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INVESTMENT PROJECTS IN THE FILED OF MENTAL HEALTH EXAMPLE OF USING SF IN MENTAL HEALTH REFORM IN CZECH REPUBLIC JAN PFEIFFER MENTAL HEALTH EUROPE DI PROCES IN CR • Development of community services as alternative to institutional service for all type of disability group after 1990. • 2007- Reform of social care law and adaption of strategy of support of transformation of social care institution. • I. faze (2009-2013) 32 institutions involved, with the capacity 3 800 clients ( from total capacity of 16 000). • II. faze from 2014 more then 40 institutions involved. • ESF supported by National Transformation Centre (1,5 mil Euro) (trainings, methodology, evaluation) • ERDF supported investment to community SUPPORT OF TRANSFORMATION BY SF Capacity building ESF ( 5 mil) Methodology and standards Monitoring and evaluation Complex DI process ERDF( 50 mil) Infrastructure developments MENTAL HEALTH CARE REFORM HISTORY OF REFORM • 1990 Development of community service by mainly NGO • 1993 First national conference about mental health care reform • 1994 Pilot projects of comprehensive community service network • 1995 Establishment of National Centre for Mental Health care Development • 1998 Mental health care strategy • 2013 Strategy of Mental Health Reform • 2014 Starting of working groups AIM OF THE REFORM • Implementation of human right as a main target • Moving resources from institutions to the community • Development of comprehensive system • Development of multidisciplinary outreach –community based teams • Changing financing • Training of new skills • Quality standards and system of its monitoring SF SUPPORT OF THE REFORM ESF ERDF investment Transformation plans of hospitals Regional plans Support of Community Centres EFFECT OF SF • Helping with the focus on the problem • Facilitation of the national dialogue • SF regulation support changing of thinking • Important signal for the stake holders • Mobilization of the resources • Stimulation of the process