22

KLIMAKA is a KLIMAKA is a non-profit, non-governmental non-profit, non-governmental organizationorganization set up by a group of mental health set up by a group of mental health professionals to operate as a vehicle for the development of professionals to operate as a vehicle for the development of human and social capital. human and social capital.

It’s main area of concern and activity is the area of It’s main area of concern and activity is the area of social

exclusion..

KLIMAKA KLIMAKA designs and implements programs and designs and implements programs and policiespolicies concerning the recording, research and concerning the recording, research and enforcement of practices aiming at confronting social enforcement of practices aiming at confronting social exclusion. exclusion.

KLIMAKA' S goal is KLIMAKA' S goal is to restrictto restrict the numerous forms of the numerous forms of social exclusion and social exclusion and promotepromote the reintegration of socially the reintegration of socially excluded people. excluded people.

33

KLIMAKA’s activities aim at:

ConfrontingConfronting the underlying the underlying causescauses that create that create and reproduce social exclusionand reproduce social exclusion..

Providing assistanceProviding assistance to groups and individuals to groups and individuals

who are socially excluded on the grounds of age, who are socially excluded on the grounds of age, sex, religion, race, culture and ethnicity. sex, religion, race, culture and ethnicity. SupportingSupporting them in their efforts to confront them in their efforts to confront their problems and demand their rights. their problems and demand their rights.

Promoting sustainable programsPromoting sustainable programs where where socially excluded people actively participate and socially excluded people actively participate and are not mere recipients of aid.are not mere recipients of aid.

44

KLIMAKA’s activities aim at:

Enhancing the psychological, social and Enhancing the psychological, social and vocational rehabilitationvocational rehabilitation of socially excluded of socially excluded people.people.

Creating networksCreating networks with national and international with national and international organisations that share the same objectives and organisations that share the same objectives and engage in similar activities. engage in similar activities.

55

Klimax CooperativeKlimax Cooperative - for socially - for socially excluded and culturally excluded and culturally differentiated people: the differentiated people: the continuation of a good practice…continuation of a good practice…

Klimax CooperativeKlimax Cooperative was established in 1996 by was established in 1996 by mental health professionals and users of mental health mental health professionals and users of mental health services.services.

KLIMAKA KLIMAKA is a more flexible organisation in which is a more flexible organisation in which Klimax Klimax participates as a founding member. Both participates as a founding member. Both entities cooperate for the vocational and social entities cooperate for the vocational and social rehabilitation of persons coming from special groups. rehabilitation of persons coming from special groups.

KlimaxKlimax is a social cooperative set up by almost 100 is a social cooperative set up by almost 100 partners of whom 50% are socially-excluded persons, partners of whom 50% are socially-excluded persons, 25% are mental health professionals, and 25% are 25% are mental health professionals, and 25% are people and organizations sensitized to the problems and people and organizations sensitized to the problems and concerns of mentally ill and socially-excluded people.concerns of mentally ill and socially-excluded people.

66

Klimax CooperativeKlimax Cooperative - for socially - for socially excluded and culturally excluded and culturally differentiated peopledifferentiated people The articles of the company are in accordance The articles of the company are in accordance

with the social cooperatives of the Ministry of with the social cooperatives of the Ministry of Health. Klimax supports activities aiming at the Health. Klimax supports activities aiming at the vocational rehabilitationvocational rehabilitation of mentally ill people of mentally ill people and other socially excluded groups. These and other socially excluded groups. These activities include a manufacture unit where:activities include a manufacture unit where: Office furnitureOffice furniture is manufactured is manufactured Bicycles Bicycles are assembled and repairedare assembled and repaired

The The items manufactureditems manufactured in the workroom in the workroom are are being soldbeing sold to companies or individuals. The to companies or individuals. The income generated funds KLIMAKA’ s workroom income generated funds KLIMAKA’ s workroom and the improvement of the services provided.and the improvement of the services provided.

77

KLIMAKA’s activitiesKLIMAKA’s activities

KLIMAKA’ s activities focus on the design and KLIMAKA’ s activities focus on the design and implementation of implementation of support policies and rehabilitation support policies and rehabilitation programsprograms for groups and individuals suffering from social for groups and individuals suffering from social exclusion. exclusion.

