TRINNODD

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• TRINNODD
• TRansfer of INNOvation on Dual Diagnosis
• (LU/08/LLP-LDV/TOI-156002)

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1. Introduction

• TRINNODD is a 2-year Transfer of Innovation
  Project funded by the Leonardo da Vinci Lifelong
  Learning Programme (2008-2010).
• What do we want to transfer ?
• The project aims to transfer the results of a
  previous project funded by the European
  Commission and entitled TRIADD, to new contexts
  and countries. This former project developed
  training modules on the theme of Dual Diagnosis
  (mental illness and intellectual disability).
• In the TRIADD project, the partnership conducted
  surveys into staff training needs, researched
  resources useful to staff, devised a number of
  training courses to address these needs,
  delivered these 3-day training courses based on
  real case studies, circulated a follow-up
  questionnaire to trainees and set up a website
  offering resources to staff in English and
  French. www.triadd.lu
• The TRIADD conclusions and recommendations are
  the starting point of the TRINNODD project and
  will help the partnership design the new modules.

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2. Key goals

• The aims of this new project are the following
• Make a link between the recent research results
  and the concrete experience of frontline staff
• Develop a new and interactive training material
  with the help of research partners
• This training material will focus on the needs
  of users and on the improvement of their quality
  of life
• Transfer this new training product to new target
  groups and in new geographical and cultural
  realities
• Develop an evaluation tool to measure the short
  and long-term impact of the training modules

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3.Main phases of the project

• WP 1 ANALYSIS OF STAFF AND USERS NEEDS IN NEW
  TARGET COUNTRIES
• Ascertain the needs of staff and users as to how
  to deal with Dual Diagnosis in new partner
  countries (Portugal, Romania, Spain, Italy)
• WP 2 DEVELOPMENT OF TRAINING MODULES
• Develop a training module in every new partner
  country.
• Draw on the results of WP1 and on TRIADDs
  conclusions, as well as on recent research
  results brought by our partners from SIRM and
  AEECRM (associations for the scientific study of
  mental retardation).
• WP 3 TESTING THE TRAINING MODULES
• Test the new training modules on target groups
  in PT, RO, IT, SP

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• WP 4 EVALUATION OF TRAINING MODULES
• The pedagogical incidence and the impact on
  staff work will be assessed in three steps 
• Evaluation of the impact on the training
  directly after the training session.
• Evaluation of the impact of the training 6
  months after the training session.
• Final evaluation of the level of satisfaction of
  users and their families and of the quality of
  life of professionals, users and their families.
• The impact of the training will be assessed
  according to the social, organisational and
  political context of each staff member.
• These evaluations will be carried out through
  informal interviews, work in progress
  discussions, written reports.

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• WP 5 PROJECT COORDINATION AND EVALUATION
• Regular coordination meetings in the different
  partner countries
• Teleconferences
• Communication/ follow-up with partners by e-mail
  and telephone
• The internal evaluation is being carried out by
  the coordinating partner (APEMH) and by SIRM
• The external evaluation is being carried out by
  an external consultant

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• WP 6 VALORISATION PLAN DISSEMINATION AND
  EXPLOITATION OF RESULTS
• Valorisation activities will be carried out
  during the whole lifetime of the project.
• An important budget amount will be devoted to
  the valorisation plan, in order to reach as many
  target groups as possible.
• The products planned for valorisation are the
  following 
• In one of the first coordination meetings,
  partners will focus on the update of the TRIADD
  website, since this project is a  Transfer of
  Innovation , a transfer of the TRIADD results to
  new realities. The new website -in French and
  English- will be regularly updated.
• A newsletter presenting the project aims and
  progress will be printed and disseminated among
  partners halfway and 6 months before the final
  conference.

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• A brochure and CD-Rom with the project outcomes
  and recommendations will be published at the end
  of the project
• A final dissemination conference will be
  organised in Romania. This will be an excellent
  opportunity to disseminate the project and the
  recent evolutions in the disability field in a
  new member country.
• The new training modules will be available for
  dissemination via the partnership and on the
  website.
• Each partner will publicize the project results
  in their own country, and also through their
  European and international network.
• Project delegates will represent the partnership
  in the MH-ID international conference in
  Amsterdam in September 2009 http//www.amsterdamco
  ngress2009.org/Welcome.html
• Last but not least, the project coordination
  team will think about new ways of disseminating
  the project results  ie a one-day meeting to
  share good practices with service providers,
  presentations in training centres for social
  workers (to be discussed).

