pedagogical services | 2.43 |
Family and child welfare center | |
Short deadline for making a proposal to the Guardianship Office | 2.92 |
Lack of information on the regulation, funding, and experiences of others in mediation | 2.84 |
Difficulty of cooperation with specialized pedagogical services | 2.63 |
Lack of information on the regulation of contact monitoring, its funding, and the experiences of others | 2.58 |
Lack of professional protocol for contact management (e.g., the time of the contact management service differ from the official working hours). | 2.50 |
Shortage of social workers in nurseries and schools | 2.48 |
Respite care for children | |
Increased number of psychiatric cases among both children and adults, for which the type of institution is not prepared | 3.80 |
In the case of admission to a crisis center, the custody and contact rights of the abusive parent continue to apply. | 3.67 |
Slow administration by the Guardianship Office | 3.40 |
In the case of a crisis center, the case management time is short (56 days), and no results can be achieved. | 3.38 |
Learning support teachers are not compulsory in the respite home for families, though needed. | 3.30 |
There is no control over the use of the compulsory pocket money and no way to monitor its use. | 3.22 |
Funding does not cover the transport of service users. | 3.11 |
Involving children in the interest representative forums is not always feasible. | 3.10 |
Members of the signal system are not familiar with the primary child welfare and child protection services, so the signal is sent to the wrong place (resulting in conflict situations). | 2.80 |
Crisis and confidential care is integrated into family transition homes, making it difficult to protect families, and funding is insufficient. | 2.80 |
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Problem Type | Score |
---|---|
Low wages | 3.72 |
Administrative burdens | 3.24 |
Psycho-mental stress among staff | 3.06 |
The low statutory minimum personnel allocated to each service | 2.82 |
Increase in the number of patients, clients, and customers (work overload) | 2.82 |
Lack of supply | 2.82 |
Difficulty in filling vacancies/shortage of skilled workers can only be filled by inadequate staff or no staff at all. | 2.80 |
Burnout | 2.79 |
Lack of proper career path | 2.70 |
Lack of supervision | 2.62 |
Obsolete infrastructure (built and technical) | 2.55 |
Weakness of professional cooperation | 2.51 |
Labor turnover and increase in turnover rates, outflow of workforce | 2.46 |
Overtime, working outside working hours or during weekends (work overload) | 2.43 |
Lack of professional cooperation | 2.42 |
Lack of professional information (updates, changes, news) | 2.42 |
High number of unfilled vacancies | 2.41 |
Outdated technical and working tools | 2.40 |
Low level of knowledge and skills of existing workforce | 2.37 |
Inadequate supervision | 2.32 |
Risk to the health and safety of colleagues | 2.32 |
Lack of opportunity for professional consultation | 2.30 |
Unclear internal professional protocol | 2.04 |
Lack of internal professional protocol | 1.99 |
Care for the Homeless | Score |
---|---|
Complete care is not sufficiently represented in the social and health systems. | 3.92 |
Few places to accommodate people who are unable to care for themselves | 3.92 |
Increase in the number of psychiatric patients amongst the homeless | 3.92 |
Increase in the number of addiction patients amongst the homeless | 3.75 |
Conflicts in TEVADMIN system (e.g., Day Care Centre for Psychiatric Patients conflicts with the Transitional Accommodation for the Homeless) | 3.67 |
There are no best practices or protocols to follow concerning health problems caused by withdrawal. | 3.58 |
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Csizmadia, Z.; Kóbor, K.; Tóth, P.; Böcz, T.Z. Service Difficulties, Internal Resolution Mechanisms, and the Needs of Social Services in Hungary—The Baseline of a Development Problem Map. Soc. Sci. 2025, 14, 473. https://doi.org/10.3390/socsci14080473
Csizmadia Z, Kóbor K, Tóth P, Böcz TZ. Service Difficulties, Internal Resolution Mechanisms, and the Needs of Social Services in Hungary—The Baseline of a Development Problem Map. Social Sciences. 2025; 14(8):473. https://doi.org/10.3390/socsci14080473
Chicago/Turabian StyleCsizmadia, Zoltán, Krisztina Kóbor, Péter Tóth, and Tamara Zsuzsanna Böcz. 2025. "Service Difficulties, Internal Resolution Mechanisms, and the Needs of Social Services in Hungary—The Baseline of a Development Problem Map" Social Sciences 14, no. 8: 473. https://doi.org/10.3390/socsci14080473
APA StyleCsizmadia, Z., Kóbor, K., Tóth, P., & Böcz, T. Z. (2025). Service Difficulties, Internal Resolution Mechanisms, and the Needs of Social Services in Hungary—The Baseline of a Development Problem Map. Social Sciences, 14(8), 473. https://doi.org/10.3390/socsci14080473