REFOCUS: TRANSFORMATION OF SERVICES IN A NEW ERA
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Transcript of REFOCUS: TRANSFORMATION OF SERVICES IN A NEW ERA
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REFOCUS: TRANSFORMATION OF SERVICES IN A NEW ERA
Jean Pierre Wilken
President CARe EuropeProfessor of Participation, Care and Support
HU Utrecht University for Applied Sciences, Netherlands
Tallinn, 8 May 2013
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Participants from 15 countries
Armenia, Belgium, Bulgaria, Croatia, Estonia, Georgia, Hungary, Kazakhstan, Kyrgyzstan, Netherlands, Slovenia, Romania, Spain, Turkey, United Kingdom.
Welcome
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Thanks to:Estonian Psychosocial Rehabilitation AssociationTallinn Mental Health CentreTallinn University
Fund Storm RehabilitationMental Health InitiativeSoros Foundation
Welcome
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Established in 2011 with the support of Fund Storm Rehabilitation.
Serves professionals, service users and organizations to promote and realise the transition from institutional to community-based and recovery-based care.
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We are active in the field of mental health care, social care and welfare services for (and with) persons with psychiatric, learning and physical disabilities.
We connect practice, research, education and policy.
We connect Eastern and Western Europe (and central Asia).
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Activities:1. Disseminating information and
knowledge2. Providing opportunities for meeting,
learning and exchange3. Supporting the development of new
initiatives by providing advice and training
4. Encouraging research and development5. Encouraging partnerships between
organisations in different countries
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In collaboration with
Global Initiative on PsychiatryMental Health InitiativeEuropean Social Services Network
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REFOCUS; TRANSFORMATION OF SERVICES IN A NEW ERA
How do we create / transform services towards a focus on recovery, personal development and social inclusion?
Our challenge
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Inclusion is impeded by: * individual factors (e.g. self-stigma, lack of skills, lack of information, lack of self-confidence, poverty)* physical inaccessibility (e.g. buildings) * social inaccessibility (e.g. by stigma; individualised / network society)* inaccessibility legal rights (finances; discrimination)* separation between health sector and social (welfare) sector* one-sided focus of services on institutional life, professional knowledge & disability
Facts
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10
Diagnosis
Connecting to meaning, & strengths
Personal medicine, learning,
increasing self-confidence, role
models etc.WRAP
Professional knowledge
psychiatrist,therapist, case
manager
Medication,
Treatment plans etc.
RECOVERY= Learning to
live with and beyond symptoms
Experiential knowledge
RECOVERY=Getting rid
of symptoms
??
?
Knowledge based on personal
experiences
Field of Mental Health Care
Professional-Institutional-Knowledge
Peer Support
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We know how to support recovery, but are we doing it?
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Assess-ment of disabiliti
es
Connecting to meaning, & strengths
learning, increasing self-confidence, role
models etc.Personal Future
Planning
Professional knowledge residential workers, therapists
Care plans etc.
PERSONAL DEVELOPME
NTdeveloping
skills; fulfilling
valued social roles
Experiential knowledge
CUSTODY=Taking care of persons.Shelter and protection
Professional-Institutional-Knowledge
Knowledge based on personal
experiences
Field of Disability Care
Social networks
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Shifting towards a new vision: From focus on the disorder/disability to focus on
the person Experiential knowledge: the value of personal
experience, focus on learning/development, peer support
From illness/disability based to strengths-based From professional-directed to user-directed From individual to community
Refocus
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New standards:Contemporary models of care for people with high and complex needs should be evaluated in terms of the degree to which services support people’s: • presence in the community; • active participation in every day life; • opportunities to develop, exercise and demonstrate to others their competence; • exercise of individual choice; and • dignity and rights (both legal and human)
(cf O’Brien, 1992; Wilken, 2007)
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So please: re-focus!