Dignity  and  Health  5-Projects                      

EXCHANGES  PROGRAM  Phase 2 - 2005        

European Commission
             2003 Phare Small Projects Programme      

Budget line
        No  082-870-202
During :        2004-2005


1.1          Title: D&H-5P/II:   Dignity and Health – Right and Access: using the EU objectives in exchange program for increase participation in citizenship and access to health and social services for the most disadvantaged and excluded people”  

1.2.    Location(s) of the activity(ies)  

FROM: 1. Bucharest (RO),  2. Prague (CZ), 3. Sophia (BG),  4. Warsaw (PL),  5. Riga (LV).
TO :      a)  Brussels (B),    b) Paris (F)     c)  Rome (I)     d)  Madrid
(E)      e) Copenhagen (DK)  

NB.: this provisional order will be discussed with the partners and take final decision in the 1st preparatory meeting:  Brussels September

 1.3          Amount requested from the European Commission

Total eligible cost of the action        58.658  EUR        
Amount requested from  the European Commission  46.926  EUR  = 80% of total eligible cost of the action.

 1.4          Summary 

1.           Aim:  To promote the RIGHT–DIGNITY and increase access to Health / Mental Health and Social Services for homeless and socially excluded people in  2 Candidate Countries : Romania and Bulgaria and in 3 Acceding Countries : Czech Republic, Poland, Latvia.

2.          Target groups:  professionals, voluntary and volunteers working directly with homeless and socially excluded people. This would, for example, include social workers, psychologist, G.P. doctors, nurses, and NGO staff.  Indirectly : marginalised and exclude people.

3.          Main activities :

·         Realising an exchanging/visits program, consisting in 5 countries of EU:  B-DK–S-F-Italy. 

·         1 European Seminar that gather all countries and representatives from all EU.

·         Publication and dissemination of discussions and recommendations   

1.5      Objectives 

1.           To realise,  after the project  “Dignity and Health -5Projects”, a second phase with a real  “bilateral” & “symmetric” inter-exchange, in order to satisfy many requests presented by actual partners of project
D&H-5P, between the 5 partners: two of candidate (BG-RO) and three from acceding (CZ-PL-LV)
countries and five countries of actual EU.
The project D&H– 5-P, supported by Commission, consists in realising visits/exchanging and conclusive transnational workshop – at rotation – and it is realised in each of 5 Partner’s Countries (Phare). D&H-5P
will conclude in June with the Seminar in
Prague, where we could starting at same time the second phase. 

2.          To realise the second phase of D&H-5P that will consist for our Five Partners of in visits / exchanging – in these inviting cities : Brussels, Paris, Rome. Madrid, Copenhagen,

In the annex list there are divers Associations and Institutions working for promoting concretely access to rights : health , resources, housing, job, educational training and discuss with the local staff the daily practices and local dispositions that either interferes with or encourages access to social and healthcare services for homeless and vulnerable people. 

3.          To present – each delegate of 5 Partners (Phare) with local workers  – the health and mental health
system and resources and local social protection, each of own country, if and how exists any especially attention for disadvantaged and excluded people.

4.          To increase with this exchange of information and knowledge between the 5 external invited people and
local workers,  the knowledge of EU objectives included in NAP, as it can be applied to problems arising
in their daily work

5.          To increase – with all these initiatives - awareness of EU action and program with national and regional policy makers. 

6.          To produce local reports and materials which can both assist local practice and inform local policy and planning 

7.          To produce a final project report to enable wider dissemination of the local findings and to encourage international benchmarking.  

1.6       Justification 

a)          Relevance of the action to the objectives of the programme

This project will increase local knowledge of EU human rights legislation, an integral part of membership
of the European Community. It is consistent with the “open coordination method” for ensuring the development of common European social policies.  It will strengthen the effectiveness of organisations working for the protection of socially disadvantaged minorities. 

b)          Relevance of the action to the priorities of the programme
The introduction of the free market into Eastern European countries has had the effect of removing large numbers of uneconomic jobs. These jobs, although economically ineffective, were significant support mechanisms for many people at the lower end of the socio-economic scale, with limited skills and resources. Without this support, it has become apparent that there have been increasing numbers of homeless and socially marginalised people in these societies. To address their needs will go some way towards reducing the negative impact of the free market in these countries.
By focussing on the potential impact of EU law, this project will heighten awareness that legal mechanisms are not merely for societal control but that they can also be used to establish the rights and entitlements of individuals.

