gip 2008-2010-annual report

THE PUBLIC INSTITUTION

“GLOBAL INITIATIVE ON PSYCHIATRY”

2008 - 2010 METŲ ATASKAITA

CELEBRATES

TENTH

ANNIVERSARY

GLOBAL INITIATIVE

ON PSYCHIATRY

04.....Foreword

06.....The work done in 2008-2010

20.....Events

22.....Publications

26.....Structure and contacts

27.....Funding sourcesTurinys

Redagavo Jūratė ŽeimantienėMaketavo Dalius NaginevičiusViršelio grafikos autorius Evaldas

1. DEVELOPMENT OF NEW (COMMUNITY) M E N T A L H E A L T H S E R V I C E S A N D SPECIALIST TRAININGS.

3. DEVELOPMENT OF CHILD AND ADOLESCENT MENTAL HEALTH SERVICES AND IMPLEMENTATION OF PREVENTION P RO GRA M M E S .

4. HUMAN RIGHTS PROTECTION.

2. IMPACT ON POLICY IN REFORMING THE MENTAL HEALTH CARE SYSTEM.

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health services reform: it has contributed to the development of mental health strategy for the city of Vilnius, it par ticipated in designing the National Mental Efforts have been taken to create a Health Strategy and the plans for its coherent chain of mental health services implementation as well as in preparing by implementing and further developing laws and executive acts relating to mental new mental health services in the city of health care and patient rights.Vilnius, as well as on the national level and

in the neighbouring countries. Imple-menting innovative services necessitates a change in the attitudes of professionals and an upgrade in their professional knowledge and practical skills. To this end, the “Global Initiative on Psychiatry” regularly organizes trainings for police officers, emergency medical aid staff, medical nurses, journalists, social workers – job coaches, correctional system officers, judges, prosecutors, all of which are aimed at insuring the rights of people with The “Global Initiative on Psychiatry” was

the first non-governmental organization mental problems.to carry out, in collaboration with other non-governmental organizations, human rights monitoring in mental health care

The organization actively participates in establishments for adults (2004-2006). the processes of the on-going mental Also, in collaboration with the Children's

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During the ten years of its activities the “Global Initiative on Psychiatry” has been active in developing child and adolescent mental health services both in and outside Lithuania.

HAVING STARTED ITS ACTIVITIES IN LITHUANIA IN NOVEMBER 2000, THE PUBLIC INSTITUTION “GLOBAL INITIATIVE ON PSYCHIATRY” MARKED ITS 10-YEAR ANNIVERSARY AT THE END OF 2010. ESTABLISHED AS A REGIONAL OFFICE OF THE INTERNATIONAL ORGANIZATION “GLOBAL INITIATIVE ON PSYCHIATRY” AND WORKING INDEPENDENTLY IN LITHUANIA AND IN THE COUNTRIES OF THE FORMER EAST AND CENTRAL EUROPEAN REGION, THE ORGANIZATION HAS COME A LONG WAY SINCE ITS INCEPTION, PROMOTING HUMANE MENTAL HEALTH CARE AND OPEN SOCIETY IDEAS BASED ON RESPECT OF HUMAN DIGNITY.

DURING THE DECADE THE ORGANIZATION HAS BEEN ACTIVE IN TEN KEY AREAS/FIELDS:

FOREWORD

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rights ombudsman institution, human rights monitoring was conducted at child care and education establishments (2006). Seeking to ensure the rights of persons with mental disorders, the organization has raised issues of incapacity and legal regulation of care and conducted an analysis of incapacity system in Lithuania.

PRISON MENTAL HEALTH AND RE-SOCIALIZATION OF OFFENDERS.

5. PATIENT'S PERSON OF TRUST PRO-GRAMME.

8. O V E R C O M I N G T H E S T I G M A A N D CHANGING SOCIETY'S ATTITUDES ( C A M P A I G N S A N D A C T I O N S ) .

I M P L E M E N T A T I O N O F M O D E R N FORENSIC PSYCHIATRY SERVICES .

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The “Global Initiative on Psychiatry” has been active in improving offenders' mental health and in launching re-socialization programmes, among which cognitive / behaviour corrective pro-grammes for adults ('One to one'), for sex offenders (SENAT ) and for juveniles (EQUIP) are worth noting as well as performance evaluation studies,

continuous supervision of the execution Adopted for use from the Netherlands, the of programmes. The organization initiated person of trust programme was started in

the preparation of the description of the Lithuania in 2005. Since its inclusion into

implementation of correction pro-the mental health strategy of the city of grammes in Lithuania.Vilnius, the services provided under the

programme in mental health care centres have been financed by the municipality. Other municipalities of Lithuania were also familiarized with the person of trust

During the ten years of its activity the programme, the programme was intro-

organization carried out various actions duced and launched in Kaliningrad.and campaigns, which aimed at changing the prevailing negative attitude of society toward persons with mental disorders. Among the noteworthy are: the 2005 In collaboration with the Rokiškis mental action “„Statome save” ('Building our-hospital, interdisciplinary team work, a selves'), the 2006 campaign „Kvaila bijoti modern patient database and instru-

ments for repeat offences risk assessment atsisukusio varžtelio” ('It's silly to be afraid (HCR-20) were implemented. Since 2007 of a loose screw'), the 2007 tolerance week “ activities aimed at implementation of Griauname sienas – ugdome toleranciją” modern forensic psychiatry services have ( ' Pu l l i n g d ow n wa l l s a n d l e a r n i n g been implemented in Kaliningrad

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tolerance'), the 2007 campaign pro-moting society's awareness „ Čia gali būti ir tavo vaikas” ('It could be your child, too'), and the 2008 social action „Puodeliai” ('Cups').

Since 2008 Lithuania has been actively participating in the development cooperation programme, implementing projects in Georgia, operatiing in Tajikistan and Belarus. Also, development education activity was carried out in Lithuania with a view to including mental health issues into the development cooperation context.

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USER, CARER AND NGO EMPOWERMENT IN MENTAL HEALTH

10. DEVELOPMENT COOPERATION

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Search for employment mechanisms adjusted to persons with mental disorders and intellectual disabilities, their sel f -representation. Imple -mentation, both in Lithuania and in other countries, of projects directed toward consolidating and strengthening organizations representing the interests of persons with mental health problems was priority area within the orga-nization's work.

