Jean Pierre Wilken President CARe Europe Professor of Participation, Care and Support HU Utrecht University for Applied Sciences, Netherlands Tallinn, 8 May 2013

Participants from 15 countries Armenia, Belgium, Bulgaria, Croatia, Estonia, Georgia, Hungary, Kazakhstan, Kyrgyzstan, Netherlands, Slovenia, Romania, Spain, Turkey, United Kingdom.

Thanks to: Estonian Psychosocial Rehabilitation Association Tallinn Mental Health Centre Tallinn University Fund Storm Rehabilitation Mental Health Initiative Soros Foundation

Established in 2011 with the support of Fund Storm Rehabilitation. Serves professionals, service users and organizations to promote and realise the transition from institutional to community-based and recovery- based care.

We are active in the field of mental health care, social care and welfare services for (and with) persons with psychiatric, learning and physical disabilities. We connect practice, research, education and policy. We connect Eastern and Western Europe (and central Asia).

Activities: 1. Disseminating information and knowledge 2. Providing opportunities for meeting, learning and exchange 3. Supporting the development of new initiatives by providing advice and training 4. Encouraging research and development 5. Encouraging partnerships between organisations in different countries

In collaboration with Global Initiative on Psychiatry Mental Health Initiative European Social Services Network

REFOCUS; TRANSFORMATION OF SERVICES IN A NEW ERA How do we create / transform services towards a focus on recovery, personal development and social inclusion?

10 Diagnosis Connecting to meaning, & strengths Personal medicine, learning, increasing self- confidence, role models etc. WRAP Professional knowledge psychiatrist, therapist, case manager Medication, Treatment plans etc. RECOVERY= Learning to live with and beyond symptoms Experiential knowledge RECOVERY= Getting rid of symptoms ? ? ? Knowledge based on personal experiences Field of Mental Health Care Professional -Institutional- Knowledge Peer Support

12 Assess- ment of disabilities Connecting to meaning, & strengths learning, increasing self- confidence, role models etc. Personal Future Planning Professional knowledge residential workers, therapists Care plans etc. PERSONAL DEVELOPMENT developing skills; fulfilling valued social roles Experiential knowledge CUSTODY= Taking care of persons. Shelter and protection Professional -Institutional- Knowledge Knowledge based on personal experiences Field of Disability Care Social networks

Shifting towards a new vision:  From focus on the disorder/disability to focus on the person  Experiential knowledge: the value of personal experience, focus on learning/development, peer support  From illness/disability based to strengths-based  From professional-directed to user-directed  From individual to community

New standards: Contemporary models of care for people with high and complex needs should be evaluated in terms of the degree to which services support people’s: presence in the community; active participation in every day life; opportunities to develop, exercise and demonstrate to others their competence; exercise of individual choice; and dignity and rights (both legal and human) (cf O’Brien, 1992; Wilken, 2007)