INDEX of received ABSTRACTS

1.   RIGHT    

  Titre: Errance aux frontières internes et externes de l’Europe. Sara Prestianni , MigrEurope,  saraprestianni@yahoo.fr    

  Titre:  Soutenir la subjectivité dans un contexte deshumanisant -
De Ridder Pascale,  Ulysse SSM Bruxelles,  ulysse.secret@hotmail.com

  Title: Minors without documents: Victimising the victims  Koskiniadou Tanya, Probation Officer, Social Worker, MA. 
Organisation: Athens Juvenile Probation Office  (GR)    tkoskiniad@gmail.com
                            

  Title: Working to prevent violence against migrant children:
George Nikolaidis, Psychiatrist, Centre for the Study and Prevention of Child Abuse and Neglect, 
Institute of Child Health Athens,  Greece,  gnikolaidis@ich-mhsw.gr 

  Title: MSF - IT about  Rosarno (sw project)  Sophie Baylac   Sophie.baylac@rome.msf.org 

  Title: MSF - IT about  Malta camps and abmulatory services 
Chantale   Complement to 1^st Intervention Sophie.baylac@rome.msf.org 

  Title: Entitlements and Rights of Immigrants within the European Anti - Poverty Agenda
Gabriel Amitsis;  Assistant Prof of Social Security Law,  Dep. Health & Welfare Administration       amitsis@otenet.gr

  Titre:  On quitte des situations de misère pour se retrouver en situation d'exploitation
Charline Malaise; Sandrine François; Laurence Mengal;  charline@esperantomena.org

  Title:  Safe Places- Appropriate health care provision  for unocumented migrants
 Ursula Karl-Trummer; Sonja Novak-Zezula,  Center for Health and Migration; Vienna
 sonja.novak-zezula@donau-uni.ac.at    

  Titre: Les Gens du Voyage entre ancrage local, séjour provisoire et rejet permanent.
AHKIM Ahmed,  Centre de Médiation des Gens du Voyage en Wallonie; aahkim@cmgv.be

  Titre: The social and legal position of homeless and socially excluded EU citizens in Denmark
Maj Kastanje, sociologist, projekt UDENFOR, Copenhagen DK, maj@kastanje.dk

 2.  HEALTH

  Title:  Policlinic health centres for migrants- what about "them"?
Ismene Libery, First Aid Trainer of Hellenic Red Cross- Sociologist. Ismene_Libery@yahoo.gr

  Title:  Entre Clinique des migrants et clinique Institutionnelle  - Région Rhône-Alpes
Blandine BRUYERE, clinical psychologist, member of the network SAMDARRA LYON;  association@appartenances.org

  Title:   Holistic approach of undocumented immigrants in Greece: access to dental and women’s health services.
Yiannis Chantzopoulos, Medical Coordinator PRAKSIS Athens Polyclinic   g.hatzopoulos@praksis.gr

  Title: The social exclusion pathway: correlations between drug abuse and displacement and consequences  regarding the therapeutic interventions  Panagiotis Chaldaios -  KETHEA MOSAIC

  Titre:  Incertitudes, vulnérabilités, accès aux soins. L'exemple du Centre Françoise MINKOWSKA Christophe PARIS, Directeur Général du Centre Françoise MINKOWSKA (Paris) - paris@minkowska.com

  Title:  Access to health care for undocumented migrants. A comparative analysis of 5 European countries. Laure Kaeser,  Assistante d'enseignement et de recherche; Dép. sociologie; Univ. Genève;  Laure.Kaeser@unige.ch

Topic  2 B

 2. MENTAL HEALTH      

  Title: Psychosocial intervention for migrants in detention centers in Greece (MSF)
Maria Soupou, Ioanna Kotsioni, MSc On behalf of the MSF mission for undocumented migrants in Greece

  Title:  Le Diwan : Discussions "migrantes" autour des violences collectives, de l'exil et de l'asile Karima Brakna  Dr. J.-C. Mtraux + Espace-Mozak; Lausanne /Suisse;   kbrakna@bluewin.ch

  Titre:  La prise en considération de la santé mentale dans la procédure d’asile
Vanoeteren Alain,  Gehrels Lys,  Ulysse: Bruxelles (B) ulysse.asbl@skynet.be

  Title: approche holistique de la santé mentale dans les centres d’accueil de la Croix-Rouge Belge.
Francine Dal & Billy; Croix-Rouge de Belgique-Com. Fr., Dép. Accueil des Demandeurs d’Asile  francine.dal@redcross-fr.be

  Title: Social exclusion, Immigration & severe mental illness: experiences from the community level in the  city of Barcelona.
Rubén Touriño, Yolanda Osorio, Psiquiatra, Programa de Salut Mental a Persones Sense Sostre.
Parc Sanitari Sant Joan de Déu. Àrea de Barcelona.; rtourino@pssjd.org

  Titre:  Frustrations et gratifications de la trajectoire migratoire. Coping et résilience.
Marie-Jo BOURDIN, Coordinatrice du Pôle Formation du Centre Françoise MINKOWSKA (Paris) lenoir@minkowska.com

  Titre:  THE CONTRIBUTION OF TRANSCULTURAL NURSING TO MIGRANTS’ MENTAL HEALTH PROMOTION.
PARASKEVI APOSTOLARA, RN, MSc , PhD(c) Professor in Community Nursing Institution:
National and Kapodistrian University of Athens, Greece   v.apostolara@gmail.com

  Titre:  The Caritas «Invisible Wounds» Service : Organization, practice and research in context.
Massimiliano Aragona, psychiatrist, Caritas ambulatory,  massimiliano.aragona@uniroma1.it

3. Participation - 

  Title:  The convenient scapegoat': migrants, employment and the economy in times of recession
Spyros Themelis; Middlesex University, London, N14 4YZ United Kingdom,  s.themelis@mdx.ac.uk

  Titre: Eradication of migration causes  
Grillone Carmela,  Don Bosco Network Job - Rome  Italy  Milli.grillone@donbosconetwork.org

4. INTEGRATION - 

N

    Title:   Psycho education for and by asylum seekers/refugees in the Netherlands

Barbara Kieft, Eefje Smet;  Mind-Spring (Mental Health Services) EJ Zaandam, the Netherlands  bkieft@dijkenduin.nl

  Titre:   Fire Prevention and Social Integration – A Holistic Approach

Simon Chapman,  Merseyside Fire & Rescue Service, London, simonchapman@merseyfire.gov.uk

  Titre:   L’interculturalité comme remède à l’humiliation des migrants
Lambros COULOUBARITSIS, ULB et Académie Royale de Belgique, ousai@swing.be


  Title:   The Education of second generation migrant students in Greece: barriers in access and equal rights. Nektaria Palaiologou, Athina Stavrinoudi, Odysseas Evangelou, University of Western Macedonia, nekpalaiologou@uowm.gr.

