Situation in Sweden Short term projects – driven by ”fire souls” Supported Employment – break through Growing interest and committment to user influence in developing program Case managers

Patient’s rights The right to get individualised information that is easily understood The right to tell your doctor what kind of treatment you think you need The right to read the medical report The right to decline treatment The right to second opinion

Obstacles Bureaucracy Complex regulations Lack of shared responsibility and flexibility Difficulties entering the labour market

Evidence Based Practice The Institute for Method development in Social Work has established to develop evidence-based models to support the local governments

Indicators Research ”Word of mouth”

Research results Employers expressed a humanitarian viewpoint Importance of a supporting workplace environment The workplace is presented as a complicated interaction A variety of strategies for support

Research results All of the employers answered that they would continue to accept individuals with psychiatric disabilities Many of the employers saw the client as a productive member of the team and with great potential An extremely common reflection involved the employers and co-workers experience of having learned something about the human aspect of struggling with disability and rehabilitation

Research results Employers sees the need for additional subsidies and supports to help both the client and the employer Clear expectations are seen as essential in the initial phase of the job placement process The most satisified employers had a regular contact with the program staff.

Research results Employers appreciate the opportunity to meet and share experiences

Samrehab - program ”The evidence is overwhelming that little or no relationship exists between type of symptom and rehabilitation outcome” William Anthony Relationship based on confidence Awareness of the rehabilitation process

Samrehab - program Rehabilitation readiness (Farkas, Soydan, Gagne) Willingness and commitment to change Readiness changes over time Readiness is environmentally specific Readiness assessment involves the person during the process Readiness assessment is not intended to exclude people from the rehabilitation process

Samrehab program ”The Growing Place” – A 10 week group activity Individual coaching and support

Quotes ”It feels more like I’m on my way somewhere now” Samrehab client ”I’ve discovered that with help to choose reasonable goals I can begin to take small steps” Samrehab client ”In the end it can be those who struggled most, took a lot of energy, and were most uncertain, who have come furthest…those you had least conficence in the beginning can be the most successful” Samrehab personnel

Samrehab Coordinating resources around the needs of the individual Work at all levels of the system - political - service coordination - support to the user in a work or study environment

Vision The vision on wich the method is based on is… …to strive for a more spaciously and healthpromoting labour-market in a lasting society with a quality of life where there are room for everyone to participate and having a sense of connection.

Recovery - Sundsvall Self-chosen environment Recovery groups Methodology from Boston

Recoverygroups Pedagogical learning The participant becomes a specialist on his/her own recovery Participants often helps each other, using their own recoveryskills Home alike atmosphere and environment Time for reflection and questions

Book about mental health and recovery Part one Recovery – What is it ? Hope Set goals The phase of rehabilitation Connecting to your self Develop self-care Develop personal acceptance Stress-symptom, genesis, strategy Skills What is values ? Roles Environments Part two Exercises Part three Stories of recovery

How to get through Trust Humor Openess Support Co-operation Awards

Early one morning a man was walking along the beach, watching the ocean waves breaking on the shore, and he saw a most unusual thing. He saw that the beach was littered with thousands of starfish that had been washed up on shore and were dying in the sun. Far down the beach in the distance, he could see a young woman picking up starfish and throwing them back in the ocean, one at a time. When he was close enough to her to be heard above the waves the man said, - You´re wasting your time. There are thousands of starfish here. You can´t possibly make any difference. The young woman reached down, picked up a starfish, and threw it as far as she could, back into the sea. - I made a difference to that one!