DIGNITY & HEALTH - 5P
S.A.D.
Sdružení Azylových Do

Partner  1

Sdružení azylových domů – (SAD)

Nationality

Czech

Official address

Tusarova 60, 170 00, Prague 7, Czech Republic

Contact person

Major Neil Davies (Leader of International Commission)

Telephone n°

+420 220 806 915

Fax n°

+420 220 806 915

E-mail address

kpt.adpraha1as@volny.cz

Number of staff (permanent and non-permanent) 1  Executive Director supported by an Executive Committee of 9 people.
History of co-operation with the applicant To date, SAD has been the recipient of correspondence from SMESEU.
Role and involvement in preparing the proposed project

Provision of information relevant to the history and current situation of health support for mentally ill homeless people within the Czech Republic.

Assistance in the preparation of the conference in Prague – May ‘04

Collating and presenting of information relevant to the situation within the Czech Republic.

Role and involvement in implementing the proposed project

Assistance in the preparation of the conference in Prague – May ‘04

Collating and presenting of information relevant to the situation within the Czech Republic

 

The justification of the participation on D&H-5Projects by S.A.D. 


Within the Czech Republic, during the days of communism, access to medical care and care for people with mental illnesses was available with short waiting times. Also, if it was felt necessary, people who had perceived mental illnesses could be taken for mental assessment against their free will.

Since the fall of communism, this has no longer been the case. Access to mental healthcare is not easily accessible and, unless the life of the patient is in danger or they are perceived to be a danger to other citizens, the patient cannot be admitted for treatment against their will.

This has lead to a growing population of people who do not consider themselves to be suffering from a mental illness living within the community. They will not attend outpatient clinics that would give them the necessary support and, in many cases, they find they cannot cope with the demands of daily living, thus finding themselves in a homeless situation.

Once this situation arises, access to medical care of any sort is very difficult. They may not have a current medical insurance leaving doctors reluctant to treat them, other than for life threatening illnesses. Also, access to psychiatric help can only be through the referral of their general practitioner, who is reluctant to make this referral.

In the end, mentally ill homeless have no access and no motivation to receive treatment they require.
 

List of target groups and participants in the event, of direct and indirect beneficiaries

  • Members of Sdružena Azylových Domů (96)

  • Naděje (National Homeless Service Provider)

  • Ministry of Labour and Social Affairs

  • Ministry of Health, Nový Prostor (Homeless Street

  • Newspaper - Práh  (NGO providing services for the mentally ill Brno)

Reasons for the selection of the target groups and participants in the event and activities

The majority of homeless service provision in the Czech Republic comes from the NGO sector. However, the majority of support for these services in financial terms comes from the government. Yet, the problem is growing and the resources are falling. While the application process for this funding is more thorough, it does mean that many NGO’s providing support are losing government support.

By bringing this issue to the public attention, it will hi-light the work already being carried out by under-funded services and how this support can be carried through in every day working with the clients.

Due to the dual discipline of Social and Health Ministries, NGO project working with the homeless may seek funding as a social organisation or as a medical organisation. Therefore, the medical care of mentally ill is often given by state hospitals, excluding the services to homeless due to lack of medical insurance and motivation as described in your comments.

Relevance of the project to the target groups or participants in the event


For the NGO’s, there will be a greater awareness of the rights and possibilities for clients suffering with mental illnesses. Also, by bringing the focus of attention on homeless mentally ill, the Governmental departments will be able to see the size of the problem and prepare community plans that can support these people in a more practical way. Also the issue of access to these services for the disadvantaged can be brought into the public awareness.

Relevance of the project to the objectives of the programme


The organisations listed in the target groups are a cross reference of NGO and Governmental Departments responsible for or affected by the current situation of mental health care. One of the direct benefits of this project is the communication between NGO and Governmental Departments in seeking to find a way to support the mentally ill homeless in our society.
 

Relevance of the project to the priorities of the programme


The free market has also focused on the productivity of employees. Many people suffering from a mental illness would not cope in the competitive market, but would cope with an employment that requires less mental flexibility. Yet they do not get a chance.

Unemployment is another cause of defaulting on rent payment – thus resulting in homelessness.
 

A preliminary list of speakers & participants

  • MUDr. Chvíla – Psychiatrist dealing with Addictions working closely with Armáda spásy and Teen Challenge

  • Ing. Műrellová – Ministry of Labour and Social Affairs

  • Representative from Práh (NGO providing services for mentally ill – Brno)
     

  •  Members of Sdružena Azylových Domů (96)

  •  Naděje (National Homeless Service Provider)

  • Ministry of Labour and Social Affairs

  • Ministry of Health Nový Prostor (Homeless Street Newspaper)

  • Práh (NGO providing services for the mentally ill Brno)

Level of involvement-activity of other organisations, partners or others, in the project


Provision of information relevant to the history and current situation of health support for mentally ill homeless people within the Czech Republic.

Assistance in the preparation of the conference in Prague: June ‘04

Collating and presenting of information relevant to the situation within the Czech Republic.
 

smeseu@skynet.be        kpt.adpraha1as@volny.cz