Present and future Challenges in Lithuanian
Mental Health Policy: shifting from deinstitutionalization
towards independent living
Interim Activity Report
(period covered between 1st March and 1st August 2004)
A number of activities have been undertaken during the past 5 months
according to the Project timetable. There were some general preparatory
activities and activities related directly to the implementation of the
Project, which are list below:
March
• Finalization and signing of the contract with IPF.
• Participation in the 1st IPF policy seminar in Budapest, 22-26 March
• Meeting with the group mentors and discussion of the Project proposal
and follow up collaboration
• Designing and development of the website. Since April 2004 all relevant
data has been published and continuously being updated on the website and.
• Meeting with important stakeholders: Representatives from the Ministry
of Social Security and Labor; Committee for Social affairs and labor at
the Parliament of Lithuanian Republic.
• Participation in Latvian Human rights and ethnical studies center
and Ministry of Health of Latvian Republic organized seminar „On Latvian
Mental Health draft law “, March 19, 2004.
April-May
• Project proposal revised regarding consultations and recommendations
of the group mentors
• Selection of individual mentor started, Ar?nas Germanavi?ius was
chosen and agreed to become an individual mentor, and was approved by IPF.
• Meeting with the individual mentor and project proposal discussed.
• Analysis of current Lithuanian social care system. A study of all
the support and assistance structures available at present for people with
mental disability was started to perform.
• Due to this study few big institutions (4 psychiatric hospitals and
2 social care homes for people with mental disability in Lithuania and
3 psychiatric hospitals and 3 social care homes in Estonia) were visited
and data collated and documented.
• As the research will consider few examples of best practices from
other countries (see Project proposal), the short overview of the US community
based supported living programs within mental health system, providing
housing services and other support services in the community for people
with mental disabilities was performed and the results presented in the
article under publication „USA social security system providing financial
support for persons with disabilities”, Lithuanian Law University printing.
• Special efforts and emphasis was put on identifying useful on-line
resources on social care and community based services, housing issues within
mental health system and their legal regulation both in the domestic and
international legal acts.
• Meeting with important stakeholders: Ombudsmen of the Council for
equal opportunities, representatives from the Council for the affairs of
disabled to the Government of the Republic of Lithuania.
• Was included and participated in the task force at the Ministry of
Social Security and Labor for preparing of standards of social services
provided for children.
June
• Analysis of national Lithuanian legislation and government policy
on mental health and social welfare, to overview the current situation
with regard to deinstitutionalization and providing housing for people
with both intellectual and mental disabilities in the community (supportive
housing) was started, compiling materials for writing the research project.
• Collection and analysis of relevant international norms and standards
(United Nations’ declarations and resolutions, European documents) was
started.
• With the assistance of international mentors various scientific literature
and other publications on the issue was collated.
• Participation in the Academy of European Law „ERA“ organized seminar
„Fight against discrimination in the daily practice “, review of European
Directives 2000/43 and 2000/78, Trier, Germany, June 4-5, 2004. My main
focus was on discrimination on the grounds of disability issues.
• Analysis and review of all relevant information, literature and legal
acts continued;
July
• Preparing for and inviting various stakeholders to the roundtable,
organizing and leading the roundtable, with the main focus on equal rights
of persons with intellectual disability to access education and employment,
social services within the community.
• Based on the information and literature search and analyzed, preparing
of the first draft of the review of the national legislature (part of the
research paper), regulating mental health system and provision of social
services for people with mental disability.
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