Associaci Rauxa

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ASSOCIACIÓ RAUXA Barcelona - Spain Dra.
Mª Luisa Marín Puig
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Introduction
According to PNUD (1) more than a thousand
million people live in abject poverty. Great
pockets of poverty start to appear in our
privileged industrial society, that is, the so
called fourth world is born. It is estimated that
Europe has 53 million poor, of which 3 million
are homeless (2). Some approximate figures about
the number of homeless in some European cities
show how important this issue is. In London there
are about 15,000 in Paris 10,000 in Rome
about 6,000 in Madrid 4,000 (3). Barcelona has
approximately the same number of homeless as the
capital city of Spain. Many authors point out the
great proportion of health problems among the
homeless, alcoholism being the most common (4).
Even some researchers consider that alcohol
dependence is the main cause of the situations of
poverty and of people living in the fringes of
society(5). This type of population is a
heterogeneous group being very difficult to know
and take a census of them. They usually live on
the margin of social and health structures but on
the other hand they go to hospital emergency
wards generating high expenses. But a great
majority has never been seen. For all the
aforementioned, we believe that we must introduce
new formulae to seek and approach this group, at
least in the first phases. It is also necessary
to give long term response till they reach a
minimum autonomy. It is in order to give response
to this serious problem and palliate the extreme
situation of the derelict or chronic homeless in
Barcelona, that the ASSOCIACIÓ RAUXA, a non
profit organization basically run by volunteers,
was founded in 1989 .
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Awards

• Award Ciudadanía Asociación de Vecinos Dr. Robert
  (1991)
• Declared of Utilidad Pública by the Central
  Government (1997)
• Award Rafael Piñol (1998)
• Award Memorial Lluís Companys(1998)
• Award Nacional de Drogodependencias Reina Sofía
  (2000)
• Award de la Promoción de la Salud de Agrupació
  Mutua (2000)
• Selected by Voluntariado Internacional at the
  UNESCO meeting (2001)
• Selected as Good Practice Award Dubai de
  Naciones Unidas (2002)
• Award for the Human Values, Fundación Social
  Universal (2002)
• Award Voluntariat i Diversitat Cultural.
  Agrupació Mutua (2004)
• Selected as Best Practice Award Dubai de
  Naciones Unidas (2004)

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ASSOCIACIÓ RAUXA (1989)L Associació RAUXA is a
non profit organisation mainly run by volunteers,
which main objective is to alleviate the chronic
homeless, mostly alcoholics.

• Objectives
• To detect the homeless population. Establish an
  interpersonal relationship and provide
  information. Start a chronic alcoholism treatment
  according to the following phases
• First phase
• Offer of a new transition resource at street
  level, in order to stimulate motivation to start
  treatment FURGONETA RAUXA (RAUXA VAN), a van
  with six berths (January 1990).
• Second phase
• Offer of a social-health resource, where to
  carry out the treatment of alcoholic dependence
  ALBERGUE RAUXA (RAUXA SHELTER), an urban
  THERAPEUTIC COMMUNITY with 18 beds (February 1991)

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ASSOCIACIÓ RAUXA (1989)L Associació RAUXA is a
non profit organisation mainly run by volunteers,
which main objective is to alleviate the chronic
homeless, mostly alcoholics.

• Third phase
• Offer of a rehabilitation resource in order to
  reach a temporary or permanent autonomy and
  independence level with different degrees of
  protection PISOS RAUXA (RAUXA FLATS) (December
  1992)
• Forth phase
• Laboral reinsertion started in 1994. This has
  been developed for patients who establish or
  reestablish work habits. It takes place in a
  protected environment without alcohol, with a
  clear pathway.
• Fifth phase Discharge
• At the end of the treatment the patient has to
  be totally abstinent of any drug and alcohol as
  well as any addictive behavior and to have
  changed the style of life

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ASSOCIACIÓ RAUXA (1989)

• 1st PHASE FURGONETA RAUXA - VAN (January 1990)
• (Motivation Phase)
• OBJECTIVES
• Offer of six berths and blankets to spend the
  night.
• Contact and interpersonal relationship.
• Ameliorate personal hygiene (shower and clean
  clothes twice a week).
• Papers in order.
• Thorough medical checking (anamnesis, physical
  exploration, analysis, X-rays, PPD, OH history
  according to DSMIV criteria).
• Motivation to start OH treatment.

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2nd PHASE ALBERGUE RAUXA (February
1991)(Urban Therapeutic Community of Chronic
Alcoholism)

• OBJECTIVES
• Offer of a social and health resource with 18
  beds.
• Method treatment free of drugs and addictive
  behaviours.
• Alcoholism treatment
• Phases Detoxification, Getting out of the
  habit and Rehabilitation.
• Raising awareness of illness.
• Prevent relapses.
• Ameliorate hygiene.
• Develop everyday habits (cleaning, cooking and
  laundry).
• Prepare for labour market (Activities in Rauxa
  workshop or others)
• Adapted personal training.
• Administration of money.
• Stimulate leisure activities and personal hobbies.

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3rd PHASE PISOS RAUXARAUXA FLATS (December
1992) (Phase of social rehabilitation)

• OBJECTIVES
• Temporary or permanent offer of rented apartments
  for 3-4 people.
• Sharing a flat for therapeutic reinforcement
  patients must have the capacity to detect and
  report destabilisation symptoms of their own
  illness as well as the symptoms of their
  flatmates.
• Get the best value of their economic resources.
• Integration in the neighbourhood.
• Social rehabilitation

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4th PHASE Labour rehabilitationThis has been
developed for patients to establish or
reestablish work habits. It takes place in a
protected environment without alcohol. The
pathway is
a) Prelaboral workshop at the therapeutic
community about drawing and wood work. b) La
Terrasseta is a restaurant without alcohol
served elaboration ans service of 133 suppers
daily for people in poverty. Here the patient
initiated contact with work gradually. c) Rauxa
Cooperative takes care of the bar (alcohol and
tobacco free) at the superior School of Music of
Catalunya where meals are elaborated and served
for students and professors. Another line of work
is painting, mason work, etc. d) Preparation and
looking for external work (how to do curriculum
vitae, how to do work interview). e) Independent
work (how to manage with other workers, the
convenience of explaining ones illness or not,
to who and how, how to manage stress, to know how
to say no). Creation of own working place
through independent cooperatives.
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4th PHASE COOPERATIVA RAUXA (CO-OPERATIVE RAUXA)
(October 1994) (Phase of labour rehabilitation)

• OBJECTIVES
• Labour rehabilitation in an alcohol free
  environment .
• Therapeutic effect how to face everyday problems
  without alcohol.
• Multiplier effect in different aspects health,
  social and supportive.
• Motivate and gain new patients.
• LABOUR CO-OPERATIVE RAUXA S.C.C.L.
• September 1994
• Obtains by public announcement the operation of a
  social canteen in April 1995 till December 1998.
• Operates the canteen of two different high
  schools, both in Barcelona IES Salvador Seguí,
  since September 1998 and IES Berenguer de Palou
  (now Catalonia School of Music), since March
  2000.
• Painting, building (bricklaying), cleaning and
  general repairs.

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4th PHASE(Phase of labour rehabilitation)

• LA TERRASSETA, is a Cafeteria and Restaurant run
  by Associació RAUXA, opened in May 2000 .
• This Cafeteria Restaurant offers
• Daily menu, only at lunch time (bread and water
  included).
• Suppers for groups by appointment.
• Fruit juices, shakes, soft drinks and alcohol
  free beverages.
• and
• Daily meals, in the evening from 18h-21h, for
  133 persons in need.

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