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In summary, the work done and the results

achieved in 2008-2010 show that the

organization has remained faithful to its

mission and has been active in the fields of

reducing social exclusion of mental health

service users (2 projects put into action),

protection of human rights (5 projects). Child

and adolescent mental health care (2 projects)

remained important within the organization's

agenda, as well as mental health of prisoners

and their re-socialization (9 projects) has not

declined in importance during the recent three

years. In 2009 the “Global Initiative on

Psychiatry” launched a new activity aimed at

improving the quality of life of people living with

double or triple stigma. HIV/AIDS and mental

health has become one of the fields where the

organization develops its competencies and

passes on the accumulated knowledge. During the recent three years “Global Initiative

on Psychiatry” remained actively involved in

forming mental health care system and

monitoring its realization (2 projects).

Specialists of the organization participated in

various working groups set up by public

authorities, where issues of mental health

strategy implementation, mental health

rehabilitation, reform of the system of social

care institutions, ensuring protection of human

rights of persons with mental and intellectual

disorders issues were discussed and the

relevant documents and recommendations

prepared. Special attention was devoted to the

preparation for the ratification in Lithuania of

the UN Convention on the Rights of Persons

with Disabilities and, on its ratification, to

planning and assessment of implementation

instruments in accordance with international

requirements.In the work of the organization special

attention was given to the proper preparing to

implement the requirements of Article 12 of the

Convention relating to ensuring equality of

persons with disabilities before the law in all

spheres of life. Implementation of the relevant

paragraph in Lithuania is related to reforming

the legal incapacity institute. In this regard,

suggestions to the respectful authorities were

provided for the preparation of the

amendments to the Civil and Civil Procedure

Codes. Also, a lot of attention was paid to

Article 19 of the Convention, which establishes

the right for persons with disabilities to live

independently and be included in the

community. Ensuring effective implementation

of this paragraph requires reforming of the

social care system in Lithuania. Weighty

contribution of organization's expertise was

provided in the debate on proper imple-

mentation of Article 33 of the Convention in

Lithuania, which establishes requirements for

national implementation and monitoring

mechanisms of the Convention.

The work done in 2008-2010

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2008-2010 “GLOBAL INITIATIVE ON PSYCHIATRY” FIELDS OF ACTIVITY:

I. IMPACT ON PUBLIC POLICY IN REFORMING THE MENTAL HEALTH CARE SYSTEM;

II. REDUCING THE SOCIAL EXCLUSION OF MENTAL HEALTH SERVICES USERS;

III. PROTECTION OF HUMAN RIGHTS;

IV. PRISON MENTAL HEALTH AND RESOCIALIZATION OF OFFENDERS;

V. DEVELOPMENT OF CHILD AND ADOLESCENT MENTAL HEALTH SERVICES, IMPLEMENTATION OF

PREVENTION PROGRAMMES;

VI. DEVELOPMENT COOPERATION AND DEVELOPMENT EDUCATION;

VII. MENTAL HEALTH AND HIV/AIDS.

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MENTAL HEALTH STRATEGY ASSESSMENT mental health professionals, were brought together in a coalition.

Implementation period (years): 2008/05/01 – 20008/09/01

Lithuanian experts carried out external inde-Ipendent assessment of the mental health 2009/06/19 – 2010/06/18strategy of Lithuania and of the plan of measures

for its implementation for 2008-2010. MHS The goal of the project was to assemble NGOs guidelines (methodology) covered several working in the mental health area into a coalition different methods of analysis: and to increase their institutional capacities.

1. Mental health strategy (the document) and the logical analysis of the plan of measures of Achievements: During the project NGO staff its implementation programme: an analysis members enhanced their capacity in lobbying matrix of the goals and tasks; and negotiating skills, communication with the

2. Analysis of legal documents; media and representing themselves as well as 3. Qualitative Delphi test applying a survey of

their position. During the publicity activities experts method. Upon completion of the test, society was introduced with mental health issues conclusions and recommendations were put and legitimate expectations and interests of forward.persons with mental health problems. Since the

The assessment led to the conclusions and project was aiming at coordinated and recommendations, that were presented to the constructive cooperation and communication authorities and other interested parties. with local and national authorities and the media,

all major NGOs working in the mental health area, representing both persons with mental health problems and members of their families as well as

Source of funding: “Global Initiative on Psychiatry”/Netherlands Ministry of Foreign Affairs

INSTITUTIONAL CAPACITY BUILDING OF LITHUANIAN NGOS WORKING IN THE MENTAL HEALTH AREA AND THEIR COALITION-BASED ACTIVITIES

mplementation period (years):

Source of funding: EEE / Norwegian Financial Mechanisms grant “Strengthening NGO sector in Lithuania”

I. IMPACT ON PUBLIC POLICY IN REFORMING THE MENTAL HEALTH CARE SYSTEM

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INTEGRATING PEOPLE WITH MENTAL AND INTELLECTUAL DISABILITIES INTO THE LABOUR MARKET

THE IMAGE OF PEOPLE WITH DISA-BILITIES IN LITHUANIA – A VIEW FROM THE SCANDINAVIAN PERSPECTIVE

disabilities to get employed and help them at work). Analysis of existing legal framework was carried out and recommendations for its development presented to authorities. The pro-ject also aimed to convince the government of

the necessity to set up services in the community 2004/12/01 – 2008/08/31 that would ensure full and equal enjoyment of all

human rights for persons with mental and The key goal of the project was to promote intellectual disabilities, the right to employment integration of people with mental or intellectual institutions on how public information influences among them disorders and of their carers into the labour the image of users of mental health services by market. presenting the newest scientific data and justified The EQUAL project pursued three major goals: to methods elaborated in Norway and Sweden. change the image of people with mental or Some of the objectives are: to conduct a survey on intellectual disabilities, to raise public awareness what image Lithuanian mass media is forming about mental health and mental health disorders. about users of mental health services; to compare During the project various studies, public polls Lithuanian and Scandinavian (Swedish and and employers' attitudes were assessed on the Norwegian) situations in this field; to summarize opinion towards people with mental disabilities, the findings and issue a specialized edition their employment opportunities as well as their (intended to provide special knowledge to media

2008/11/03 – 2009/04/30skills and performance. Besides various publicity workers) on the topic. campaigns were carried out. The project aimed to

The goal of the project was to educate the legitimize the speciality of a “job coach” (a person Lithuanian mass media and the public helping people with mental and intellectual

Implementation period (years):


Source of funding: Community initiative EQUAL

Source of funding: Nordic Council of Ministers

II. REDUCING SOCIAL EXCLUSION OF MENTAL HEALTH SERVICES USERS

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DEVELOPMENT OF NGO ACTIVITIES IN KALININGRAD DISTRICT: PROTECTING HUMAN RIGHTS BY IMPLEMENTATION OF PATIENTS' ADVOCACY SYSTEM FOR MEN-TAL HEALTH SERVICES USERS – PERSON OF TRUST POSITION




trainings for the selected staff – persons of trust � To contribute to prevention of mental disorders, and for psychiatric hospital staff, a launch of new to pursue equal opportunities for social positions of persons of trust; empowering NGO integration of persons with mental disabilities.“Nit Ariadny” by providing trainings for the NGO members on NGO management, capacity The key objective of the programme is to provide building and human rights. the person of trust services to mental health users

by informing, counselling them and by providing to them concrete help and assistance on patients' rights issues.

