9th SEMINAR SMES-EUROPADIGNITY  &  HEALTH

 A PERSON ONLY EXISTS WHEN THEIR VOICE IS HEARD

HEALTH & SOCIAL CARE IN COMMUNITY: ACCESS FOR ALL TO RIGHTS & SERVICES

“Low threshold centre for the homeless a door for community mental resources”

David Blanco Rosado,  José Antonio Hernández Mondragón (E)

LOW THRESHOLDKEY CONCEPT

“Flexibility”

MAIN OBJECTIVE

“Hoocking”

METHODOLOGY

Minim rules

TO BREAK “REJECTION”

KEEPING CHRONICS INSIDE

Puerta Abierta

Started on June 2001

Mission

Give Lodging and social support to Homeless with dificulties to stay in other resources

• People with severe mental diseases• Chronic alcohol and other substance abusers• Important physical pathologies (HIV, BHV,...)

Staff

• Co-ordinator – Social Worker• Social Worker• Social educator• Occupational Therapist• Nurse• Auxiliar Staff (12)

Social aspect

s

Social aspect

s

Street andenvironment

Street andenvironment

Help regectionHelp regection

ResourcesResources

Administrativetasks

Administrativetasks Social isolation Social isolation

LanguajeLanguaje

Citicen attitude Citicen attitude

Interagencyco-ordination

Interagencyco-ordination

Análisis demográfico

Data: 2005

Sample: 99 people

Stability of users gives significance to data...

Alcohol abusers

14

5

22

3

19

0

8

10

5

10

15

20

25

30-44 45-54 55-64 >65

MaleFemale

72 alcohol abusers in 99 people sample

71.28%

Illegal Substance abusers

6

14 30-4445-54

19.80%

People with Mental disease

9

36 MaleFemale

44.55%

Concept changing

LOWTHRESHOL

D

LOWTHRESHOL

D

Centeradaptation

Centeradaptation

Healthy HabbitImproving

Healthy HabbitImproving

Social SkillsSocial Skills

Unconditionalacceptance

Unconditionalacceptance

OccupationalTherapy

OccupationalTherapy

AdministrativeRegulation

AdministrativeRegulation

Social and Healthresource access

Social and Healthresource access

Co-ordinated Work

1016

22

41

SAMUR SOCIALSTREET TEAMRAIS

REALIDADES

MENTAL HEALTHSTREET TEAM

Incomes

29

28

5 3

PNCRMIRETIREMENTJ OB

88

11

26 Retired

Economical

Social

100% of users are registered at a District in

Madrid

Mental sick people under treatment

31%

47%

8%14%

MHSTMENTAL HEALTH CENTEROTHERNO TREATM

• Psychiatrist: assessment, treatment, follow up...

• Psychologist: assessment, follow up, co-ordination of cases derived by Puerta Abierta Staff.

• Educators (3) Support, motivation, social skills .

MHST – PRISEMI Puerta Abierta (2)

MHST – PRISEMI Puerta Abierta (2)

Derivation process

Accepts REjects

Antecedents SOCIAL REPORTPsychiatric assessment

MHST MHC OUTCOME

Intervention

Nurse.

Psychiatrist

IndicationsEvolutionFollow up

Psychologist+

Social Workers+

Technicals

Intervention Design

Educator (2)

Intervention following up

Educator

Hookin at street

MHST – PRISEMI Puerta Abierta (3)

EC-PSH – PRISEMI Puerta Abierta (4)

Outcome

Nurse.

PsychiatristPsychologist

+Social Worker

+Technicals

Educadoras (2)

Educador

Normalized net derivation

Medical outcome Center entrance

Health Center&

Puerta Abierta

• Agreement signed to give assistance to Puerta Abierta users

• Attending their special necesities

Puerta de Hierro Hospital &

Puerta Abierta

• Co-ordination with social work Depmt.• to:

• Arrange return home.• Access to other resources. • Extend staying at hospital.• Sending Medical reports.• Help to more close link.

Thank you for your

attention