  Title:  La notion d’exclusion, à l’articulation du social, du politique et de la santé
Abdelhak ELGHEZOUANI,   psychologue  - Genève, Suisse; aelghezouani@hotmail.com

 Title:  "MigraNet"  Image Campaign – Awareness Raising, Promotion of positive images of migrants

Anne Güller-Frey, Transnational Coordinator Tür an Tür Integrationsprojekte gGmbH anne.gueller-frey@tuerantuer.de

 Titre: PROJET INTERPROFESSIONS : Valorisation des savoirs et des connaissances de la population migrée.  Montserrat FEU , Association « Atlàntida, professionals per la Interculturalitat »  mfeu@wanadoo.es

  Title:  Supporting drug addicted emigrants in KETHEA MOSAIC: visible and invisible particularities
GIANNATOS DIMITRIS,  Psychologist, KETEHA MOSAIC, Athens GREECE, info@kethea.gr

  Titre:   “STEGI” Program: An innovative approach to the needs of newcomers in Greece.  

Antypas Tzanetos & Moudatsou Maria, N.G.O. PRAKSIS a.antypas@praksis.gr & m.moudatsou@praksis.gr

  ALL THE RECEIVED ABSTRACTS

   Titre: Errance aux frontières internes et externes de l’Europe. 
     (24/2 h. 18 :30)

L’aspect le plus frappant du parcours de la plupart des migrants aujourd’hui est l’errance à laquelle il conduit, y compris après l’arrivée en Europe.

Le durcissement des conditions d’entrée sur le territoire européen ont peu à peu réduit à néant les possibilités de le rejoindre « régulièrement » et largement contribué au développement du « voyage clandestin ».
L’Union européenne s’est fixée comme objectif de contenir les migrants en dehors des frontières européennes et c’est aux « pays frontières », frontières extérieures (comme le Maroc, la Turquie) ou intérieures (comme la Grèce), qu’incombe la responsabilité de sa réalisation. Sous le prétexte d’un « fardeau » et d’une « responsabilité » partagés, ces pays européens doivent empêcher (renforcement des contrôles, refoulements) et dissuader (détentions, expulsions) les migrants d’entrer sur le territoire tandis que les pays tiers doivent empêcher les migrants de quitter le continent africain (contrôles aux frontières, arrestations, refoulements).
Les conséquences de ces politiques sont multiples, la plus grave étant les morts aux frontières qui se multiplient. Elles provoquent des situations les plus absurdes et une errance forcée des migrants qui poursuivent leur « voyage de l’espoir » vers et en Europe au gré des refoulements et expulsions dont ils sont victimes et du déplacement des routes de l’exil, toujours plus rudes, à travers les déserts parfois minés et les océans déchaînés, les grillages et les murs, les « ghettos » et les « jungles », entassés dans des camions, des 4x4, des pirogues ou des paquebots, sans que la marche ne s’arrête jamais.

Des centaines de personnes, une fois arrivées en Europe, après des mois de voyage, continuent à errer, d’un pays à l’autre, contraint, de franchir à nouveau des frontières « illégalement » au péril de leur vie, retournant souvent au point de départ.
Ils vivent pendant des semaines, des mois, dans ces « zones tampons » à l’intérieure de l’espace européen, souvent provoqué par la frontière Schengen (entre la Grèce et l’Italie ou encore entre la France et l’Angleterre). Ils attendent des mois avant de franchir la frontière. Les cas plus éclatants et tragiques de la création de ces zones de non-droit sont Calais et Patras, mais aussi la Gare de l’Est de Paris et les squats italiens.
Dans ces lieux, les migrants sont plongés dans des conditions de « sous vie ». Ils deviennent invisibles à la société par la volonté des gouvernements nationaux qui préfèrent « cacher le problème ». Ils sont harcelés par la police qui utilise la violence et les arrestations dans l’espoir de les dissuader de rester. Cet objectif n’est presque jamais atteint, mais les conséquences sur la vie des migrants sont évidentes, beaucoup sont plongés dans des situations d’instabilité mentale et dépressions causées par le refus continu qu’ils vivent.
Face à cette situation d’errance provoquée par les politiques européennes d’immigrations avec des conséquences très graves pour la santé physique, mentale jusqu’à l’intégrité physique des migrants, se propose une discussion sur les suivants thématiques  Les effets pervers du Règlement Dublin. Propositions d’amendements en vue de la discussion au PE du « Paquet Asyle »

Recherche de moyens juridiques et politiques de remise en question de la directive retour qui, dans sa transposition des pays européens, officialise la mise à l’écarte des migrants
Analyse des « zones tampons » aux frontières internes et externes de l’Europe (Calais, Paris, Patras, frontière gréco-turque, Tinzaouaten, Oujda) et des actions d’aide humanitaire  et soutien médical et psychologique ainsi que juridique mise en place par la société civile et associations locales et internationales

Sara Prestianni , MigrEurope,  saraprestianni@yahoo.fr

  Titre:  Soutenir la subjectivité dans un contexte deshumanisant -
     Comment restituer un droit   fondamental, la parole dans des contextes de non droit, d'humiliations et de
     grande prcarit?

Mots clefs dignit-parole-droits fondamentaux-respect

Présentation de 7 ans d'accompagnement psycho-social global de personnes exiles en prcarit de droits au sjour dans un service de santé mentale  Bruxelles.
Le public que nous accueillons a subi de graves atteintes  son intgrit physique et psychique et la gestion administrative de leur accueil en Belgique vient souvent en ractiver les blessures.

