KLIMAKA’s activities aim at:

2. KLIMAKA is a non-profit, non-governmental organization set up by a group of mental health professionals to operate as a vehicle for the development of human and social capital. • It’s main area of concern and activity is the area of social exclusion. • KLIMAKA designs and implements programs and policies concerning the recording, research and enforcement of practices aiming at confronting social exclusion. • KLIMAKA' S goal is to restrict the numerous forms of social exclusion and promote the reintegration of socially excluded people.

3. KLIMAKA’s activities aim at: • Confronting the underlying causes that create and reproduce social exclusion. • Providing assistance to groups and individuals who are socially excluded on the grounds of age, sex, religion, race, culture and ethnicity. Supporting them in their efforts to confront their problems and demand their rights. • Promoting sustainable programs where socially excluded people actively participate and are not mere recipients of aid.

4. KLIMAKA’s activities aim at: • Enhancing the psychological, social and vocational rehabilitation of socially excluded people. • Creating networks with national and international organisations that share the same objectives and engage in similar activities.

5. Klimax Cooperative - for socially excluded and culturally differentiated people: the continuation of a good practice… • Klimax Cooperative was established in 1996 by mental health professionals and users of mental health services. • KLIMAKA is a more flexible organisation in which Klimax participates as a founding member. Both entities cooperate for the vocational and social rehabilitation of persons coming from special groups. • Klimax is a social cooperative set up by almost 100 partners of whom 50% are socially-excluded persons, 25% are mental health professionals, and 25% are people and organizations sensitized to the problems and concerns of mentally ill and socially-excluded people.

6. Klimax Cooperative - for socially excluded and culturally differentiated people • The articles of the company are in accordance with the social cooperatives of the Ministry of Health. Klimax supports activities aiming at the vocational rehabilitation of mentally ill people and other socially excluded groups. These activities include a manufacture unit where: • Office furniture is manufactured • Bicycles are assembled and repaired • The items manufactured in the workroom are being sold to companies or individuals. The income generated funds KLIMAKA’ s workroom and the improvement of the services provided.

7. KLIMAKA’s activities • KLIMAKA’ s activities focus on the design and implementation of support policies and rehabilitation programs for groups and individuals suffering from social exclusion. • Such groups are: • people suffering hardship and privation resulting from physical or mental handicaps • users of addictive substances • culturally differentiated groups • religious and ethnic minorities (Rom, Greek Muslims) • elderly people • street-children • homeless people • people coming from areas affected by natural disasters • young offenders/juvenile delinquents • Refuges / immigrants

8. TARGET GROUP: People with mental disorders • KLIMAKA actively participates in the field of psychiatric reform that has been taking place for some years in Greece. Furthermore it provides psychosocial support services and assists in the occupational and social rehabilitation of psychiatric service users. • Programs: • Guest house for psychosocial rehabilitation • Residential care units • Mobile mental health unit in the area of Cyclades • Telepsychiatry • Therapeutic motivation or motivation for the rehabilitation program • Workroom / centre for social and occupational rehabilitation

9. Guesthouse for psychosocialrehabilitation • Capacity: 12 residents, 4 men and 8 women. All of them are former inpatients of “Dromokaiteio” mental hospital. • Staff: 6 nurses, 1 psychiatrist, 1 public health supervisor, 2 assistants, 1 administrative employee and a great number of volunteers. • Services provided: • psychosocial support (allowances for accommodation, food, medical care, psychological support etc) • actions to facilitate their social integration • information and mobilisation of the community to limit both discrimination against mentally ill people and all forms of social exclusion. • education and training of mental health professionals • assistance to other vulnerable groups (homeless, poor etc).

10. 2. Residential care units • Since 2002 KLIMAKA has established seven residential care units with the support of the European Social Fund. Four of them are in Attica, one is in the Peloponnese and two are in Corfu. • Total capacity of 105 residents. All of them are former inpatients of psychiatric hospitals • Each residential unit provides long-term residence for 15 people, who either suffer severe mental problems or are psycho geriatric patients. • The services provided are on the same lines with the services of KLIMAKA’ s guesthouse, the only difference being the increased nursing needs of the residential units’ residents.

11. 3. Mobile mental health unit in the area of Cyclades (i) • The mobile unit works in the area of the Cyclades and particularly in the islands of Naxos, Ios, Santorini, Amorgos, Sikinos, Folegandros, Anafi, Iraklia, Donousa, Skoinousa and Koufonisi. • Given the geographical spread of these particular islands, combined with transportation problems, access to the existing mental health services is extremely difficult or even impossible. This results the exclusion of people needing mental health services.

12. 3. Mobile mental health unit in the area of Cyclades (ii) • Services provided: • prevention, diagnosis, treatment of mental health related problems • in-house care and nursing assistance • when necessary, referrals to psychiatric hospitals • services designed to assist in psychosocial rehabilitation • community based projects and volunteer network mobilization.

13. 4. Telepsychiatry • The term “tele-psychiatry” describes the provision of mental health services from a distance utilizing modern technology and telecommunications. Teleconference and electronic files are being used to provide psychiatric help. • Evaluation program has shown that both the personnel operating the equipment and the patients who participated in clinical sessions through teleconferences, had a positive response to the programme. • KLIMAKA designs and implements training programs for mental health professionals aiming at the improvement of the use of telepsychiatric equipment. • Teleconferences providing psychiatric services have already taken place between the central offices of the organisation and other peripheral centres.