2007/10/01 – 2008/12/31

The objective of the project is by supporting the NGO “Nit Ariadny” to prevent human rights violations of people with mental disorders and to protect and promote the human rights of persons in “closed institutions” – psychiatric hospitals in 2008 – 2010 (tęstinis) Kaliningrad city, Kaliningrad district of the Russian Federation Among the activities carried The objectives of the programme:out are: establishment of 3 positions of persons of

� To contribute to the establishment of a trust in Kaliningrad region psychiatric hospitals; consistent chain of mental health services in

Lithuania in accordance with the priority areas 2008/03/15 – 2009/10/31laid down in the Mental Health Strategy: 1)

ensuring of human rights, 2) services The project aims to create an international responding to the needs of the patient, 3) network of experts for elaborating the promotion of autonomy and participation, 4) methodology for implementation of the person strengthening the role of patients, their carers of trust advocacy measure in Lithuanian and the non-governmental sector.psychiatric hospitals and to offer targeted

� In realizing the programme in the Vilnius city support to people suffering from mental health municipality, to develop and implement a problems in their sensitive life stages (hos-representative model of ensuring mental pitalization in psychiatric hospitals). patients' rights that could later be applied in The purpose of setting up an international other municipalities of the country.

Source of funding: Nordic Council of Ministers

Source of funding: Vilnius city municipalityA PERSON OF TRUST FOR MENTAL HEALTH

INSTITUTIONS IN THE CITY OF VILNIUSELABORATION OF THE METHODOLOGY FOR IMPLEMENTATION OF PERSON OF TRUST POSITION IN LITHUANIAN PSY-CHIATRIC HOSPITALS: APPLIANCE OF ADJUSTED DUTCH EXPERIENCE

III. PROTECTION OF HUMAN RIGHTS

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run in the city of Vilnius, to communicate best provided. The methodological publication was released in 150 copies.practice and to prepare methodological

recommendations for the implementation of the programme on the national level.The project contributed to the development of the methodological publication 'The person of trust service in Lithuania. Methodological recommendations for institutions working in the mental health area' [„Paciento patikėtinio paslauga Lietuvoje. Metodinės rekomendacijos psichikos sveikatos srityje dirbanč ioms institucijoms“]. In it best practice and experience of foreign countries in representing and experts group is to seek for unified practice and psychoneurological boarding houses' [“Doku-implementing mental patients' rights with the mentų, reglamentuojančių skundų, ginčų ir application of Human Rights standards as well as help of the person of trust are analysed and konfliktų sprendimo ir nagrinėjimo tvarką to work out a methodology of patients' rights presented, the main principles of the person of 2010/01/22 – 2010/09/30 psichikos sveikatos priežiūros įstaigose ir advocacy system adjusted for Lithuania's trust activities, work ethics requirements and psichoneurologiniuose pensionatuose, analizė”]; situation.guidelines on communication with mental The objective of the project is to familiarize, 5 seminars on 'Person of Trust's activities: the city The overall objective of the project is to prevent health care institutions are described, through provision of trainings, the staff of Telšiai, of Vilnius and Europe experience' [„Paciento human rights violations and to protect the recommendations with regard to consolidation Kelmė, Rokiškis, Visaginas and Marijampolė patikėtinio veikla: Vilniaus miesto ir Europos human rights of patients in “closed institutions”. of the status of the person of trust in national laws municipalities' Health and Social Affairs Units, patirtis“] during which a training was offered to Also, to elaborate the methodology for conse-and development of the programme in all psychoneurological boarding houses, psy- 38 specialists from target regions; development quent implementation of protective measures.mental health care institutions of Lithuania are chiatric hospitals and mental health centres as of three models 'Implementation of the person of

well as representatives of NGOs with the Person trust programme in mental health centres', of Trust Programme methodological recommen- 'Implementation of the person of trust pro- dations and to communicate the best practice of gramme in psychoneurological boarding houses' implementing the Person of Trust Programme in and 'Implementation of the person of trust the city of Vilnius, promoting development of programme in psychiatric hospitals'; publishing public services and independent human rights of informational materials on these models.

monitoring in the stationary and ambulatory 2009/10/21-2009/12/31 mental health care institutions of the regions.

The key activities under the project included: the The purpose of the programme is for the study 'Analysis of documents regulating the representatives of targeted groups to familiarize procedure of handling complaints, disputes and themselves with the Person of Trust programme conflicts in mental health institutions and

Source of funding: Ministry of Health of the Republic of Lithuania

Finansavimo šaltinis: Atviros visuomenės institutas

Source of funding: EEA and Norwegian Financial Mechanism grants scheme 'Strengthening administrative competence and public service capacities of local government and its institutions'

IMPLEMENTATION OF THE PERSON OF TRUST PROGRAMME IN TELŠIAI, KELMĖ, ROKIŠKIS, VISAGINAS AND MARIJAMPOLĖ MENTAL HEALTH CARE INSTITUTIONS AND PSYCHONEUROLOGICAL BOARDING HOUSES

PERSON OF TRUST IN THE MENTAL HEALTH SYSTEM OF LITHUANIA



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ADJUSTING THE INDIVIDUAL COGNITIVE- PREPARATION OF A PROGRAMME FOR BEHAVIOURAL CORRECTION PROG- THE STAFF OF KAUNAS JUVENILE INTER-RAMME 'ONE-TO-ONE' FOR LITHUANIA ROGATION ISOLATOR – CORRECTIONAL

FACILITY AND ORGANIZATION OF TRAI-NING SEMINARS

UPGRADING FORENSIC PSYCHIATRY AND PRISON MENTAL HEALTH SERVICES IN KALININGRAD REGION




(4) testing and evaluation of the programme; (5) supervisions and counselling to ensure continuous support and supervising in running the programme 'One-to-one'.