Nous tenterons de montrer comment nous essayons de faire barrage  cette violence et les particularités de l'offre que nous faisons pour les aider  se reconstruire et se faire entendre. Nous aborderons les questions éthiques, les limites entre l'action individuelle et le politique, les évolutions mais aussi les impasses et les effets sur les travailleurs.

De Ridder Pascale,  Ulysse SSM Bruxelles,  ulysse.secret@hotmail.com

  Title: Minors without documents: Victimising the victims

Key words: unaccompanied minors, penal system, Convention on the Rights of the Child, probation officers, juvenile delinquents.

When working with juvenile delinquents professionals often come up against serious deficiencies of the Social Welfare system as well as the Justice system itself. However controversial this might seem, juvenile probation officers in Greece become witnesses of a tremendous gap between declaration and implementation of national and international legal instruments such as laws, treaties and EU directives.

In the last years there has been an amount of unaccompanied minors coming from the East, mainly from Somalia, Afghanistan, Iran, Iraq, Pakistan and lately from Palestine, who cross the borders without documentation. Lack of numbers and statistics do not help us make any reliable conclusion, although everyday practice gives us much piece of information to make assumptions.

Unaccompanied minors who get arrested either when passing the borders or afterwards commit the crime of illegal entry. Lack of legal services provided to minors when getting arrested leads them not to apply for asylum and not to be treated as unaccompanied minors with special needs. Since there is no special care for them, all alone they are scattered all over the country with no family, no documentation, thus with no identity.

They end up homeless in the centre of Athens or stay the night in hotels where they pay per night for a piece of floor shared with other migrants. They are the driving force of the black market, victims of drug and human traffickers.

When getting arrested they are not informed promptly and directly of the charges against them, they have no legal or other appropriate assistance in the preparation and presentation of their defence. They have no assistance of an interpreter, although they cannot understand or speak the Greek language.

Since they have no permanent home address, probation officers cannot locate them, thus cannot conduct a social research and, as a result, provide the Juvenile Court with a report. These minors do not exist for us. They are charged and sentenced being absent; they have no idea what the penal system has been up to.

Koskiniadou Tanya, Probation Officer, Social Worker, MA. 
                             Organisation: Athens Juvenile Probation Office  (GR)    tkoskiniad@gmail.com

  Title: Working to prevent violence against migrant children: Methodological issues, psychological resistances and challenges for change   
(26/2/  2 panel  h.: 10:20-11:00)

Resume: Illustrating experience from working with migrant children against violence that evokes certain methodological perplexities for western-European scientific discourse and invites certain resistances on behalf of both professionals and families involved.

Key words: child abuse & neglect, migrant children, psycho-social resistances, domestic violence, cultural diversity

Abstract: This presentation illustrates conceptual considerations as well as practical experience by working in a public research/clinical service specialized Centre with migrant children and families populations either individually or collaboratively along with several institutions like Alsoupolis’ trans-cultural public primary school or NGOs focusing on mental health services to migrants.

More particularly, whenever attempting to address issues of child abuse and neglect in migrant children populations one has to face:

- significant diversity between morns, values, perspectives and functional definitions of notions like “violence” and “childhood” between societies of origin and western-European culture

- overt contradiction between mandates of life and social sciences’ discourses and actual living conditions of those children and respectful implications,

- lack of appropriate social and health services as well as shortcomings in legislation in Greece concerning child protection, especially for migrant “poly-victimized” children,

- resistances of professionals working with migrant children been primarily an oscillation from total rejection and passive stance towards children and/or their families, to “absolute power” and assertiveness against them, making way, thus, to the threat of “burn-out syndrome”,

- resistances of families (children and their parents/carers) been often reactive and defensive towards services and professionals and

- institutional resistances co-existing with individual ones, been expressed in reluctance, negative outcome pre-viewing as well as in articulating procedures and requirements that practically exclude migrant populations from services’ benefits.

All these had to be worked through in several cases in which intervention by our Centre, a specialized on child abuse and neglect issues public health research and clinical services organization. Furthermore, it seemed necessary to attempt to communicate some of these with other professionals working on the field as well as to modify accordingly preventive interventions and health promotion actions targeting at migrant populations. Finally, the most difficult part was the management of certain cases of child abuse or neglect in order to facilitate the overall case handling but, nonetheless, could not change inflexible limitations of legal and institutional deficits in Greece. Given this experience, some conclusions are been drawn indicating some potentials directives for change on levels of legal framework, institutional capacity and resources availability.

George Nikolaidis, Psychiatrist, Centre for the Study and Prevention of Child Abuse and Neglect, 
                              Institute of Child Health Athens,  Greece,  gnikolaidis@ich-mhsw.gr 
 

  Title: MSF - IT about  Rosarno (sw project)  Sophie.baylac@rome.msf.org
     25/2  2^nd Panel 12:45-13:30  

  Title: MSF - IT about  Malta camps and abmulatory services   Sophie.baylac@rome.msf.org
    25/2  09:50-10:00 Complement to 1^st Intervention

  Title: Entitlements and Rights of Immigrants within the European Anti - Poverty Agenda

Resume : Doctrinal and legal analysis of EU documentation ; Analysis of EU Reports on Social Protection and Social Inclusion  -  Extended review of relevant bibliography

During the last decade, the need for a common, comprehensive immigration policy has been increasingly recognized and encouraged by the European Commission and the EU's Member States.
This policy is promoted through EU legislation, the Open Method of Coordination and the European Structural Funds. However, entitlements and rights of immigrants to fundamental rights (particularly social rights) are still subject to national decision – making, leaving space to the increase of poverty and social exclusion rates. The Lecture will address the social rights agenda for immigrants and asylum seekers within the European social inclusion discourse, strongly influenced by the subsidiarity principle / model of social protection within the EU.
It will provide a doctrinal framework concerning the institutional status of rights and responsibilities in the European anti - poverty process, discussing the performance of legal instruments (Directives 2001/55, 2003/9 and 2004/83), the Open Method of Coordination (EU Strategy on Social Protection and Social Inclusion) and the immigration policy (2008 Commission Communication on "A Common immigration policy for Europe: principles, actions and tools" and Policy Plan "Asylum – an integrated approach to protection across the EU"), which introduced common principles in line with the three main strands of the EU policies: prosperity, solidarity and security.

