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where you
live well, there is your home
BACKGROUND: "When
the solution of complex situations seems impossible, how to intervene ?
"
Are
becoming more frequent, from professionals working on the front line,
questions similar to this, in the face of increasingly serious problems
of the homeless and mentally ill, who live in situations of chronic
illness in the street or in institutions and emergency reception .
Faced with complex situations, similar to both social and health needs
and different contexts, traditions and laws, in live and survive
' chronically 'homeless - mentally ill, which answers and proposals
tailored to the needs and respectful of the person and his rights would
still be possible to offer? What types of innovative
interventions to explore?
such as dynamic synergistic raise? which projects and recommend
strategies?
Similar questions
are asked ever more frequent by
professionals working on the front line with people who
live in situations of chronic mental illness principally in
the street but also in institutions and emergency reception
centres. What answers and proposals is it still possible
to offer? What types of innovative interventions to
explore? What dynamics and synergies to raise?
These are the questions that - no coherent responses are convincing and
effective - are likely to demotivate more and more operators of
this difficult field.
AIM :
This theme and the basic question was
at the centre of discussion during the 13th conference SMES-Europe
(Rome, March 6 to 8, 2013) and given the interest aroused among
participants it was decided to launch a European
project of exchanges and inter-vision concerning
the efficient practices of effective prevention, support, assistance and
inclusion of homeless people with mental problems. The project would
essentially start with descriptions of real life situations and
assessment of how effective given interventions were to proceed to point
to innovative ways of doing things in order not only to raise
awareness
and to educate but also to present concrete proposals for
incorporation into the policies in the field of prevention, assistance
and inclusion.
KEY WORDS (which
will be thoroughly analysed in the course of the seminars, workshops and
conferences):
-
Dignity and well-being :
basic notions describing the objectives.
-
Homeless and mentally ill people :
person both suffering : by serious mental problems and extreme
poverty and social exclusion.
-
Chronically on the street or in institutions:
the importance of the time factor in preventing the settling in a
negative situation,
-
Partnership and partners :
public and private sector, associations of
professionals and volunteers working in the field of poverty and
mental health.
-
House - accommodation
(home - housing ...: wherever you live well, there is your home.)
-
Responsibility and co-responsibility (possibly
also other notions such as fundamental rights and basic needs:
subjective - objective, social ties and their rupture; treatment and
harm reduction ...)
OBJECTIVES:
Through
the exchange of knowledge and the analysis of
experiences, in relationship to these extreme
precariousness situations with no appearing positive
solution, we intends to highlight effective alternatives
in approach, support and guidance of these suffering
persons in order to facilitate – with due respect for
his/her personal dignity – his/her access to "physical -
mental - social well-being" . We propose in a first time
to analyze the similar and common elements of the
needs and of the implicit or explicit demands and
requests of these persons and subsequently to identify
the answers and the innovative interventions that mostly
seem to unlock these complex situations.
A great
collaboration and net-working between workers of
Institutions, Organisations, Associations involved in
this field is absolutely for realise efficient synergy
and turn these daily practices into effective models of
networking intervention.
TARGET POPULATION :
Homeless people
(living mainly on the street) with mental health problems, characterized by
accumulation of deprivation that exacerbates their
exclusion and that interact - to each other -
reinforce health /mental health problems.
This persons
survive in a situation of total social breakdown,
refusing any form of institutionalized cure and
programmed care, but who - at the same time - seem
needs of real and humanistic support of social
solidarity and protection.
PROMOTOR:
SMES-Europa
with its international network
PARTICIPANTS:
Delegates Associations - Organizations -
Institutions active in the field of social
exclusion and mental health, with particular focus
on the people who live in situations of neglect on
the street.
PLAN ACTION D-&-WB
2014-15
: 1°
PHASE of D-&-WB PROJECT
-
finalization of the project and
collecte of information about participants: through
the members of the Board of SMES (Brussels, Berlin,
Copenhagen, Paris and Marseilles, Rome, Warsaw, Madrid
and Barcelona), to extend the invitation to
Associations, Organizations, Institutions to participate
in this initiative.
-
collection of
“life stories"/study cases of homeless people, with
mental health problems, living permanently in the
street.
-
local
workshops: to promote and realise
workshops,
meetings of
focus groups in several European
cities in order to share and analyze situations and
contexts, interventions and partnerships, priorities and
proposals concerning this emblematic cases
-
first
interim
seminar where those who prepared case
studies will meet to discuss and analyze the material as
well as innovative
and alternatives
approaches
in order to reach a final synthesis.
2015
: 2°
PHASE of D-&-WB PROJECT
1st
semester
: implementation
and analysis of profiles
(cf.
profiles)
2nd
semester:
one
workshop and
exchange initiative :
2016
: 3°
PHASE of D-&-WB PROJECT
The
objective of this phase is to finalize the conclusion of
exchanges & inter-visions programs in perspective of the final conference
and hearing in EU Parliament:
TOGETHER:
health services <--> assistance services <-->
housing services <-->
reintegration services in what way contribute
for promote and increase Dignity & Well-being, insuring the more adequate
and sustainable answers for
WORKSHOPS METHOD
in Warsaw - Amsterdam - London
-
Presentation and analysis of life stories with
particular focus on interaction between social situation
and health status, dignity and well-being – 3-5 stories
per country providing - at a glance - a contextual
reading of the situation
-
Presentation of cases and interventions should be
practical and concise (2 pages max.). To ensure
anonymity of the person it is advised to remove any
identifying data.
-
Mutual learning through exchange of experiences and
knowledge.
-
Aspects that should be of particular concern for the
content and evaluation of the “life stories”:
-
Life history and context: especially in
relation to the question of "health and dignity " of
a person.
-
Health: starting from certified diagnosis (or
diagnostic hypothesis) analyze the relationship and
interaction between social conditions and health /
mental illness.
-
Interventions : prevention (primary and
secondary), assistance and support, inclusive
orientation and – what were the expected results ,
what difficulties encountered, what results
achieved.
-
Network operators : presentation of
associations, organizations , institutions which
have intervened , and their roles in the evolution
of the situation
-
Proposals:
whether result positive or negative–
what were the decisive influences.
EXPECTED RESULTS
-
Training and mutual learning
-
Multidisciplinary synergies and networking
-
Presentation and analysis of alternative
practices and effective in relation to:
-
Advocacy and Lobbying
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CONCLUSIVE CONFERENCE : 2017
The XIV European SMES Conference will held in
LISBON 16-17-18 March 2017
The Hearing in European Parliament will conclude the project
in
Brussels
March 2017
The 3 EXCHANGES / inter-vision programs in
Warsaw , Amsterdam, London will offer the main input and
inspiration for the conference :
- When the solution of complex situations seems impossible:
how to listen for a deepest
understanding ?
-
When the body speaks through his silence and his wounds : who
will listen and hear?
before intervening?
TOGETHER
- attentive to their word - we will prepare the conference
with new ideas, innovative projects, priority recomendations
concerning : health services <-->
shelter services <-->
housing services <-->
reintegration services for
inclusion.
In
what way these services
* will contribute for promotion of Dignity & Well-being
of each one of these people who live in extreme
poverty
condition, exclusion and with mental heath problems ?
*
will insure the more
adequate answers to complex needs, primary and secondary prevention,
sustenability
in treatment (cure) and in support (care) ?
* will promote
participation and inclusive orientation . |
