© Jana Pomajzlová, 2004

Presentation of Civic Association Green Doors

Civic Association Green Doors

Is a non-profit non-governmental organisation, which in Pragueprovides different vocational and social rehabilitation programs, mainly for young people, in early stage of psychotic disease. We support these people to overcome the crises and join to

“common” life, return back to school or employment. Our organisation is focused mainly on those projects, where are connected the services for public with vocational and social rehabilitation – training cafés,cultural events,concerts,exhibitions etc. The clients are in every day contact with the public and regular

“market” environment through these activities. We want to change this way the general public awareness about mental health, higher the chance of early detection of the illness and increase the possibility of the clients to return to school or to open

job market.

The role of GD in MH care system

Medical care Rehabilitation

Psychiatric hospitals

Ambulance care(psychiatry, psychology)

Centre of crisesintervention

Day care centres

Centres of daily activities

Social centres

Case management

Information centres

Sheltered employment,transitional and supportedemployment

Job club

Sheltered housing,supported housing, “half way” flats

Self – help groups

L o n

g

t e r m

c a r e

The role of GD in MH care system 2

“E a r l y p s y ch o s e s”

Medical care Rehabilitation

Psychiatric hospitals, children psych. dep.

Ambulance care(psychiatry, psychology)

Day care centre

Centre of crises intervention

Centre of Daily Activities

“Student program”

Vocational rehabilitation, training, transitional and supported employment – c. a. Green Doors

“Half way” flats

“Job club”

Information centres

Umbrellaorganisations

CMHCD

Czech association

of MH

Self – helpfamily group“Sympathea”

Self – helpclient group“Kolumbus”

ACS

A bit of history – projects of Green Doors

Founded in 1993 – social rehabilitation, free time activ.

1997 - “Half way café”, Prague 4

1998 – Cleaning workshop in Prague 4

1999 - “Club V. Kolona”, Prague 8

2000 - “Club in Jelení”, Prague 1

2001 – 2004 Tobacconist “Na bráně”, Prague 8

2002 – 2004 “Model Sites Project”

2002 – “Prevocational Assessment Program”

2003 - “Job club”

2004 - “Mobile social work”

“Half way café”

“Half way café” - basic information“Half way café” is a project of c. a. Green Doors focused on intensive training of vocational and social abilities and skills,

preparing on handling with high work demands and stress, comparable with working conditions on the open job market.Because of the placement of the café – in the centre of park - and a lot of cultural events, the café become quite popular.

Client group : Young people in early stage of psychotic disease, motivated to return to employment or school (age 16 - 35)

Training positions : Bartender (4-8 hours shifts, 2x – 5x per week) 1 year training Salary : 30 Kč/h (2/3 salary of salary on job market)

Sheltered positions : Cleaning of the park (Mo-Fri, 2-3 hours) Washing the laundry (3 times a week) 1 – 2 years training Salary : 20 Kč/h

“Club V.kolona”

“Club V. Kolona” - basic information

“Club V. Kolona” is a project based on cooperation between c.a. Green Doors and Psychiatric hospital “Bohnice”. The Clubis placed directly in the area of the hospital and offers mainly

vocational and social training for hospitalized patients as activation and preparation for their discharge and connection to community based

services. Within this project we offer also sheltered employment.Through many cultural events we want to attract the public from

surroundings and “break the walls” of psychiatric hospital this way.

Client group : Mainly people in actual treatment in the hospital (80%), motivated for the training (no age or diagnose limit)

Training positions : bartender, work in the kitchen, cleaning position, distribution of leaflets(length of the shifts and position is agreed individually and change gradually) 1 year training Salary : 10 – 20 Kč/h (depend on graduation on more independent position)

“Club in Jelení”

“Club in Jelení” - basic information

“Club in Jelení” is a third “training café” project of c. a. Green Doors. It offers more intensive and supportive vocational and social rehabilitationin rather chamber and restful environment near by Prague castle.

Client group : Mainly young people in early stage of the illness, motivated for the training and return to employment or school (age 16 - 35)

Training positions : Bartender (Mo-Fri, 4 - 8 h. shifts)Sheltered positions : Cleaning up of the Club (Mo-Fri, 2 h. shift) Grocery shopping (Mo-Fri, 2 h. shift) Preparing fresh baguettes (Mo-Fri, 2h. shift) Messenger (cca 3 h. per week)

1 year training

Salary : 25 Kč/h (half of the salary on the job market)

“Tobacconist Na bráně” - basic information

The “Tobacconist Na bráně”(placed in the entrance to the psychiatric hospital “Bohnice”) had been working from September 2001

till October 2004. The main goal of this project was to offer sheltered employment with the work demands comparable to the situation in open

job market and support financially the project “Club V. kolona”.

