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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?
Gesellschaft für psychische und soziale Gesundheit3
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?
Gesellschaft für psychische und soziale Gesundheit4
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
Gesellschaft für psychische und soziale Gesundheit5
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
Gesellschaft für psychische und soziale Gesundheit6
pro mente Upper Austria’s areas of activity
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
Gesellschaft für psychische und soziale Gesundheit7
pro mente Upper Austria’s areas of activity
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
Gesellschaft für psychische und soziale Gesundheit8
pro mente Upper Austria’s areas of activity
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)
Gesellschaft für psychische und soziale Gesundheit9
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
Gesellschaft für psychische und soziale Gesundheit10
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
Gesellschaft für psychische und soziale Gesundheit11
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?
Gesellschaft für psychische und soziale Gesundheit12
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
Gesellschaft für psychische und soziale Gesundheit13
Gesellschaft für psychische und soziale Gesundheit14
… a system …
Gesellschaft für psychische und soziale Gesundheit15
Exclusion
Gesellschaft für psychische und soziale Gesundheit16
Separation
Gesellschaft für psychische und soziale Gesundheit17
Integration
Gesellschaft für psychische und soziale Gesundheit18
Inclusion
Gesellschaft für psychische und soziale Gesundheit19
Gesellschaft für psychische und soziale Gesundheit20
Gesellschaft für psychische und soziale Gesundheit21
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?
Gesellschaft für psychische und soziale Gesundheit22
„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
Gesellschaft für psychische und soziale Gesundheit23
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?
Gesellschaft für psychische und soziale Gesundheit24
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!
Gesellschaft für psychische und soziale Gesundheit25
What I really, really want! Projekt ELAP, 2009
„Erarbeitung von Lebens- und Arbeitsperspektiven“
developing perspectives of living and working
Gesellschaft für psychische und soziale Gesundheit26
Start and destination of ELAP
TS Grubmühle SchönauFarm
TS Variabel Bad ZellContract work and Creative Werkstätte
Gesellschaft für psychische und soziale Gesundheit27
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
Gesellschaft für psychische und soziale Gesundheit28
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.
Gesellschaft für psychische und soziale Gesundheit29
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!
Gesellschaft für psychische und soziale Gesundheit30
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
Gesellschaft für psychische und soziale Gesundheit31
TS Enns – feel comfortable?
Gesellschaft für psychische und soziale Gesundheit32
TS Enns - enjoy the work?
Gesellschaft für psychische und soziale Gesundheit33
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.
Gesellschaft für psychische und soziale Gesundheit34
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?
Gesellschaft für psychische und soziale Gesundheit35
How can we ensure the access-rights?
counseling of clients counseling of employes legal advice of clients
Knowledge is power!
Gesellschaft für psychische und soziale Gesundheit36
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?
Gesellschaft für psychische und soziale Gesundheit37
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
Gesellschaft für psychische und soziale Gesundheit38
How can we create and develop organizations to ensure the rights?
Adaption of organisation‘s structure
Bring activities together: Housing, Skill-
Oriented Activity, Counselling, …
Gesellschaft für psychische und soziale Gesundheit39
How can we create and develop organizations to ensure the rights?
Education of staff Working in social environment not in facilities More individual responsibility Good reflexion instruments Safety and determined frame work conditions
Gesellschaft für psychische und soziale Gesundheit40
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?
Gesellschaft für psychische und soziale Gesundheit41
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
Gesellschaft für psychische und soziale Gesundheit42
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…..
Gesellschaft für psychische und soziale Gesundheit43
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