Cooperation of City Government and non-

governmental organizations Ene Tomberg

Tallinn Social and Health Care Board

Social-political influences on voluntary work

• The responsibility for the person’s coping first of all lies on the relatives and friends.

• If no help is provided by the family and state support, the person may seek assistance from the voluntary organizations.

• The state is the last to interfere in the solution of the problem.

• The voluntary organizations are large primarily in the field of healthcare (Germany, Italy, France)

Liberal model:

• The state guarantees minimal coping and indispensable services.

• People acquire the securities they consider necessary.

• The state tries to decrease the monopoly as the provider of services, offering to the voluntary organizations the substitute role (USA, Australia)

Scandinavian model (socio-democratic)

• Social policies are connected to the place of residence.

• To an increasing extent, the state is responsible for the security by collecting the taxes, out of which the social and healthcare services are provided.

• The discounts and services are meant for everyone. • The voluntary organizations receive support from

the state, but preserve independence.• Affect the public opinion (Sweden, Norway,

Finland).

For supporting children:

• Some municipal institutions

• Social welfare department acquires social services from the NGOs.

Psychological services:

Psychological advice in solving problems:

• problems in the family

• at parenting

• children`s behavioural problems

• problems at school, incl. school violence

• depression

• anxiety

• psychosomatic problems

Crisis counselling:

• Following the catastrophe of the ferry “Estonia” in 1994, Tallinn Crisis Counselling Center was established, which performed the psychosocial rehabilitation.

• Since 2001, the crisis counselling services are acquired from the NGOs, primarily from MTÜ Eluliin/NGO Lifeline.

Assistance acquired from NGOs:

• MTÜ Eluliin: Psychological crisis and addiction counselling service in the amount of 7832 hours

• MTÜ Eluliin: family counselling and therapy service in the amount of 606 hours

• MTÜ Liikumispuudega Laste Tugiühing/NGO Support Association of Children with Movement Disabilities: psychological counselling service for their families in the amount of 88 hours

• MTÜ Vaimupuudega Inimeste Tugiliit/NGO Support Union of Children with Mental Disabilities: supervision service for the employees working with the clients in the amount of 20 hours

Psychological counselling and practical help for families

• counselling of families from risk group

• families having conflict situation at home

• young people starting independent life.

The counselling includes social and practical matters.

Work in day care centers (2)

• children can spend their time after school

• they are provided with meals

• psychological counselling and assistance at their homework

• the centers help to restore the relationships between home and school.

Support person service for children

• Children aged 7-14 of the families belonging to risk groups can get support person service during 12 months.

• 40 children a year get a support person who works on a voluntary basis and who has completed a relevant training course.

• Annual supervision

Shelter service for children and for mothers with children

• 3 shelters for children (number of places 42)

• 2 shelters for mothers and children (13 mothers + children), 1 is managed by NGO

Assistance to disabled persons

The closest partner is Tallinn Chamber of Disabled Persons:

• involved in the operation of the disabled persons’ commission

• involved in the operation of the public procurement commission for the acquisition of services

• involved as experts into the inspection of different projects

Contracts with NGOs• Support person service – 6 contracts with 4 organizations

• Services of the Labour and Implementation Center – 4 contracts with 4 organizations

• Counselling services – 7 contracts with 7 organizations

• Daily activities and day care for disabled persons

• Support services for the families of disabled persons – 5 contracts with 4 organizations (sign language courses, organization of camps for disabled children)

• Support of activities of 19 organizations with the total of 15 mln. kroons

Acquisition of technical aid from NGOs

• hearing aids 980 327 kr

• seeing aids 110 000 kr

• aids for persons with movement disabilities 270 000 kr

• incontinence products 670 000 kr

• prosthetic breasts 100 000 kr

Cooperation with NGO Chernobyl Association

• Annual total costs 1 mln. kroons• The Association keeps the veterans’ list, and

provides information and consultation to them.• They are provided dental care service in the

amount of 3000 kr, sanitary care service in the amount of 3000 kr, acquisition of spectacles in the amount of 1000 kr from the city budget