c)          Identification of perceived needs and constraints in the target countries
Contacts were made with Eastern European organisations during previous pan-European SMES seminars. They requested assistance for increased
contact between themselves and EU organisations working with the homeless, particularly those with serious mental illness.  

d)         list of target groups (if possible include letters of intent to demonstrate the interest of the identified target groups) and estimated number of direct and indirect beneficiaries

N.B.: this target group is composes more of representatives of Associations who participated in
Prague Seminar. 

e)          Reasons for the selection of the target groups and activities.
Homeless and disadvantage people often do not use normal or official avenues to gain entitlements
 or assistance for themselves. Thus mainstream health and social services will often not have any significant or consistent contact with them.The participants involved will belong to organisations that have a track record of engaging with and successfully providing services to homeless and socially disadvantaged people. They will therefore have regular contact with these groups and will already possess the necessary background knowledge and experience of working with them. They will be in a position to immediately use knowledge gained in the workshops in their daily work with homeless and disadvantaged people. 

f)                    Relevance of the action to the target groups

Participants will be people who work with inadequate resources to provide care and support for a very deprived group of people. The project will help them to develop knowledge and skills that can be used in their daily work with individual clients and will not generate any direct extra costs for their organisations. 

1.7       Detailed description of activities 

A.            ROLES & INITIATIVES 

1.       Role & fonction of SMES-EUROPA :
     Elaboration & Presentation of the 2nd phase of  D&H-5P project

a)       In Preliminary phase  : elaboration – preparation – information ;

b)       After agreement of project by Commission, 

o         To improve a special team for D&H-5P in order to co-working and sharing responsibilities,
roles & functions

o         To Inform members of SMES-EUROPA, in order to showing interest in participation

o         To prepare and sending to all partners and participants the general information about the basic aim, objectives and method

o         Stay in contact with partners, in order to support the best preparation – elaboration – realisation
of divers 5P and participate to each of D&H-P.

o         To insure by local co-ordinator, redaction of local report and dissemination of information

o         To manage a monitoring D&H-5P meeting in the half of initiative

o         Co-organising with Local Partner the Final seminar of October.

o         To manage an evaluation meeting in Berlin with all partners and preparing the final report with recommendations and disseminate all. 

2.       Role of each “receiving partner” : B-D-DK-F-E-I

o         Create a team for co-working and sharing responsibilities, roles & functions.

o         Inform colleagues and asking to show interesting and involvement

o         Preparing workers committee

o         Selected centres to visit and awareness about the aim : in what way the the daily practices
support – make lobby & advocacy the Political Responsible & Administrators in order to
“eradicate exclusion and poverty” and promote RIGHT – PARTICIPATION – SOLIDARITY.
Using als the Join Report of NAP.

o         Preparing venue – program - agenda and all logistic for final Saturday workshop

o         Send preliminary program to “welcome partners”, asking about desiderata

o         Preparing final agenda of visits and workshop

o         Preparing frame and draft of “D&H-P” and sending to all partners for up-date

o         Redacting final report and disseminate information. 

3.       Role of each “welcome partner” : CZ-RO-BG-PL-LV

o         Create a team for co-working and sharing responsibilities, roles & functions.

o         Inform colleagues and asking to show interesting and involvement

o         Preparing workers committee

o         Select  5 delegate of Associations - who at rotation – could participate at program

o         Preparing the basic information of own countries about the 5 factors of exclusion = topics of previous project : health – resources – house – job – education, but – using the JIM – in what
way the Political Responsible would “eradicate exclusion and poverty” and promote RIGHT – PARTICIPATION – SOLIDARITY .

o         Sending desiderata about especially interest in visiting one or other centre.

o         Agree the final agenda of visits and workshop

o         Preparing participant who will bring with him all interesting documentations.

o         Redacting final report with receiving partner and disseminate information with report but also
with target meetings

B.         LOCAL PROGRAMME:  visits/exchanging in
            Brussels, Copenhagen, Madrid, Paris, Rome

1.       Preparing visits

a)                  European co-ordinator : before beginning the programme, he will send to all five partners the
clear and complete information about method of second phase; the general profile of the
institutions and Organisation which the partners will visiting for exchanging.

b)                  Local partner & co-ordinator : before beginning the programme, must take

·          Contact regularly with European co-ordinator in order to have the last information about methods and partners 

·          Contact with the local Associations in order to inform about the project, call for showing interest in participating explaining the aim and to overcome any questions, asking for collaboration in order to preparing visit with team and users.

