Cape Mental Health “Leave no-one behind” Meeting the mental health needs of those most vulnerable

Annual review 2017 • 2018 Contents

Mission 1 Beyond Life Esidimeni Tributes 2 Our mission Leave no-one behind – 3 is to provide or facilitate comprehensive, proactive and enabling From the director’s desk mental health care services in the . We are committed Mental Health Ambassador Awards 5 Corporate Awards to challenging socially restrictive and discriminatory practices affecting the mental health of all people. Our work is underpinned Partnerships promoting 6 inclusion and equity by a commitment to quality, excellence and professionalism. SDG profile for CMH 7 CMH service-users’ profile 8 Rural outreach and Eden Karoo 9 service expansion “The most neglected Prioritising inclusion and quality education 11 Beyond Life Esidimeni for children with disabilities aspect of health care n 2016 the Gauteng Department of Health moved 1 711 people Promoting inclusion opportunities for 12 is that of mental with mental disability from Life Healthcare Esidimeni homes into adults with intellectual disability Iunregistered and unsuitable NGOs in an attempt Career Pathway planning for people with 13 health care. It is to deinstitutionalise the care of patients. intellectual disability ignorance, apathy, This ill-conceived and chaotic move resulted in the death of at Psychosocial Rehabilitation – A best 15 least 144 patients, the disappearance of 44 or more whose fate practice model for deinstitutionalisation stigma, discrimination is still unknown, and 1 418 severely traumatised. Strengthening self-advocacy 16 and lack of will that by service users The government has compensated 134 claimants with more Discovering the World in Bochum result in people with than R159 million in Constitutional damages, in accordance with a March 2018 ruling by the retired Deputy Chief Justice Staff snapshot as at 31 March 2018 17 mental disability being Dikgang Moseneke. Employee and volunteer numbers 18 amongst those who are But there can be no real restitution for the violation of human Board Members most left behind.” rights suffered by the patients and for the pain inflicted on their Contact Us 19 families. There can only be our collective commitment to ensure Credits that there will never be another Life Esidimeni tragedy.

01 | cape mental health annual review 2016/17 Remembering Prof. Mandla Tshabalala

ape Mental Health mourns the passing of the organisation’s greatly respected Vice-President and Mental Health Ambassador, Prof. Mandla Absalom Tshabalala. CHe served as President of Cape Mental Health from 2008 to 2012, and was Vice-President from 2012 to 2017.

A wise and knowledgeable man, he received his BA (Hons) in Social Sciences at the University of Zululand, his MSW at the University of North Carolina and his PhD in Social Work at the University of Pittsburgh. Previously the Vice-Rector for Student Development and Affairs at the University of Technology, he is remembered for his abiding love of education, and the service he provided as board member and consultant to many organisations, businesses, and tertiary institutions.

The CMH Board, management and staff extend our deepest sympathies to his wife Zaba, his three children and extended family. Prof. and Mrs Tshabalala at Cape Mental Health’s 100th AGM celebration in 2013.

Ashley Ware-Lane served as volunteer kiting expert and Tribute to Ashley Ware-Lane advisor on the organising committee of the “Sunward International Kite Festival from 2011 to his passing in June 2018. In August 2016 we were honoured to present I’ve climbed him with a Cape Mental Health Platinum Ambassador Award for his exceptional voluntary service. and joined the

An electrical engineer by profession, Ashley has filled the tumbling mirth skies with brightness and joy at the annual kite festival since 2003. He and his wife Mari flew their collection of of sun-split bought and handmade kites, including stunt kites and giant inflatables, delighting thousands, and in April 2016 clouds...” they represented us at kite festivals in China. from ‘High Flight’ BYJohn G. Magee, Jr Our hearts go out to Mari, son Bradley and daughter Celine in their profound loss. Mari and Ashley Ware-Lane at the CMH Centenary Gala Dinner in 2013.

01 | cape mental health annual review 2016/17 cape mental health annual review 2017/18 | 02 - From the director’s desk - Leave no-one behind

orld leaders adopted prosperity, and wellbeing, and to preserve are often excluded from the development the 2030 Agenda our planet” (Clark, 2015). and economic agenda, appropriate health for Sustainable care and community-based mental health Development at However, persons with mental disability interventions, education and employment; the United Nations are often excluded from mainstream they are disempowered from participating WSustainable Development Summit on society and are marginalised with in decisions affecting their lives. Their 25 September 2015. The agenda includes little opportunity for full participation role and personal journey are often a set of 17 Sustainable Development and integration in their communities. undermined and ignored, giving them Goals (SDGs) to end poverty and hunger, They experience multiple levels of little opportunity to fully participate and fight inequality and injustice, provide discrimination on structural, economic engage in discussions regarding the quality education and decent work, and and social levels with limited access to recovery discourse. tackle climate change by 2030. appropriate mental health care (Tarantola, Byrnes, Johnson, Kemp, Zwi & Gruskin, The World Summit for Social Development For the first time, good health and well- 2009). Despite progressive policies, and the outcome of the twenty-fourth being have been included as a sustainable legislation and international treaties, special session of the General Assembly developmental goal. “This agreement individuals living with mental disability noted that: “Failures of social integration marks an important milestone in putting our world on an inclusive and sustainable course. If we “ There can be no sustainable Ingrid Daniels all work together, we have a chance of meeting citizens’ CMH Director development without mental health.” President Elect of the World aspirations for peace, Federation for Mental Health