2007/12/06 – 2009/10/31

Adjustment of the individual cognitive- 2008/07/01 – 2008/10/07behavioural correction programme 'One-to-one' included: While implementing this activity a special (1) permission granted by the author Prof. Philip training program was prepared and trainings to translate the programme into Lithuanian and seminars for KNTI PN-staff conducted. During the use it in the prisons and correctional institutions seminars following topics were covered:

� Team work. of Lithuania; � Creative tasks in the work with juveniles.(2) translation as well as scientific and textual 2007/05/10 – 2010/05/10� Social skills development programmes. editing of the programme; � Reduction of aggression: complex intervention The project aims at creating an up-to-date (3) preparation of recommendations on

under the ART (Aggression Replacement forensic psychiatry and prison mental health programme efficiency assessment; Training) methodology.system in Kaliningrad region. The system will

� Psychological aspects of work with offence-ensure provision of adequate help to target prone juveniles. groups and more efficient crime prevention.

� Child's rights. Care of children with behaviour During the execution of the project, cooperation and mental disorders.has been maintained with Kaliningrad Psychiatry

� Team work with social risk adolescents.Hospital No 2, Cherniakovski Forensic Psychiatry Hospital and Kaliningrad region correctional institutions.

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Source of funding: Prison Department under the Ministry of Justice of the Republic of Lithuania

Source of funding: K a u n a s J u v e n i l e I n t e r r o g a t i o n I s o l a t o r -Correctional Facility

Source of funding: Netherlands Ministry of Foreign Affairs

IV. PRISON MENTAL HEALTH AND RESOCIALIZATION OF OFFENDERS

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ADAPTING THE METHODOLOGY OF SEX-UAL VIOLENCE RISK ASSESSMENT SVR-20 FOR LITHUANIA

THE STUDY 'MAJOR OBSTACLES FOR INTEGRATION INTO THE LABOUR MARKET OF PERSONS UNDER SUPERVISION OF LITHUANIAN CORRECTIONAL INSPEC-TORATES (PERSONS WHOSE CUSTODIAL SENTENCE WAS SUSPENDED AND THOSE WHO HAVE SERVED THEIR SENTENCE)'

ORGANIZING COGNITIVE-BEHAVIOURAL IMPLEMENTATION AND APPLICATION OF CORRECTION PROGRAMME 'EQUIP' THE EARLY INTERVENTION PROGRAMME

IN THE KAUNAS JUVENILE INTERROGA-TRAININGS FOR THE OFFICERS OF THE TION ISOLATOR –CORRECTION FACILITYCORRECTIONAL SYSTEM OF LITHUANIA

A D A P T I N G T H E C O G N I T I V E -BEHAVIOURAL CORRECTION PROGRAM-ME 'EQUIP' FOR THE NEEDS OF LITHUANIA



Implementation period (years): Implementation period (years):


mutual assistance method, to teach juvenile torates and correctional facilities of Lithuania. In social workers were developed and realized on offenders to think and behave responsibly. In March 2009, before implementation of the the basis of the motivation interview method. 2008, the Global Initiative in Psychiatry was programme started, experts from Holland, who Group sessions were organized, with the

participation of about 50 juveniles serving the granted permission to translate the 'EQUIP' are the only experts having a license to sentence in the facility.programme from English into Lithuanian and to implement the EQUIP programme in Europe,

2008/08/04 – 2009/04/15 use it in the correctional system of Lithuania. gave a 5-day training during which the Following the recommendations for the participants were familiarized with the main

„Global Initiative on Psychiatry” was granted assessment of the programme efficiency, a study principles and constituent parts of the permission of the authors of the sexual violence was carried out on the implementation of the programme. The training was attended by 14 risk assessment methodology SVR-20 to adapt programme in the Kaunas Juvenile Interrogation representatives of 6 institutions under the and use it in the correctional institutions and Isolator-Correctional Facility, in Panevežys authority of the Prison Department: Kaunas correctional inspectorates of Lithuania. Women's Correctional Facility and in 7 Juvenile Correction Facility, Panevežys Women's The work done included: translation into

correctional inspectorates. Besides, counselling Correction Facility, and correctional inspec-Lithuanian of SVR -20 manual and coding sheets and supervision were provided to ensure torates of Vilnius city and region, Kaunas city and and their scientific and textual editing, collection continuous support and supervising to those region, Panevėžys, Šiauliai, Klaipėda, Raseiniai of primary data for the validation study (with the executing the programme. and Pasvalys representative sample of 100 individuals), a

statistical descriptive analysis of the data, a review and analysis of research carried out

2009/11/04 – 2010/02/01abroad on sexual violence risk assessment.

In executing the project 'Upgrading the quality of services provided by correctional inspectorates in organizing reintegration into the labour market of offenders whose sentence was suspended and those who have served their sentence' the Prison Department under the Ministry of Justice initiated a study, which was carried out by the 2009/03 2009/10/19 – 2009/12/15 “Global Initiative on Psychiatry”. The study was

In its plan of measures for the implementation of aimed at establishing major obstacles preventing The aim of the project was implementation of Probation Conception the Prison Department integration of convicts into the labour market. A early intervention measures with a view to 2008/09/17 – 2009/10/31

focus group was set up, with 11 people under the under the Ministry of Justice of the Republic of changing habits and attitudes toward substance supervision of Vilnius city and region correctional Lithuania envisaged implementation of the use in the Kaunas Juvenile Interrogation Isolator The key objective of the cognitive-behavioural inspectorate. Among the key obstacles EQUIP programme in the correctional inspec- –Correction Facility. Three training modules for correction programme 'EQUIP' is by applying the

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Source of funding: Drug Control Department under the Government of the Republic of Lithuania

Source of funding: Source of funding: Prison Department under the Ministry of Justice of Prison Department under the Ministry of Justice of the Republic of Lithuania the Republic of Lithuania


