features of the H & D Project:
Object: exclusion & illness / "Health & Dignity" includes the
"disadvantaged people" on an individual basis especially "homeless &
mentally ill people" : this is the very target population.
Complementarily: this project would be a complementary action of a previous project,
supported by EU Commission: "Preliminary Survey on the adequacy of needs &
- Initiative: this project is an initiative of the grassroots i.e.: the practitioners
who desire to make their practice more "inter-disciplinary" and "inter-
sector-based" and to develop, in a more adequate way, the services proposed and at
the same time to present the indications and recommendations to political entities.
Private welfare organisations & charity associations contribute in a
effective and irreplaceable way to the Health promotion, information and education of the
socially disadvantaged & socially excluded.
For this reason they are highly capable of providing information about
their needs, and giving indications about the appropriate methods and strategies for
primary and secondary health prevention.
These practices could be multiplied and efficiently supported by health
policy makers in the implementation of "proximity" methods approach for health
promotion and a dignified way of life for socially disadvantaged persons.
The mental & physical health situation of disadvantaged people is
deteriorating at the same time public services for any citizen - become
increasingly effective and specialised.
Their life expectancy is falling (75 years, national average, 40 years,
homeless average, cf. Crisis, London 97).
Infectious and acute pathologies are increasing. This also affects
negatively the national health budget.
Information about health care and hospital services and in particular
access to them remains very difficult, if not impossible.
Health promotion, primary and secondary prevention measures, do not
Specific training is lacking for general practitioners as well as
Networking remains difficult.
AIMS OF THE PROJECT
Recording, analysing and assessing diverse good practices and methods in several
Providing local, regional and European health policy makers with appropriate methods
and indications which best ("proximity" approach) meet the health needs of this
group of citizens.
Promoting support and developing an interdisciplinary and inter-sector-based
collaboration between welfare Organisations, charity Associations and public health
services for a new partnership & action.
Developing local network and structuring the European MHSE network, and liasing this
network with other European networks working in the health sector.
Publicising the results. Opening a Internet Forum and promoting training for social
& health workers
Preparing a feasibility study for the pilot & transnational project: "HEALTH IN
in order to bring health promotion, education and prevention where
they are: on the street, in the subway, and for circulating information and facilitating
assess to health care.
- Observing and evaluating the mental, physical & social health needs of
- Four seminars: Copenhagen, Rome, London, Berlin.
- Visit/debate: in each city where will be organised the seminars.
- Report/dossier on the situation of the 10 capitals.
- Inter-disciplinary and pluralist networking.
- Local awareness and circulation of information.
- Possible pilot project: "Health at the street".
Possible presentation of the trans-national pilot project: "Health at the
- A European Seminar: Athens
- European report/dossier: "Health & dignity" with the comparative
presentation of the context, the analysis of the needs and their indicators, comparative
evaluation of the methodological and pragmatic input of the assistance associations in the
health formation, education and development.
- Extension and development of the European network.
- European awareness and circulation (Commission, Parliament, Council).
- Priority : health prevention/promotion (mental health), deepening the analytical
knowledge of the differentiated needs of the person as a whole, while highlighting the
priorities as to health/well being of the disadvantaged people (homeless mentally ill).
- Heighten the awareness on interaction connection: health & precariousness
- Permanent and specific formation provided to the participants of this initiative,
through the participation in colloquia and seminar.
Quarterly letters and bulletins: information and indications resulting from this
initiative will be circulated in the newsletters of the institutions and appropriate
magazines. A MHSE Liaison letter is also part of this plan.
Web Site: exchanging experiences, reflections, information.
1. AS REGARDS THE CONTEXT
- Collecting documents and data on health/ mental disease in each capital city.
- Presenting national social legislation about exclusion.
- Presenting mental health legislation.
2. AS REGARDS THE NEEDS
- Individuation and evaluation of the risk-factors and particularly the psychic risk, for
orienting the innovative projects with the prevention/protection factors.
- Individuation and analysis of the health/needs in general and more particularly the
mental health need of the disadvantaged persons.
3. AS REGARDS THE GOOD PRACTICES
- Adopting a common definition of "good practices"
- Identifying general criteria for assessing "good practices", specifically the
"good practices" in the field of mental health promotion (primary prevention)
and in the secondary prevention (follow up of the mental sickness).
- Presenting a certain number of "presumed" good practices and choosing in each
capital city, among the previous ones, 4 or 6 practices specialised in the work with the
- Survey/interviews for collecting quantitative, but mainly qualitative data.
4. AS REGARDS THE EUROPEAN REPORT
- Comparative summary of the contexts and social laws on exclusion and laws on mental
- Analysis and needs indicators
- Evaluating the good practices and their method
- Proposing the pilot project : "Health at the street".
- Appendix: data, examples, documents & videos.
Start of project : 1 May 1999
Duration of project : 20 months
1st meeting : 6-8 May 99, Copenhagen
2nd meeting: December 99, Rome
3rd meeting: February 2000, London
4th meeting: May 2000 Berlin
Final Seminar: September 2000, Athens
Final report : December 2000.
European Commission, DG V / E / 1 Public Health
Mental Health Europe MHE (ERC - WFMH)
H&D EUROPEAN TEAMVRIJLANDT Aart-Jan, Psychiatrist, President of MHE
- Josée VAN REMOORTEL, MHE Executive Director (B)
- John HENDERSON, MHE Policy Director (UK)
- Luigi LEONORI, psychologist, MHSE project co-ordinator (I)
- Thomas CRAIG, psychiatrist, Prof. of St Thomas Hospital, Project Manager (UK)
- Manuel MUNOZ, psychologist, Prof. Of Compultensis Madrid University Expert (E)
(B) HORENBEEK Bernard, Psychologist, Director of DIOGENE
ZOMBEK Serge, Psychiatrist, Responsible of
CHU St Pierre, Brussels
(D) MENNINGER Oswald, President of Der Paritâtiche
DI TOLLA Patrizia, Psychologist, Berlin
(DK BRANDT Preben, Psychiatrist, Director of "projekt UDENFOR",
WINTHER Mogens, scientific worker and
co-ordinator of international
work, UDENFOR, Copenhagen
(E) HERNANDEZ Mariano, Psychiatrist, President of A.E.N.,
BRAVO MariFe, Psychiatrist, Local Co- ordinator,Madrid
(F) LACROIX André, Director of EMMAUS, Paris
SIMMONET Jacques, Psychiatrist, CHS St Anne,
(FIN) LAHTI Pirkko Director of the Finnish Association of Mental Health,
LINDHOLM Eeva-Liisa, social worker, Salo
(GR) SAKELLAROPOULOS Panagiotis, Chairman of the Board SS P & MH,
FRANGOULI Athena, Speech Therapist, SSP &
MH, Co-ordinator Athens
(I) MANNU José, Psychiatrist, Vice-President of SMES-IT,
REALACCI Paolo, Psychiatrist, ASL RMA, Rome
(P) SILVA Fernando, Psychologist, President A.R.I.A, Lisbon
BENTO Antonio, psychiatrist, Lisbon
(UK) SHEPARD Ceri, Director of Homeless Network
TIMMS Philip, Senior Lecturer, Guy's, King's &
St Thomas' School of Medicine, London
For further information, please, contact
Leader of MHSE Project
Place Albert Leemans 3 / B-1050 BRUSSELS
Phone & fax 0032.2.5385887