Gabriel Amitsis;  Assistant Prof of Social Security Law,  Dep. Health & Welfare Administration       amitsis@otenet.gr

  Titre:  On quitte des situations de misère pour se retrouver en situation d'exploitation
                (25/2  panel h.: 13:30-14:15)

Chaque année, des centaines de milliers de personnes (particulièrement des femmes et des enfants) sont abusées, exploitées, vendues, forcées à travailler ou à se prostituer par des organisations ou des réseaux criminels qui en retirent d’immenses bénéfices et échappent bien souvent aux poursuites des autorités judiciaires. Ces personnes deviennent victimes de la traite des êtres humains parce qu’un jour, elles ont décidé de quitter leur pays, leur famille, leurs amis, pour aller chercher une vie meilleure ailleurs.
Dans le pays de destination, les migrants vont devoir travailler pour l’organisation. Ils sont alors exploités et n’ont souvent aucun moyen de s’en sortir puisqu’ils dépendent des réseaux criminels qui les gardent sous leur contrôle par l’enfermement, la servitude de la dette, la confiscation des documents de voyage, la violence, les menaces, la surveillance exercée, …
Les recruteurs tirent profit de la détresse morale et financière des victimes. Ils recherchent dans les régions les plus défavorisées des personnes prêtes à tous les sacrifices pour échapper à leur situation et leur font miroiter un travail bien rémunéré ou une scolarisation en Europe ainsi que de meilleures conditions de vie. Les victimes sont alors attirées par les fausses promesses données. Dans la plupart des cas, elles ne connaissent ni la vraie nature de leur futur travail, ni les conditions de vie et de travail qu’elles vont devoir subir. Outre ces divers facteurs agissant sur l’offre, la demande s’accroît aussi. De nombreux secteurs économiques recherchent de la main d’œuvre bon marché et temporaire.

L’ouverture des frontières et l’amélioration des infrastructures de transport entre les nations ont bien entendu eu des effets positifs mais elles ont aussi facilité les migrations et leurs formes criminelles : le trafic et la traite d’êtres humains.
La lutte contre cette criminalité est devenue une priorité internationale ces dernières années (Protocole additionnel à la Convention contre la criminalité transnationale organisée visant à prévenir, réprimer et punir la traite des personnes, en particulier des femmes et des enfants en novembre 2000 ; L’action commune du 24 février 1997, La décision-cadre du 19 juillet 2002, La Directive du Conseil de l’Union européenne du 29 avril 2004 ; La Convention du Conseil de l’Europe relative à la lutte contre la traite des êtres humains du 16 mai 2005).
Toutefois, on pourrait s’interroger sur les véritables objectifs visés en l’espèce.
N’y aurait-il pas derrière cela un objectif caché qui viserait aussi la lutte contre l’immigration clandestine ?
La Belgique dépasse largement les dispositions prévues par les instruments internationaux. En effet, depuis le début des années 90, face à l’ampleur du phénomène de la traite des êtres humains, une circulaire permet aux victimes d’être autorisées au séjour en échange de leur collaboration avec les autorités. Des centres d’accueil spécialisés ont été créés en vue de répondre aux besoins spécifiques des victimes (soutien psychologique, hébergement, assistance administrative et juridique, accompagnement social et judiciaire…).
Esperanto a ouvert ses portes en novembre 2002. Notre structure accueille et protège dans un cadre sécurisé des mineurs non accompagnés d’un parent ou tuteur légal et victimes de la traite des êtres humains. L’objectif principal de notre institution est de renforcer l’image de soi et consolider la sécurité affective du bénéficiaire afin de favoriser sa capacité à reconstruire du lien.

Cet objectif s’articule en 5 axes d’interventions interdépendants : le primo accueil, la sécurité, l’évaluation et l’accompagnement socio juridique, la guidance socio éducative et l’intégration :
1.     Le primo accueil : Il s’agit d’accueillir le jeune dans l’espace de vie, lui expliquer le fonctionnement de la maison et le présenter au reste du groupe. Un premier entretien est réalisé avec le jeune et nous permet de rassembler les informations au sujet de sa situation. 
2.     La sécurité  :  Il s’agit d’assurer l’intégrité physique et matérielle du mineur, de lui assurer un cadre de vie structuré et de ritualiser le temps de manière à se repérer. Le jeune ne peut reprendre contact avec le réseau exploitant et dans un premier temps, il doit être accompagné d’un éducateur lors des sorties extérieures.
3.     L’évaluation et l’accompagnement juridique  Il s’agit de vérifier lors du premier mois, que le jeune peut être considéré comme victime de la traite internationale des êtres humains via des entretiens exploratoires et de l’informer de ses droits et de ses devoirs. Le jeune peut également bénéficier d’un avocat et il est assisté tout au long de sa procédure.
4.     La guidance socio-éducative  Elle permet d’aider le jeune à choisir son chemin et de l’accompagner adéquatement dans ses démarches. Il s’agit également d’aider la personne à lui faire prendre conscience de ses besoins et à le valoriser, afin de favoriser chez lui une croissance en pleine autonomie.
Elle se déroule en trois phases :
-  l’observation du comportement individuel et collectif du jeune ;
-  l’établissement d’un programme éducatif individualisé en fonction des observations ;
- la formalisation d’un programme d’aide et le suivi administratif, accompagnés d’un travail de soutien de la part de la psychologue, la psychomotricienne, l’assistante sociale et de l’infirmière.
5.     L’intégration : Elle se caractérise par l’émergence et la valorisation des compétences du jeune, la dynamisation de la vie communautaire, la fréquentation d’activités du réseau local et l’orientation vers un service partenaire après stabilisation du jeune.