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programmes, to discuss their importance and to highlight the strong and the weak (acceptable) their place in the corrections system of Lithuania. points of the SeNAT programme imple-It was also the final event of the project and it mentation. Recommendations produced on the received a lot of attention from both non- basis of the findings will be useful in further governmental organizations and representatives developing application of SeNAT as well as other of education and research institutions. correctional programmes in Lithuanian correc-2010/01/21 – 2010/09/30

tions system.The goal of the project was by invoking the best practice of Norway, to contribute to the implementation and development in Lithuanian correctional inspectorates of efficient methods that would facilitate prevention of repetitive established were: the negative public opinion in offenses and correction of thinking and respect of persons with a record of conviction behaviour patterns.and, specifically, toward those who have served a During the execution of the project, a study visit sentence in prison, lack of education and to Norway was organized for correctional qualification (or absence of a document

inspectorate officers, Prison Department officers confirming acquisition of education or 2010/07/09 – 2010/12/15 and NGO representatives; also, 8 specialists were qualification), the sub-culture of convicted

selected for the individual cognitive-behavioural persons, which not only persists in custodial SeNAT (Sex offender therapy) programme correction programme “One to one' manager facilities, but is 'transferred' to the public.commissioned by the Prison Department was development trainings, which were conducted The findings of the study were systematized in a developed in 2009. In 2010 it was tested in two by experts from Sweden. A description of the report and presented during the training given facilities: the Alytus Correction House and implementation and development of correction for a group of 15 participants of the project on Pravieniškės Correction House No 2 – Open programmes in Lithuanian corrections system December 16, 2009 at the Kaunas region Prison Colony. The pilot implementation of correctional inspectorate. was prepared; it was approved on December 13, SeNAT included 11 inmates participating (4 from 2010 by order No V-315 of the director of Prison Alytus and 7 from Pravieniškės facilities). “Global Department under the Ministry of Justice of the Init iative on Psychiatr y ” developed an Republic of Lithuania (Official Gazette implementation quality assessment metho- 21/12/2010, No 149-7658). On September 13, dology and carried out SeNAT implementation 2010, a conference 'Re-socialization of convicts: quality assessment study, as well as organized implementation and development of correction scientific and textual editing of the programme programmes in Lithuania' was held with the aim manual and its scientific review. The study helped to present thinking and behaviour correction

Source of funding: Transfer of Experience and Strengthening of Source of funding: Cooperation among local, regional and euro- Prison Department under the Ministry of Justice of regional partners in Lithuania and Norway the Republic of Lithuania(Cooperation fund)


KING/BEHAVIOUR CORRECTION AT LITHUANIAN CORRECTIONAL INSPEC-TORATES

ADAPTATION OF SEX OFFENDER THE-RAPY (SENAT) PROGRAMME

IMPLEMENTATION AND DEVELOPMENT OF EFFICIENT METHODS FOR REPETITIVE OFFENCE PREVENTION AND THIN-



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CHILD AND ADOLESCENT MENTAL UPGRADING WORK WITH DELINQUENT CHILDREN IN APPLYING A MEDIUM CHILD HEALTH IN THE ENLARGED EUROPEAN CARE MEASURE AND ENHANCING UNION: CREATION OF EFFICIENT POLICIES SPECIALIST COMPETENCIES (BUILT ON AND PRACTICESNORWAY'S EXPERIENCE)

member state institutions a set of recommen-dations, based on the information and experience acquired during execution of the project, highlighting implementation of modern approaches in the field of child and

adolescent mental health field and the 2007/01/01-2009/05/31 necessity to change obsolete models.

2009/10/14 – 2010/09/30 CAMHEE project involved 35 associate partners During 2008-2009 GIP-Vilnius continued its from 16 countries. “Global Initiative on activities in the project, which aimed at working Psychiatry” was one of Lithuanian partner Objective of the project was to induce improve-

organizations participating in the working group ment of specialists' qualification, implementa-out recommendations and methodologies for ‚Development of modern parenthood - tion of justified methods based on Norwegian developing efficient child and adolescent mental promoting approaches with special emphasis on experience into Lithuanian system of resocializa-health practices and policy in the European parents who have mental disorders or represent tion of delinquent children and to stimulate inter-Union, at putting special emphasis on the current other risk groups', which was devoted to the sector cooperation applying measures for situation and the necessary changes to be development of parenthood programmes. children. introduced in the new member states while During execution of the project, “Global Initiative Among the project activities undertaken to preparing modern prevention and incentive on Psychiatry” together with the Children's Rights improve the delinquent child care and resocial-measures and practices. Ombudsman's office, carried out a study 'The ization system in Lithuania were: a study visit of The project pursues four major objectives: situation of children whose parents are insti- specialists to Norway, the study 'Analysis of the � To establish a partner network of EU member ėįętutionalized – safeguarding their legitimate situation, factors and reasons leading to delin-states, which would facilitate effective ex-rights and best interests, the need for support to quent behaviour of children under the medium change of experience in implementing modern the child and his/her family and opportunities for child care measure', publication of a specialized public health measures;provision of support'. In the report of the study model 'Work with delinquent juveniles in � To work out evidence-based recommendations the CAMH - related legal basis applied in children socialization centres. Adjusting on the implementation of advanced child and Lithuania was reviewed, the relevant information Norwegian experience to Lithuania'.adolescent mental health measures; provided by other researchers was summarized, � To promote innovative child and adolescent the data received from the study were described mental health initiatives in the new member and recommendations on improving the states and applicant countries encouraging situation were put forward.involvement and participation of children,

families and communities in the measures delivered;

� To prepare for the responsible EU and EU

Implementation period (years):Implementation period (years):

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:Source of funding: Norwegian Financial Mechanism for Subsidy Scheme 'Transfer of experience and cooperation strengthening among local, regional and euro-

Source of funding: regional partners in Lithuania and Norway'European Commission

V. DEVELOPMENT OF CHILD AND ADOLESCENT MENTAL HEALTH SERVICES,

IMPLEMENTATION OF PREVENTION PROGRAMMES

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PRODUCTION OF THE DOCUMENTARY CREATION AND DEVELOPMENT OF CHILD 'HOLY HILL PARK' MENTAL HEALTH SYSTEM IN GEORGIA

DEVELOPMENT OF A CONSISTENT CHAIN OF PSYCHOGERIATRIC SERVICES IN KALININGRAD REGION

Implementation period (years):Implementation period (years):


improving the life quality of elderly people with mental health problems and of their families through establishing two new services (home care and a day care centre). During the project, in- patient services provided at the psychogeriatric 2008/07/01 – 2008/11/302008/03/18 – 2008/05/31 department of Kaliningrad Mental Health Hospital No2. underwent modernization. The key objective of the project was to 'Holy Hill Park' is a documentary short film about

implement in Georgia a modern and efficient children of Georgia, whose problems seem petty to the world but are a heavy burden on the system of aid to children with mental health shoulders of adults bringing them up. It is not problems and their families by passing on the infrequently that adults themselves need experience accumulated in Lithuania on human assistance to raise healthy and happy children. rights, health care and social security issues, and The film presents “Global Initiative on by developing effective inter-institutional Psychiatry”- initiated community mental health cooperation. To this end, a child mental health services delivered tor Georgian children and their centre was established in Tblisi M.Iashvili central families. Due to the short duration of the film (20 children's hospital.minutes) and the subtitles in English, it can be shown to the international community in the development cooperation context.