03 | cape mental health annual review 2017/18 from the director’s desk

will lead to social fragmentation, widening critical importance. “Social inclusion is disparities and inequalities, and strains “A community that excludes even one understood as a process by which efforts on individuals, families, communities and are made to ensure equal opportunities for institutions as a result of the rapid pace of member is no community at all. Cape all, regardless of their background, so that social change, economic transformation, they can achieve their full potential in life. migration and major dislocations of Mental Health is therefore committed It is a multi-dimensional process aimed at populations”. to building communities in which creating conditions which enable full and active participation of every member of People with mental disability experience no-one is left behind.” the society in all aspects of life, including widening disparities, fragmented mental civic, social, economic, and political health care, injustices, human rights activities, as well as participation in violations and inequalities on a daily basis. and wellness of the mental health provincial budget allocations should be decision-making processes” (DESA, 2009). We see wide variation between provinces user. It is thus significant that the SDG substantially increased. “The indirect in service availability and integration, agenda not only features mental health cost of mental disorders outweighs direct The intrapersonal capacity of persons heavy reliance on psychiatric hospitals prominently, but also specifically includes treatment cost by two to six times in with mental illness is often constrained and bio-medical interventions instead of persons with disabilities. developed countries and may be even by discrimination, bias and stigma that bio-psycho-social interventions, scarce higher in developing countries. In the first negatively affect self-esteem and the mental health human resources and Our primary objective as the oldest nationally representative survey of mental ability to interact with the necessary role- limited mental health user involvement or non-profit community-based mental disorders in , lost earnings players to influence specific actions in peer initiatives. Life Esidimeni has forced health organisation in South Africa is to among adults with severe mental illness complex hierarchical systems that impact us to face the dire consequences and ensure that no-one is left behind and that during the previous 12 months amounted on their lives. Thus social inclusion is risks when people with mental disability everyone is afforded access to mental to R28.8 billion. This represented 2.2% of often a fallacy for many mental and their families are ignored. health care. Our mandate is to ensure GDP in 2002, and far outweighs the direct health users. that a range of cost-effective innovative spending on mental health care for adults The provision of mental health services is interventions are available to promote (of approximately R472 million). In short, Clark (2015) stated that world leaders a developmental and human rights issue and foster recovery and integration. it costs South Africa more to not treat “have an unprecedented opportunity to which has been inadequately addressed. These interventions focus on psycho- mental illness than to treat it” shift the world onto a path of inclusive, It is therefore incumbent upon us to social interventions that aim to facilitate (Williams et al., 2008). sustainable and resilient development”. ensure that transformation in mental inclusion in structural, economic and However, there can be no sustainable health care is prioritised. Radical mental social levels. The promotion of interventions that developmental without mental health. health transformation is required in foster the empowerment of mental The opportunity for inclusive, sustainable public health, with a specific focus on Donor priorities need to shift to health users to address the power and resilient development in mental health mental health, to impact on the recovery investment in mental health, and imbalances in mental health care is of in South Africa should be prioritised.

cape mental health annual review 2017/18 | 04 Mental Health Corporate Awards Ambassador Platinum Gold Awards Awards Awards The following recipients were acknowledged at the 23rd Cape Town International Kite Festival for their contributions: This award was bestowed The prestigious Mental Platinum Awards on the following recipients Health Ambassador The following recipients were honoured for having made a significant , Award is granted with Platinum Awards at the 104th financial, sponsorship or represented by Mayco member for to individuals who AGM held on Thursday 17 August donation-in-kind contribution Safety and Security, Alderman Jean- promote and support 2017: Emeritus Prof. Tuviah Zabow (of R500 000 or more) to the Pierre “JP” Smith - for sponsorship of the work of Cape and Dr Sean Baumann, CMH Honorary organisation for a number essential services to the kite festival. Mental Health, raising Psychiatrists; and Clive Daniels, Valda of years in order to restore awareness about Daniels, Wendy Augustyn and Donald dignity to the lives of persons mental health widely in Johnson, volunteers of the Athlone with mental disability. Lewis Group, represented every context or walk of Gateway Club. by Sharon Röhm, Socio-economic their lives. The Mental Development Manager for annual Health Ambassador is donations in kind of furniture and an active citizen who Gold Award Anglo American Chairman’s appliances, monetary sponsorship of advocates for the rights A Gold Award was given to Ebrahim Fund, represented by Riyadh the kite festival, and sponsorship of of persons with mental Sambo, a volunteer who has given Ebrahim – for financial the annual kite festival Colouring-in health and speaks exceptional service as expert support of Fountain House Competition. up against stigma ‘Swaeltjie kite’ maker at the Cape Town and the SECC and discrimination. International Kite Festival. Building Campaign. The award categories Peninsula Beverages Coca Cola Peninsula include White, Gold and Beverages ‒ Platinum. for regular donations of products and prizes to the organisation, a Health & Welfare Seta monetary contribution to the kite (HWSETA), represented by festival, sponsorship of the Gig Rig and The CMH director Ingrid Juanita Moller for investing sound system, the required signage, Daniels with Alderman JP in skills development, refrigeration services for the Hospitality Smith (top left) and Ms Mr Ebrahim Sambo (left) bursaries and learnership marquee, and fresh drinking water for Sharon Röhm (bottom right) with Mr Greg Damster, CMH programmes. free public consumption. Events Organiser.

05 | cape mental health annual review 2017/18 awards & partnerships Partnerships promoting inclusion and equity

he organisation’s financial sustainability relies on a strategy that includes Membership fees and monetary contributions subsidies from the Department of Health and the Department of Social 27Four Investment Managers ▪ 1st for Women Foundation ▪ Anonymous Donors ▪ Anonymous Foundation Development, skills development grants for persons with mental disability Anonymous Trust (Investec) ▪ C M Abramowitz ▪ B Alberts ▪ V M Allison Far ▪ Anglo American Chairman’s from the HWSETA and the FP&M SETA, and funding from a range of Fund ▪ ApexHi Charitable Trust ▪ Australian High Commission, Pretoria (DAP) ▪ Back-a-Buddy individuals, trusts and foundations, businesses and corporate social Theodore Berwitz Trust (NGT Distributions) ▪ J Boese ▪ T Botha ▪ F Bozalek ▪ S Brodovcky (Brosim investment. We also enjoy a varied support base of people for our income-generation Management Services) ▪ M Bubole Trust ▪ Care Career Connection ▪ Carter Family Charitable Trust T I Chananie Will Trust ▪ N A Chariatte ▪ Chevron ▪ L & S Chiappini Trust ▪ Coca Cola Peninsula Beverages initiatives, annual Cape Town International Kite Festival, #ChangingConversations Company ▪ Community Chest of the Western Cape ▪ T Cohen ▪ Crankhandle Club ▪ M & B Crayford concert and art exhibition, and community-based fundraising events; there are also Lynette Croudace Trust ▪ CTP Packaging ▪ Dandelion Trust ▪ I Daniels ▪ Diel Met Systems (Intermet Africa) those who purchased charity tickets for the Old Mutual , Din Din Trust ▪ Evangelical Lutheran Kirchen ▪ D Fairhead ▪ S Favit ▪ FormsXpress ▪ Foundation for Human Casual Day stickers and raffle tickets. We are immensely grateful for all your Rights ▪ FP &M SETA ▪ Carl & Emily Fuchs Foundation ▪ Mrs Geduld ▪ E Gibson ▪ D R Giles ▪ C & E Harding Charitable Trust ▪ Anne Harris Children’s Charitable Trust ▪ HWSETA ▪ Inner Wheel Club of Claremont ▪ IQRAA contributions to promote the inclusion of persons with mental disability and the Trust (SA) ▪ J R Greene ▪ S Hadskins ▪ E A Harmer ▪ Clifford Harris Trust ▪ G Hastie ▪ T Herer & Humberstone development of equitable mental health care services. House ▪ M E Hewitt ▪ Ian Dickie & Co. ▪ J John-Langba ▪ Douglas Jooste Trust ▪ D Keet ▪ E Kench ▪ H Kittmann A M Kosterman ▪ Ann Kreitzer Will Trust ▪ La Leche League ▪ V Lawton ▪ J E T Lee Will Trust ▪ D Lotz I G S Lewis ▪ Lewis Stores ▪ W R D Lewis Memorial Trust ▪ R H McCready ▪ Molenbeek School Multikulturverein Völkverständigung (F Schwarting) ▪ MySchool Card ▪ J Newmarch ▪ Nolands Cape Town

