Cooperation of City Government and non-governmental organizations

1
Cooperation of City Government and
non-governmental organizations

• Ene Tomberg
• Tallinn Social and Health Care Board

2
Social-political influences on voluntary work

• The responsibility for the persons coping first
  of all lies on the relatives and friends.
• If no help is provided by the family and state
  support, the person may seek assistance from the
  voluntary organizations.
• The state is the last to interfere in the
  solution of the problem.
• The voluntary organizations are large primarily
  in the field of healthcare (Germany, Italy,
  France)

3
Liberal model

• The state guarantees minimal coping and
  indispensable services.
• People acquire the securities they consider
  necessary.
• The state tries to decrease the monopoly as the
  provider of services, offering to the voluntary
  organizations the substitute role (USA, Australia)

4
Scandinavian model (socio-democratic)

• Social policies are connected to the place of
  residence.
• To an increasing extent, the state is responsible
  for the security by collecting the taxes, out of
  which the social and healthcare services are
  provided.
• The discounts and services are meant for
  everyone.
• The voluntary organizations receive support from
  the state, but preserve independence.
• Affect the public opinion (Sweden, Norway,
  Finland).

5
For supporting children

• Some municipal institutions
• Social welfare department acquires social
  services from the NGOs.

6
Psychological services

• Psychological advice in solving problems
• problems in the family
• at parenting
• childrens behavioural problems
• problems at school, incl. school violence
• depression
• anxiety
• psychosomatic problems

7
Crisis counselling

• Following the catastrophe of the ferry Estonia
  in 1994, Tallinn Crisis Counselling Center was
  established, which performed the psychosocial
  rehabilitation.
• Since 2001, the crisis counselling services are
  acquired from the NGOs, primarily from MTÜ
  Eluliin/NGO Lifeline.

8
Assistance acquired from NGOs

• MTÜ Eluliin Psychological crisis and addiction
  counselling service in the amount of 7832 hours
• MTÜ Eluliin family counselling and therapy
  service in the amount of 606 hours
• MTÜ Liikumispuudega Laste Tugiühing/NGO Support
  Association of Children with Movement
  Disabilities psychological counselling service
  for their families in the amount of 88 hours
• MTÜ Vaimupuudega Inimeste Tugiliit/NGO Support
  Union of Children with Mental Disabilities
  supervision service for the employees working
  with the clients in the amount of 20 hours

9
Psychological counselling and practical help for
families

• counselling of families from risk group
• families having conflict situation at home
• young people starting independent life.
• The counselling includes social and practical
  matters.

10
Work in day care centers (2)

• children can spend their time after school
• they are provided with meals
• psychological counselling and assistance at their
  homework
• the centers help to restore the relationships
  between home and school.

11
Support person service for children

• Children aged 7-14 of the families belonging to
  risk groups can get support person service during
  12 months.
• 40 children a year get a support person who works
  on a voluntary basis and who has completed a
  relevant training course.
• Annual supervision

12
Shelter service for children and for mothers with
children

• 3 shelters for children (number of places 42)
• 2 shelters for mothers and children (13 mothers
  children), 1 is managed by NGO

13
Assistance to disabled persons

• The closest partner is Tallinn Chamber of
  Disabled Persons
• involved in the operation of the disabled
  persons commission
• involved in the operation of the public
  procurement commission for the acquisition of
  services
• involved as experts into the inspection of
  different projects

14
Contracts with NGOs

• Support person service 6 contracts with 4
  organizations
• Services of the Labour and Implementation Center
  4 contracts with 4 organizations
• Counselling services 7 contracts with 7
  organizations
• Daily activities and day care for disabled
  persons
• Support services for the families of disabled
  persons 5 contracts with 4 organizations (sign
  language courses, organization of camps for
  disabled children)
• Support of activities of 19 organizations with
  the total of 15 mln. kroons

15
Acquisition of technical aid from NGOs

• hearing aids 980 327 kr
• seeing aids 110 000 kr
• aids for persons with movement disabilities
  270 000 kr
• incontinence products 670 000 kr
• prosthetic breasts 100 000 kr