·          Contact with the 5 “invited” Partners (Phare), sending a clear and complete information
about the date, method and profile of the institutions and Organisation that the partners
will visiting for exchanging, asking about eventual desiderata.

2.       Realising visits/exchanging

 This is a suggestion for "frame" of agenda for all the 5 programs.
We suggests to all participants beginning the Wednesday morning for this each delegate must arrive or Tuesday evening or early of Wednesday.
Each local coordinator
must adapt the agenda to local contexte and he is the responsible of timing
and flexibility, according with European coordinatotion.



Thursday Friday Saturday
09,00 - 11,30 Briefing 3. 6.

Presentaitions &

12,00 - 14,00 
including lunch
. 4. 7.

3 workshops

15,00 - 17,00 2..... 5... 8

a)                  Wednesday morning  : “briefing” meeting in the centre of local organiser with all partners or delegates, in order to discuss and agree agenda and appointments.

b)                  Thursday  &  Friday  :  realisation of program visits/exchange, at minimum 5 centres. Will be possible perhaps join others visits, id useful, but only as shortly visit.
Because the aim of visit/exchange is in meeting with the team, and if is possible joint with any users, to analysis in what way the project to contribute to Dignity – Health – inclusion, both for
users and for civil society .
Evaluate – longitudinally -the evolutif process of health and reinsertion, also with case study of a user, who should reinforce the Project, as being a ‘good practice’.
The “case” will be possible to use as an emblematic case (problems, solutions…), the Saturday
in workshop. 

c.                   Saturday :  small seminar where will be invited to exchange with invited 5 delegates of (Phare) Partners all local visited Associations and other interesting local people, reproducing the good method and practice of our small seminars of D&H-5P that we are realising in the Prague, Bucharest, Sofia, cf.: please Warsawa our last now : http://www.smes-europa.org/D&H-4P_Warszawa.htm

·          In the morning: “theoretical session” where will be presented any  shortly speeches about choised topics, with round table and debate.
·          In the afternoon  “practical session” workshops,  where would be analysed an “emblematic case”
·          In the evening: evaluation meeting & definition of basic point for local report.  

3.       Elaborate the local report :

 a)    The local coordinator, sharing the job with each of D&H-5Partners (Phare), would preparing together (each one will take a specific task)  – “strictly” in the month after the “visits/exchanging” the report of program including :

§          All usefull documents,

§          Profile with any analyse and comments of visited centres,

§          Global résumé of Seminar, including each speech

§          Any shortly recommendations.

§          Disseminate the conclusions – recommendations - reports .

§          Preparing the participation in Final European Seminar, where all will be present in workshops.

Cf.: the list of all  “good practices” that SMES-EUROPA identified in 2002 with the European project “To live in Health and Dignity”.
 And of all this Associations we have the analysed profile.

1.8       Methodology 

(a)           methods of implementation

Why are we choosing to have a information-gathering - and workshop phase in each locality?

Different nations have different histories and laws and inevitably have different social mores and ways of organising services. Uniformity cannot be assumed across a region.

Other ways of gathering information such as postal questionnaires are unreliable and tend to generate
poor response rates. And also to strengten international co-work and inspiration.

Why are we choosing to have 5 workshops preceding a European conference?

Because, while all countries have their individual differences, many of the findings are likely to be shared
by countries who have not been included in the project and who might benefit from the findings.

It is also an opportunity to raise the profile of the issue with the media and policy makers  

(b)           reasons for the proposed methodology

Why are we choosing to engage more with front-line workers ?

Front line workers are most likely to be aware of difficulties in accessing services for their clients. They
are the most important/powerful group in terms of developing access to services for their “users/clients”.

*   For the most part they do not have any legal training yet find themselves in the position of interpreting
the law to their clients. They have a direct knowledge of problems and barriers and difficulties and “a really time” for “inclusion process”:  they could suggest many and very important concrete proposals in order to transform legislation and offer support for National Action Plan .