BETTER TOGETHER. Rolf-Stephan Nussbaum Foundation ▪ P J M O’Connor ▪ Office of the Premier Western Cape ▪ R Oflaherty Mary Oppenheimer & Daughters Foundation ▪ A D Paige ▪ N Pappadopoulos ▪ J M Peter Planet Kids ▪ Polyoak Packaging ‒ Hangerman ▪ A Phaswana ▪ N N Philips ▪ Philwest Motors G Pond ▪ PPC ▪ Rawbone Trust ▪ Francis Charles Robb Charitable Trust ▪ Rotary Club of Claremont M Schneider ▪ B Schweizer ▪ Philip Schock Charitable and Educational Foundation ▪ Sczech Stiftun St Ola’s Trust ▪ Standard Bank ▪ Suzan Stehlik Charitable Trust ▪ C & E Steyn ▪ David Stolper Foundation K B Sturgeon ▪ S Sturgeon ▪ Kurt & Joey Strauss Foundation ▪ Syringa Trust ▪ A Tebbutt ▪ T Tickton The TK Foundation ▪ E R Tonneson Will Trust ▪ U3A ▪ A Waltman ▪ M Walsh ▪ Webber Wentzel M Wierzycka ▪ P M Winter ▪ Woolworths Financial Services

Sponsorship and in-kind donations/services ▪ Aroma Drop-Inn Rosebank ▪ Atlantic Oil ▪ Banks R & L Hiring ▪ Barroness Caterers ▪ Bokomo Foods ‒ Pioneer Foods ▪ Boston Breweries ▪ Brightfields Natural Trading Company ▪ Cape Catering ▪ Cape Community Newspapers ▪ Cape Town & Suburban Clothing Guild ▪ Cape Town Tourism ▪ Caturra Coffee ▪ Checkers ▪ City of Cape Town ▪ Coca Cola Peninsula Beverages Company ▪ Community Chest of the Western Cape “By partnering with organisations that promote ▪ Core Catering ▪ J Damster ▪ M Daniels and the knitting ladies ▪ Duram Paints ▪ Digital Express ▪ Elegante Caterers ▪ Future Packaging & Machinery ▪ Genmatics ▪ Green Scene ▪ Cellar Tours ▪ Groote self-sufficiency, job growth and economic Schuur High School ▪ H G Travelling Services ▪ Hellermann Tyton ▪ Herold Gie Attorneys ▪ Hi-Tech Distributors ▪ Ines Lendes ▪ Intaka Island ▪ Kayak Cape Town ▪ Kelvin Grove Club ▪ Kirstenbosch National Botanic Garden development, we are better able to bring real ▪ Lewis Group ▪ Linen Corporation ▪ Live Bait ▪ Mantelli’s ▪ Marshall Hinds ▪ Martin & East ▪ Millenaar Architects ▪ Mr Suit Hire ▪ Neil Ellis Wines ▪ Old Mutual Two Oceans Marathon ▪ On Course Communication transformation to those in our community that ▪ Optic Print ▪ Pacmar ▪ PEAR Africa ▪ Perfect Solutions ▪ Pick n Pay ▪ Pienaar Brothers ▪ Pinelands Presbyterian Church ▪ PPC Cement ▪ Rhodes Food Group ▪ Simonstown Quayside Hotel ▪ Sky Messaging are mostly overlooked and marginalised.” ▪ Sorbet ▪ Spur ▪ Sunflower Caterers ▪ Tashas (V & A Waterfront) ▪ The Annex Restaurant ▪ The Foschini Group (TFG) ▪ The Majestic Spa — ▪ The Promenade Mall ▪ Tytek ▪ Western Cape Government Jill Koopman, Policy, Government & ▪ Whale Watcher’s Luxury Self-Catering Accommodation ▪ Woolworths Financial Services Public Affairs Manager at Chevron SA ▪ Wynberg Boys’ High School