Such groups areSuch groups are: : people suffering hardship and privation resulting from people suffering hardship and privation resulting from

physical or mental handicaps physical or mental handicaps users of addictive substances users of addictive substances culturally differentiated groups culturally differentiated groups religious and ethnic minorities (Rom, Greek Muslims)religious and ethnic minorities (Rom, Greek Muslims) elderly people elderly people street-children street-children homeless people homeless people people coming from areas affected by natural disasterspeople coming from areas affected by natural disasters young offenders/juvenile delinquents young offenders/juvenile delinquents Refuges / immigrants Refuges / immigrants

88

TARGET GROUP: People with mental TARGET GROUP: People with mental disordersdisorders

KLIMAKA actively participates in the field of KLIMAKA actively participates in the field of psychiatric psychiatric reformreform that has been taking place for some years in that has been taking place for some years in Greece. Furthermore it provides Greece. Furthermore it provides psychosocial supportpsychosocial support services and assists in the services and assists in the occupational and social occupational and social rehabilitationrehabilitation of psychiatric service users. of psychiatric service users.

Programs: Programs: 1.1. Guest house for psychosocial rehabilitationGuest house for psychosocial rehabilitation2.2. Residential care units Residential care units 3.3. Mobile mental health unit in the area of Cyclades Mobile mental health unit in the area of Cyclades 4.4. TelepsychiatryTelepsychiatry5.5. Therapeutic motivation or motivation for the Therapeutic motivation or motivation for the

rehabilitation program rehabilitation program 6.6. Workroom / centre for social and occupational Workroom / centre for social and occupational

rehabilitationrehabilitation

99

1.1. Guesthouse for psychosocialGuesthouse for psychosocial

rehabilitationrehabilitation

Capacity: Capacity: 12 residents12 residents, 4 men and 8 women. All of them , 4 men and 8 women. All of them are former inpatients of “Dromokaiteio” mental hospital. are former inpatients of “Dromokaiteio” mental hospital.

StaffStaff: 6 nurses, 1 psychiatrist, 1 public health : 6 nurses, 1 psychiatrist, 1 public health supervisor, 2 assistants, 1 administrative employee and a supervisor, 2 assistants, 1 administrative employee and a great number of volunteers.great number of volunteers.

ServicesServices provided: provided: psychosocial support (allowances for accommodation, food, psychosocial support (allowances for accommodation, food,

medical care, psychological support etc)medical care, psychological support etc) actions to facilitate their social integrationactions to facilitate their social integration information and mobilisation of the community to limit both information and mobilisation of the community to limit both

discrimination against mentally ill people and all forms of discrimination against mentally ill people and all forms of social exclusion. social exclusion.

education and training of mental health professionals education and training of mental health professionals assistance to other vulnerable groups (homeless, poor etc). assistance to other vulnerable groups (homeless, poor etc).

1010

2. 2. Residential care unitsResidential care units

Since 2002 KLIMAKA has established Since 2002 KLIMAKA has established seven seven residential care unitsresidential care units with the support of the with the support of the European Social FundEuropean Social Fund. . FFour of them are in Attica, our of them are in Attica, one is in the Peloponnese and two are in Corfu. one is in the Peloponnese and two are in Corfu.

Total capacity of Total capacity of 105 residents105 residents. . All of them are All of them are former inpatients of psychiatric hospitalsformer inpatients of psychiatric hospitals

Each residential unit provides long-term residence Each residential unit provides long-term residence for 15 people, who either suffer severe mental for 15 people, who either suffer severe mental problems or are psycho geriatric patients.problems or are psycho geriatric patients.

The services provided are on the same lines with the The services provided are on the same lines with the services of KLIMAKA’ s guesthouse, the only services of KLIMAKA’ s guesthouse, the only difference being the difference being the increased nursing needsincreased nursing needs of of the residential units’ residents.the residential units’ residents.

1111

3.3. Mobile mental health unit in Mobile mental health unit in the area of Cycladesthe area of Cyclades (i) (i)

The mobile unit works in the area of the The mobile unit works in the area of the Cyclades and particularly in the islands of Cyclades and particularly in the islands of Naxos, Ios, Santorini, Amorgos, Sikinos, Naxos, Ios, Santorini, Amorgos, Sikinos, Folegandros, Anafi, Iraklia, Donousa, Folegandros, Anafi, Iraklia, Donousa, Skoinousa and Koufonisi. Skoinousa and Koufonisi.

