Transcript Linnavalitsuse ja valitsusväliste organisatsioonide koostööst

Cooperation of City
Government and nongovernmental organizations
Ene Tomberg
Tallinn Social and Health Care Board
Social-political influences on voluntary
work
• The responsibility for the person’s coping first of all
lies on the relatives and friends.
• If no help is provided by the family and state
support, the person may seek assistance from the
voluntary organizations.
• The state is the last to interfere in the solution of the
problem.
• The voluntary organizations are large primarily in
the field of healthcare (Germany, Italy, France)
Liberal model:
• The state guarantees minimal coping and
indispensable services.
• People acquire the securities they
consider necessary.
• The state tries to decrease the monopoly
as the provider of services, offering to the
voluntary organizations the substitute
role (USA, Australia)
Scandinavian model (sociodemocratic)
• Social policies are connected to the place of
residence.
• To an increasing extent, the state is responsible for
the security by collecting the taxes, out of which the
social and healthcare services are provided.
• The discounts and services are meant for everyone.
• The voluntary organizations receive support from
the state, but preserve independence.
• Affect the public opinion (Sweden, Norway,
Finland).
For supporting children:
• Some municipal institutions
• Social welfare department acquires
social services from the NGOs.
Psychological services:
Psychological advice in solving problems:
• problems in the family
• at parenting
• children`s behavioural problems
• problems at school, incl. school violence
• depression
• anxiety
• psychosomatic problems
Crisis counselling:
• Following the catastrophe of the ferry
“Estonia” in 1994, Tallinn Crisis
Counselling Center was established,
which performed the psychosocial
rehabilitation.
• Since 2001, the crisis counselling services
are acquired from the NGOs, primarily
from MTÜ Eluliin/NGO Lifeline.
Assistance acquired from
NGOs:
• MTÜ Eluliin: Psychological crisis and addiction
counselling service in the amount of 7832 hours
• MTÜ Eluliin: family counselling and therapy service
in the amount of 606 hours
• MTÜ Liikumispuudega Laste Tugiühing/NGO
Support Association of Children with Movement
Disabilities: psychological counselling service for
their families in the amount of 88 hours
• MTÜ Vaimupuudega Inimeste Tugiliit/NGO
Support Union of Children with Mental Disabilities:
supervision service for the employees working with
the clients in the amount of 20 hours
Psychological counselling and
practical help for families
• counselling of families from risk group
• families having conflict situation at home
• young people starting independent life.
The counselling includes social and
practical matters.
Work in day care centers (2)
• children can spend their time after school
• they are provided with meals
• psychological counselling and assistance
at their homework
• the centers help to restore the
relationships between home and school.
Support person service for children
• Children aged 7-14 of the families
belonging to risk groups can get support
person service during 12 months.
• 40 children a year get a support person
who works on a voluntary basis and who
has completed a relevant training course.
• Annual supervision
Shelter service for children and for
mothers with children
• 3 shelters for children (number of places
42)
• 2 shelters for mothers and children (13
mothers + children), 1 is managed by
NGO
Assistance to disabled persons
The closest partner is Tallinn Chamber of
Disabled Persons:
• involved in the operation of the disabled
persons’ commission
• involved in the operation of the public
procurement commission for the acquisition of
services
• involved as experts into the inspection of
different projects
Contracts with NGOs
• Support person service – 6 contracts with 4 organizations
• Services of the Labour and Implementation Center – 4
contracts with 4 organizations
• Counselling services – 7 contracts with 7 organizations
• Daily activities and day care for disabled persons
• Support services for the families of disabled persons – 5
contracts with 4 organizations (sign language courses,
organization of camps for disabled children)
• Support of activities of 19 organizations with the total of 15
mln. kroons
Acquisition of technical aid from
NGOs
• hearing aids
980 327 kr
• seeing aids
110 000 kr
• aids for persons with movement
disabilities
270 000 kr
• incontinence products 670 000 kr
• prosthetic breasts
100 000 kr
Cooperation with NGO
Chernobyl Association
• Annual total costs 1 mln. kroons
• The Association keeps the veterans’ list, and
provides information and consultation to them.
