Madrid samurSOCIAL Service:

Perspective of Street Teams

Rubén Andreo CánovasJosé Antonio Hernández Mondragón

Madrid samurSOCIAL Service:

Perspective of Street Teams

Rubén Andreo CánovasJosé Antonio Hernández Mondragón

SAMUR SOCIAL STREET TEAM ORGANIZATIONAL CHART

SAMUR SOCIAL STREET TEAM ORGANIZATIONAL CHART

EMPLOYMENT AND CITICEN SERVICES AREA(Madrid Council)

SAMUR SOCIAL, Homeless and Social Rehabilitation Department

SAMUR SOCIAL Central 112/900. 100. 333

MOVIL UNITS STREET TEAMS

RESOURCE NET

#TEAM TURN STAFF DISTRICTS

1 M 1 S.W. + 1 AUX. 7,8,9

2 T 1 S.W. + 1 AUX 7,8,9

3 M 1 S.W. + 1 AUX.1,3,4,13,14,

18,19

4 T 1 S.W. + 1 AUX.1,3,4,13,14,

18,19

AREA DISTRIBUTION AND STAFF OF STREET TEAMS

AREA DISTRIBUTION AND STAFF OF STREET TEAMS

5 M 1 S.W. + 1 AUX.5,6,15,16,

20,21

6 T 1 S.W. + 1 AUX.5,6,15,16,

20,21

7 M 1 S.W. + 1 AUX.1,2,10,11,

12,17

8 T 1 S.W. + 1 AUX.1,2,10,11,

12,17

8

2116

1

7

2

4

314

6

5

1520

1213

11

9

10

1718

19

1

Improve/guarantee social atention for citicensImprove/guarantee social atention for citicens

Atent social emergencies and homeless at streets Atent social emergencies and homeless at streets

Assess homeless reality Assess homeless reality

Identify locations and environment of these groupsIdentify locations and environment of these groups

Analize their necessities to design resourcesAnalize their necessities to design resources

Analize characteristics to design intervention modelsAnalize characteristics to design intervention models

GENERAL OBJECTIVESGENERAL OBJECTIVES

Atent social emergencies (individual and colective) at street 24 hours/day, 365 days/year.

Atent social emergencies (individual and colective) at street 24 hours/day, 365 days/year.

Users Follow up Users Follow up

Homeless precosious detection/asistanceHomeless precosious detection/asistance

Give information about/advice on/derive to other resources (health, social services, ...)

Give information about/advice on/derive to other resources (health, social services, ...)

Give fast response to any social necessity at streetGive fast response to any social necessity at street

Make other interventions asked by Police, City Hall Social Services technicals...

Make other interventions asked by Police, City Hall Social Services technicals...

Improve Quality of life and habitsImprove Quality of life and habits

SPECIFIC OBJECTIVESSPECIFIC OBJECTIVES

Homeless

Homeless

Lost peopleLost people

Adults on mendicacyAdults on mendicacy

ChildrenChildren

Mental disordered, people and/or substance abusersMental disordered, people and/or substance abusers

Inmigrant and foreigner peopleInmigrant and foreigner people

Just arrived or people on transitJust arrived or people on transit

Women victim of violenceWomen victim of violence

USERSUSERS

User agreement

User agreement

ConfidentialityConfidentiality

Respect to his/her time and freedomRespect to his/her time and freedom

Unconditional acceptanceUnconditional acceptance

No value juzgmentNo value juzgment

Rationality/ObjectivityRationality/Objectivity

Good rapportGood rapport

Emotional controlEmotional control

Human and citicen rights guaranteeHuman and citicen rights guarantee

CRITERIA FOR INTERVENTION WITH HOMELESS CRITERIA FOR INTERVENTION WITH HOMELESS

INTERVENTION PROCESSINTERVENTION PROCESS

Time

Initial contact

Initial contact

• Detection

• Approach

• Introducing

• Detection

• Approach

• Introducing

• 1st Interview

• Assessment/ (Prognosys/ Diagnosys)

• Individual Intervention Planning (goals)

• Later Follow up

• 1st Interview

• Assessment/ (Prognosys/ Diagnosys)

• Individual Intervention Planning (goals)

• Later Follow up

• Reject Intervention and/or Resources

• Assessment:Mental Health disorders

No Mental Health disorders

If no risk, interventions are delayed

• Reject Intervention and/or Resources

• Assessment:Mental Health disorders

No Mental Health disorders

If no risk, interventions are delayed

Later Contacts

Later Contacts

• Individual intervention Plan developement

• Social Support• Follow up (“Entailment”)

• Mental Disease YES: MHT (Homeless) C.M.

• Older than 65 + MHD: Elderly on Risck Team

• Assesment (Intervention, derivation or close)

YesYes

NoNo

Does accept?

