Gesellschaft für psychische und soziale Gesundheit The human rights aspects of the access to...

Gesellschaft für psychische und soziale Gesundheit

The human rights aspects of the access to quality community-based services

An example of pro mente Upper Austria

Erwin Kargl, Gernot Koren

MHE conference: June 2012

Gesellschaft für psychische und soziale Gesundheit2

Table of Contents pro mente upper austria Convention on the Rights of Persons with

Disabilities Legal situation in Upper Austria What are the needs of persons with disabilities? How can we ensure the access-rights? How can we create and develop organizations to

ensure the rights? How can we make sure that human rights are

seen and felt in the daily life?


pro mente Upper Austria

NGO and NPO since 1964 One of 22 member organisations of pro mente austria pro mente Upper Austria has 1400 employees Upper Austria is one of 9 Federal States of Austria

1.3 Mio inhabitants


pro mente Upper Austria’s areas of activity

Crisis support First aid in psychosocial emergency situations

Psychosocial counselling Developing solutions - Coping strategies for crises -

Health promotion

Housing Accompanying people in need of psychosocial support

through everyday life

Mobile care and assistance On-the-spot help and assistance for people with mental

health problems



Vocational Integration Work and occupation give self-convidence and

security Skill-oriented activity

work and occupation options enable people with psychosocial problems to take active part in social and working life

Leisure and communication Experiencing greater variety and gaining a

foothold in society Mobile care and assistance



Clubhouse Empowerment means speaking and joining the

decision making Youth

Going a part of the way together Skill-oriented activity

Addiction Low-threshold institutions Outpatient addiction counselling centres Integration centres and Erlenhof therapy centre Addiction prevention - Putting research into practice



Voluntary work Building a bridge to normality and reality

Geropsychiatry Support for people suffering from dementia and

their families Seminar culture Wesenufer

work and occupation options for psychosocially impaired people

www.promenteooe.at (German)

http://pmooe.at/sitex/index.php/page.85/ (English)


1965: 1 Psychiatric Hospital for Upper Austria with:

1800 beds for long-term patients No beds for acute treatment

since 2002: No long-term patients in upper austria hospitals

From past to present


From past to present

2012 (pro mente upper austria) Housing facilities

355 places in different housing facilities 657 clients in mobile care

Skill-oriented activity 526 places at over 110 locations about 1300 clients


What should be changed by the UN-convention? Realise and implement the social model of

handicaps Approach based on human rights Right of diversity and right of differency From integration to inclusion No new rights, but adaption of existing human

rights, to the needs of persons with disabilities


… a system …


Exclusion


Separation


Integration


Inclusion


„OÖ Chancengleichheitsgesetz“ OÖ Chancengleichheitsgesetz

equal opportunity law … really egual? Targets of this law?!

Prevention equal opportunities among people with dissabilities reintegration to society

Problems: financing logic <> person oriented


What are the needs of persons with disabilities?

user representation in the organisation pm OÖ is leading among others organisations,

with her user representation group STRADA. clients' satisfaction survey

developed by users (without the help of staff!) Projects and philisophy pm OÖ

„What I really, really want!“ based on Frithjof Bergmann

It is not about what I (users) whish, it is about what I (users) really, really want!


What I really, really want! Projekt ELAP, 2009

„Erarbeitung von Lebens- und Arbeitsperspektiven“

developing perspectives of living and working


Start and destination of ELAP

TS Grubmühle SchönauFarm

TS Variabel Bad ZellContract work and Creative Werkstätte


ELAP „What I really, really want!“

Various development and work groups Mix of indoor and outdoor events

Supporting research modules Interviews, experiential Education, implementation

perspectives Overview

40 Users participating 25 Interviewresults


ELAP – implementation perspectives

„Roland“ Wants to work with

machines, especially an excavator (bagger).

He never had a driving license.

Solution He can use the

tractor in the Skill-oriented activity.

„Dietmar“ Wants to be „normal“

again. Wants to be „usefull“.

Solution When study finished

he was already working for more then 5 months in a supermarket.


ELAP – what we learned! Do not set the goals too high! Methods:

small groups work process-oriented and interactive

Not everybody can be part of everything. Accompanying reflection instruments to avoid

disappointments Work with the system, not only with the users!


TS Enns* Problems:

long-term sick leave no developement possible

Project since April 2010 From: What I really,

really want! To: What WE really,

really want!

*TS-Enns: skill-oriented activity in the city of Enns


TS Enns – feel comfortable?


TS Enns - enjoy the work?


TS Enns Results

no more long term sick leave … but this was not the goal!

The target was: Users participate and decide the developing and redesign of the skill-oriented activity in Enns.

… and the project still continous! next project meeting: June 19, 2012.


How can we ensure the access-rights?

counseling of clients counseling of employes legal advice of clients

Knowledge is power!


How can we create and develop organizations to ensure the rights?

Organisational development Bring assistance and support to the people Extensive local support Adaption of organisation‘s structure



Adaption of organisation‘s structure

Bring activities together: Housing, Skill-

Oriented Activity, Counselling, …



Education of staff Working in social environment not in facilities More individual responsibility Good reflexion instruments Safety and determined frame work conditions


How can we make sure that human rights are seen and felt in the daily life?

Revision of guidelines and concepts Objectives and strategy

Lobbying New supporting models Assistance and support in the

social environment Networking Empowerment of users (What I/We really want) Poverty reduction


pro mente Upper Austria Empowerment for users

Information/Training Support of self-lobbying Participation in planning and development Take-over of responsibility

Public relations work (politicians, public officers,…)

Discussions, publications, actions…..


Human rights of the access to quality community-based services!

It is not the question „if“

it´s the question „how“!

Gesellschaft für psychische und soziale Gesundheit

Thank youThe human rights aspects of the access to quality community-based

services – An example of pro mente Upper Austria

Erwin Kargl

MHE conference: June 2012

Gesellschaft für psychische und soziale Gesundheit The human rights aspects of the access to...

Documents

Transcript of Gesellschaft für psychische und soziale Gesundheit The human rights aspects of the access to...