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Pilot project for the                          treatment                     of homeless people                 Paula Domi...
CARE FOR VULNERABLE GROUPS                                                               Homeless peoplePilot project for ...
CARE FOR VULNERABLE GROUPS                                                             Homeless people                    ...
CARE FOR VULNERABLE GROUPS                                                                   Homeless people              ...
CARE FOR VULNERABLE GROUPS                                                                                      Homeless p...
CARE FOR VULNERABLE GROUPS                                                              Homeless people                   ...
CARE FOR VULNERABLE GROUPS                                                                           Homeless people      ...
CARE FOR VULNERABLE GROUPS                                                               Homeless people                  ...
CARE FOR VULNERABLE GROUPS                                                                Homeless people                 ...
CARE FOR VULNERABLE GROUPS                                                                 Homeless people                ...
CARE FOR VULNERABLE GROUPS                                                                     Homeless people            ...
CARE FOR VULNERABLE GROUPS                                                                        Homeless people         ...
CARE FOR VULNERABLE GROUPS                                                                Homeless people                 ...
CARE FOR VULNERABLE GROUPS                                                          Homeless people                       ...
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A Model for Health Intervention Regarding the National Strategy for Homeless People Integration – Health Care Pilot Project for Homeless People with Mental Illness

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Presentation given by Teresa Caldas de Almeida and Paula Domingos, Portugal at a FEANTSA Research Conference on "Understanding Homelessness and Housing Exclusion in the New European Context", Budapest, Hungary, 2010

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  • Introduction FEANTSA Information from FEANTSA’s members Specific look at some countries (not IE and UK)
  • Transcript of "A Model for Health Intervention Regarding the National Strategy for Homeless People Integration – Health Care Pilot Project for Homeless People with Mental Illness"

