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 Gesundheit 2 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 Gesundheit 3 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 Gesundheit 4 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 Gesundheit 5 pro mente Upper Austrias 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 Gesundheit 6 pro mente Upper Austrias 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 Gesundheit 7 pro mente Upper Austrias 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 Gesundheit 8 pro mente Upper Austrias 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 (German) (English)

Gesellschaft für psychische und soziale Gesundheit : 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 Gesundheit 10 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 Gesundheit 11 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 Gesundheit 12 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 Gesundheit 13

Gesellschaft für psychische und soziale Gesundheit 14 … a system …

Gesellschaft für psychische und soziale Gesundheit 15 Exclusion

Gesellschaft für psychische und soziale Gesundheit 16 Separation

Gesellschaft für psychische und soziale Gesundheit 17 Integration

Gesellschaft für psychische und soziale Gesundheit 18 Inclusion

Gesellschaft für psychische und soziale Gesundheit 19

Gesellschaft für psychische und soziale Gesundheit 20

Gesellschaft für psychische und soziale Gesundheit 21 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 Gesundheit 22 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 Gesundheit 23 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 Gesundheit 24 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 Gesundheit 25 What I really, really want! Projekt ELAP, 2009 Erarbeitung von Lebens- und Arbeitsperspektiven developing perspectives of living and working

Gesellschaft für psychische und soziale Gesundheit 26 Start and destination of ELAP Fusion of various facilities: housing Skill-oriented activity Projekt ELAP: What do people want with mental health disabilities? What I really, really want. Frithjof Bergmann: What I really, really want. Requirements analysis: What requirements result from this Evolution TS Freistadt Süd: Project results point the way in developing and redesign of the housing and skill- oriented activity TS Grubmühle Schönau Farm TS Variabel Bad Zell Contract work and Creative Werkstätte

Gesellschaft für psychische und soziale Gesundheit 27 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 Gesundheit 28 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 Gesundheit 29 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 Gesundheit 30 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 Gesundheit 31 TS Enns – feel comfortable?

Gesellschaft für psychische und soziale Gesundheit 32 TS Enns - enjoy the work?

Gesellschaft für psychische und soziale Gesundheit 33 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 Gesundheit 34 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 Gesundheit 35 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 Gesundheit 36 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 Gesundheit 37 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 organisations structure

Gesellschaft für psychische und soziale Gesundheit 38 How can we create and develop organizations to ensure the rights? Adaption of organisations structure Bring activities together: Housing, Skill- Oriented Activity, Counselling, …

Gesellschaft für psychische und soziale Gesundheit 39 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 Gesundheit 40 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 Gesundheit 41 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 Gesundheit 42 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 Gesundheit 43 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 you The human rights aspects of the access to quality community-based services – An example of pro mente Upper Austria Erwin Kargl MHE conference: June 2012