14. 5. Therapeutic motivation or motivation for the rehabilitation program • It is a program providing psychiatric services users with a range of activities aiming at supporting, developing and widening their potential. • The program intends to release their creativity and facilitate their social integration and vocational rehabilitation. • The persons who participate in the program are given a small stipend, which is neither a disability benefit nor is adequate to cover living expenses, but which encourages them to achieve the aims of the program.

15. 6. Workroom / centre for social and occupational rehabilitation • KLIMAKA runs a handicraft manufacture workroom with three main activities: • the manufacture and repair of office furniture. • the assembly of bicycles from spare parts. • different kinds of labour by request from companies (according to the expertise of those who are involved) • The workroom activities function as a “tool” for rehabilitation, and have the advantage of combining the psychological treatment of the users with their vocational rehabilitation. • Klimaka’ s workroom is housed in the same building and cooperates closely with Klimax Cooperative.

16. TARGET GROUP: Culturally differentiated people: Greek Rom and Muslims • KLIMAKA runs two day-centres, one for Greek Rom and one for Greek Muslims residing in Athens. • Apart from providing psychosocial support, the day-centres aim at strengthening the self-respect of the Rom and Muslim youth. Self-respect is considered essential for their future mental health and spiritual welfare. • The day-centres offer a range of social and cultural support activities aiming at empowering Rom and Muslim families, helping them to confront their problems and improve their living conditions.

17. Day centers for the Greek Rom and Muslims • Services provided: • Counselling on a personal and family level • Health services - preventive medicine programmes • Entertainment and cultural activities • Legal consultation • Educational programs aiming at informing and mobilising the community against stigmatisation, social and racial prejudice. • Cooperation with voluntary organisations for mental health. • Training of mental health professionals • Occupational guidance • Practical teaching of the basic principles of economics - development of business dexterities • Creative engagement and socialisation opportunities for: • Women and children • The youth • Education- Second Chance School for Illiterate Adults

18. TARGET GROUP: street children • The Day-Centres in the area of Zefyri and Gazi provide health and psychosocial support services for street-children. • KLIMAKA collaborates with schools in the area so as to encourage street-children to attend school. We also work with the parents of street-children in order to gain their assistance in our efforts. In addition, we provide educational courses aimed at children that have no formal education, but wish to attend school at an older age. • We have already designed and presented to the Ministry of Health a programme of alternative educational holidays for socially excluded people, including street-children.

19. TARGET GROUP: Homeless people • Street – work programto locate and register homeless people and record their problems • Day center providing: • emergency medical treatment • psychosocial support from volunteer social workers • phone-line for the homeless • information concerning welfare benefits • basic nutrition and shelter • medical services • personal hygiene (baths and clothes-washing facility) • hospitality and care in emergency cases (feverish conditions, minor injuries etc)

20. TARGET GROUP: women – victims of human trafficking • Creation of a shelterfor women victims of human trafficking • Capacity: up to 12 women • Services provided: • Shelter, food, medical and psychological assistance • Legal support • Participation in KLIMAKA' S productive workshops as well as in educational and cultural activities.

21. TARGET GROUP: juvenile offenders and youth in trouble • The main goal of the Reception Office is the rehabilitation of juvenile offenders that have been just released and juvenile offenders that have been refereed to KLIMAKA with court order from the Juvenile’s Court to follow a social-psychological program instead of imprisonment (according to the new law 3189/2003). • The Reception office also offers counseling services for youth that due to their way of living are considered to be in great danger for their mental health or that they are very likely to offend.

22. TARGET GROUP: people of Afghanistan • KLIMAKA designed and implemented an educational program concerning the foundation of a centre for the professional training, both theoretical and practical, of assistant nurses, based in the city of Ghazni, 120 km from Kabul. • The aim of the program was to provide professional training to assistant nurses who had been already working in public hospitals but whose training was interrupted due to years of conflict. • The staff of Klimaka encouraged the mobilisation of the community as far as health issues are concerned and improved the health services in this particular area. • KLIMAKA has started a second program concerning the upgrade of services of Kabul psychiatric hospital.

23. TARGET GROUP: People of Northern Iraq • KLIMAKA implemented a program supported by the Hellenic International Development and Cooperation Department of the Ministry of foreign Affairs of the Greek government providing assistance in the Health sector to the N. Iraqi Kurdistan area. • We operated a Primary Health Care Mobile Unit, based in Erbil and offered our services to the rural villages of the Soran area. • We interviewed 1500 persons in 18 villages and our doctor’s team offered treatment and medication to those who needed that, whereas more serious cases where referred to the Soran Hospital for specialized treatment.

24. KLIMAKA’S Scientific Actions • Participation in Greek, European and internationalconferences concerning social exclusion, mental health and telepsychiatry. • Disseminationof information (brochures)concerning preventative medicine, drug dependence, AIDS, mental health, cultural differentiation and social exclusion. • Educational programs on television and radio. • Applied research in socially excluded groups. • Publication of a two-monthly scientific magazine concerning mental health and social exclusion. • Workshops and training programs for health professionals.

25. FUNDS • KLIMAKA is funded by: • The Ministry of Health • The Ministry of Foreign Affairs, Hellenic International Development Cooperation Department • The European Union, European Social Fund • Donors and private initiative

26. To contact us: 30-32 Evmolpidon str. 11854 Athens, GreeceTel: +30210 3417160- 3, Fax: +30210 3417164E-mail: central@klimaka.org.grWebsite: www.klimaka.org.grThank you very much for your attention!