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Dignity and Well- Being

Learn about strategies for working with homeless individuals facing mental health issues at the workshop in Warsaw, May 2019. Topics include social exclusion, recovery, trauma, and the role of professionals in fostering empowerment and rehabilitation.

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Dignity and Well- Being

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  1. Dignity and Well- Being Practical Approaches to Working with Homeless People with Mental Health Problems Warsaw May 2019

  2. RecoveryElias BarretoPsychologistCentro HospitalarPsiquiátrico de Lisboaeliasbarreto@chpl.min-saude.pt WarsawMay 2019

  3. Social exclusion Compound Trauma Infancy Adulthood Lossof jobs Economic crises Poorphysicaland mental health Substance abuse Physicalor sexual violence Lackof social networks • Dysfunctionalhomes • Physicaland/or sexual abuse • Parentsubstance abuse or mental ilness • Runningawayfromhome • Fostercareandinstitutionalisation

  4. Addressing social exclusion • Stable self • Home • Connectedness • Personal value

  5. Elusive dimension • Participation • Recapacitation • Reconnecting • Empowerment • Rehabilitation • Employment • Recovery • Evokes illness • Medical model vs social model - deficits vs strenghts • Evokes “return” • Return or building form scratch?

  6. Recovery • Personal process • User’s point of view • Growth of hope • New meaning in life • Empowerment • Development of skills and strategies • Safe economic and social base • Supportive relationships and social integration

  7. Role of professionals • To instill hope and build a positive realistic view • To support, connect and create opportunities that the user can choose • Respect choices, not impose plans and solutions • Focus on strengths and self-determination • Ability to listen • Respect the right to choose • Work collaboratively

  8. Main ideas • Recovery is not treatment • Recovery is a process not a state • It is a personal journey • Trust is central • No predetermined destination • To foster inclusion, connection,participation • Access to jobs can lead to self-support, independence and recognition • Having a job is not everything

  9. Difficulties • Pressure for fast results • Emphasis on short term solutions • Stepwise model vs Job first approach • Competitive labour market • Labour/work affects identity • Recovery takes time and is not linear

  10. Good practices • Safe and stable environment with key figures • Central focus on relationship • Stable case managers • Continuity of care • Person centered approach • Provision of appropriate levels of care • Networking • Peer support and experts by experience • Active citizenship

  11. Thankyou

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