cape mental health annual review 2017/18 | 06 SUSTAINABLE DEVELOPMENT GOALS

SDG profile for CMH medication adherence. The Australian High Information on mental health and CMH’s Commission (DAP programme) funded a services was provided to 288 service worm farm and food gardening kits for the providers (SAPS, other NGOs, corporates Poverty alleviation (SDG 1) Fountain House kitchen garden and for and tertiary institutions), and 71 public CMH offers free community-based services service users’ individual gardens. Trainees sessions reached close to 3 000 people at to service users (with the exception of at our TWU workshops in Retreat and community health centres, night shelters those who pay school fees at our special were equipped in starting herb and libraries. education and care centres, and board and vegetable gardens, and our social and lodging at our two residential homes). workers run a Food Gardening Project. We are increasingly providing services to We create job opportunities for adults clients in conflict with the law. That includes SDG 3 identifies good health with mental disability to promote socio- liaison with prison services regarding the economic development. In addition we also Good health and well-being as a critical medication required by clients and assisting offer training in the disability sector that and well-being (SDG 3) in development of care plans. Social goal which speaks to the main is either fully subsidised or that charges All our community-based projects and workers conducted a schools’ programme objective of our organisation. an NGO rate to ensure affordable training outreach initiatives focus on promoting to encourage positive lifestyle choices, CMH can also give account of opportunities. good health and well-being. Awareness reaching 841 learners at various Cape Town raising activities are aimed at removing the its contribution to SDGs 1, 2, schools, including mainstream and ELSEN Food security (SDG 2) environmental and structural barriers that schools in Du Noon, Khayelitsha, , 4, 8, 10, 11, 12, 16 and 17 — all prevent people from accessing services We provide snacks for service users Nyanga and Philippi. and being fully integrated into society. factors that impact on mental travelling long distances for assessments Campaigns in July, October and March health — with SDGs 4, 8, 10, 11 and counselling at our head office, for Through MindMatters, a comprehensive reached close to 4.5 million people and our indigent Disability Grant clients, and schools’ mental health promotion project and 17 specifically including focused on the right to integrated and for children at our special education implemented at Ocean View and Zeekoevlei disability and highlighting upscaled community-based mental health and care centres to supplement their Secondary Schools, we reached 1 530 services, mental health in the workplace, inclusion as a cross-cutting nutrition. The Fountain House catering unit learners and 62 educators. The project aims and the right to employment for persons and neglected issue. offers subsidised meals for members to to create awareness of mental health, build with intellectual disability. The campaigns encourage regular attendance and promote resilience and self-awareness in youth and were conducted through the printed media, equip them to cope with challenges such distribution of infographics and posters, as bullying, conflict management, loss and radio, television, videos and social media. grief, substances abuse, teenage pregnancy, depression and stress. The interventions Our social work services follow the have resulted in improved behaviour in the integrated service delivery model as classroom, better school attendance and prescribed by the Department of Social academic progress. Learners with mental Development, building the knowledge health challenges were included in rugby and coping skills of 1700 clients and their and cricket coaching sessions, resulting in families through counselling and support improved team efforts, commitment and groups for clients and carers. cooperation.

07 | cape mental health annual review 2017/8 SDG profile

Reduced Responsible CMH service-users’ profile inequalities (SDG 10) consumption (SDG 12) Our mental health services emphasise the With the mantra of ‘Reduce, Reuse, 52% Mental Health Profile of social, economic and political inclusion Recycle’ in mind, the Cape Town Male persons with intervention of persons with disabilities. A highlight International Kite Festival will reduce levels 2 568 Intellectual Psychosocial Emotional has been four workshops attended by its environmental footprint by banning disability disability adjustment 129 service users with psychosocial plastic drinking straws and cutlery problems Prevention 48% 2 577 2003 2 095 disability. Funded by the Foundation for and polystyrene packaging, with food Female 52.2% 40.6% 356 Human Rights, the European Union and the vendors using only compostable items. 2 368 7.2% Life Skills training Department of Justice and Constitutional All kite kits for the free kite-making 2 338 608 Development, the workshops focused on workshops will be packaged in paper age groups the socio-economic rights of mental health bags, all plastic soft drink bottles will Information 1907 2055 dissemination care users and contributed to insight on be recycled, and all waste generated 821 153 Children Youth Adults Older disclosure in the work place and coping will be sorted at a recycling depot. persons with prejudice. The workshops were 0–17 18–34 35–59 early 16.6% 38.7% 41.6% 60 + presented by persons with lived experience Partnerships for 3.1% intervention of psychosocial disability, and empowered levels participants to report discrimination, the goals (SDG 17) Gathering disability disaggregated Number of index 4 694 unacceptable living conditions in boarding data enables CMH to shape its own service users who Counselling houses, and lack of medication and poor benefit from our strategies and keep key stakeholders treatment at community health care clinics. direct services 235 such as the Western Cape Government, 4 936 Early Childhood the SA Federation for Mental Health Development Sustainable and various funders informed of the Total number of people reached communities (SDG 11) impact of our work. Our Sexual Abuse through our holistic 456 Though Day Zero (a total shut-down Victim Empowerment project is busy family-focused Support groups of piped water) in the Western Cape is researching the conviction rates from interventions19 744 no longer imminent, CMH continues to 2013 to 2017 in cases of sexual assault 1 529 implement water conservation habits. of persons with mental disability. The Population distribution Service user A water crisis management team data will be valuable in assessing empowerment implemented stringent measures — and the impact that SAVE has had on 446 deputy director Santie Terreblanche was facilitating access to justice (which 31.3% 60.7% 0.1% 7.2% 0.7% in close contact with the DoSD Sub- also falls under SDG 16) and securing Income generation directorate Disability Programmes to successful convictions of perpetrators. supply water to vulnerable groups and to TWU has also put together an evidence- alternative our 24-hour residential care programmes. based impact assessment tool with care Our contingency planning included stock- employers, parents, trainers and 19 piling of water, and installation of boreholes trainees to understand the effectiveness African Coloured Indian White Other and water tanks at various projects. of its interventions. 1 548 2 996 3 355 35 2 group homes

cape mental health annual review 2017/18 | 08 Left furthest behind... thousands Rural outreach & Eden of persons with mental disability in rural communities Karoo service expansion

Persons with mental disability MH’s current five-year The outcomes of the five-year strategy In addition, a dedicated CMH mental health in rural communities struggle implementation strategy included a Needs Analysis of the Eden professional, based at our head office in to access mental health care to escalate mental health Karoo conducted by CMH, the formation Observatory, manages a tele-psychiatry services and bear the brunt of interventions in the Eden of collaborative partnerships with the email hotline and WhatsApp line, providing stigma, poverty, inadequate Karoo district culminated in an Department of Health, the Department of real-time advice to social workers on budget allocations, shortage Corganisational Strategic Planning Session Social Development and MEND (Mental screening of service users, short-term of human resources for mental on 11 May 2018 during which the Strategic Health Education and Networking Drive) counselling, resources and referral health care, medication stock- Operations Committee (SOC) provided a at a high-level Round Table meeting in pathways. outs, and a lack of psychosocial 17-year overview of our strategic planning George, and the formation of an Eden rehabilitation services. This process and a 5-year overview by the four Karoo Mental Health Inter-sectoral Task Corporate Social Investment funding means that the prognosis for working hubs, viz. Referral Pathways, Team that participates in regular telephonic by Webber Wentzel facilitated the their recovery and survival is Training, Mental Health Awareness and conferences to upscale mental health care. planning and implementation of three particularly poor. Promotion, and Self-Advocacy. training courses in the Eden Karoo over the past 16 months: Achieving disability-related SDGs requires investment in developing In February 2017 two 3-day a skilled and experienced human training courses were offered resource base of professionals 1. in George and Beaufort West, and non-specialists in mental reaching a total of 41 social health care in all communities. workers and social auxiliary workers. A comprehensive range of sessions addressed the stigma and discrimination associated with mental ill-health and “Rural areas account mental disability, and educated our rural partners about community-based for almost half of the interventions that have a track record of country’s population but being evidence-based, cost-effective and sustainable. are the most marginalised In February 2018 SOC and poorly serviced.” members Carol Bosch, René Rural Mental Health CMH staff in green (clockwise from top left: Anna-Beth Aylward, Catherine Pitt, René Minnies, 2. Minnies, Anna-Beth Aylward Campaign Report 2015 Wasima Fisher and Carol Bosch with trainee participants in George in February 2018. and Wasima Fisher, joined

