|
page in preparation
2nd
PATHWAY AIM:
TRANSITION
and ALTERNATIVES
to
psychiatric institutionalisation
|
Transition from to cure in Institution
to
care in Community -
Mental Health in the city
This first Pathway
will prepare the discussion, exchange,
evaluation and proposals about the humanistic
and holistic approach of people suffering of
mental health diseases and
requiring new creativity in daily practices.
The overcoming of the institutionalisation is the main theme:
theoretical & practical, with European presentation of divers
ideas – experimental projects –
daily practices, in
relationship with : poverty and institutionalization;
barriers and/or inexistence of mental health services…
etc.
-
If there still exsists the “totalitarian institutions” that
destroy every shape of identity and autonomy of the person,
under the pretest to cure of their disease, which possible
developments are envisaged to
overcome them, to introduce in primis the respect of the person
in its diversity?
-
In what way to prevent
that the street become the 'new institution'
where to live in total abandon the
more vulnerable people.
-
In that way to prevent and to overcome
stigma (ex. shame and segregation...)
and stereotypes (ex. guarantee of
security and recovery impossible...)
when knowledge and solidarity is lacking
?
-
In what way to prevent that the labour
market exploited and /or discriminate especially the vulnerable people.
|
TO
CURE
and
HUMAN RIGHT
& DIGNITY
|
aim & REASON of
'Deinstitutionalisation'
It is a
process
of replacing long-stay psychiatric hospitals
with less isolated community mental health
services for those diagnosed with mental
disorder or developmental disability.
-
The first focuses on reducing the population size of
mental institutions. This can be accomplished by
releasing individuals from institutions, shortening the
length of stays, and reducing both admissions and
readmission.
-
The second definition refers to removing
institutional processes from mental hospitals that
may create dependency, hopelessness, learned
helplessness, and other maladaptive behaviors.
Overcoming
the psychiatric Institution: everywhere in Europe and particularly in Romania the reforms in Mental Health
systhem are urgently in order to protect and dignify the life of
most vulnerable people.
The European Union at the time of the accession of Romania
to EU, placed at the disposal important resources
to improve the mental health services
by guaranteeing the rights of the people to receive a
treatment and care adapted in their state, as much as
possible with the centre of the community in which they
live.
BUT what is situation today ?
In what way theoretical and practical transnational
exchanges can to promote changes
in vision - policy - daily practices ?
|
Everyone has the RIGHT
to
- freedom
- respect
- choice
- cure
- care
dignified life in natural
human community and social context
2nd
PATHWAY: November 2010
We propose to prepare this topic for the workshops of
Conference with local
-
study/visit and workshop
at 23-24 November
visiting two
psychiatric institutions
working for deinstitutionalisation and
-
partecipation in semainar
at 25-26 November, about theme of
desinstitutionalisation organised by Italian and
Roumenian Mental Health services.
|
TAKE
CARE and
BARRIRES &
CHRONICITY
|
Poverty and Precariousness, with Psychic suffering and
Mental disease,
are both
often at the beginning of the process of marginalisation
and abandonment, which - while being reinforced
reciprocally - transform in chronic situation one and
other until the exclusion and rupture of social belong
of people.
Which
possible answer to prevent this process, to insure
the passage from the fight to poverty to the attention
in the person with her basic right to live in health,
dignity and wellbeing, to transform the cure of
the disease into the care of the person in her community
context?
Involvement of all civic society :
it's possible to insure a concrete progress in this
fight against poverty and exclusion when all civic
society will be involved shearing and participating.
|
INTEGRATION
and
STYGMA -
DISCRIMINATION - abandonment
|
Combating Stigma and Social Exclusion
: the
eradication of stigma & discrimination,
but also of
indifference & stereotypes
(dangerousness) against people and families suffering from
poverty and mental illness,
is still a remote goal for our
European society
and the consequences are:
extreme
poverty, marginalisation, abandonment and lost of social
belong.
Everywhere in Europe and particularly in Romania the reforms
are urgently needed in order to protect and give dignity to
the life of most vulnerable people. The European Union at
the time of accession of Romania to the Union placed at its
disposal meaningful resources to guarantee the right of the
patients to receive treatment as much as possible within the
local community.
What then
is the concrete situation today in Europa, what kind of
subsidiarity and solidarity with Romania, Bulgaria and other
countries where urgent are the reformes in Social and Mentla
Health system ? |
Daily
Practices :
exchange for
change !... please inform us about your daily practices
|
Borsa Castle:
psychiatric institution,
located in the most idyllic part of Transylvania, (260
kilometers)
west of Bucharest.
cf. The Misery of Romania's Mentally Ill By Erich Wiedemann
in Borsa, Romania
Centru trepte:
"Trepte" Stationar de zi si Compartiment de
psihiatrie comunitara, psihoterapie si
reintegrare
psihosociala
http://www.spital-obregia.ro/laboratoare-centrul-trepte.php
Comber :
Hope for Romania : Our Mission is to
build better futures for children and adults
with
disabilities our work in Romania Comber is an
Irish NGO which has worked with children in
orphanages in Romania since 1990. Comber is now
working with the Romanian Government
to drive the closure of institutions for
children and young adults with disabilities.
Hospital Bolintin
:……
Gradinari Houses (protected
living):
ICAR
:
CAR Foundation is a non-governmental
organization set up in 1991 and legally
registered in
1992, having as main purpose of activity the
provision of medical, psychological, social and
legal assistance to those persons who, for
political reasons, experienced the communist
detention regime after 1946. ICAR Foundation is
the first and the only organization in
Romania that sets out and implements such a
program. Besides the centre in Bucharest
(opened in 1993), ICAR Foundation has two more
other rehabilitation centres: in Iasi
(opened in 1995) and in Craiova (opened in
1998). |
Documents :
mutual learning
|