IMPORTANT LEGAL NOTICE
 

 Personu ar garīgiem traucējumiem un psihiskām slimībām integrācija darba tirgū ascii version

Latvia

 
DP Managing organisation : State limited liability company "Rigas psychiatry and narcolugy centre"
Other national partners : Latvijas Cilvēktiesību centrs
State limited liability company " Hospital "Gintermuiza"
State limited liability company "Aknīstes psihoneiroloģiskā slimnīca"
State limited liability company "Bērnu psihoneiroloģiskā slimnīca "Ainaži""
State limited liability company "Daugavpils psihoneiroloģiskā slimnīca"
State limited liability company "Strenču psihoneiroloģiskā slimnīca"
State limited liability company "Vecpiebalgas psihoneiroloģiskā slimnīca"
EQUAL theme :Employability - (Re-)integration to the labour market 
Type of DP :Sectoral - Specific discrimination and inequality problems 
DP Legal status :Non-profit making organisation 
DP identification :LV-1 
Application phase :Approved for action 2 
Selection date :08-12-2004 
Last update :24-05-2007 
Monitoring:  

Rationale

Text available in

The project "Integration of people with mental disturbances and psychiatric illnesses in the labour market" conforms to the priority of the European Commission (EC) EQUAL initiative to facilitate accessibility and opportunities of returning to the labour market for people who find it is hard to join or re-integrate themselves in the labour market, which shall be open for everybody.

The people with mental disturbances and psychiatric illnesses experience considerable problems with integration or returning to the labour market. This fact is evidenced by similar results acquired in various studies. Only 20% of hospitalised patients in psychiatric hospitals are employed, 13.7% of them are looking for a job but cannot find one (M. Caune, M. Taube, 2004), 14.6% of the total number of patients – 60,924 – work on irregular basis, 26.3% are supported by other people (M. Taube, V. Lace, 2003). The possibilities of integration in the labour market for the target audience of the project are related to the progress of their illness and specific approach is necessary.

The aim of the project is to create and test new support mechanisms that would allow the target audience of the project to integrate themselves in the labour market and expand the possibilities of these people to increase their competitiveness in the labour market. The main directions of project activities are: studies of the situation in psychiatric health care facilities in relation to the working skills of the patients and the actual application of these skills; exchange of experience with foreign partners; drafting of action programme for definite activities that have to be taken in psychiatric health care facilities that would improve the working skills of the target audience and facilitate the return of these people in the labour market; development of new political initiatives in relation to psychiatric health care facilities and their activities (medical treatment, early rehabilitation, social care, training courses of working skills, provision of jobs); proposals of amendments to the legislation (principles of funding, compulsory requirements for medical facilities, etc.), adaptation of infrastructure for the purpose of training of working skills; provision of jobs in psychiatric health care facilities.

The project involves psychiatric health care facilities whose day-to-day operations include treatment of mentally ill people and seeking of solutions to daily problems that these people encounter. The expected result of the project is improvement of the legislation that would allow establishment of new treatment and assistance types in psychiatry (medical treatment, social care, employment), improvement of working skills among people with mental disorders, acquisition of experience, detailed assessment of the situation. The target audience of the project is persons with mental disturbances and psychiatric illnesses.

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Objective

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The main objective of the project is to establish an employment system for people with mental disturbances and psychiatric illnesses in Latvia in connection with the mental health care sector and service providers.
To draft amendments to the legislation concerning employment of the target audience of the project.
To develop a system of provision of mental health care services that are related to employment.
To provide employment for people with mental disturbances and psychiatric illnesses



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Innovation


Nature of the experimental activities to be implemented Rating
Guidance, counselling ***
Training ****
Employment aids (+ for self-employment) ***
Training of teachers, trainers and staff ****
Improvement of employment services, Recruitment structures ***
Conception for training programs, certification ****
Anticipation of technical changes **
Guidance and social services ****
Awareness raising, information, publicity ***
Studies and analysis of discrimination features **

Type of innovation Rating
Process-oriented ***
Goal-oriented ***
Context oriented ****

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The main innovative element of the project is the development of a new approach to solution of questions related to employment of people with mental disturbances and psychiatric illnesses with an aim of improving the possibilities of this group of people in the field of employment. By now there has been no definite approach as to what would be the conditions (outpatient or stationary), amount and duration of work for these people. The innovative element of this project is provision of training of working skills, assessment and provision of work for people with mental disturbances and psychiatric illnesses in psychiatric health care facilities considering the status of their health, the progress of their illness and the practical connection between the education and working experience of those people.