Client group : Mainly young people in early stage of the illness, motivated to return to open job market (age 16 - 35)

Positions : selling goods, clean up, completing the goods to racks (Mo – Sun, 4 – 6 h. Shifts, 2x – 5x per week) 1 year training

Salary : 20 – 30,-Kč/h. (trial period – independent work)

Statistic dates

C. a. Green Doors has the capacity to provide the rehabilitation to cca 50 clients in the same moment.

From the year 1997 - 2003 came through rehabilitation 492 clients 34,75 % clients work or study

14,25 % looking for the employment 26,25 % pass over to other sheltered employment 24,75 % do not work, continue in the treatment

In the year 2003 provided c. a. Green Doors the service to 116 clients.

38% clients, who finished the rehabilitation in the year 2003, successfully returned to common employment in the open job

market or returned to school.

Statistic – general overview

General overview y. 97-2003

0%10%20%30%40%50%60%70%80%90%

100%

1

Treatment

Sheltered workshop

looking for the employment

work or study

Statistic – general overview 2

0%

20%

40%

60%

80%

100%

Half waycafé

Cleaningworkshop

Jelení bar Jelenísheltered

p.

Statistic general overview y. 97- 03

Treatment

Sheltered workshop

looking for the employment

work or study

Statistic dates - “Half way café”

“Half way café” during 6,5 years came through rehabilitation 206 clients 38% work in regular employment 9% study 53% are looking for the job, pass over to other sheltered employment,

need long-term care or verified during RHB that they do not want or are not able to work permanently In the year 2003: came through 29 clients average age 25 years average length of rehabilitation 7 month 65% is working or studying 6% is looking for the employment 12% went to other sheltered workshop 18% continue in treatment, are not working

Statistic overview “Half way café”

Statistic overview, Half way café, y.97-03

0%10%20%30%40%50%60%70%80%90%

100%

r.98 r.99 r.00 r.01 r.02 r.03

Treatment

Sheltered workshop

looking for theemployment

work or study

Statistic dates “Cleaning workshop”

In the year 2003 :

finished rehabilitation 5 clients. average age was 31 average length of rehabilitation 16 month

20% work or study 60 % pass over to other sheltered workshops 20 % continue in treatment

Statistic overview “Cleaning workshop”

Statistic overview, cleaning workshop, y.98-03

0%10%20%30%40%50%60%70%80%90%

100%

r.98-99 r.00 r.01 r.02 r.03

Treatment

Sheltered workshop

looking for theemployment

work or study

Statistic dates - “Club V. kolona”

“Club V. Kolona” :

during 4 years came through rehabilitation 169 clients 85 % of clients use the service as a short term training, preparation for

discharge from the hospital (usually 1 – 3 month stays) 15 % of clients work in sheltered employment positions

In the year 2003 :

went through rehabilitation 34 clients average age 30 years 61% of clients finished the rehabilitation in accordance to discharge

from the hospital 29% of discharged clients work in open job market or in sheltered

workshops 24% of clients finished the rehabilitation because of health conditions

or because of not managing the demands of work

Statistic dates - “Club in Jelen픓Club in Jelení” : - during 4 years came through rehabilitation 101 clients“In the year 2003 : - was in rehabilitation 33 clients (18 clients finished RHB in 2003)

“Bartender position” average age 27 years average length of rehabilitation – 10 month 50 % work or study, 20 % is looking for the job,

30 % continue in the treatment “Sheltered positions” average age 30 years average length of rehabilitation 10 month 12,5 % work or study 12,5 % is looking for the job 37,5 % pass to other sheltered workshop 37,5 % continue in the treatment

Statistic overview “Club in Jelení”, training position

Statistic overview, y.00-03, Club v Jelení,bar

0%10%20%30%40%50%60%70%80%90%

100%

r.00 r.01 r.02 r.03

Treatment

Sheltered workshop

looking for theemployment

work or study

Statistic overview “Club in Jelení”, sheltered positions

Statistic overview, y.00-02, Club v Jelení, sheltered positions

0%

20%

40%

60%

80%

100%

r.00 r.01 r.02 r.03

Treatment

Sheltered workshop

looking for theemployment

work or study

Statistic dates - “Tobacconist Na bráně”

“Tobacconist Na bráně”:

during 2 years came through rehabilitation 16 clients

In the year 2003 :

was in rehabilitation 7 clients, finished rehabilitation 4 clients (it is not possible to make statistics, with this amount) average age 31 years average length of rehabilitation 8 month

“Prevocational assessment program”This program started in the year 2000 in a first version. In cooperation with

Hogenschool van Amsterdam and 1st Medical Faculty of the Charles University this program found a new version in 2002, which we use till these

days and we continue in promoting of this program.

