While Finland must work towards well-integrated benefits and well-integrated services for youth (and the population more generally), the government was preparing a major administrative and regional government reform. The so-called SOTE reform planned an important change in the provision of health and social services, but came to a temporary halt with the resignation of the Finnish government in early 2019. It will be up to the next government to decide whether the reform will be implemented and in what form.
The last version of the reform would have changed responsibilities, service organisation and funding mechanisms and thus affected policy implementation and outcomes in many different ways. In particular, the reform would have reinforced the disconnection between benefits (a national matter) and employment and other services (a regional matter). To make such setup functional and effective, underlying funding mechanisms must ensure sufficient investment by the counties in prevention and early intervention services, to avert benefit claims and dependency. Sharing county actions and outcomes openly in a transparent manner would facilitate the diffusion of good practices at the county level.
Ohjaamo one-stop centres are critical entities guiding young people through a fragmented system of services and benefits. There is a need to expand Ohjaamo resources to ensure such one-stop-guidance centres are available for all young people across Finland and offering the full range of services needed to support them (including outreach workers, employment specialists, mental health professionals, social workers, housing experts, financial expertise and benefit knowhow). Ohjaamo centres are the main strength of the Finnish Youth Guarantee, which is successful in reaching young people in need, especially NEETs, but much less successful in achieving employment outcomes for them. With the SOTE reform, the position and location of the Ohjaamo centres would come under pressure. Counties must have the resources and incentives to maintain and expand this guidance structure, to prevent rising within- and cross-county inequalities in access to services.
In many ways, the SOTE reform would dive into new territory. The reform of the public employment service in 2013, which transferred the responsibility for employment services from the local to the regional level, was a precursor of the SOTE reform. Both reforms aim at increasing service efficiency and harmonising service availability and quality across the country. Monitoring, evaluating and fully understanding the implementation and impact of the 2013 public employment service reform is critical as a learning experience for a successful realisation of any SOTE reform.
As part of the SOTE reform, Finland aimed to generate a transparent and competitive market for health, social and employment services, to improve service efficiency and introduce user choice. Such change would be a major undertaking, with considerable potential but also risks. Finland should consider doing this transition in steps, starting with the administrative changes while carefully studying how other countries managed to outsource public services. Australia in particular has considerable experience in outsourcing various services, including youth outreach services, youth mental health services and employment services.