Given the Given the geographical spreadgeographical spread of these of these particular islands, combined with particular islands, combined with transportation problemstransportation problems, access to the , access to the existing mental health services is extremely existing mental health services is extremely difficult or even impossible. This results difficult or even impossible. This results the the exclusion of people needing mental exclusion of people needing mental health services.health services.

1212

3.3. Mobile mental health unit in Mobile mental health unit in the area of Cyclades (ii)the area of Cyclades (ii)

Services providedServices provided:: prevention, diagnosis, treatment prevention, diagnosis, treatment of mental health of mental health

related problemsrelated problems in-house care and nursingin-house care and nursing assistance assistance when necessary, referrals to psychiatric hospitals when necessary, referrals to psychiatric hospitals

services designed to assist in psychosocial services designed to assist in psychosocial

rehabilitationrehabilitation community based projects and volunteer network community based projects and volunteer network

mobilization.mobilization.

1313

4.4. TelepsychiatryTelepsychiatry

The term “tele-psychiatry” describes the The term “tele-psychiatry” describes the provision of provision of mental health services from a distancemental health services from a distance utilizing utilizing modern technology and telecommunicationsmodern technology and telecommunications. . Teleconference and electronic files are being used to Teleconference and electronic files are being used to provide psychiatric help. provide psychiatric help.

Evaluation program has shown that both the personnel Evaluation program has shown that both the personnel operating the equipment and the patients who operating the equipment and the patients who participated in clinical sessions through participated in clinical sessions through teleconferences, had a teleconferences, had a positive responsepositive response to the to the programme. programme.

KLIMAKA designs and implements KLIMAKA designs and implements training programstraining programs for mental health professionals aiming at the for mental health professionals aiming at the improvement of improvement of the use of telepsychiatric the use of telepsychiatric equipmentequipment. .

Teleconferences providing psychiatric services have Teleconferences providing psychiatric services have already already taken placetaken place between the central offices of the between the central offices of the organisation and other peripheral centres. organisation and other peripheral centres.

1414

5.5. Therapeutic motivation or Therapeutic motivation or motivation for the motivation for the rehabilitation programrehabilitation program

It It is a is a program providing psychiatric services users program providing psychiatric services users with with a range of activities aiming at supporting, a range of activities aiming at supporting, developing and widening their potentialdeveloping and widening their potential. .

The program intends to The program intends to release their creativity and release their creativity and facilitate their facilitate their social integration and vocational social integration and vocational rehabilitationrehabilitation. .

The persons who participate in the program are given The persons who participate in the program are given a a small stipendsmall stipend, which is neither a disability benefit , which is neither a disability benefit nor is adequate to cover living expenses, but which nor is adequate to cover living expenses, but which encourages them to achieve the aims of the encourages them to achieve the aims of the program. program.

1515

6.6. Workroom / centre for social Workroom / centre for social and occupational rehabilitationand occupational rehabilitation

KLIMAKA runs a KLIMAKA runs a handicraft manufacture workroomhandicraft manufacture workroom with three main activities:with three main activities: the manufacture and repair of office furniture.the manufacture and repair of office furniture. the assembly of bicycles from spare parts.the assembly of bicycles from spare parts. different kinds of labour by request from different kinds of labour by request from

companies (according to the expertise of those companies (according to the expertise of those who are involved)who are involved)

The workroom activities function as a The workroom activities function as a “tool” for “tool” for rehabilitationrehabilitation, and have the advantage of , and have the advantage of combining combining the psychological treatmentthe psychological treatment of the users of the users with their with their vocational rehabilitationvocational rehabilitation..

Klimaka’ s workroom is housed in the same building and Klimaka’ s workroom is housed in the same building and cooperates closely with Klimax Cooperativecooperates closely with Klimax Cooperative..

1616

TARGET GROUP: Culturally TARGET GROUP: Culturally differentiated people: Greek Rom differentiated people: Greek Rom and Muslimsand Muslims

KLIMAKA runs KLIMAKA runs two day-centrestwo day-centres, one for Greek , one for Greek Rom and one for Greek Muslims residing in Athens.Rom and one for Greek Muslims residing in Athens.