“Prevocational assessment program” – or with a new name “Program of personal vocational growth”

is a comprehensive voluntary program which can help the clients : to make an overview of their situation,

find the goals for rehabilitation, and some possibilities for the future find their strong and weak sites, prove some abilities and skills

to know more about them selves

The program is composed from 10 – 12 individual sessions, contentseveral questionnaires, model activities, work with video, interviews etc.

We offer this program to all clients, from other services also.

Mobile social work

Is a new service for the clients of c. a. Green Doors founded in 2004.

Mobile social work offer to the clients :

Help in social questions (social benefits, health insurance, pension etc.) Personal guidance to the institutions, school, employment

Personal guidance to other MHC services (in between communityservices, guidance from the hospital to community services)

Help in finding proper employment (information and help in concrete steps) Information service (actual information about the problematic of

mental health, law around employment and social questions, information about actual offer of MHC services)

“Job club”

“Job club” is a voluntary educational program for clients, who want to get knowledges and train skills in finding employment in open job market.

We cooperate in this program with other NGOs in Prague (Eset-help and Fokus)

The program runs 3 times a year The program is composed from 8 sessions (1 per week) and

possible 2 individual sessions The capacity of one program is 8 – 10 people

The clients pay the amount of money, which covers the admin. costs The clients get a certificate, which can help them in finding the job

Rehabilitation system

Entrance process – information meeting, trying shifts, entrance questionnaires Individual approach “Patrons” work – individual guidance through whole rehabilitation

process Rehabilitation plans Evaluation of the work Community meetings Closing process – guidance, final evaluation, report Possibility to continue in “Friendly cafés” - transitional employment

Cooperation with other professionals around the client Cooperation with family Documentation, statistics, research studies

Methods of work, background for the workers

Team meetings (1 per week to 1 per month) Management meetings (1 per month) Meetings of the therapists from all projects (1 per month)

Team supervision (1 per month) Individual supervision (1 per month)

Intervision with leader of rehabilitation (1 per 2 month), methodology, quality of service, the possibility to contact the leader of rehabilitation if needed for advise or help Support for education and professional growth (information,

financial help and time capacity)

Advantages in consuming of goods in the cafés

Education activities of c. a. Green Doors

4 years cooperation with 1st Medical Faculty of the Charles Universityoccupational therapy study,

students study visits (excursion till 5 weeks stay). leading final graduation works

Cooperation with other Universities, mainly social or psychologystudies – students study visits

Cooperation with Hogenschool van Amsterdam (Socrates-Erasmus p.), 4 students of occupational therapy, graduation works

2002 “Prevocational assessment program” 2004 “Readiness assessment”

Excursion or study visits, consultations for NGOs

“Model Sites Project”

Education activities of c. a. Green Doors - “Model Sites Project”

On behalf of the year 2002, c. a. Green Doors had been asked from MDAP of Open Society Institute, Budapest, to became one of “Model Site Project” as an example of a good practice

and an educational centre for other NGOs from central-eastern European countries.

Educational program composed from 4 training modules (3 – 5 days training, twice per year, together 130 h.)

The program took place in Prague in the period from 2002 till 2004.

Invited organisations:

“Alternativa”, Albania “Mental Health Initiative”, Lithuania

“Psychiatric Nurses Association”, Latvia “Soteria Foundation”, Hungary “Children of Kubrat”, Bulgaria

“Estuar”, Romania

Management – organisation structure

The project is provided by 1 subject The project is provided by 2 subject, which cooperates on the project

General assembly of the members of c. a. Green Doors

Council

Management of the organisation Expert guarantee

Director

Head of rehabilitation

Leader of project (operational, organisational and rehabilitation part)

“Work therapists” Operational managers

Bartenders

Office assistant

Civil serviceCultural manager

Financing of c. a. Green Doors - incomes

Structure of incomes of c. a. Green Doors (average year from the period 97 - 03) :

State financial resources : 38 415 dollars (11 %) (Ministry of work and social affairs, Ministry of health)

Communal resources: 7 777 dollars (2 %) (Town council, local authorities)

Foundations: 22 139 dollars (6 %)

Returns from sales: 294 346 (81%)

Others: 1 262 (0%)

Average year income : 363 941 dollars

Financial overview – average year incomes (1997 - 2003)

Green Doors- average incomes (1997-2003)

Sales81%

Others 0%

Communal r.2%

Foundations 6%

State r.11%

State r.