L’intégration se réalise par le biais de trois types d’activités : les activités d’apprentissage, ainsi que les activités communautaires et extérieures.
Nous approfondirons le cadre législatif belge en la matière ainsi que nos objectifs de travail au sein de notre institution lors de la séance plénière.

Charline Malaise; Sandrine François; Laurence Mengal;  charline@esperantomena.org

  Title:  Safe Places- Appropriate health care provision  for unocumented migrants
     (25/2  panel  h.: 12:00-12:45)

Resume : In this workshop main features for organisations providing health care for UDM will be discussed and one specific service will be visisted

Key words: health care services, undocumented migrants, quality, appropriateness, sustainability, policy context, safe places

Abstract : Practice of health care service provision for undocumented migrants has to manage the paradox created by discrepancies between human right and state control demands on national policy level. NGOs play an important role bridging the gap between policy frameworks and peoples needs. 

The workshop will focus on the role of NGOs in health care provision for undocumented migrants in Greece and analyse the main features for these organisations. The organisations are seen as "safe places" that compensate the difficult access to mainstream health services for undocumented migrants.

The programme will consist of three parts: (1) a discussion round with experts e.g in the fields of migration and health policy, health care provision and organisational developement; (2) a site visit at an NGO including discussions with the management and if possible staff members; and (3) a round table bringing together results from the expert discussion and practice perspectives and experiences.

This structure shall allow for describing quality of health care provision by on the one hand describing the relevant context on policy and client level and on the other hand by applying suitable quality indicators to services for UDM. Quality dimensions as appropriateness of health care provision and sustainability of services will be discussed.

 Ursula Karl-Trummer; Sonja Novak-Zezula,  Center for Health and Migration; Vienna sonja.novak-zezula@donau-uni.ac.at

   Titre: Eradication of migration causes  

 Resume : In order to eradicate the causes of migration it is necessary to review historical choices recognize the mistakes  done in the past by European countries and create new policies at European and worlwide

 Keywords: ……colonialism, multinationals, human rights violations…

 Content : Solution proposed is: to establish both a European legal framework that prevents European multinationals from making abuses in developing countries and a worlwide agreement in which countries committ themselves to stop all new forms of colonialism

 Grillone : Carmela Don Bosco Network Job -Via Marsala 42 Post code: 185 Rome Country: Italy

 Milli.grillone@donbosconetwork.org

   Titre: Les Gens du Voyage entre ancrage local, séjour provisoire et rejet permanent.

Analyse de l'expérience de médiation avec les Gens du Voyage en Belgique/Wallonie.
Gens du Voyage/travellers/gypsies. Habitat. territoire/espace. stigmate. Médiation.

L'intervention se propose d'analyser les rapports entre mode d'habitat, l''intgration/rejet dans la société et les règles administratives. Les Gens du Voyage vivent des contradictions permanentes entre l'injonction d'"être comme tout le monde", savoir se fixer, se sédentariser et l'impossibilité de l'être quelque part en raison du rejet a priori que suscite leur simple présence.
A partir de la pratique du Centre de Médiation des Gens du voyage (www.cmgv.be), nous tenterons de présenter un état de la situation (notamment l'état des lieux réalisé auprès de toutes les communes de la Région Wallonne), de mettre en évidence et d'analyser les dynamiques l'oeuvre et de faire part de potentialités et des limites de la "méthode" de médiation expérimentée en Belgique francophone.

AHKIM Ahmed,  Centre de Médiation des Gens du Voyage en Wallonie; aahkim@cmgv.be

  Titre: The social and legal position of homeless and socially excluded EU citizens in Denmark

Resume: The situation of homeless and socially excluded EU citizens in Denmark is characterized by ambiguous legislation leading to social exclusion and violation of basis rights.

Keywords: Homeless migrants, legal position of EU citizens, lack of access to basic services and rights.

Abstract: Since the inclusion of several Eastern European countries in the EU in 2004, we have witnessed an increasing number of homeless EU citizens in the streets of Copenhagen, Denmark.

The legal situation of the homeless EU citizens is ambiguous: They have the right to freely enter and stay in Denmark as job-seekers for a period of 6 months, providing they support themselves and do not become a burden to the social system. According to the legislation, only those who are - or have been - working in Denmark and who are formally recognised as workers, earn the right to access social and health care services. However, at the same time, there seem to be no warrant for expelling EU citizens who are not self-supporting while they stay in Denmark. It means that those, who do not manage to get employment are left in a legal vacuum: Their stay is legal, but they have no access to public funded social services or preventive health services. According to the legislation, they have right exclusively to acute medical care and financial support for journey home. They are left to the mercy of private charities who have limited resources.

While the group of homeless and socially excluded EU citizens is very varied, some common characteristics can be presented: The majority is from the Eastern European EU countries, male, and between 20 and 50 years old. They come looking for work and are at the starting point physically and mentally ready to work. However, the current recession in the economy has led to increased unemployment and it is difficult for them to find any kind of work, in particular legal employment. Going back to their home countries seems futile, as the economic and employment situation there is often even worse. Those who do not continue their search for a better life in other EU countries, begin a social downfall in Denmark, during which they have little or no access to assistance. After months or years on the streets, some develop substance abuse and/or mental illness. Despite their situation and visibility in the streets, the government refuses to acknowledge their existence or offer them service.

The presentation will include a portrait of the group of homeless EU citizens, based on experiences from a private emergency night shelter running January  March for the past three years.

Maj Kastanje, sociologist, projekt UDENFOR, Copenhagen DK, maj@kastanje.dk

Access to health services is a right more than a charity. In what way to insure this  right fo all ?
Between stereotypes and reality: 'migrant bearer of infectious diseases...'.
When the social needs  make to emerge and aggravate the health problems  -  pathogenic contexts...
What about 'poliambulatory solidales' where the private sector is co-working in synergy with public sector & health
specialized services  ?
-  To exchange, evaluate, propose the best holistic health services, specially for undocumented migrants.
-  Social & health needs : make the adequate & holistic answer is more difficult...  
-  Mediator role, more important than cultural.
 

  Title:  Policlinic health centres for migrants- what about "them"?