Up to this date, there has been no political or legal base for employment of patients in relation to outpatient or stationary psychiatric health care service; the approaches used varied from region to region and from institution to institution. Already the first stage of the project envisages initiation of assessment of the situation in psychiatric health care institutions, while the second stage of the project envisages detailed studies of the situation, adaptation of the infrastructure necessary for the target audience to implementation of the activities, provision of work and remuneration for the target audience at psychiatric health care facilities, development of methods, political initiatives and proposals of amendments to the legislation, exchange of experience and assessment by foreign cooperation partners.

In the second stage of project, the studies will address the efficiency of use of the new service approach towards the target audience along with corrections in the project activities.

Another innovative element proposed in this project is establishment of an operational system of psychiatric health care facilities by distributing them according to the principles of their operation, namely, hospitals for acute cases and society-based care facilities in the residential area of their patients with definite role in provision of work and training courses of working skills. A system of circulation of persons with mental disturbances and psychiatric illnesses with an aim of better integration of these people in the labour market will be developed, too.

In the project, we will try to maximally use the existing resources of psychiatric health care facilities regarding the employment of people with mental disturbances and psychiatric illnesses in spite of the differences and inconsequence in the previous approach to this issue, as well as the uncertain situation concerning assessment, supervision function, succession, validity of amount, duration and legal liabilities of work, and the current offer of jobs and types of work.


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Budget Action 2

500 000 – 1 000 000 €

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Beneficiaries


Assistance to persons 
Unemployed  25.0%  65.0% 
Employed  5.0%  5.0% 
Others (without status, social beneficiaries...)  0.0%  0.0% 
  100.0% 
 
Migrants, ethnic minorities, …  0.0%  0.0% 
Asylum seekers  0.0%  0.0% 
Population not migrant and not asylum seeker  30.0%  70.0% 
  100.0%
 
Physical Impairment  0.0%  0.0% 
Mental Impairment  15.0%  35.0% 
Mental Illness  15.0%  35.0% 
Population not suffering from a disability  0.0%  0.0% 
  100.0% 
 
Substance abusers 0.0%  0.0% 
Homeless  0.0%  0.0% 
(Ex-)prisoners  0.0%  0.0% 
Other discriminated (religion, sexual orientation)  0.0%  0.0% 
Without such specific discriminations  30.0%  70.0% 
  100.0% 
 
< 25 year  5.0%  15.0% 
25 - 50 year  15.0%  45.0% 
> 50 year  10.0%  10.0% 
   100.0% 

Assistance to structures and systems and accompanying measures Rating
Gender discrimination **
Disabilities ****
Low qualification ***
Unemployment **

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Empowerment

 

 With beneficiaries

Participation
Promoting individual empowerment
Developing collective responsibility and capacity for action
Participation in running and evaluating activities

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Empowerment with participants in relation to the institutions involved in the project will be implemented through equal involvement of every institution who will perform equally significant work in the project. Only the amount of work will differ, because the institutions differ both in size and type of operation (hospitals for acute cases, hospitals for chronic cases, hospitals which are oriented towards the residential area and rehabilitation of their patients). The institutions will be equally involved in preparation of activities, assessment of results and formulation of political initiatives. Mutual supervision and control will be ensured also in assessment of the obtained milestone results both during the exchange-of-experience trip abroad, and during the visit of foreign experts to Latvia.

The project activities – establishment of system of professional evaluation of working skills, provision of training and maintenance of working skills, as well as job opportunities for people with mental disturbances and psychiatric skills – will provide this special group of people with much better opportunities to compete in the labour market and to receive better remuneration. This system will eliminate the threat of discriminatory attitude in the labour market. Discrimination in the labour market currently is directly related to the differences between people with mental disturbances and psychiatric illnesses and "regular" people. Mental disturbances and psychiatric illnesses deny these people to "fit in" the society and aggravate the insularity and sense of insecurity of these people; they feel uncomfortable and different from others. Establishment of the system of employment that is connected to the psychiatric health care service will facilitate gradual and less shocking involvement of the target audience in the common labour market, further the increase of working capacity of these people, eliminate the deterioration of the whole functioning of the system in relation the stressors in the labour market.


 

 Between national partners

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Basically, cooperation among applicants will be ensured though assignment of identical work tasks for each member of the group of applicant. This will motivate the applicants to consult among themselves, analyse and operatively eliminate the possible errors, coordinate their cooperation.