Apart from providing psychosocial support, the Apart from providing psychosocial support, the day-centres aim at day-centres aim at strengthening the self-strengthening the self-respectrespect of the Rom and Muslim youth. Self- of the Rom and Muslim youth. Self-respect is considered essential for their future respect is considered essential for their future mental health and spiritual welfare. mental health and spiritual welfare.

The day-centres offer a range of The day-centres offer a range of social and social and cultural support activitiescultural support activities aiming at empowering aiming at empowering Rom and Muslim families, helping them to confront Rom and Muslim families, helping them to confront their problems and improve their living conditions. their problems and improve their living conditions.

1717

Day centers for the Greek Rom and Day centers for the Greek Rom and MuslimsMuslims Services provided:Services provided:

CounsellingCounselling on a personal and family level on a personal and family level Health servicesHealth services - preventive medicine programmes - preventive medicine programmes EntertainmentEntertainment and cultural activities and cultural activities Legal consultationLegal consultation Educational programsEducational programs aiming at informing and mobilising aiming at informing and mobilising

the the communitycommunity against stigmatisation, social and racial against stigmatisation, social and racial prejudice. prejudice.

Cooperation Cooperation with voluntary organisations for mental health.with voluntary organisations for mental health. Training Training of mental health professionalsof mental health professionals OccupationalOccupational guidance guidance Practical Practical teaching of the basic principles of economicsteaching of the basic principles of economics - -

development of business dexterities development of business dexterities Creative engagement and Creative engagement and socialisation opportunitiessocialisation opportunities for: for:

Women and childrenWomen and children The youth The youth

EducationEducation-- Second Chance School Second Chance School for Illiterate Adultsfor Illiterate Adults

1818

TARGET GROUP: street childrenTARGET GROUP: street children

The Day-Centres in the area of Zefyri and Gazi provide The Day-Centres in the area of Zefyri and Gazi provide health and psychosocial support services for street-health and psychosocial support services for street-childrenchildren. .

KLIMAKA KLIMAKA collaborates with schoolscollaborates with schools in the area so as in the area so as to encourage street-children to attend school. We also to encourage street-children to attend school. We also work with the work with the parents of street-childrenparents of street-children in order to in order to gain their assistance in our efforts. In addition, we gain their assistance in our efforts. In addition, we provide educational courses aimed at children that have provide educational courses aimed at children that have no formal education, but wish to attend school at an no formal education, but wish to attend school at an older age. older age.

We have already designed and presented to the Ministry We have already designed and presented to the Ministry of Health a programme of of Health a programme of alternative educational alternative educational holidaysholidays for socially excluded people, including street- for socially excluded people, including street-children.children.

1919

TARGET GROUP: Homeless peopleTARGET GROUP: Homeless people

Street – work programStreet – work program to locate and register to locate and register homeless people and record their problems homeless people and record their problems

Day centerDay center providing: providing: emergency medical treatmentemergency medical treatment psychosocial support from volunteer social psychosocial support from volunteer social

workers workers phone-line for the homeless phone-line for the homeless information concerning welfare benefits information concerning welfare benefits basic nutrition and shelter basic nutrition and shelter medical services medical services personal hygiene (baths and clothes-washing personal hygiene (baths and clothes-washing

facility) facility) hospitality and care in emergency cases (feverish hospitality and care in emergency cases (feverish

conditions, minor injuries etc) conditions, minor injuries etc)

2020

TARGET GROUP: women – victims TARGET GROUP: women – victims of human traffickingof human trafficking

Creation of a Creation of a sheltershelter for women victimsfor women victims of of human traffickinghuman trafficking

CapacityCapacity: up to 12 women: up to 12 women

Services provided:Services provided: Shelter, food, medical and psychological Shelter, food, medical and psychological

assistanceassistance Legal supportLegal support Participation in KLIMAKA' S productive Participation in KLIMAKA' S productive

workshops as well as in educational and cultural workshops as well as in educational and cultural activities. activities.

2121

TARGET GROUP: juvenile TARGET GROUP: juvenile offenders and youth in troubleoffenders and youth in trouble

The main goal of the Reception Office is the The main goal of the Reception Office is the rehabilitation of juvenile offendersrehabilitation of juvenile offenders that have been that have been just released and juvenile offenders that have been just released and juvenile offenders that have been refereed to KLIMAKA with court order from the refereed to KLIMAKA with court order from the Juvenile’s Court to follow a social-psychological Juvenile’s Court to follow a social-psychological program instead of imprisonment (according to the program instead of imprisonment (according to the new law 3189/2003).new law 3189/2003).