Key Words:  First Aid -  Trainer of Hellenic Red Cross - Sociologist

Health : It's very importand to solve this problem with a special way because we must try to meet and understand a big variety of cultural people. You can lost the correct way of "offering health services" if you can not even try to feel megrants' culture. If they feel comfortable then they will trust you and show you their problem. It is not very easy but you can try.
This is the way of explanation about the offer of a Policlinic Centre for migrants.
There are a lot of specialities which can offer in a Policlinic Centre. First of all Doctors, Nurses, physiotherapists, psychology, interpreter , accountant , dentist. We must also care about migrants' health rights and their real needs. We must always thinking that there is a simple way of helping people in need.
Try to understand their needs, try to understand their special way of life.

Poster = It's very important the understanding for meening of migrants' health. What whould we do about their health? Is it possitive for our community? Is it easy to dream about a sensitive and special health center about these people which need doctor's and special health csre but it's too difficult to make dream..true.

Ismene Libery, First Aid Trainer of Hellenic Red Cross- Sociologist. Ismene_Libery@yahoo.gr

  Title:  Access to health care for undocumented migrants. A comparative analysis of five European countries.

Resume: This study analyzes in which way health care systems and migration policies influence the concrete access to health care services for irregular migrants.

Keywords: health care access – migration and health policies – law implementation

Abstract: Health care access for irregular migrants includes two issues that hardly seem compatible. On the one hand, European health policies state that there is an indivisible and fundamental right to health care, regardless of the economic or administrative status of the migrant. On the other hand, migration policies are focused mainly on security strategies, rather than on the social and physical well being of the migrant.
Through a comparison of five European countries (Spain, France, United Kingdom, Sweden and Switzerland), this study firstly examines the barriers and facilities (on law, policy and practical levels) that undocumented migrants encounter to get health care access.
Secondly, it aims to underline the conditions that favor or undermine health care access for irregular migrants (Examples: type of health care system, migratory context, distinction between private and public actors and structures in charge of migratory issues, in particular for health sector). To do so, we will use qualitative data collected from an earlier study conducted in Switzerland, France, Spain, United Kingdom and Sweden. In this survey, the effects of the health care systems and the relevant migration policies concerning access to health care for irregular migrants were evaluated by comparing the qualitative data from these countries using the Qualitative Comparative Analysis.
Thirdly, we will present the results of this study and discuss the strategies implemented to overcome barriers to health care access. For the most part, the discussion will deal with the reasons of the gap between declaration and implementation of the law concerning health care access for undocumented migrants (Example: Obligation of health authorities to report the information to the migration authorities when encountering irregular migrants).
Finally, we will demonstrate how favoring real health care access for irregular migrants mainly depends on the role of civic society and International community (Here, European Union, in particular European Parliament and the Charter of Fundamental Rights of the European Union). When right to health is established, then undocumented migrants may access to personal, juridical and social recognition as conditions of self-realization and a path towards integration and participation to citizenship

Laure Kaeser,  Assistante d'enseignement et de recherche; Dép. sociologie; Univ. Genève;  Laure.Kaeser@unige.ch

  Title:  Entre Clinique des migrants et clinique Institutionnelle  -  Un exemple en région Rhône-Alpes

Résumé : Une importante recherche sur la santé mentale des demandeurs d’asile et réfugiés a conduit à la mise en place d’un réseau d’institutions-ressources pour une meilleures prise en charge psychologique de ce public.

Mots - clés : clinique de l’exil, psycho traumatisme, demandeurs d’asile, réfugiés, dynamique psychique, clinique institutionnelle, recherche, réseau, inquiétante étrangeté

Proposition de communication : La direction des affaires sanitaires et sociales de la région Rhône-Alpes a soutenu par un financement sur trois ans, des recherches-actions sur la santé mentale des demandeurs d’asile et réfugiés.
Ces recherches ont permis de mettre à jour la complexité des liens entre les secteurs sociaux et sanitaires autour de la prise en charge des demandeurs d’asile et réfugiés. Cette complexité apparaît comme en écho à la confusion des champs juridique, sociaux et de santé à laquelle public et intervenants (sociaux ou soignants) se confrontent.
Il est apparu dans la clinique de ces derniers que les effets de l’exil et des ruptures linguistiques et culturelles qu’il amène, les manifestations traumatiques et la difficulté de s’inscrire dans un nouveau projet de vie dans la société d’accueil, se poursuivent parfois longtemps et se répètent de diverses façons et dans différents lieux d’accueil. Ces effets sont souvent exprimés en terme d’isolement, d’inaptitude, de mécanisme de survie…

A l’issue de ces recherches, une des propositions de position élaborative était la mise en réseau des acteurs concernés dans la région. Cette proposition aujourd’hui concrétisée par le réseau SAMDARRA se trouve confronté à des difficultés de reconnaissance institutionnelle et de financement. Il est alors intéressant de se poser la question des effets miroirs de la clinique des migrants sur les institutions qui les accompagnent.
La précarité psychique et sociale semble se retrouver tant chez les réfugiés que chez les acteurs du réseau, tout comme les incertitudes quant à l’avenir ; ainsi l’aléatoire prime sur la pérennité et le sentiment d’insécurité est renforcé.
Comment alors travailler à l’élaboration de ces mouvements ambivalents sans prendre en compte les rapports que nous entretenons avec nos représentations de l’étrange, de l’étranger, de l’étrangeté ?

Blandine BRUYERE, clinical psychologist, member of the network SAMDARRA LYON;  association@appartenances.org

=============================

Title: Between the clinic of migrants and the clinic of Institutions   An example of Rhône-Alpes

Abstract:  An important research on the mental health of asylum seekers and refugees has led to the creation of a network of resource institutions which improves the psychological care provided to people.

Keywords : clinical exile, psychological trauma, asylum seekers, refugees, mental dynamics, institutional clinical, research, network, uncanny

Call for Papers:  The Management of Health and Social Affairs of the Rhône-Alpes funded a three year research on the mental health of asylum seekers and refugees. This enabled to update the complex links between health and social sectors in the field the public and stakeholders have to deal with in legal, social, and health fields.