The cooperation and exchange of information among the applicants will be ensured by holding regular meetings, by going on a business trip abroad, by joint development of new policy aspects.

The applicants share several advantageous cooperation factors, namely, they already work in the mental health care sector, they have acquired experience of cooperation in assessment of the mental health service and discussion of health care methods. The members of the applicant group meet on a regular basis also outside of cooperation projects as they gather for meetings at the state non-profit limited liability company "Psihiatrijas centrs" SIA.

In the framework of this project, each institution will analyse the situation surrounding the project target audience regarding the opportunities of employment, availability of work and people's working skills. Thus, through involvement of the target audience and joint assessment of achievements together with cooperation partners, the problems of every particular region and specific group of the target audience will be identified. Each institution which participates in the project will provide work for the target audience, thus directly involving the target audience in implementation of this project. It will also allow for a professional assessment and adjustment of working methods and principles in every institution and every working place.

The project envisages regular visits of the project applicant to the participants of the applicant group to directly share information of the progress of the project, as well as assess the current achievements.



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Transnationality

 

 Linguistic skills

  • latviešu valoda
  • English
  • Deutsch

 Percentage of the budget for transnational activities

  • 7.0%

 Transnational Co-operation Partnerships

Transnational Co-operation Agreement DPs involved
4096 FREEDOM FR BRE-2004-43657
IT IT-G2-LOM-034

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Background

 

 Involvment in previous EU programmes

  • Nobody involved in A&E

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National Partners


Partner To be contacted for
State limited liability company "Rigas psychiatry and narcolugy centre" Design of the project
DP managing organisation
Monitoring, data collection
Transnational partnership
Latvijas Cilvēktiesību centrs
State limited liability company " Hospital "Gintermuiza"
State limited liability company "Aknīstes psihoneiroloģiskā slimnīca" Evaluation
State limited liability company "Bērnu psihoneiroloģiskā slimnīca "Ainaži""
State limited liability company "Daugavpils psihoneiroloģiskā slimnīca"
State limited liability company "Strenču psihoneiroloģiskā slimnīca"
State limited liability company "Vecpiebalgas psihoneiroloģiskā slimnīca" Co-ordination of experimental activities

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Agreement Summary

Text available in


Last update: 24-05-2007 dot Top


State limited liability company "Rigas psychiatry and narcolugy centre"


Tvaika iela 2
LV-1005 Riga

Tel:+371 67080112
Fax:+371 67222305
Email:rpnc@rpnc.lv

 
Responsibility in the DP: Design of the project
DP managing organisation
Monitoring, data collection
Transnational partnership
Type of organisation:Social services
Legal status:Semi-public organisation
Size:>250
NUTS code:Riga
Date of joining / leaving:03-09-2004 /

Text available in

In 1824, the oldest psychiatric health care facility in the Baltic states – "Aleksandra augstumi" was founded. Later on, the Riga psychiatric hospital was created. In 2000, it was transformed into state non-profit limited liability company "Psihiatrijas centrs". This institution provides health care services, rehabilitation, social care, organisational and methodical work. It is planned to transform the "Psihiatrijas centrs" into the "Garīgās veselības valsts aģentūra ". The experience in implementation of projects:
1. participation in the project of the World Health Organisation "Monitoring of mental health system and service", gathering of information;
2. participation in the EU IMPHA project "European platform for facilitation of mental health and prevention of mental illnesses". Planned costs: 4,500 euros; funding of IMPHA: 2,250 euros;
3. implementation of the Latvian Centre for Human Rights and Ethnic Studies (LCESC) and Soros foundation projects "Improvement of ambulatory assistance centre, facilitation of employment and support therapy for patients with mental illnesses in Riga" – USD 3,306; "Establishment of support groups for persons with suicidal tendencies after suicide attempt" – USD 11,997;
4. implementation of the project "Establishment of ergotherapy services" in the framework of the Mentor programme. Mentor funding – LVL 2,191;
5. participation in educational project together with Oberfranken district, Germany
6. participation in development, management, drafting of tasks and assessment of performance of foreign and local consultants in the subcomponent "Development of the mental health care system" of the World Bank's reform of the health care system



Contact person(s)

Name First name Phone E-mail Responsibility
Taube Maris +371 7080153 maris.taube@mental.lv research