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4. Outputs so far

• WP 1 Analysis of staff and users needs
• The surveys carried out in Portugal, Spain,
  Romania, Italy and Luxembourg were presented in
  the partners meeting in Lisbon in February 2009.
• In Portugal 128 questionnaires were filled in
  by professionals (56), family members (31) and
  people with disabilities (41). The surveys
  expressed the need for training on basic notions
  of DD, sex education, quality of life, personal
  growth and development, leisure time.
• In Italy 61 questionnaires were answered by 31
  professionals, 30 family members, 3 persons with
  disabilities. The topics that could be more
  useful in their daily work with people with
  disabilities would be technical knowledge of
  Dual Diagnosis, interpersonal skills, better
  knowledge of Dual Diagnosis, communication
  techniques.

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• In Romania It is important to note that the
  Quality of Life concept is new in Romania.
  Support workers show a lack of motivation to
  teach families how to take care of people with
  Dual Diagnosis as they are themselves
  dissatisfied with their own lives. When answering
  the questionnaire, staff members said that the
  most useful topics for training would be
  communication techniques, nursing /care,
  supervision.
• In Spain 105 questionnaires were filled in by
  54 support workers, 51 families and 6 users.
  Problem solving, types of treatment and stress
  management were among the topics needed for
  training.

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• In Luxembourg No training is foreseen in
  Luxembourg with the TRINNODD project  however
  the questionnaires were distributed among staff
  within Apemh  - notably those who already
  followed the TRIADD module a few years ago. A
  total of 76 people were contacted. 7 completed
  questionnaires were returned (9,21). The
  questionnaires were answered mainly by women
  whose current occupation is Aide socio
  familiale. The topics more useful in their daily
  work with PDD would be communication,
  difficulties of co-operation between people with
  DD and people with a psychiatric disorder and no
  mental disability. The topics for training that
  staff would need life-span approach, basic
  knowledge of DD, psychiatric disorders, knowledge
  of the symptoms, communication.

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• WP2 Development of training modules
• The synthesis of the needs assessment (WP1), the
  TRIADD guidelines/conclusions/ recommendations
  and the results drawn from recent research
  studies were the starting point to develop the
  new training modules.
• The aim was to develop a training module that
  would raise the interest and curiosity of the
  professionals on the subject. This training
  should be an ongoing process, with preparation
  before the session and after it. Professionals
  will be made more aware of the concept of Quality
  of life (this concept is different in Romania and
  Italy, for instance).
• Staff should be very much engaged in the
  training sessions which, in order to be most
  effective, should reach them personally, through
  concrete cases that will have a real impact.

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• A draft proposal was designed by partners as a
  common framework addressing a number of issues
  identified within the partnership. Within this
  framework, the following subjects were identified
  as recommendations for the development of
  training courses
• ?Consider 4 main innovative dimensions
  (emotional-technical-methodological-quality of
  life approach)
• ?Learn to detect early warning signs
• ?Preparatory work of trainees before the
  training session
• ?Interactivity during the training session
• ?Involve psychiatrists in the training session
• ?Effective communication between staff members
  and with families
• ?Provide general recommendations on how to apply
  pharmacological intervention
• ?Give trainees precise reference points to
  interpret and assess Challenging Behaviour

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• WP3 Testing the training modules in 4 partner
  countries
• Partners are currently developing the modules
  and setting up the pre-training and the training
  session in their respective countries.
• The Italian module will be delivered in
  September and December in Florence and Modena (2
  days)
• Trainers La Malfa, Bertelli, Lassi, Ruggierini
• The Portuguese module will take place in
  November
• Trainers Gonçalves and a local psychiatrist
• The Romanian module is scheduled in October,
  November and December (2 days)
• Trainer Popovici
• The Spanish module is planned in September (2
  days)
• Trainers to be confirmed

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5. Partnership

• AEECRM -Spain
• APEMH -Luxembourg
• CTESRL -Italy
• FENACERCI-Portugal
• SIRM -Italy
• UCOS -Romania
• ARFIE -European NGO

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6. Practical information

• Contact details
• Véronique Lafontaine (APEMH)
• E-mail trinnodd_at_trinnodd.eu
• Raymond Ceccotto (APEMH)
• E-mail raymond.ceccotto_at_apemh.lu
• Visit our website
• www.trinnodd.eu