• They are provided dental care service in the
amount of 3000 kr, sanitary care service in the
amount of 3000 kr, acquisition of spectacles in
the amount of 1000 kr from the city budget
• sauna service
PREVENTION AND TREATMENT
OF DRUG ADDICTION IN
TALLINN
TALLINN CITY GOVERNMENT COMMITTEE OF DRUG AND
AIDS PREVENTION
TALLINN CITY DEPARTMENT OF SOCIAL WELFARE AND HEALTH CARE
NON-PROFIT ORGANIZATIONS (ca. 40)
CITY DISTRICTS GOVERNMENTS(8) PREVENTION COUNCILS
HEALTH CARE INSTITUTIONS
BASE DOCUMENTS
• NATIONAL STRATEGY OF DRUG
PREVENTION FOR 2002 TO 2012
• NATIONAL PROGRAMME FOR THE
PREVENTION OF HIV/AIDS FOR 2002
TO 2006
• STRATEGY OF DRUG PREVENTION
IN TALLINN FOR 2002 TO 2007
HIV IN ESTONIA
AND TALLINN
BY SEPTEMBER 1, 2004 THERE WERE
DETECTED 4196 HIV CASES IN ESTONIA
JANUARY 01 - SEPTEMBER 01, 2004, 497 NEW
HIV+ PEOPLE WERE DETECTED, 177 (35,6%),
LIVING IN TALLINN.
DURING 2003, 840 NEW INFECTIONS WERE
DETECTED IN THE COUNTRY, 323 (38,5%) IN
TALLINN RESIDENTS.
PRIORITIES FOR 2004
1. EXPANSION OF DRUG USE
PREVENTION ON LOCAL
GOVERNMENT LEVEL.
2. FACILITATING SUPPORTIVE
ENVIRONMENT.
3. DEVELOPMENT OF HARM REDUCTION,
DRUG ADDICTS TREATMENT AND
REHABILITATION.
DRUG AND HIV/AIDS
PREVENTION IN 2004
• FINANCED 34 PROJECTS FOR
THE TOTAL OF 4,400,000 EEK
PROJECTS SUPPORTED:
•
•
•
•
•
PREVENTION ACTIVITIES
COUNCELLING
LEGAL AID
REHABILITATION
OTHERS
19
3
1
9
2
CHILDREN AND YOUTH
ADDICTION TREATMENT
DEPARTMENT
• TALLINN CHILDREN’S HOSPITAL - 4+1 BEDS
• PSYCHIATRIST, SOCIAL WORKER, CLINICAL
PSYCHOLOGIST, GENERAL PRACTITIONER,
TEACHERS AND NURSES.
• 9-15 YEAR OLDS MOST OFTEN
• TREATMENT PLAN
• INVOLVING FAMILY OR SUPPORT GROUP
• 50 OUT-PATIENTS PER MONTH, 20 OF THEM
NEW CASES
• 3,16 MILL. EEK PAID BY THE CITY IN 2004
CHILDREN REHABILITATION
TALLINN CENTER FOR
CHILDREN AT RISK:
MEDICAL, PSYCHOLOGICAL AND PEDAGOGIC
REHABILITATION THROUGH
WORK EDUCATION (WOOD WORKSHOP +
HANDYCRAFT)
CHILDREN STAY AT NÕMME CENTRE FOR 10 - 12
MONTHS.
CENTRE CAN HOST 32 CHILDREN (10 FOR GIRLS,
22 FOR BOYS) + LILLEKÜLA CENTRE FOR 16
TREATMENT OF DRUG
ADDICTS:
• DURATION OF TREATMENT: 1 TO 6
MONTHS
• FOLLOWED BY A SELF- HELP
GROUP AT REHABILITATION
CENTRE
METHADONE REPLACEMENT
FOR DRUG ADDICTS
•
•
•
•
•
•
AADRESS: KOPLI 75A
TEAM WORK – 10 EMPLOYEES
ONCE A DAY
COUNSELLING
30 ADDICTS PLANNED AT A TIME
CITY PAID 2 mill EEK IN 2004