2006/02/06 – 2009/02/06

The key objective of the project was to improve the quality of mental health services provided to elderly people. The project has contributed to

::

:

Finansavimo šaltinis: Europos Komisijos delegacija Rusijos Federacijoje

Source of funding: Ministry of Foreign Affairs of the Republic of Lithuania Source of funding:

UNDP Bratislava

VI. DEVELOPMENT COOPERATION AND DEVELOPMENT EDUCATION

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PUBLIC AWARENESS AND EDUCATION F O R D E V E L O P M E N T I N E U R O P E ; INCREASING RECOGNITION OF MENTAL HEALTH AS AN INTEGRAL PART OF EUROPEAN DEVELOPMENT ASSISTANCE IN FOUR EU COUNTRIES DEVELOPMENT OF ADDITIONAL INCOME COMMUNITY MENTAL HEALTH DEVE-

GENERATING ACTIVITIES OF THERAPEU-LOPMENT IN GEORGIATIC NATURE IN INSTITUTIONS FOR PEOPLE WITH MENTAL HEALTH PROB-LEMS IN SUGHD REGION, TAJIKISTAN




necessary information to the representatives of countries: the Netherlands, Bulgaria, Romania Georgian authorities and the public at large. and Lithuania (“Global Initiative on Psychiatry” –

Lithuanian partner)The project is realized on three levels:1. Public awareness campaign:

� A 'Mental health battle' competition was arranged in all partner countries in autumn 2009/spring 2010;

� An information conference 'Mental health and development cooperation' was held in each country;

�.A documentary film was made and a photo exhibition prepared on the importance of mental health in the context of development.

2. Knowledge and information sharing on mental health in development cooperation 2009/01/01 – 2010/12/31

countries: 2009/10/01 – 2009/12/01 � Creation of online resource centre on mental The aim of this EU supported development

health in developing countries. project was to raise awareness in four countries of The project is an on-going activity of “Global 3. Advocacy for greater attention to mental the European Union (as well as at the EU-level and 2009/04/30 – 2011/04/30 Initiative on Psychiatry”, which was started in health in development assistance pro-among other development actors) about mental 2008, in implementing a modern and efficient grammes: health as a developmental aid issue. Participating The project aims to contribute to the economic system of assistance to children with mental � Roundtable discussions with stakeholders in

development in Sughd region and to promote problems and their families. During the project, partner countries and at the EU level; the participation and integration of people with community psychosocial services to children and � Establishment of groups of knowledgeable mental problems into local communities by their families in the town of Gory were imple- and effective advocates in partner countries launching activities in institutions delivering mented, the need for which was determined by and at the EU level; mental health services that would generate � International conference in Brussels. the 2008 military conflict in Georgia. The project additional income and ensure occupation of is of importance in upgrading child and patients.adolescent as well as their families' mental health Objectives of the project and related activities:

through delivery of services complying with EU 1. To provide trainings for the administration and standards, preparing specialists with adequate the personnel of establishments delivering qualifications and through providing the mental health services on development of

:

:

:

Source of funding: Ministry of Foreign Affairs of the Republic of Lithuania

Source of funding: European Commission

17

veterinary specialists are provided. children with mental health problems and their 2. To implement occupational therapy elements families. The major activities carried out under

in psychiatric hospitals and psychoneu- the project include setting up of two mobile rological boarding houses. The personnel teams of mental health professionals, who delivering services were familiarized with the provided mental health services to war affected basic principles of organizing occupational children and their families in refugee camps and therapy. The project also aims at enhancing buffer zones of Georgia.the patients' working, independent living and self-care skills that are necessary for successful integration into society.

3. To familiarize representatives of local authorities ( Khukumat and Jamoat - corresponding to Lithuanian seniūnija) with income generating activities. At a later stage provided in the mental health sector and in the the principles of and demand for community of the project 6 best project proposals were development of entrepreneurship.mental health. awarded grants to develop income

4. To inform the public of Tajikistan about the generating activities of therapeutic nature project underway, thus increasing tolerance (five psychiatric hospitals/mental health for people with mental disabilities. Based on centres and one organisation for people with the assumption that most myths and fear disabilities). All funded projects undergo stem from ignorance, the project seeks to regular supervision; if/when necessary, reveal the other side of disability, i.e. to show consultations of craftsmen, agronomists or that the disabled can also work and engage in

creative activity. 2010/06/01 – 2010/12/01 The achievements of the project are reflected in a

documentary produced during the imple-The project is an on-going activity of “Global mentation period, which will be shown at the end Initiative on Psychiatry”, which was started in of the project on local TVs as well as in Lithuania 2008, in implementing a modern and efficient and will then be forwarded to the Commission for system of assistance to children with mental further publicizing. The materials of the trainings problems and their families.given during the project have been collected and The project aims at developing in Georgia of a are presented in a separate publication to be modern, systematic and efficient psychosocial distributed in Tajikistan free of charge to all those rehabilitation framework for war affected interested in the improvement of services

Source of funding:Ministry of Foreign Affairs of the Republic of Lithuania

Source of funding:: European Commission delegation in Tajikistan

ENSURING MENTAL HEALTH SERVICES FOR WAR AFFECTED CHILDREN IN GEORGIA

Implementation period (years): :

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DEVELOPING HIV/AIDS & MENTAL HEALTH PROGRAMMES IN NEW EU MEMBER STATES (POLAND, CZECH REPUBLIC, SLOVAKIA, ESTONIA, LATVIA, LITHUANIA, BULGARIA, SLOVENIA, HUNGARY, ROMANIA) AND TRANS-F E R R I N G B E S T P R A C T I C E S A N D EXPERIENCE IN THE FIELD FROM THE OLD EU MEMBER STATES.

other problems;3. Social, psychological and mutual support for

people living with HIV/AIDS;4. ARV impact on mental health; 5. Practical guidelines for psychiatrists,

psychiatric nurses, psychologists and social workers.

Implementation period (years): 2009/09/01 – 2012/08/31

The project aims at:1. Improving the quality of life of people living

with a double/triple stigma (HIV/addic-tion/mental illness) in new EU member states;

2. Increasing awareness among professionals in the participating countries of the relation between HIV/AIDS and mental health problems;

3. Increasing the capacity of professionals working in relevant sectors by disseminating best EU practices in the new member states.