The Reception office also offers The Reception office also offers counseling services counseling services for youthfor youth that due to their way of living are that due to their way of living are considered to be in great danger for their mental considered to be in great danger for their mental health or that they are very likely to offend.health or that they are very likely to offend.

2222

TARGET GROUP: people of TARGET GROUP: people of

AfghanistanAfghanistan KLIMAKA designed and implemented an educational KLIMAKA designed and implemented an educational

program concerning the foundation of a program concerning the foundation of a centre for the centre for the professional trainingprofessional training, both theoretical and practical, , both theoretical and practical, of of assistant nursesassistant nurses, based in the city of Ghazni, 120 km , based in the city of Ghazni, 120 km from Kabul. from Kabul.

The aim of the program was The aim of the program was to provide professional to provide professional trainingtraining to assistant nurses who had been already to assistant nurses who had been already working in public hospitals but whose training was working in public hospitals but whose training was interrupted due to years of conflict. interrupted due to years of conflict.

The staff of Klimaka encouraged the The staff of Klimaka encouraged the mobilisation of the mobilisation of the communitycommunity as far as health issues are concerned and as far as health issues are concerned and improved the health services in this particular area.improved the health services in this particular area.

KLIMAKA has started a KLIMAKA has started a second programsecond program concerning the concerning the upgrade of services of Kabul psychiatric hospital. upgrade of services of Kabul psychiatric hospital.

2323

TARGET GROUP: People of TARGET GROUP: People of Northern IraqNorthern Iraq

KLIMAKA implemented a program supported by the Hellenic KLIMAKA implemented a program supported by the Hellenic International Development and Cooperation Department of International Development and Cooperation Department of the Ministry of foreign Affairs of the Greek government the Ministry of foreign Affairs of the Greek government providing assistance in the Health sectorproviding assistance in the Health sector to the N. Iraqi to the N. Iraqi Kurdistan areaKurdistan area..

We operated a We operated a Primary Health Care Mobile UnitPrimary Health Care Mobile Unit, based , based in in Erbil Erbil and offered our services to the rural villages of the and offered our services to the rural villages of the Soran areaSoran area. .

We We interviewed 1500 personsinterviewed 1500 persons in 18 villages and our in 18 villages and our doctor’s team doctor’s team offered treatment and medicationoffered treatment and medication to those to those who needed that, whereas more who needed that, whereas more serious cases where serious cases where referred to the Soran Hospitalreferred to the Soran Hospital for specialized treatment. for specialized treatment.

2424

KLIMAKA’S Scientific ActionsKLIMAKA’S Scientific Actions

Participation inParticipation in Greek, European and international Greek, European and international conferencesconferences concerning social exclusion, mental health concerning social exclusion, mental health and telepsychiatryand telepsychiatry..

DisseminationDissemination of informationof information (brochures) (brochures) concerning concerning preventative medicine, drug dependence, AIDS, mental preventative medicine, drug dependence, AIDS, mental health, culturhealth, cultural differentiation and social exclusion. al differentiation and social exclusion.

Educational programsEducational programs on television and radio. on television and radio. Applied researchApplied research in socially excluded groups. in socially excluded groups. Publication of a two-monthly Publication of a two-monthly scientific magazinescientific magazine

concerning mental health and social exclusion.concerning mental health and social exclusion. Workshops and training programsWorkshops and training programs for health for health

professionals. professionals.

2525

FUNDSFUNDS

KLIMAKA is KLIMAKA is funded byfunded by:: The Ministry of HealthThe Ministry of Health The Ministry of Foreign Affairs, Hellenic The Ministry of Foreign Affairs, Hellenic

International Development Cooperation International Development Cooperation DepartmentDepartment

The European Union, European Social Fund The European Union, European Social Fund Donors and private initiative Donors and private initiative

2626

TTo contact us:

30-32 Evmolpidon str. 11854 Athens, Greece

Tel: +30210 3417160- 3, Fax: +30210 3417164

E-mail: central@klimaka.org.grWebsite: www.klimaka.org.gr

Thank you very much for your Thank you very much for your attention!attention!