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anté  Mentale  et  Exclusion  Sociale




for   people  living in  extreme  poverty  and  health  conditions


Persons exist when their voice is listened and understood’

Dignity  and  Well-being,
  these two keywords, from the 12th SMES Conference of Rome (2013) continue to inspire  our initiatives: 

1)     the  collect of 50 profile of people on the  street with  conclusive report;

2)     the conference in Lisbon (March 2017), 

3)     the Erasmus+  project (2016-19) and  now  

4)     the project  concerning the coherence and  congruence of services,  adequate  to the  needs .

The first phase of our study, "Dignity and Well-being" has focused mainly on the person, that  due to several social and health factors, 

has had to live-in permanent way- on the street, under extreme conditions of deprivation, neglect, connected often with mental health problems. The profiles of over fifty people, in charge of the services both social and health, were discussed and analyzed  by
colleagues  in three workshops especially to understand why  despite the different services offered,
a  number of these people
(or so it seemed...)  preferred to stay  on the street rather than  accept the solution proposed by services

The second phase of Dignity and Well-being"
project, following basically the same methodology:

a)      At least  50  data collection services , through a standard protocol

b)     3  workshops for exchanges and inter-vision.

We would like to propose thorough evaluating congruence between need and service, the  dissemination of efficient  and innovative practices that correspond to needs expressed or not and  more  to the  main aim  of inclusion and participation.

Very often we find that the services – especially if excessively institutionalized - respond essentially to the specific needs, (emergency 
shelter in the winter, canteens, showers, clothing ...) rather than to the global person, who live daily in extreme precariousness and abandonment situation.

The risk – frequently - is to respond to  ‘our’  needs : security, order, clean city, good conscience…, rather than listening to and
understanding each other, that just as ‘other’ disoriented us his word express verbally or through a body hurt that should be given
our full attention.


The 2nd phase or D-&-WB project consists of:  

1)     collecting  at least 50 profiles of Centers that offer services to people both in emergency centers, in day centers, in both the
social and health services.  

2)     Inter-vison in meeting of  team,  before the drafting of the protocol

3)     Participation in three workshops (as in North – East – Central Eu Countries) where will exchange ideas and proposals about compiled protocols

4)     A synthetic final report  (as for 50 profiles of persons ) 

5)     The final event  (seminar ?)  : opportunity  for underline congruence  between  evaluated needs  and  services offered .

As for the previous study D-&-WB concerning persons, height partners have contributed to these research/action, so SMES will try to invite other organizations to be  partner  for  introduce  together  another  Erasmus+ project   for the research/action concerning the services. This proposal will be finalize on Erasmus +  project for  presentation  and  dissemination of  good practices (deadline March 21
But – as with the previous study – this proposal of  SMES  does not depend on the acceptance or not of the project by Erasmus Commission Program,  but SMES  will request  -  at the same time  - support of private and foundations for the realization of this study.

YOUR  PROPOSALS  concerning this project will be very welcome, send to  :




concerning aim, access, quality  of SERVICES

for people living in extreme poverty and health conditions




SMES-Europa, following the findings of its activities in collecting and analysing profiles of homeless people with mental illness proposes,
Dignity & Well-being' a transnational project to exchange experiences and knowledge in the field of social and mental health vulnerability in order to promote adequate, effective and respectful answers, ensuring the dignity and well-being for each person and the access to fundamental rights and to basic services.



SMES-Europa would like to invite you to participate as  partner in the new ERASMUS+ project,   concerning “Cooperation for innovation and  the exchange of good practices”

KA2:  Strategic partnerships in the field of education and training   Deadline 21 March 2018


SMES-EU, following the previous project Dignity and Well- Being (D-&-WB) aims to pursue & develop this initiative, moving the focus from the person to the services.       


1.  Which are the congruence coinciding between the needs and the service offered?

2.  How to promote exchanges between nations and institutions in order to analyse, evaluate and share knowledge and good practices? 

3.  How to promote Health and Social Services cooperation for sustainable cures and care?

4.  How to provide integrated services congruent with the complex needs of homeless with mental illness?

5.  How to prevent the risk to transform emergency services into life long assistance services?


We suggest these 5 categories of services in relation with 5 basic and most frequent priority needs observed in the interventions for the 50 reported people:

1.  Night shelters:  roof emergency services 

2.  Urgency in Hospital: health/mental health emergency services  

3.  Drop-in centres:  where specific attention focuses on the basic needs of the person

4.  Day-centre:  where it’s possible to find support for specific programs

5.  Recovery  / rehabilitation centre: where the re-capacitation and rehabilitation  of the person  are  the  priority  of  the  programs  and
     initiatives   for reintegration 


SMES proposes to analyse the context, interventions and daily practices through exchanges and inter-vision, in order to evaluate the actions and the practices of the services.

Method: Seeing, Evaluating, Proposing :

1.  Collecting at least 50 profiles of centres that offer services to people in emergency centres, in day centres, in social and health

2.  Inter-vision in team meeting before the drafting of the protocol

3.  Participation in three workshops (as in North – East – Centre, EU Countries) where there will be an exchange of ideas and proposal
      about  the data collected in the protocols

4.  A synthetic final report (based on 50 profiles of services)

5.  A Final Event: opportunity to underline congruence the cross over between evaluated needs and services offered.


1.  Improving professional knowledge

2.  Co-working and synergies between social and health fields

3.  Supporting integrated and multidisciplinary answers

4.  Involvement of civil society through interactions between professionals and volunteers  


1.  Collecting data about different services systems in the partners’ countries using a common protocol in order to discuss the services
      in the workshops

2.  Visiting the services of the hosting country

3.  Inter-Vision on prepared protocols by the different partners and on the services visited

4.  Analysis of the collected data and the publishing of a good practices manual

5.  Final event in order to present the results of the project to the policy maker


1.  Improvement of the professionals’ knowledge

2.  Involvement of the institution and the policy makers in health and social services

3.  Involvement of the formal and informal training agencies


Two years: 2018-2020, the first 16 months are dedicated to research through 4 international exchanges (one every 4 months), the last 8 months are dedicated to the writing of the final documents


SMES-Europa with its social and health transnational network,

Professionals on front line, on the streets, in shelters and in emergency centers, who meet,  support, accompany and orientate these people in processes of inclusion and participation.