It appeared in the clinic observed that exile goes along with traumatic events and linguistic and cultural ruptures, which weigh upon the new life project in the host society and have long lasting impacts. Those can be observed in various ways and in different places. These effects are often expressed in terms of isolation, inability to activate survival mechanisms...

Those researches led to the development of a network of stakeholders in the area. The proposal now embodied by the network SAMDARRA faces difficulties due to the lack of funding and institutional recognition. It is interesting to ask the question of effects mirrors the clinic for migrants on the institutions which accompany them.

The psychological and social insecurity seems to be found both among refugees and among network actors, as well as uncertainties about the future, the random is first on sustainability and the feeling of insecurity is reinforced.

How then work to develop these ambivalent movements without taking into account the relationship we have with our representations of the strange, foreign, the uncanny?

  Title:   Holistic approach of undocumented immigrants in Greece: access to dental and women’s health services. (3^rd Pannel 13:30-14:15)

 Resume: Presentation of our experience in providing healthcare to undocumented immigrants in the fields of dental and women health problems.

Key words: undocumented immigrants, dental care, women health services

Abstract: Aim of this presentation is to highlight the significance of a holistic and multidisciplinary approach in the healthcare of undocumented immigrants, especially in the fields concerning dental and women health with a stable and reliable way. PRAKSIS is an independent non-governmental organization- non profit body. Its main target is the creation, application and implementation of social and medical act programs. PRAKSIS, among other existing programs, runs two polyclinics in the urban areas of Athens and Thessalonica since 2004.

Dental problems can cause distress and poor quality of life especially in the vulnerable groups of undocumented immigrants. Due to lack of documentation of legal residence, lack of communication skills, ignorance of healthcare settings in the host country, they cannot have access in the hospitals. PRAKSIS Polyclinic runs dental service on a daily basis for the last six (6) years and covers a percentage of the gap in the health care of this target group.

Females are the most vulnerable groups of undocumented immigrants, of whom many of them are single mothers or trafficking victims. They usually have lower communication skills compared to male and their access to public hospitals is difficult. PRAKSIS Polyclinics with their Obstetrics-Gynaecology Clinics offer them regular antenatal screening up to 7^th month of pregnancy with foetal ultrasonography and appropriate referrals to National Health System and National School of Public Health for biochemical and microbiology laboratory tests. Clinics also offer family planning counseling, treatment of common gynecological problems, and preventive medicine with Pap test.

The main advantage of both services is the stability and continuity of free health care concerning these sensitive fields, especially since Greece is one of the main entrance points of undocumented immigrants in Europe.

 Yiannis Chantzopoulos, Medical Coordinator PRAKSIS Athens Polyclinic   g.hatzopoulos@praksis.gr

  Title: The social exclusion pathway: correlations between drug abuse and displacement and consequences  regarding the therapeutic interventions

In two words: How the two phenomena relate. The parameter of the ‘drug market’ is examined. ‘Loss of home’ and traumatisation provoked by it are factors that may contribute to create an illusion that presents drugs as tools of a coping mechanism

Key words: displacement, social exclusion, drug use, trauma, loss of home, nostalgic disorientation, market, racism, therapy, vulnerability 

Abstract: In the paper it is argued that there is a pathway which leads from displacement to social exclusion with a strong possibility that the route can result to drug use and then more social exclusion.
The models used regarding drug use among migrants are: The Assimilation/Acculturation Model and the Acculturative Stress Model. 
Main stressors experienced by refugees that can become important factors regarding drug use implications are presented: trauma, loss, adjustment/acculturation and disadvantage. Overrepresentation of refugees and immigrants in the urbanized areas is another risk factor that can create a link between displaced people and drug users. It is a peculiar “market” that can bring together the two groups of people. Substances that are capable to alter consciousness may provide another type of refuge to people who have lost their homes and suffer from “nostalgic disorientation” (a notion introduced by Papadopoulos). Drug abuse could be a mechanism, a coping strategy for some refugees – possibly the ones who suffer the effects of social exclusion the most – in order to diminish the ache provoked by the loss of home. Furthermore, it could be argued that drug abuse offers a false hope of re-orientation capability to the individuals. Drug users tend to create a geographical space which is the place where they buy and sell substances (market), they communicate and create relationships. The hypothesis deriving from this fact is that especially refugees among other drug users may discover in this peculiar ‘market’ a new home that could minimize the ‘disorientation effect’. This ‘market’ is not created for refugees so as to diminish their ‘nostalgia’. On the contrary it is a place where racism is minimized and it seems as if it is a multicultural environment. The common element is not the origin, the religion or the language but the substance itself.

Panagiotis Chaldaios -  KETHEA MOSAIC

  Titre:  Incertitudes, vulnérabilités, accès aux soins. L'exemple du Centre Françoise MINKOWSKA (Paris)

Mots clés : incertitudes, vulnérabilité, solidarité, équité, santé publique

Certaines pertes ou certains événements peuvent influer sur le bien-être mental des migrants et provoquer une dépression, une désorientation et une marginalisation.

Cette situation d’incertitude peut être due à la séparation de la famille et de la communauté, à la perte du sentiment d’appartenance, à la perte d’un emploi, d’une carrière ou d’une position dans la société, à la perte de ses réseaux d’assistance et/ou à la perte des traditions et des valeurs (R. CASTEL).
Lorsque les incertitudes sociales s’accumulent avec les blessures narcissiques, la vulnérabilité augmente le risque de décompensation psychologique aigue ou chronique. L’accès aux soins dans un cadre d’équité, dans un souci de solidarité, engage les structures d’accueil et de soins dans une responsabilité d’une réponse adaptée.
Le Centre Françoise MINKOWSKA est un établissement de santé non sectorisé de prise en charge ambulatoire des migrants et des réfugiés qui tient compte des aspects linguistiques et des représentations culturelles de la maladie mentale chez toute personne dont la personnalité aurait été altérée par une mobilité migratoire brutale ou un exil.

