Madrid samur SOCIAL Service: Perspective of Street Teams Rubén Andreo Cánovas

1. Madrid samurSOCIAL Service: Perspective of Street Teams Rubén Andreo Cánovas José Antonio Hernández Mondragón

2. EMPLOYMENT AND CITICEN SERVICES AREA (Madrid Council) SAMUR SOCIAL STREET TEAM ORGANIZATIONAL CHART SAMUR SOCIAL, Homeless and Social Rehabilitation Department SAMUR SOCIAL Central 112/900. 100. 333 MOVIL UNITS STREET TEAMS RESOURCE NET

3. #TEAM TURN STAFF DISTRICTS 8 5 4 3 7 1 M M T M M T 1 S.W. + 1 AUX. 1 S.W. + 1 AUX. 1 S.W. + 1 AUX. 1 S.W. + 1 AUX. 1 S.W. + 1 AUX. 1 S.W. + 1 AUX. 1,2,10,11, 12,17 1,3,4,13,14,18,19 7,8,9 1,2,10,11, 12,17 5,6,15,16, 20,21 1,3,4,13,14,18,19 2 6 T T 1 S.W. + 1 AUX. 1 S.W. + 1 AUX 5,6,15,16, 20,21 7,8,9 AREA DISTRIBUTION AND STAFF OF STREET TEAMS 8 16 21 6 5 9 7 4 20 1 15 1 3 14 2 19 13 10 12 11 18 17

4. GENERAL OBJECTIVES Improve/guarantee social atention for citicens Atent social emergencies and homeless at streets Assess homeless reality Identify locations and environment of these groups Analize characteristics to design intervention models Analize their necessities to design resources

5. SPECIFIC OBJECTIVES Atentsocialemergencies(individual and colective) at street 24 hours/day, 365 days/year. Users Follow up Homeless precosious detection/asistance Give information about/advice on/derive to other resources (health, social services, ...) Improve Quality of life and habits Give fast response to any social necessity at street • Make other interventions asked by Police, City Hall Social Services technicals...

6. USERS • Homeless Lost people Adults on mendicacy Children Women victim of violence Mental disordered, people and/or substance abusers Inmigrant and foreigner people Just arrived or people on transit

7. CRITERIA FOR INTERVENTION WITH HOMELESS • User agreement Confidentiality Respect to his/her time and freedom Unconditional acceptance Human and citicen rights guarantee No value juzgment Rationality/Objectivity Good rapport Emotional control

8. Yes Does accept? No INTERVENTION PROCESS • 1st Interview • Assessment/ (Prognosys/ Diagnosys) • Individual Intervention Planning (goals) • Later Follow up Initial contact Later Contacts • Detection • Approach • Introducing • Individual intervention Plan developement • Social Support • Follow up (“Entailment”) • Mental Disease YES: MHT (Homeless) C.M. • Older than 65 + MHD: Elderly on Risck Team • Assesment (Intervention, derivation or close) • Reject Intervention and/or Resources • Assessment: • Mental Health disorders • No Mental Health disorders • If no risk, interventions are delayed Time

9. INTERVENTION STRATEGIES Flexibility to reactions and acts Creativity and personal resources development Active listenning, silences respect Interview:Linear, round and reflexive questions Improve user participation and implication in process Reinforcement and positive attidues to change Low Threshold (professional and user intervention) Motivation (professional ant to user)

10. Social Assessment Report Derivation MHT New case for Coordination group Individual Assessment and intervencion socio-health Plan Lodging, Documentation, other resources... Diagnosys, treatment, mental sick conscience... SAMUR SOCIAL STREET TEAMS MHT Homeless STREET TEAMS TO MENTAL HEALTH TEAM DERIVATION PROCESS Detection SAMUR SOCIAL Street Teams

11. DIFFICULTIES IN INTERVENTION WITH HOMELESS PEOPLE Street and environment Interagency co-ordination Help regection Social aspects Citicen attitude Resources Administrative tasks Social isolation Languaje

12. DIFFICULTIES IN INTERVENTION WITH HOMELESS PEOPLE Basic necessities Mental disease Dual Pathology Food Psico-health aspects Illegal substances abuse Clothes, hygienic Alcohol abuse

13. CHRONIC HOMELESS PEOPLE PROFILE • Most of them use to sleep at streets • Most are involved on mendicacy [active or passive] • No connectios with Social, Health service nets • Institutional rejection • No social or familiar bonds • Unprotected mental health people (+dual pathology) • Strong addictions (alcohol or illegal substances abusers) • Poverty and very hard material conditions • Not interest or lack of spectative on RMI and other income resources Fuente: Informe “Personas sin techo en Madrid” – Marzo de 2003.Pedro José Cabrera y Maria José Rubio

14. Homeless LODGING DINNING ROOMS INCOMING POLICIES OTHER SERVICES CLOTHES Red de Recursos para PSH Specific Resources • Equipos de Calle de Samur Social (Ayto. Madrid) • Centro de Baja Exigencia “Puerta Abierta”(Ayto.Madrid) • Centro Abierto (Ayto. Madrid) • “Campaña del Frio” Marzo-Noviembre (Ayto. Madrid) • Equipo de Salud Mental para PSH (C.A.M.) • Fundación RAIS • Asociación Realidades • Voluntarios (Solidarios para el Desarrollo, Amauta…) • MEN: • San Juan de Dios • Santa María de la Paz • San Martín de Porres • WOMEN/MEN: • Centro de Acogida San Isidro (CASI) • Hogar Jesús Caminante • CEDIA (Centro de Noche) • Albergue “Misioneras de la Caridad” • WOMEN AND CHILDREN: • Apostólicas del Sagrado Corazón de Jesús • CASI • Luz Casanova • Santiago Masarnau • Santa María de la Cabeza • Hermandad del Refugio • Ave María General Resources • RAIS • REALIDADES • Rincón del encuentro (RAIS) • Realidades • CEDIA • San Vicente de Paúl • San Martín de Porres, • CASI, etc. • Parroquias, Centros privados, etc.

15. THANK YOU FOR YOUR ATTENTION