SHARING and PARTICIPATING

promoting Dignified Life & Mental Health

2nd Pathway: Deinstitutionalisation

                      Bucharest  23- 26 November 2010       FR    IT

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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  ideasexperimental projectsdaily 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

Report of the Ad Hoc Expert Group on the Transition from Institutional to Community-based Care 
     FR   IT   UK  

Deinstitutionalisation and community living – outcomes and costs: report of a European Study
 
     *  http://www.ozida.gov.tr/web_english/actual/volume1.pdf

      * http://www.ozida.gov.tr/web_english/actual/volume2.pdf

WHO:   http://www.euro.who.int/mentalhealth   -  Mental Health Action Plan and Declaration for Europe

Recommendation of  Council of EU CM/Rec(2009)3

 

Contact : 0032.2.5385887     smeseu@smes-europa.org