    1. 1. Pilot project for the treatment of homeless people Paula DomingosNational Mental Health Coordination Body – Portugal European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN THE ENHR NEW EUROPEAN CONTEXT
    2. 2. CARE FOR VULNERABLE GROUPS Homeless peoplePilot project for the treatment of homeless people1st Stage: Argument and research -- 2009 1st Stage: Argument and research 2009•• Field work Field work•• Bibliographic review Bibliographic review2nd Stage: Assessment of the access to mental health care 2nd Stage: Assessment of the access to mental health care•• Development and administration of a questionnaire to health Development and administration of a questionnaire to health professionals working in the area professionals working in the area3rd Stage: Implementation and monitoring of the project– 3rd Stage: Implementation and monitoring of the project– 2010 2010 European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    3. 3. CARE FOR VULNERABLE GROUPS Homeless people 1st Stage Outcome from the field work Outcome from the field workIncidence of mental health diseases: a) Alcoholism b) Drug addiction c) Psychotic disorders Well Known institutions that were contacted: CML/Departamento de Acç ão Social:ERASA, Associaç ã Mé dicos do Mundo, Comunidade Vida e Paz, o Novos Rostos Novos Desafios. European Research Conference, Budapest, 17th September 2010UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    4. 4. CARE FOR VULNERABLE GROUPS Homeless people 2nd StageAdministration of the Questionnaire on the Assessment to Mental HealthCare by homeless people to professionals in the catchment area Scope - Thoroughly analysing the access to mental health care. Aims - To identify difficulties areas for the homeless when accessing mental health care services, by the technical teams. - To know about the procedures which connect mental health and the social sector. European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    5. 5. CARE FOR VULNERABLE GROUPS Homeless people 2nd Stage: OutcomeAccess to Mental Health Care Services Table 1 – Homeless people referenced, in average per week Number of Average Standard People deviation Street team 1 0,79 1,1 Temporary accomodation centre 2 0,82 1,1 Social assistance 5 1,90 2,3 European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    6. 6. CARE FOR VULNERABLE GROUPS Homeless people 2nd Stage: OutcomeTable 2 – Difficulties by Type of Service Difficulties Type of Service Administrative Relational Communication Emergency 3.1 2.7 3.1 Outpatient services 2.8 2.3 2.9 Primary health care centre 2.6 2.1 2.8 European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    7. 7. CARE FOR VULNERABLE GROUPS Homeless people 3rd StagePartnership Protocol between the National Mental Health CoordinationBody and the Psychiatric Hospital Centre in Lisbon (CHPL) Scope: • To ensure the access of homeless people to mental health care services, at regional level. Objectives: • To ensure psychiatric and psychological follow-up of homeless people coming from the referral of case managers, street teams and other institutions that provide support. • To help the training of professionals that work in the Lisbon Platform. European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    8. 8. CARE FOR VULNERABLE GROUPS Homeless people 3rd StagePartnership Protocol between the National Mental Health Coordinationbody and the Psychiatry Hospital Centre in Lisbon (CHPL)Negative aspects:1.Difficulties in accessing the mental health care services provided bythe health care system;2.Inability by the traditional psychiatric services to respond to thehealth care needs of homeless people.Positive aspects:The collaboration with the Psychiatry Hospital Centre in Lisbon, whichhas the know-how and experience of providing mental health carehomeless people. European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    9. 9. CARE FOR VULNERABLE GROUPS Homeless people 3rd StagePartnership Protocol between the National Mental Health Coordinationbody and the Psychiatry Hospital Centre in Lisbon (CHPL) Protocol requirements: Referral procedures • Entrance/access by homeless people in the CHPL through the mental health clinical team and the required signalling/referral form, to the care of the CHPL (the form is part of the National Strategy for the Integration of Homeless People); • The referral of homeless people to the CHPL is done by the case managers. European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    10. 10. CARE FOR VULNERABLE GROUPS Homeless people 3rd StagePartnership Protocol between the National Mental Health Coordinationbodyand the Psychiatry Hospital Centre in Lisbon (CHPL)Protocol requirements:Providing mental health care:The provision of mental health care services takes place inambulatory care.• Emergency services - using the psychiatric emergency of the HCC.• The medication cost is shared by national health care. European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    11. 11. CARE FOR VULNERABLE GROUPS Homeless people 3rd StagePartnership Protocol between the National Mental Health Coordination bodyPartnership Protocol between the National Mental Health Coordination bodyand the Psychiatry Hospital Centre in Lisbon (CHPL)and the Psychiatry Hospital Centre in Lisbon (CHPL) Protocol requirements: Managing information: • Information about the health situation of the homeless person (clinical situation) will be sent to the case manager through the return form. • When possible, the information will be sent in the following formats: a) email; b) fax. European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    12. 12. CARE FOR VULNERABLE GROUPS Homeless people 3rd StagePartnership Protocol between the National Mental Health Coordination bodyPartnership Protocol between the National Mental Health Coordination bodyand the Psychiatry Hospital Centre in Lisbon (CHPL)and the Psychiatry Hospital Centre in Lisbon (CHPL) Protocol requirements: Providing mental health care: The provision for mental health care follows the partnership model as set out in the Plan of the National Strategy for the Integration of Homeless People. European Research Conference, Budapest, 17th September 2010 UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    13. 13. CARE FOR VULNERABLE GROUPS Homeless people Partner organisations Referral entities AMI – Fundação de Assistência Média Internacional Centro de apoio ao sem abrigo Centro social do exercito de salvação CML Comunidade Vida e Paz Legião Boa Vontade STREET TEAM Médicos do Mundo Movimento ao Serviço da Vida Novos Rostos novos Desafios Santa Casa da Misericórdia de Lisboa VITAE – associação de Solidariedade e Desenvolvimento Internacional Desafio Jovem TEMPORARY AMI – Fundação de Assistência Média Internacional ACCOMODATION CENTRE Associação dos Albergues Nocturnos de Lisboa Centro Social do Exercito de Salvação Santa Casa da Misericórdia de Lisboa VITAE – Associação de Solidariedade e Desenvolvimento Internacional ATELIER Associação Crescer na Maior Santa Casa da Misericórdia de Lisboa ASSISTANCE Santa Casa da Misericórdia de Lisboa European Research Conference, Budapest, 17th September 2010UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
    14. 14. CARE FOR VULNERABLE GROUPS Homeless people Thanks for your attention! NATIONAL MENTAL HEALTH COORDINATION BODY, PORTUGAL pauladomingos@acs.min-saude.pt European Research Conference, Budapest, 17th September 2010UNDERSTANDING HOMELESSNESS AND HOUSING EXCLUSION IN ENHR THE NEW EUROPEAN CONTEXT
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