09 | cape mental health annual review 2017/18 outreach

“CMH staff and SOC are engaging with recommen- dations for the next five-year strategy (2019–2023) to close by Catherine Pitt of our Learning for the service delivery gap Life programme, offered two three- day workshops in George, focusing on in rural communities.” ‘Implementing Effective Services for Persons with Mental Disability’. The first Anna-Beth Aylward (furthest left) and René workshop was attended by 23 supervisors Minnies (left) on days 1 and 2 respectively of and managers of the Department of the workshop in Oudtshoorn on Psychosocial Social Development, and the second by Rehabilitation and PSR Support Groups. 24 social workers and 3 other associated professionals from NGO affiliates of the MEND forum. The attendance far surpassed our initial target of 25 and The following initiatives this past year impacted on rural communities promises far-reaching impact on providing and aimed to ease the burden on specialist mental health care workers The next five-year vital mental health care services. who are in short supply particularly in rural areas: expansion strategy In June 2018 SOC members and psychosocial Our Social Our Sexual Abuse Victim Thanks to funding from We cannot wait upon the Provincial rehabilitation specialists Work Services Empowerment (SAVE) the Foundation for DoH to implement the National Mental 3. offered training team provided 3 awareness Human Rights, a variety René Minnies and Anna-Beth Health Policy Framework Strategic to service- training workshops in of infographic flyers and Aylward presented 2 two-day workshops Plan 2013–2020 or rely on mental providers in Stellenbosch to inform posters were developed health needs to be prioritised within the on Psychosocial Rehabilitation (PSR) and the social workers, health and translated from National Health Insurance (NHI) plans PSR Support Groups in Oudtshoorn and area officials, Family and Child English into George respectively. There were 41 social reaching 53 Services (FCS) officers and and Xhosa to reach more and deliverables. workers from the DoSD and MEND who professionals the National Prosecuting people in their mother Our CMH staff and SOC are therefore attended from Oudtshoorn, Kannaland, from hospitals, Authority (NPA) on the right tongue. Materials were engaging with recommendations NGOs, the of persons with mental couriered to the Eden Beaufort-West, Murraysburg, Prince that have emerged for the next five- Department of disability to access justice Karoo in support of the Albert, Laingsburg, Mossel Bay, year strategy (2019–2023) to close Health and the in cases of sexual assault. three campaigns to raise Hessequa, George, Bitou, Knysna and the service delivery gap in rural the George regional offices, and were Department (Training workshops in awareness of mental of Social the previous year were health, psychosocial communities through task-shifting, and equipped to implement PSR support Development. extended to the West Coast disability and intellectual to focus on psychosocial rehabilitation, groups as a best practice model for and Worcester.) disability. sexual abuse victim empowerment, mental health care as part of their new advocacy and lobbying, consumer self- Key Performance Areas (KPIs). advocacy and peer support.

cape mental health annual review 2017/18 | 10 INCLUSION Right to Promoting inclusion Education and quality education Campaign for children with disabilities Cape Mental Health actively supports the Right • Goal-directed individual and group to Education campaign in The most vulnerable activities developing gross and fine the Western Cape: left behind… thousands motor skills, mobilisation and positioning of children with severe of learners to improve their posture, communication, cognitive thinking, • Santie Terreblanche (CMH and profound intellectual deputy director) serves on disability (CSPID) emotional and social responses, sensory stimulation, and basic self-care skills. the Western Cape Forum for Intellectual Disability (WFID) According to a 2016 study into the Despite the High Court ruling that the Intersectoral Task Team and has prevalence of mental disorders in government has to provide transport, made a valuable contribution the Western Cape, 1 050 children Photo acknowledgement adequate staffing and facilities to to the development of norms were attending 35 Special Care and standards for programmes Photographer: Cathy Williams safeguard the rights of these children, our Centres in the Western Cape by and services for children with March 2013. (The Department MH provides a day care and SECCs continue to face the challenges of: disability and the submission of Social Development recently specialised education programme thereof to the City of Cape Town indicated that there are now 85 at three centres in Mitchell’s Plain, • Having to raise substantial funding for and the Department of Social centres identified, of which 40 are Heideveld and Khayelitsha for 180 operational costs to supplement the Development Legal Services. not funded.) This figure excludes Cchildren, with 235 children having benefited subsidies provided by the Department of thousands of children with severe from the programme in the course of the Social Development; • We have also been instrumental and profound intellectual disability year. Specialised services include: in ensuring that the National who do not receive any education. • High expenditure on maintaining a fleet Department of Education • Assessment by a multi-disciplinary of five refurbished school buses to ensure (NDE) has prioritised the CSPID team – a psychologist, a learning safe transport and regular attendance as development of a qualification the transport subsidy does not cover all “Section 29 of the South support educator, and occupational for carers (assistant programme therapist, a physiotherapist, and a costs; implementers/APIs): the NDE African Constitution speech and language therapist from has contracted the University of • A ratio of one assistant programme states that all children are the Department of Basic Education; Cape Town through the Teacher implementer (API) for eight children Empowerment for Disability guaranteed the right to a • An Individual Support Plan (ISP) – with each programme implementer Inclusion initiative to draft this basic education and developed for each child with specific supervising four APIs – when a ratio of qualification and our Learning goals and developmental objectives that one API to five children would be more for Life programme is part of the to further education.” are reviewed and updated regularly; manageable and prevent staff burn-out. development team.