• sauna service

PREVENTION AND TREATMENT OF DRUG ADDICTION IN

TALLINN

NON-PROFIT ORGANIZATIONS (ca. 40)

C ITY DISTRICTS GOVERNM ENTS(8) PREVENTION COUNCILS

HEALTH CARE INSTITUTIONS

TALLINN CITY DEPARTMENT OF SOCIAL W ELFARE AND HEALTH CARE

TALLINN C ITY G O VERNM ENT CO M M ITTEE O F DRUG ANDAIDS PREVENTIO N

BASE DOCUMENTS

• NATIONAL STRATEGY OF DRUG PREVENTION FOR 2002 TO 2012

• NATIONAL PROGRAMME FOR THE PREVENTION OF HIV/AIDS FOR 2002 TO 2006

• STRATEGY OF DRUG PREVENTION IN TALLINN FOR 2002 TO 2007

HIV IN ESTONIA AND TALLINN

BY SEPTEMBER 1, 2004 THERE WERE DETECTED 4196 HIV CASES IN ESTONIA

JANUARY 01 - SEPTEMBER 01, 2004, 497 NEW HIV+ PEOPLE WERE DETECTED, 177 (35,6%), LIVING IN TALLINN.

DURING 2003, 840 NEW INFECTIONS WERE DETECTED IN THE COUNTRY, 323 (38,5%) IN TALLINN RESIDENTS.

PRIORITIES FOR 2004

1. EXPANSION OF DRUG USE PREVENTION ON LOCAL GOVERNMENT LEVEL.

2. FACILITATING SUPPORTIVE ENVIRONMENT.

3. DEVELOPMENT OF HARM REDUCTION, DRUG ADDICTS TREATMENT AND REHABILITATION.

DRUG AND HIV/AIDS PREVENTION IN 2004

• FINANCED 34 PROJECTS FOR THE TOTAL OF 4,400,000 EEK

PROJECTS SUPPORTED:

• PREVENTION ACTIVITIES 19

• COUNCELLING 3

• LEGAL AID 1

• REHABILITATION 9

• OTHERS 2

CHILDREN AND YOUTH ADDICTION TREATMENT

DEPARTMENT

• TALLINN CHILDREN’S HOSPITAL - 4+1 BEDS• PSYCHIATRIST, SOCIAL WORKER, CLINICAL

PSYCHOLOGIST, GENERAL PRACTITIONER, TEACHERS AND NURSES.

• 9-15 YEAR OLDS MOST OFTEN• TREATMENT PLAN• INVOLVING FAMILY OR SUPPORT GROUP• 50 OUT-PATIENTS PER MONTH, 20 OF THEM NEW

CASES• 3,16 MILL. EEK PAID BY THE CITY IN 2004

CHILDREN REHABILITATION

TALLINN CENTER FOR

CHILDREN AT RISK:MEDICAL, PSYCHOLOGICAL AND PEDAGOGIC

REHABILITATION THROUGH

WORK EDUCATION (WOOD WORKSHOP + HANDYCRAFT)

CHILDREN STAY AT NÕMME CENTRE FOR 10 - 12 MONTHS.

CENTRE CAN HOST 32 CHILDREN (10 FOR GIRLS, 22 FOR BOYS) + LILLEKÜLA CENTRE FOR 16

TREATMENT OF DRUG ADDICTS:

• DURATION OF TREATMENT: 1 TO 6 MONTHS

• FOLLOWED BY A SELF- HELP GROUP AT REHABILITATION CENTRE

METHADONE REPLACEMENT FOR DRUG ADDICTS

• AADRESS: KOPLI 75A

• TEAM WORK – 10 EMPLOYEES

• ONCE A DAY

• COUNSELLING

• 30 ADDICTS PLANNED AT A TIME

• CITY PAID 2 mill EEK IN 2004