16
Cooperation with NGO Chernobyl Association

• Annual total costs 1 mln. kroons
• The Association keeps the veterans list, and
  provides information and consultation to them.
• They are provided dental care service in the
  amount of 3000 kr, sanitary care service in the
  amount of 3000 kr, acquisition of spectacles in
  the amount of 1000 kr from the city budget
• sauna service

17
PREVENTION AND TREATMENT OF DRUG ADDICTION IN
TALLINN
18
BASE DOCUMENTS

• NATIONAL STRATEGY OF DRUG PREVENTION FOR 2002 TO
  2012
• NATIONAL PROGRAMME FOR THE PREVENTION OF HIV/AIDS
  FOR 2002 TO 2006
• STRATEGY OF DRUG PREVENTION IN TALLINN FOR 2002
  TO 2007

19
INDICATORS INFLUENCING DRUG DEMAND

• AVAILABILITY
• PUBLIC OPINION
• SOCIAL CONTROL
• ROLE MODEL IMAGE IN YOUTH GROUPS
• ALTERNATIVE TEENAGE ACTIVITIES - LEISURE TIME
  ACTIVITIES
• AWARENESS IN MAKING CHOICES
• SOCIAL ACKNOWLEDGEMENT TO PERSONS

20
HIV IN ESTONIA AND TALLINN

• BY SEPTEMBER 1, 2004 THERE WERE DETECTED 4196 HIV
  CASES IN ESTONIA
• JANUARY 01 - SEPTEMBER 01, 2004, 497 NEW HIV
  PEOPLE WERE DETECTED, 177 (35,6), LIVING IN
  TALLINN.
• DURING 2003, 840 NEW INFECTIONS WERE DETECTED IN
  THE COUNTRY, 323 (38,5) IN TALLINN RESIDENTS.

21
PRIORITIES FOR 2004

1. EXPANSION OF DRUG USE PREVENTION ON LOCAL
   GOVERNMENT LEVEL.
2. FACILITATING SUPPORTIVE ENVIRONMENT.
3. DEVELOPMENT OF HARM REDUCTION, DRUG ADDICTS
   TREATMENT AND REHABILITATION.

22
DRUG AND HIV/AIDS PREVENTION IN 2004

• FINANCED 34 PROJECTS FOR THE TOTAL OF 4,400,000
  EEK

23
PROJECTS SUPPORTED

• PREVENTION ACTIVITIES 19
• COUNCELLING 3
• LEGAL AID 1
• REHABILITATION 9
• OTHERS 2

24
CHILDREN AND YOUTH ADDICTION TREATMENT DEPARTMENT

• TALLINN CHILDRENS HOSPITAL - 41 BEDS
• PSYCHIATRIST, SOCIAL WORKER, CLINICAL
  PSYCHOLOGIST, GENERAL PRACTITIONER, TEACHERS AND
  NURSES.
• 9-15 YEAR OLDS MOST OFTEN
• TREATMENT PLAN
• INVOLVING FAMILY OR SUPPORT GROUP
• 50 OUT-PATIENTS PER MONTH, 20 OF THEM NEW CASES
• 3,16 MILL. EEK PAID BY THE CITY IN 2004

25
CHILDREN REHABILITATION

• TALLINN CENTER FOR
• CHILDREN AT RISK
• MEDICAL, PSYCHOLOGICAL AND PEDAGOGIC
  REHABILITATION THROUGH
• WORK EDUCATION (WOOD WORKSHOP HANDYCRAFT)
• CHILDREN STAY AT NÕMME CENTRE FOR 10 - 12 MONTHS.
• CENTRE CAN HOST 32 CHILDREN (10 FOR GIRLS, 22 FOR
  BOYS) LILLEKÜLA CENTRE FOR 16

26
TREATMENT OF DRUG ADDICTS

• DURATION OF TREATMENT 1 TO 6 MONTHS
• FOLLOWED BY A SELF- HELP GROUP AT REHABILITATION
  CENTRE

27
METHADONE REPLACEMENT FOR DRUG ADDICTS

• AADRESS KOPLI 75A
• TEAM WORK 10 EMPLOYEES
• ONCE A DAY
• COUNSELLING
• 30 ADDICTS PLANNED AT A TIME
• CITY PAID 2 mill EEK IN 2004