Last update: 24-05-2007 dot Top


Latvijas Cilvēktiesību centrs

(LCESC)
Alberta 13
LV - 1010 Rīga

Tel:+371 7039290
Fax:+371 7039291
Email:office@humanrights.org.lv

 
Responsibility in the DP:
Type of organisation:Other
Legal status:Non-profit private organisation (including NGO...)
Size:Staff 10-50
NUTS code:Riga
Date of joining / leaving:28-06-2005 /

Contact person(s)

Name First name Phone E-mail Responsibility
Leimane - Veldmeijere Ieva +371 7039294 leimane@humanrights.org.lv research

Last update: 24-05-2007 dot Top


State limited liability company " Hospital "Gintermuiza"

(Gintermuiza)
Filozofu street 69
LV - 3008 Jelgava

Tel:+371 3026690
Fax:+371 3007126
Email:filozofu@apollo.lv

 
Responsibility in the DP:
Type of organisation:Other
Legal status:Public organisation
Size:>250
NUTS code:Zemgale
Date of joining / leaving:28-06-2005 /

Contact person(s)

Name First name Phone E-mail Responsibility
Čāčus Uldis +371 3022882 filozofu@apollo.lv research

Last update: 24-05-2007 dot Top


State limited liability company "Aknīstes psihoneiroloģiskā slimnīca"

(APNS)
"Alejas" Gārsenes pagasts
LV-5208 Jēkabpils

Tel:+371 5269448
Fax:+371 5269484
Email:aknistespns@apollo.lv

 
Responsibility in the DP: Evaluation
Type of organisation:Social services
Legal status:Semi-public organisation
Size:>250
NUTS code:Vidzeme
Date of joining / leaving:03-09-2004 /

Contact person(s)

Name First name Phone E-mail Responsibility
Gaibišele Nata +371 5269448 gaibisela@apollo.lv research

Last update: 24-05-2007 dot Top


State limited liability company "Bērnu psihoneiroloģiskā slimnīca "Ainaži""


Valdemāra iela 41
LV-4035 Ainaži

Tel:+371 4043273
Fax:+371 4043273
Email:ailona@tvnet.lv

 
Responsibility in the DP:
Type of organisation:Social services
Legal status:Semi-public organisation
Size:Staff 50-250
NUTS code:Vidzeme
Date of joining / leaving:03-09-2004 /

Contact person(s)

Name First name Phone E-mail Responsibility
Balode Ilona +371 4043338 ailona@tvnet.lv research

Last update: 24-05-2007 dot Top


State limited liability company "Daugavpils psihoneiroloģiskā slimnīca"

(PNS)
Lielā dārza street 62
LV-5417 Daugavpils

Tel:+371 5434906
Fax:+371 5451104
Email:dpns@dpns.gov.lv

 
Responsibility in the DP:
Type of organisation:Social services
Legal status:Semi-public organisation
Size:>250
NUTS code:Latgale
Date of joining / leaving:03-09-2004 /

Contact person(s)

Name First name Phone E-mail Responsibility
Sokolova Olga +371 5434906 dpns@apollo.lv data collection

Last update: 24-05-2007 dot Top


State limited liability company "Strenču psihoneiroloģiskā slimnīca"


Valkas street 11
LV-4730 Valka

Tel:+371 4731340
Fax:+371 4707215
Email:strenci@slimnica.apollo.lv

 
Responsibility in the DP:
Type of organisation:Social services
Legal status:Semi-public organisation
Size:>250
NUTS code:Vidzeme
Date of joining / leaving:03-09-2004 /

Contact person(s)

Name First name Phone E-mail Responsibility
Rodins Vitalijs +371 9441729 strenci@slimnica.apollo.lv research

Last update: 24-05-2007 dot Top


State limited liability company "Vecpiebalgas psihoneiroloģiskā slimnīca"


"Greiveri" Vecpiebalgas pagasts
Cēsu rajons
LV-4122 Cēsis

Tel:+371 4164245
Fax:+371 4164245
Email:vps@apollo.lv

 
Responsibility in the DP: Co-ordination of experimental activities
Type of organisation:Social services
Legal status:Semi-public organisation
Size:Staff 10-50
NUTS code:Vidzeme
Date of joining / leaving:03-09-2004 /

Contact person(s)

Name First name Phone E-mail Responsibility
KIldišs Gunārs +371 4164245 vps@apollo.lv research

Last update: 24-05-2007 dot Top



 
 
 
 

 
 
 
 

 
 
 
 
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Integration of people with mental disturbances in the labour market


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