11 | cape mental health annual review 2017/18 INCLUSION Promoting inclusion opportunities for adults with intellectual disability

Left behind … Quality day care Inclusive skills training and work opportunities thousands of youth and skills training and adults with TWU workshops in Athlone, , programme in the open labour market affords intellectual disability n response to an urgent need Retreat and Khayelitsha provide life skills 87 trainees with equal access to employment. to extend our Eagles day training to 173 trainees who need independence The role of the job coach is vital in establishing Persons with intellectual disability care project in Mitchells Plain training and a safe haven, and are not yet and maintaining relationships between are often marginalised and excluded I to other Training Workshops ready for the work skills programme. Skills employers and employees and ensuring that from various aspects of life because Unlimited (TWU) centres, are developed in personal hygiene, money reasonable accommodation measures are in there is a perception that they are we have started a new Eagles management, time management, HIV/AIDS and place. TWU employs 14 trainees in its Siyakwazi unable to contribute to or play ‘wing’ at our Athlone workshop. sexuality, basic work skills training and safety Integration cleaning project where service a meaningful role due to their This has doubled the number awareness, and affordable leisure time options. users receive market-related wages working disability. According to research of service users with severe alongside persons without disability on garden done in 2014 by Kaye Foskett of and profound intellectual The work skills programme for 317 cleaning projects. The launch of our Includid, there are an estimated disability who, upon leaving trainees develops technical skills Eco-Carwash Solutions, a project 180 000 persons with intellectual our special education and care in the use of tools and equipment funded by the Australian High disability of varying levels in the centres for children, benefit to enable them to work within Commission (DAP) took place in May Western Cape — of these only from specialist intervention a production team. Trainees 2017. This mobile, waterless carwash about 2% attend day care centres or whilst their parents and learn about quality control and has enabled 10 trainees to develop protective workshops. caregivers are afforded the meeting of deadlines — and their self-confidence and ability to much-needed respite care. A implement these skills in various work efficiently and productively. structured day programme production units, viz. general The experience gained in these “Through the Direct Aid includes sensory stimulation, assembly-type work, woodwork, projects potentially makes trainees Program we are pleased to have arts and crafts, adaptive sewing, cement work, wire-and- more employable in the open labour sports and music. Trainees beaded products, and surface market. partnered with Cape Mental participate in daily orientation coating. Bridging to the open Health who continues to find activities, learn cognitive skills labour market (OLM) improves the employability The goals of the training and career pathway innovative ways to serve people needed for daily living , are of trainees through practical work experience for trainees have been supported by funding encouraged to use alternative in contract work, learnerships, internships, from the FP&M SETA, the Australian High with disabilities.” communication strategies, volunteer placements, trial placements, and Commission (DAP) programme, The TK Mr Adam McCarthy, and develop self-care skills for enclave employment opportunities, as well as Foundation and Chevron, in order to promote Australian High Commissioner greater independence. preparation for job applications. inclusive economic growth and productive Inclusion in the Supported Employment (SE) employment.

cape mental health annual review 2017/18 | 12 Left behind… more than 80% of people with intellectual disability are either unemployed or Career Pathway Planning underemployed and face significant challenges in for people with intellectual disability accessing training and career paths n partnership with the Health and Welfare SETA (HWSETA), Training Workshops Unlimited (TWU) Cape Mental Health embarked THE PROCESS provides an award-winning model on a national training initiative Planning for to promote the development of training workshops of service delivery that ‘enables’ in 6 provinces — a training career path for adults Development Training of four trainees with the necessary support, I Western Cape (Athlone of training facilitators with mild or moderate intellectual & Atlantis), Northern skills development and work place materials disability towards employment in the (4-days) — Cape (Kimberley), (one month) experience so that they can be Shamila Ownhouse, Eastern Cape (Port open labour market. This initiative — by a team of equipped for equal employment Zaitun Rosenberg, Elizabeth and East drew on the expertise and skills 5 occupational Andrea Abrahams, London), Free State opportunities and socio-economic therapists: viz. of two of CMH’s award-winning and Catherine (Bloemfontein) participation. Santie Terreblanche, initiatives, viz. our Learning for Life Pitt in the training Kwa-Zulu Natal (Durban Taryn du Toit, methodology and training programme and our Training & Pietermaritzburg), Lauren Truter, materials. Gauteng (Johannesburg) Workshops Unlimited programme Catherine Pitt, and and Mpumalanga and holds the potential to transform Shamila Ownhouse. “The 17th Commission for (Secunda). day programmes offered in protective Employment Equity Annual workshops across the country. Report (2016-2017) does not appear to state the consolidated percentage of persons with The SA Federation for Mental Health Model disabilities employed in South Developed by Cape Mental Health Africa. A great deal of work needs to be done before LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 LEVEL 5 LEVEL 6 persons with disabilities feature Bridge HIGHER Life Work Supported Supported to open in any significant way in care skills skills employment SELF- employment labour market employment statistics.”

Santie Terreblanche, CMH Deputy Director INTELLECTUAL CAPACITY & FUNCTIONALITY

13 | cape mental health annual review 2017/18 CAREER PATHWAY

“We have shifted mindsets of service-providers to improve mental health care to an estimated 2 240 service users and 9 000 family members. Their growth in knowledge, skills and confidence levels in working with adults with intellectual disability will promote the integration of service users into the work place and community.”

Implementation WORKSHOP Way forward — of 10 workshops assessment — an impact assessment – through a range by 225 participants by the HWSETA on of presentations, trained from the previously funded World Café various mental training programmes discussions, health societies and in order for CMH activities, videos service providers to engage with the and an assignment, (including social funder regarding all highlighting workers, educators, national training on the barriers to supervisors, staff how to initiate and employment and the from workshops / facilitate community- link between human residential facilities, based psychosocial rights and advocacy. and service-users). rehabilitation (PSR) groups. The team responsible for the success of this project, from left to right: Thomas Bezuidenhout (TWU General Manager), Zaitun Rosenberg (facilitator), Santie Terreblanche (CMH deputy director), Taryn du Toit (Learning for Life manager), Ingrid Daniels (CMH director), Shamilah Cassiem (Cleaner/Receptionist), Catherine Pitt (Learning for Life occupational therapist), Zureenah Sulaiman (HWSETA Western Cape Provincial Officer), Carol Bosch (CMH deputy director) and Shamila Ownhouse (CMH occupational therapist and job coach). 6-DAY TRAINING COURSE X 10