*   For these reasons we recommend  that in all of 5 local small seminar to find all opportunity to invite and have in co-working also the local authorities responsible of Health and Social Services and  the  “users/clients” who are also the direct interested people and indirectly target of D&H-5P.

It’s absolutely important this “concertation” and collaboration in order to realise an useful synergy.

*   Why are we choosing to have participative meetings rather than, for instance, produce training manuals?

In terms of changing individual's behaviour, face to face training is more likely to be effective than manuals, which may produce a change in knowledge without a change in behaviour.

*   Why are we choosing to work locally?

The best people to initiate changes in an area are usually those who are already involved and have
specialist local knowledge and local credibility 

(c)           how the action is intended to build on a previous action (where applicable)

It is building on contacts that been established over 10 years by SMES between European countries.

More concretely in 2 studies (1996-98 and 1999-2001); 7 seminars from 1991 to 2002.

These contacts of SMES are between people and organisations working directly with homeless and
socially excluded people. They have been created through the SMES international meetings and the
SMES website. 


TEAM  proposed for implementation of the action

1.            From SMES-EUROPA 
               Main coordinator:    Luigi Leonori               (I)

Co-worker team :   Serge Zombek (B);  Preben Brandt  (DK); Paolo Realacci (IT);  Philip Timms  (UK)

2.            The five local coordinators in “visiting program” of  D&H5-P 

·          Marieta Radu              (RO)

·          Rita Erele                     (LV)

·          Andrzej Czarnocki     (PL)

·         Mariela TODOROVA   (BG)

·          Ilja Hradecky                (CZ) 

3.            The five coordinators in “receiving program” of D&H5-P 

·          Serge Zombek            (B)

·          MariFe Bravo               (E)

·          Paolo Realacci           (I)

·          André Lacroix              (F)

·          Preben Brandt             (DK) 

·          Patrizia Di Tolla           (D) 

2.         Expected results 

2.1       Expected impact on target groups 

We expect that this project will: 

·          Enable local providers of services to homeless/marginalised people to use EU law to gain access
to services and benefits for their clients.

·          Increase access to benefits and services for homeless/socially marginalised people

·          Establish a core of local expertise which can be used to spread this knowledge locally, regionally
and nationally

2.2       Publications and other outputs 

·          Local reports following seminar days

·          Local production of training materials for local service providers

·          Publication of all reports on the SMES website in both local languages and English

·          A publication in (at least) the international English language academic press 

2.3       Multiplier effects 

The local lead agency will be able to establish a training programme, using the results of the local research and seminar, to ensure wider dissemination in that country.

 The international conference toward the end of the project will create an opportunity to:

1.            Disseminate the results internationally

2.            Raise awareness internationally of the new opportunities created by EU law

3.            Raise awareness internationally of the difficulties generated by existing legal

2.4       Short- and long-term impact 

a)                  Individual level (how will participants maintain contact and how will information exchange be ensured after the event?)
Follow-up workshops will be established by the lead local agency to:

·          Maintain contact with participants

·          Allow participants to further develop their skills and knowledge in this area by fostering
reflective practice

·          Support participants through the difficulties they will encounter in using their new knowledge
in practice

b)     Policy level (What structural impact will the action have - e.g. will it lead to improved
legislation, codes of conduct, methods, etc?)
This aspect of the project depends on the motivation of the local agencies. The reports
created from the research and workshop phases of the project will provide a tool with which
to argue for local professional codes of contact and policy change.
Reference to national action plans to arrive at a common European level – minimum
common denominator at judicial level
Not a uniformity of practice but adapting practices to regional needs, starting from a
minimum common denominator at the judicial level.

  1.9 Duration and action plan: 12 MONTHS from 15 November 2004 to 14 November 2005

NB.:  each local coordinator must preparing the timing before the end of the November.


Semester 1

Semester 2
















Implementing body

meeting  for
2nd phase














 D&H-5PII Team
















Execution D&H-1P














Preparation D&H-2P















Execution D&H-2P














Preparation D&H-3P















Execution D&H-3P














Preparation D&H-4P















Execution D&H-4P














Preparation D&H-5P















Execution D&H-5P














Preparation of
final Seminar















Execution of
final Seminar
















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