Christophe PARIS, Directeur Général du Centre Françoise MINKOWSKA (Paris) - paris@minkowska.com

The participation ensures the quality of work, is the best antidote to any form of exploitation and contributes to a redistribution of resources against the benefit of the submerged economy

  The seasonal: evaluation of a phenomenon in Europe, what kind of complaisance’s, the  law ignored and
    violated, the violence suffered..., what kind of consequences in the health ? Which is responsible for that?
    Courageous initiatives  and innovative projects at the levels of workers and enterprises, concerning legislations
    and information

   Work and training:  Reinventing work, the new labour culture passing through various forms of training
     and of participation.

   Socials Cooperatives : new experiences, old difficulties, future projects...

  Title:   Psycho education for and by asylum seekers/refugees in the Netherlands

Keywords mental health, psycho-education, asylum seekers/refugees, Netherlands, refugee centres

Mind Spring (www.mind-spring.org)  is a programme on psycho education developed by GGZ Dijk en Duin (mental health service) in cooperation with refugees and Medical Care. 

Summary: The Mind-Spring methodology has been developed in partnership with the target group  asylum seekers and refugees.

The purpose of active participation of the target group is twofold:
1) highly educated asylum seekers and refugees are given the opportunity to undertake a professional course to become a trainer in psycho education, to gain valuable work experience and to distinguish themselves within the local health care sector in the host country;
2) the programme aims to offer a better service for difficult-to-reach asylum seekers and refugees with psychosocial problems, who are recruited by trainers together with participants, and in partnership with community centres, refugee centres, migrant organizations, and medical staff working in asylum centres.
For each psycho-education course, the mental health care service provides a co-trainer to assist the Mind-Spring trainer.

Together they deliver psycho-education courses to asylum seekers and refugees. The Mind-Spring manual, used in the psycho-education courses, adopts a cognitive approach aimed at empowerment, recognizing and acknowledging the need to adjust to the new situation, and (re) assuming a positive (new) identity of asylum seekers and refugees. 
Through the preventive methods of Mind-Spring, the special needs of vulnerable people among refugees and asylum seekers are identified and addressed at the same time: the existing barrier for asylum seekers and refugees to talk about and seek help for mental health problems is partially overcome and western mental health service providers are better equipped to respond to mental healthcare needs of the asylum seekers and refugees. Furthermore, emphasis is put on improvement of the mental health needs of refugees and asylum seekers and improvement of national capacities by reaching out to all actors involved, corresponding to the Green paper.

Barbara Kieft, Eefje Smet;  Mind-Spring (Mental Health Services) EJ Zaandam, the Netherlands  bkieft@dijkenduin.nl

  Title:   The Education of second generation migrant students in Greece: barriers in access and equal rights.

Resume : Second generation migrant students in Greece face a variety of obstacles and difficulties during their studies. They feel insecurity and disappointment because they do not have any kind of support during their studies

Keywords: second generation students, equality of rights, citizenship issues

What affects students performance of non-native speakers and what measures would help to improve their performance; why their school performance in not included in official statistics? All the measures taken by our country in the field of Intercultural Education create conditions that negatively affect the school attainments.
Do the curriculum and assessment methods meet the opportunities of students with different linguistic and cultural characteristics; Could it the way the education system indicates our inability to accept the "others" as equal? The school even if not responsible for the poor performance of non-native speakers of students, is demonstrated weak to help overcome them. Who is actually responsible for this?  We will  try to provide answers to these critical questions.  key-words: second generation students, equality of rights, citizenship issues Firstly, we will discuss the factors that affect school performance of non-native students. We will focus within the family, the general policy applicable to the education of culturally different students, evaluation methods, bilingual education, expectations of teachers, the contents of the curriculum, the textbooks, xenophobia, prejudice and educational racism, the role of director and teacher of the school. Secondly, we will present data from second generation migrant students that study in the Greek universities.

Nektaria Palaiologou, Athina Stavrinoudi, Odysseas Evangelou, University of Western Macedonia,

nekpalaiologou@uowm.gr

  Titre: PROJET INTERPROFESSIONS : Valorisation des savoirs et des connaissances de la population migrée.

Résumé :  Le Projet a comme principal objectif la valorisation des savoirs et des connaissances de la population immigrée qui arrive avec de la formation, comme un apport à la société d’accueil.

Mots Clefs : Valorisation - accompagnement – insertion – transversalité - intégration

Contenu :  Le Projet Interprofessions a été mis en place par notre Association dès l’année 2005 avec des résultats très positifs. Il  a comme principal objectif la valorisation des connaissances et des savoirs de la population immigrée qui arrive en Catalogne avec de la formation, afin de faciliter les processus pour l’homologation, ou convalidation de ses titres, et favoriser sa formation continue. 

On dispose d’un espace d’accueil individualisé,  avec un travail d’orientation et accompagnement individuel et en groupe, en vue de permettre une meilleure insertion pour le travail, en favorisant son intégration professionnelle et sociale la société d’accueil et la cohésion sociale nécessaire.

- Information et soutien dès processus d’homologation et convalidation des titres de l’étranger.

- Accompagnement individualisé, si nécessaire des gestions concrètes a realiser.

- Insertion au réseau formatif formel (Universités, Ecoles d’Adultes, Instituts d’Enseignement Secondaire, Centres de Formation Professionnelle, …)

- Travail avec des petits groupes en relation à des aspects de la formation et de l’emploi.

- Divulgation du projet et coordination avec le réseau associatif de Barcelone et province.

- Orientation pour une meilleure formation quand à la langue et la culture catalane.

…On fera une présentation du Projet en Power Point

Montserrat FEU , Association « Atlàntida, professionals per la Interculturalitat »  mfeu@wanadoo.es

Integration & Home  as welcome  and  active participation in building a new multiethnic society, on mutual respect of cultural and society diversity in order to promote and improve a new model of social cohesion ...  

 ACCESS TO HOUSE : new experiences of community, facilitating the integration, following the principle of 'sharing' opposed to all forms of exploitation of  'sellers of sleep'

 LOCAL INTEGRATION :  Access to decent housing (e.g. social housing) is a precondition for integration and can be a powerful tool for policy makers and local authorities to promote integration and social cohesion on the local level.

Présentation d'une pratique bas sur un dispositif pluriel en rseau