Day 1 Day 2 Day 3 Day 4 Day 5 Day 6

Social Intellectual Best practice Empowerment Supported employ- Review, discussion of inclusion disability for transforming self-advocacy ment in the open assignments, and workshops labour market certificate ceremonies

cape mental health annual review 2017/18 | 14 DEINSTITUTIONALISATION Psychosocial Rehabilitation A best practice model for deinstitutionalisation MH adopts a multi-pronged activities. Group members are encouraged to strategy to meet the needs Left behind… do outreach (such as running a soup kitchen used with kind permission Picture of the Plainsman of persons with psychosocial on Mandela Day for homeless persons) in the majority of Pictured at the new Fountain House Mitchells Plain disability. We provide a range of order to foster inclusion and acceptance of persons with (clock-wise from left) are social auxiliary workers mental health psychosocial rehabilitation (PSR) diversity in the community. Fifteen group Henrietta Japhta, Bukiwe Fosi, Fountain House club Cservices that adopts a bio-psycho-social leaders receive training in Peer Support and member Paul Kleinbooi from Rocklands, Fountain problems who do approach, providing a continuum of care Group Facilitation to enable them to assist House manager René Minnies, and Zaida Frank, not have access to from hospital to community that offers a their group members with psychosocial senior rehabilitation worker. mental health care better prognosis for recovery and well-being. disabilities in their community — they are also It is estimated that The programme is based on the principles able to attend meetings of the Cape Consumer about 1 in 5 South that staff and service users are equal Advocacy Body (CCAB). Calendar to ensure that members are informed Africans will experience partners in psycho-social rehabilitation, of health-related issues. These sessions are mental health problems and that service users should have a voice Fountain House (SA) is a community-based complemented by Crisis Care Planning (CCP) in matters that affect their lives. programme with an established centre in at some point in their and adherence support aimed at reducing Observatory and a new centre in Mitchells hospitalisation and receiving the least possible lives. Williams et al. The Rainbow Foundation provides 26 Plain that provide vocational training and professional support, yet offering an option (2007) found that 16.5% community-based groups for 329 members skills development for 532 members. for service users to be ‘in control’ when they of South Africans suffer who meet weekly and benefit from life Members benefit from a structured day are not able to make informed decisions due from a mental disorder skills activities, psycho-education, income- programme and on-the-job training in to their mental status. A partnership with and a staggering 75 generating activities, and a calendar of social four work units (viz. catering, workshop, MedicAlert forms part of the ‘first aid for to 85% have not had administration and employment), as well as mental health’ programme and all member the benefit of receiving an afternoon programme of recreation and applications are captured on their database. treatment. The stigma “We applaud the Department of socialisation. A variety of work placements for associated with Health for addressing the gap in 88 members included permanent employment Our PSR programme offers a gateway for psychosocial disability with the necessary support as reasonable people with psychosocial disability to return and inadequate mental mental health care in Mitchells accommodation, transitional employment to living full and productive lives, and to health services have Plain by funding a new Fountain placements (TEP), learnerships, internships, acquire self-advocacy skills. But their efforts a debilitating effect House so that members can now Further Education and Training opportunities, to be assimilated and accepted have to be on their recovery and access psychosocial rehabilitation and voluntary services. met by society’s readiness to question its pre- reintegration. conceptions about psychosocial disability and in their own community.” Eighty psycho-education sessions over the respond to advocacy for improved disability- Carol Bosch, CMH Deputy Director year are aligned with the Department of Health specific legislation and budget allocations.

15 | cape mental health annual review 2017/18 SELF-ADVOCACY & EXCHANGE PROGRAMMES Strengthening Discovering the World in Bochum self-advocacy by service users Following an intensive compact courses, workshops, selection process, CMH staff and visits to local and regional WU trainees with has been constituted and meets member Thami Lusu was Health and Social Work Left behind … intellectual disability monthly to offer a platform for the invited to join an international agencies and facilities. receive training in self- TWU Trainee Council and CCAB to the voice of exchange study programme advocacy skills and debate the roles and responsibilities in Bochum, Germany during The Bochum Protestant service users assistance in decision- with lived of advocates and address issues such the spring term of 2017. The University of Applied Sciences Tmaking to encourage and equip as disclosure, social security grants, programme was organised and covered the costs of her experience them to speak for themselves. discrimination, violations of human implemented by Hochschule flights and accommodation Self-advocacy They are elected to participate in rights, safety, awareness-raising für Gesundheit (HSG Bochum) — affording her the rare and supported the advocacy-based TWU Trainee activities, and training needs. and Evangelische Hochschule experience to travel abroad and Committee and Trainee Council. decision-making Rheinland-Westfalen-Lippe visit cities such as Bochum, Another advocacy body is CCAB, A highlight of the 2018–19 year will by service users (Protestant University of Berlin, Cologne, Amsterdam an independent service user-driven be the piloting of a Self-Advocacy Applied Sciences) in Bochum. and Prague. On her return with intellectual advocacy body for Fountain House Exchange Programme to Germany she shared her insights into disability and those and Rainbow Foundation members for two CMH service users with Thami enjoyed an intensive global development issues, the with psychosocial with psychosocial disability, managed intellectual disability, Gabriel Lekeur programme that focused impact of immigration, and the disability remain by a committee elected by service and Shavonne Samaai, accompanied on social work and health relevance of the United Nations high on Cape users and supported by Fountain and supported by CMH staff professions in the context Convention on the Rights Mental Health’s House staff. CCAB serves to educate, members Thomas Bezuidenhout and of culture and diversity, with of Persons with Disabilities agenda so that advocate and facilitate initiatives to Carol Bosch. Funding approved by semester-long seminars and (UNCRPD) to South Africa. service-users can strengthen the voice of mental health the Federal Ministry for Economic access and enjoy consumers. Cooperation and Development all rights upheld in under the ‘Weltwärts Extracurricular exchange projects in the context the South African The chairpersons of the TWU Trainee Council and CCAB represent service of Agenda 2030’ will facilitate two Constitution’s Bill users on the board of CMH and have three-week exchange programmes, of Rights and other the opportunity to access a national South-North and North-South. Our pertinent legislation platform at SAMHAM (the South relationship with SAGENET has made and policies such as African Mental Health Advocacy the partnership between CMH and the UN Convention Movement) to drive advocacy, and Lebenshilfe possible to facilitate this on the Rights to raise awareness of stigma and programme, strengthen the voice of of Persons with discrimination. service users in governance, and form Disabilities. long-term networks between service- A CMH Advocates’ Pressure Group users with intellectual disability. Thami (in green, left) with coordinators of the International Programme