The main activities covered by the project:

The study: 'Needs analysis in HIV/AIDS and mental health areas' and trainings provided for professionals on the following topics:1. Mental health and HIV/AIDS;2. Support for people living with HIV/AIDS and

:

Source of funding: The European Commission, DG Health and Consumers

VII. MENTAL HEALTH AND HIV/AIDSU

19

20

“Global Initiative on Psychiatry” together with „Vilnius Psychosocial Rehabilitation Center“ and National Institute of Social Integration carried out number of events to mark the World Mental Health Day. Firstly

was organized on the 8th of October in “Vilnius Psychosocial Rehabilitation Centre. Participants had an opportunity to learn about the center's vocational rehabilitation services, to see training classes and crafts made by customers. Also visitors were able to participate in opening of the photo exhibition "Déjà-vu" and

Each year “Global Initiative on Psychiatry” Michelevičiūtė greeted residents and guests of the festival of audio visual arts at the same center. organizes public events for the Vilnius city with the World Mental Health Day. The On the 9th of October event changed its place

. On the 10th of bus stopped near the buildings of Vilnius moving to the Vilnius center where October we are trying to draw attention to the municipality, Parliament and Government and was driving through the city. Passengers importance of mental health in human's life, main little presents - magnetic mirrors with the words of the bus together with actress Dalia mental health problems and those who suffer "Have you seen (NOT) NORMAL person?” - were from various mental disorders. given to bypassers.

On the 8th of October in “Global Initiative on Psychiatry” together with „Vilnius was organized by “Global Initiative Mental Health Center“ (Vasaros psychiatric on Psychiatry”. Mental health service users, hospital), Ministry of health care of Lithuania, in professionals, representatives of NGOs working colaboration with „Youth Psychological Aid in mental health sphere, representatives of Centre“, „Lithuanian Association of Psychology appropriate authorities and other people Students“ and „Children' hot line“ organized concerned were invited and had possibility to event “Lets be friends 2010”. During the event at visit organization and to get acquainted with its Vilnius Town Hall was activities.

IN OCTOBER, 2009

Open Door Day

WORLD MENTAL HEALTH DAY “Bus without

the roof”

year 2010ON THE 10TH OF OCTOBER, 2008 Open house event

“Live psychiatry museum”

EVENTS

21

try their skills at creating modern image of mental health specialist during . Guests were invited to discuss with members of „Lithuanian Association of Psychology Students“ about psychology and work of psychologist. They were introduced with the “Anti-Bullying” campaign carried out by „Children' hot line“. „Youth Psychological Aid Centre“ presented their project “Zip.lt” which aim is to unite society

culminated with the fashion show of closes together, to help young people with fewer designed during the .

presented where visitors could get acquainted with the history of psychiatry, and test both ancient and modern psychiatry treatment methods. provided the ability for visitors to get acquainted with various publications on mental health. Also there were

showing people short movies about mental health, psychiatric history and organizations that provide mental health services. Participants of the event together with students of Vilnius Art Academy had possibility to

opportunities to integrate into the peers, to demolish stereotypes about people with mental health problems by disseminating objective, research validated information about mental health. During the event visitors could admire

of mental health service users and ability to buy favorite products. Concert of the group became the focal point of the event, along with the performance of

. The event

art workshops

arts workshop

“Mental health library”

"Outdoor cinema”

Crafts' Exhibition

InCultoVocal

ensemble of girls and Gospel choir

PUBLICATIONS

IMAGE OF DISABLED IN LITHUANIA – VIEW FROM THE SCANDINAVIAN PERSPECTIVE

The publication is in the electronic format. Publication presents the survey which aimed to reveale what image Lithuanian mass media is forming about users of mental health services is; to compare Lithuanian and Scandinavian (Swedish and Norwegian) situations in this field; to summarize the findings and raise awareness and enhance special knowledge to media workers on the topic

MENTAL HEALTH RESEARCH (YEARS 2004-2009)

This publication contains concentrated information from 10 studies initiated by the “Global Initiative on Psychiatry” in the years 2004-2009 on the issues of human rights and specific children rights, quality of service, employment of people with disabilities and public opinion and attitudes towards people with mental health problems.

PATIENTS'S PERSON OF TRUST PRO-GRAMME IN LITHUANIA. METHODICAL RECOMMENDATIONS FOR INSTITUTIONS WORKING IN THE AREA OF MENTAL HEALTH CARE

Publications presents analysis of the foreign best practices and experience in representing and effectively implementing rights of mental patients with the help of patient's person of trust. It also describes basic principles and work ethics of patient's person of trust programme. The publication presents guidelines for cooperation of patient's person of trust with mental health care services, as well as recommendations for including patient's person of trust status into national laws and expansion of patient's person of trust programme in all Lithuanian mental health care institutions.

22

HCR – 20 ОЦЕНКА РИСКА НАСИЛИЯ

This is the second "HCR – 20. Violence risk assessment” edition in Russian. The world's widely used risk assessment measure is truly universal: it can be applied in prisons, psychiatric hospitals, programs providing community services.

ПРОБЛЕМАТИКА НЕДЕЕСПОСОБНОСТИ В КОНТЕКСТЕ ЦЕННОСТЕЙ, ДЕК -ЛАРИРУЕМЫХ ЕВРОПЕЙСКИМ СОЮЗОМ

This publication is adapted Russian translation of 2007 publication "Incapacity issues in the context of the declared European Union values". The publication indicates international principles for regulation of incapacity issues, as well as rights of persons being declared as incapable. It also presents legal framework and practice of determination of incapacity and guardianship in the Russian Federation. Besides, the publication presents the practice of Lithuanian courts and decisions of the European Court of Human Rights on the matters of incapacity.

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MODELS OF IMPLEMENTATION OF P A T I E N T ' S P E R S O N O F T R U S T PROGRAMME IN MENTAL HEALTH CENTERS, PSYCHIATRIC HOSPITALS AND SOCIAL CARE HOMES

Publication aims to introduce models of patient's person of trust programme adapted to certain mental health institutions taking into consi-deration all necessary elements needed for the smooth implementation of the programme: the legal framework, financing mechanisms, the specificity of work of patient's person of trust patient's, etc. The publication includes three models that cover all mental health care levels. The publication also presents results of an investigation " Analysis of documents regulating arrangements of complaints, disputes and conflicts in mental health care facilities and social care homes”.

M E M O O N P A T I E N T S ' R I G H T S : FREQUENTLY ASKED QUESTIONS

This information booklet presents the patient's person of trust position, main principles of its work ethics. It also indicates all the fundamental rights of patients and main legal regulations on the issue. It provides brief answers to the frequently asked questions of mental health service users.