Communal r.

Foundations

Sales

Others

Financing of c. a. Green Doors - costs

Structure of costs of c. a. Green Doors (average year from the period 97 – 03) :

Salaries : 95 212 dollars (27 %)

Material, energy: 18 498 dollars (5 %)

Services : 47 079 dollars (13 %) (rent, telephone, propagation, accounting, education etc.)

Goods: 186 092 dollars (53 %)

Other costs : 7 653 dollars (2 % )

Average year costs : 354 536 dollars

The comparison incomes/costs : + 9 404 dollars

Financial overview – average year costs (1997 - 2003)

Green Doors-average costs (1997 -2003)

Others2%

Salery27%

Material,energy5%

Servises13%

Goods53%

Salery

Material,energy

Servises

Goods

Others

Donations / returns from sales : the part on covering of the costs, average year from the period 1997 - 2003

A part on coveringof the costs (withoutcosts on goods):

Other incomes : 1262 dollarsDonations : 68 332 dollarsSelf-financing, returns from sales: 108 254 dollars

Together: 177 848 d.

Donations/returns

0%

20%

40%

60%

80%

100%

1

returns

donations

others

What makes c.a. Green Doors a good practice?

An unique idea of open café for public, where vocational and social rehabilitation and integration cultural events take place ?

History of the organisation – stability and experiences?

Cooperation with other services?

Work with media?

Specialisation on “early-intervention”?

A partly self-financing ability?

Work with public (cultural events, exhibitions, seminars, etc.)

What makes c.a. Green Doors a good practice?

Ongoing development? – creating new projects based on needs of the clients - supporting and developing internal structure and organisation

Support system for the workers?

Try to have a good name – spend a lot of time in communication, be open to cooperation, answer to the questions, try to fill all promises, fill our “mission”, goals and definitions?

But maybe, we should ask somebody else, why c.a.Green Doorscan have a name of a good practice...

Education activities?

Difficulties and possible solutions Lack of financial sources

– lack of stability and no possibility to plan for longer period - unsafe incomes from donors but also from business activities

Financial support only for limited period Change or development of the activities because of grant themes, not because of need

of the organisation or needs of the clients

Try to keep the activities and plan the activities with expecting, that we can get the financial sources but also not – to have the vision but also crises solutions Try to find financial sources where we can (higher the profit in the cafés,

apply grants we can apply, ask companies for financial help or investments, find good friends, who can help in hard time) To have clear definition and mission of the organisation, so we can better

decide, which way to go, what we can change or develop and what is out of our mission

;

Supporting of inovation projects, it is hard to apply for already running activities (on the activities it self, but also for management and administration work (staff)

Difficulties and possible solutions

Lack of human sources - lack of time, high stress and demands of the work

High demands of operational part of the activities (administration, organisation, high demands on staff)

Complicated balance between rehabilitation programs and operational demands.

Try to do at first, what is “hot” and gradually learning time management Try to make a realistic plan of the work – based on evaluation of the

work and experiences

Using all supportive activities for the workers, work on our own psycho-hygiene

Try to keep the same attention to rehabilitation and operational questions Try to support human sources – through higher financial sources – so there

is enough capacity for both part of the work Using supportive activities for the workers, work on our own psycho-hygiene

Dubble high demand on workers in cafés – operational stress and work with clients

Difficulties and possible solutions Lack of systematic and planned work with media

Lack of PR, no professional on this work

Communication with other organisations, professionals, governmental organisations and offices can be complicated sometimes

Try to higher human source and hire professionals

To have a “media patron”, to higher publicity and possible financial sources

To learn the PR work our selves or to ask our friends to help us

Try to cooperate with other organisations, join to local or national campaigns or events around MH care

Trying always and always, if the contact start to work – take care of that and maintain the contact. Personal contact works much better.

Organise common events, seminars, presentations, visits etc. Participate in seminars, conferences, “open days” etc.

Contact information

If you have any question or you would like to visit our projects, pleasecontact me on the address:

Bc. Jana Pomajzlová

C. a. Green DoorsPujmanové 1219/8, Praha 4,140 00Czech Republic

Tel./fax: +420 261 21 10 91

Email: greendoors@greendoors.cz jana@greendoors.cz

www.greendoors.cz

Thank you for your attention.

Looking forward to see you next time..