Flexibility to reactions and acts Flexibility to reactions and acts

Creativity and personal resources development Creativity and personal resources development

Active listenning, silences respect Active listenning, silences respect

Interview:Linear, round and reflexive questions Interview:Linear, round and reflexive questions

Reinforcement and positive attidues to change Reinforcement and positive attidues to change

Low Threshold (professional and user intervention) Low Threshold (professional and user intervention)

Motivation (professional ant to user) Motivation (professional ant to user)

Improve user participation and implication in process

Improve user participation and implication in process

INTERVENTION STRATEGIESINTERVENTION STRATEGIES

Detection SAMUR SOCIAL Street Teams

STREET TEAMS TO MENTAL HEALTH TEAM DERIVATION PROCESS

STREET TEAMS TO MENTAL HEALTH TEAM DERIVATION PROCESS

Social AssessmentReport

Derivation MHT

New case forCoordination group

Lodging, Documentation, other resources...

Diagnosys, treatment, mental sick conscience...

Individual Assessment andintervencion socio-health Plan

SAMUR SOCIALSTREET TEAMS MHT Homeless

 

 DIFFICULTIES IN INTERVENTION WITH

HOMELESS PEOPLE

DIFFICULTIES IN INTERVENTION WITH HOMELESS PEOPLE

Social aspects

Social aspects

Street andenvironment

Street andenvironment

Help regectionHelp regection

ResourcesResources

Administrative tasksAdministrative tasks Social isolation Social isolation

LanguajeLanguaje

Citicen attitude Citicen attitude

Interagencyco-ordination

Interagencyco-ordination

 

 

Psico-health

aspects

Psico-health

aspects

Basic necessitiesBasic necessities

FoodFood

Illegal substancesabuse

Illegal substancesabuse Clothes, hygienic Clothes, hygienic

Alcohol abuseAlcohol abuse

Mental diseaseDual Pathology

Mental diseaseDual Pathology

DIFFICULTIES IN INTERVENTION WITH HOMELESS PEOPLE

DIFFICULTIES IN INTERVENTION WITH HOMELESS PEOPLE

CHRONIC HOMELESS PEOPLE PROFILECHRONIC HOMELESS PEOPLE PROFILE

• Most of them use to sleep at streets• Most of them use to sleep at streets

• Most are involved on mendicacy [active or passive]• Most are involved on mendicacy [active or passive]

• No connectios with Social, Health service nets• No connectios with Social, Health service nets

• No social or familiar bonds• No social or familiar bonds

• Unprotected mental health people (+dual pathology)• Unprotected mental health people (+dual pathology)

• Strong addictions (alcohol or illegal substances abusers)• Strong addictions (alcohol or illegal substances abusers)

• Poverty and very hard material conditions• Poverty and very hard material conditions

• Institutional rejection • Institutional rejection

• Not interest or lack of spectative on RMI and other income resources• Not interest or lack of spectative on RMI and other income resources

Fuente: Informe “Personas sin techo en Madrid” – Marzo de 2003.Pedro José Cabrera y Maria José Rubio

Red de Recursos para PSHRed de Recursos para PSH

Equipos de Calle de Samur Social (Ayto. Madrid) Centro de Baja Exigencia “Puerta Abierta”(Ayto.Madrid) Centro Abierto (Ayto. Madrid) “Campaña del Frio” Marzo-Noviembre (Ayto. Madrid) Equipo de Salud Mental para PSH (C.A.M.) Fundación RAIS Asociación Realidades Voluntarios (Solidarios para el Desarrollo, Amauta…)

Equipos de Calle de Samur Social (Ayto. Madrid) Centro de Baja Exigencia “Puerta Abierta”(Ayto.Madrid) Centro Abierto (Ayto. Madrid) “Campaña del Frio” Marzo-Noviembre (Ayto. Madrid) Equipo de Salud Mental para PSH (C.A.M.) Fundación RAIS Asociación Realidades Voluntarios (Solidarios para el Desarrollo, Amauta…)

MEN: San Juan de Dios Santa María de la Paz San Martín de Porres

WOMEN/MEN: Centro de Acogida San Isidro (CASI) Hogar Jesús Caminante CEDIA (Centro de Noche) Albergue “Misioneras de la Caridad”

WOMEN AND CHILDREN: Apostólicas del Sagrado Corazón de Jesús

MEN: San Juan de Dios Santa María de la Paz San Martín de Porres

WOMEN/MEN: Centro de Acogida San Isidro (CASI) Hogar Jesús Caminante CEDIA (Centro de Noche) Albergue “Misioneras de la Caridad”

WOMEN AND CHILDREN: Apostólicas del Sagrado Corazón de Jesús

CASI Luz Casanova Santiago Masarnau Santa María de la Cabeza Hermandad del Refugio Ave María

CASI Luz Casanova Santiago Masarnau Santa María de la Cabeza Hermandad del Refugio Ave María

RAIS REALIDADES

RAIS REALIDADES

Rincón del encuentro (RAIS) Realidades CEDIA San Vicente de Paúl San Martín de Porres, CASI, etc.

Rincón del encuentro (RAIS) Realidades CEDIA San Vicente de Paúl San Martín de Porres, CASI, etc.

Specific Resources

Specific Resources

General Resources

General Resources

HomelessHomeless

LODGINGLODGING

DINNINGROOMS

DINNINGROOMS

INCOMING POLICIES

INCOMING POLICIES

OTHER SERVICESOTHER SERVICES

CLOTHESCLOTHES Parroquias, Centros privados, etc. Parroquias, Centros privados, etc.

THANK YOU FOR YOURATTENTION

THANK YOU FOR YOURATTENTION