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IMPROVEMENT OF WORK WITH JUVENILE DELINQUENTS IN SOCIALIZATION CENTERS FOR CHILDREN. APPLYING OF NORWEGIAN EXPERIENCE TO LITHUANIA

This specialized publication presents analysis of situation of applying medium-level supervision measure for children in Lithuania. It also presents the recommended model of communication and cooperat ion bet ween the responsible institutions and individuals in implementing the medium-level supervision measure. The publication is intended to central and executive authorities, local government representatives, c h i l d p r o t e c t i o n , e d u c a t i o n s u p p o r t professionals, educators, representatives of management and staff of socialization centers for children, as well as other social partners directly involved in children's education, re-socialization and integration processes.

ANALYSIS OF THE SITUATION, FACTORS A N D C A U S E S CO N T R I B U T I N G TO DELINQUENCY IN CHILDREN PRESCRIBED A M E D I U M - L E V E L S U P E R V I S I O N MEASURE. SURVEY

The publication presents results of the survey "Analysis of the situation, factors and causes contributing to delinquency in children prescribed a medium-level supervision measure”. The purpose of this survey was collecting data on the activities of socialization centers for children (SCC) and factors contributing to placement of children with such centers. Publication presents the summarized data of interviewed children and staff of socialization centers for children, and the comparative analysis of legal regulations on Minimum- and medium-level supervision measures for children in Lithuania with regards to the survey data received.

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GLOBAL INITIATIVE ON PSYCHIATRY” STRUCTURE AND CONTACTS

DAINIUS PŪRAS chair of the boardAssociate professor of psychiatric clinic of Vilnius University

ROBERTAS BUNEVIČIUS Director of Institute of psychophysiology and rehabilitation of Kaunas University of Medicine. LEONIDAS DONSKIS Member of the European parliament.

ŽILVINAS PADAIGA Head of Department of preventative medicine of Kaunas University of Medicine.

Tilto g. 3-6LT-01101 VilniusLietuva.Tel.: 8-5-271-5760,Fax.: 8-5-271-5761,e-mail::

Account number: LT53 7044 0600 0034 5337;Bank: AB „SEB bankas“;Bank code: 70440;Company number: 125446837.

vilnius @ gip-global.org

DOVILĖ JUODKAITĖ RŪTA JUODELYTĖDirector Person of truste-mail: djuodkaite @ gip-global.org e-mail: [email protected]

IRENA KULDOŠ INDRĖ MONCEVIČIŪTĖAccountant Person of trustEl. paštas: ikuldos @ gip-global.org e-mail: [email protected]

KARILĖ LEVICKAITĖ ALINA GORAJProject manager Person of truste-mail: klevickaite @ gip-global.org e-mail: [email protected]

VIRGINIJA KLIMUKIENĖ TADAS ŽIČKUSProject manager Office assistant e-mail: vklimukiene @ gip-global.org e-mail: tzickus @ gip-global.org

EGLĖ ŠUMSKIENĖProject manager e-mail: esumskiene @ gip-global.org

KLEMENTINA GEČAITĖProject manager and jurist e-mail: kgecaite @ gip-global.org

BOAR OF “GLOBAL IINITIATIVE ON KONTAKTAIPSYCHIATRY”:

STAFF

26

Ministry of Foreign Affairs of The Republic of Drug Control Department under the Government 2008 FUNDING SOURCES : 2009 FUNDING SOURCES:Lithuania (2,80 %).European Social Fund and Lithuania co-financial of the Republic of Lithuania (0,82 %).UNDP (0,92 %). European Commission (63,13 %). Ministry of Health of the Republic of Lithuania (0,20 %).funding (53,84 %).Support received via 2% of personal income tax Ministry of Foreign Affairs of The Republic of Support received via 2% of personal income tax Open Society Institute (13,90 %).and other assistance (0,14 %). Lithuania (9,72 %).Nordic Council of Ministers (6,93 %). and other assistance (4,16 %).

Vilnius Municipality (8,75 %).The Netherlands Ministry of Foreign Affairs (5,16 %).Other financial sources (5,12 %).European Commission (5,08 %).The EEA and Norwegian Financial Assistance (4,02 %).CORDAID (4,74 %).

Nordic Council of Ministers (2,65 %).Vilnius Municipality (3,61 %).The Netherlands Ministry of Foreign Affairs (1,42 %).Other financial sources (2,90 %).

FUNDING SOURCES

Financial sources 2009

European Commission

Drug Control Department

Ministry of Foreign Affairs of The Republic of Lithuania

The EEA and Norwegian Financial Assistance

The Netherlands Ministry of Foreign Affairs

Nordic Council of Ministers

Vilnius Municipality

Ministry of Health of the Republic of Lithuania

Other financial sources

Support received via 2% of personal income tax


European Commission

European Social Fund and

Lithuania co-financial

funding

Open Society Institute

Ministry of Foreign Affairs

of The Republic of Lithuania

UNDP

Cordaid


Nordic Council of Ministers



Support received via 2% of

personal income tax

27

Financial sources 2008 Financial sources 2009

2010 FUNDING SOURCES: Prašymo formą su VšĮ „Globali iniciatyva psichiatrijoje“ rekvizitais, kurią Jums reikės pristatyti į Valstybinę mokesčių inspekciją, galite parsisiųsti iš internetinio puslapio

SKIRDAMI 2PROC. SUMOKĖTŲ MOKESČIŲ GALITE PRISIDĖTI PRIE „GLOBALI INICIA-TYVA PRICHIATRIJOJE “ VEIKLOS

Drug Control Department under the Government

of the Republic of Lithuania (1,06 %).The EEA and Norwegian Financial Assistance (37,03 %). The Netherlands Embassy to The Republic of European Commission (32,64%). Lithuania (0,90 %).The Netherlands Ministry of Foreign Affairs (7,10 %). Support received via 2% of personal income tax Ministry of Foreign Affairs of The Republic of

and other assistance (8,49 %).Lithuania (5,64 %).Other financial sources (3,07 %).Open Society Institute (2,46 %).Vilnius Municipality (1,61 %).

VIEŠOSIOS ĮSTAIGOS „GLOBALI INICIATYVA PSICHIATRIJOJE“ RĖMĖJU GALITE TAPTI IR JŪS!

http://www.gip-vilnius.lt

2%


European Commission

Drug Control Department

Ministry of Foreign Affairs of The Republic of Lithuania

The EEA and Norwegian Financial Assistance


Open Society Institute


The Netherlands Embassy to The Republic of Lithuania


Support received via 2% of personal income tax

28


gip 2008-2010-annual report

Documents