cape mental health annual review 2017/18 | 16 STAFF PROFILE

CAPE MENTAL HEALTH including the Administration, Donor Development and Finance Departments; Social Development Services; Corporate Social Work; Garden Cottage; Learning for Life; Staff snapshot MindMatters SA; Sexual Abuse Victim Empowerment as at 31 March 2018 (SAVE); Public Relations and Communication; and the Volunteers Programme PSYCHOSOCIAL REHABILITATION (PSR) TRAINING WORKSHOPS UNLIMITED (TWU) including Fountain House SA (Observatory and Mitchell’s including Training Workshops in Athlone, Mitchell’s Plain, Senior Management Plain), the Rainbow Foundation and Kimber House Retreat and Khayelitsha (Nonceba), Garden Pot Centre, Ingrid Daniels (Director) • Santie Terreblanche (Deputy Siyakwazi Integration Company, Eco-Carwash Solutions, and Director) • Carol Bosch (Deputy Director) Managers Eagles (Athlone and Mitchell’s Plain) Brigitte van der Berg (Management Secretary) Anna-Beth Aylward (Rainbow Foundation) • René Minnies (Fountain House SA) General Manager Managers Thomas Bezuidenhout Jennifer Bester (Social Work) • Willemien Buys Staff (Administration) • Taryn du Toit (Learning for Life) Roshan Abrahams • Colleen Bloemstein • Claudia Cogill Staff Sandra Ellis (Donor Development) • Wasima Fisher (Sexual Faldelah Fillander • Zaida Frank • Nondibane Mdyidwa Rezaana Abrahams • Faisal Bawa • Emma Blommaert Abuse Victim Empowerment) • Stuwart Musekiwa (Finance) Nocawe Mxobo • Ashley Petersen • Zibele Qwemesha Samantha Brain • Alvin Cloete • Gwendoline Daniels Haseena Parker (Social Work) • Vimla Pillay (Social Work) Faith de Klerk • Bridgette English • Aubrey Fortune Gerrie van Eeden (PR & Communications) Pauline Groepes • Samantha Hendricks • Chantal Hess SPECIAL EDUCATION AND CARE CENTRES Cecilia Jackson • Joan Jansen • Russell Jones Staff including Erika, Heideveld and Faizel Karaan • Onwaba Kula • Evelyn Lakay Christopher Adonis • Rochelle Bailey • Michelle Barends Claudette Louw • Doreen Mabongo Shamilah Cassiem • Wayne Cloete • Greg Damster Manager Nontyatyambo Makendlana • Syrita Malyon Tasneema Davids • Feroza de Leeuw • Ntombentle Dlokovu Mduduzi Dube Samantha Martin • Bukelwa Mbaphantsi • Hilton Meyer Ferial Edwards • Yvonne Foster • Laureen Gerhardt Lonwaba Mguli • Simon Mngomeni • Monika Moleleki Karen Hans • Katherine Hooper • Jeanine Hundermark Staff Mpontsheng Msila • Sandra Nicolaai • Colleen October Fatiema Ismail • Farenaaz Jacobs • Renecia Johns Cleo Abrahams • Nolan Bogacwi • Bathabile Bomvana Shamila Ownhouse • Sonia Peters • George Philander Jeffeynore Jordaan • Gabriel Lekeur • Thami Lusu Xoliswa Buqa • Nomawethu Dotwana • Bukiwe Fosi Zanokhanyo Qengwa • Lloyd Rhoda • Shavonne Samaai Musiegh Madatt • Thobeka Mafilika -Mapuko Henriette Jafta • Danielle Johnson • Zaakierah Johnson Elanza Skippers • Portia Toso Susan Manson • Jonathan Manuel • Jacques Marais Faith Jones • Shaunay Karriem • Sherlane Labans Pumza Mbanzi • Deslynn Nel • Zimbini Ogle René Maarman • Steven Madyo • Thami Majodina Shamila Ownhouse • Catherine Pitt • Kulthum Roopen Boniswa Makana • Ruwayda Meyer • Nomakwezi Mhlawuli Mastura Salasa-Schaffers • Andreas Selela Phindeka Mini • Margaret Molefe • Nazley Morta Nokuthula Shabalala • Kim Simpson Philasande Sithole Nontando Mpofu • Thulani Muchanga • Irene Ngxono Teri-Sue Smith • Sarah Strachan Phelokazi Tshemese Zoleka Nongawuza • Insauf Parker • Claresse Plaatjies Hedwich Tulp • Heidri van der Vyver • Yolanda van Rooyen Denzil Prins • Thandeka Qaungule • Bukelwa Sombo (HWSETA Intern) • Khusela Veleko • Nosicelo Venkile Kutala Soqaga • Fahiema Stemmet • Ingrid Williams Jenny Walters • Nadine Williams • Chesna Zietsman Kim Windell • Zingisa Venfolo

17 | cape mental health annual review 2017/18 VOLUNTARY SERVICE

Employee numbers Community support Board Members

ape Mental hosted the 23rd annual 78% Cape Town International Kite Festival in October 2017, and in February 2018 the President 117 #ChangingConversations concert and arts Dr Amelia Jones Cexhibition. We are grateful for loyal public support Vice-Presidents Gender 10 and the generosity of kiters, performers, artists, Ken Sturgeon Employees crafters, volunteers and CMH staff members who Dr Mandla Shabalala (Deceased) 33 with shared our vision of mental health and well-being Chairperson disabilities 22% for all and helped us to change the narrative around Tracy van der Heyden 6.7% the inclusion of people with mental disability in all Deputy Chairperson spheres of life. Gary Pond Treasurer Racial demographics Alan Crisp 75 Legal Advisor 19 David Lotz 49 5 2 Committee Members Kim Cooper Prof. Johannes John-Langba

w h it e Shona Sturgeon

t her Hombakazi Zide i n di an d coloure o A fr i can Consumer Representatives 32.7% 50% 12.7% 3.3% 1.3% #RightToFly Rosina Mervyn 12 years R40 / R15 & under 10am to 6pm (for consumers with intellectual disability) Lucy-Ann Namukoko www.capementalhealth.co.za @CTKiteFest (for consumers with psychosocial disability 082 897 8173

City of Cape Town Volunteer numbers permission sticker to go here

2017/10/03 3:26 PM Honorary Psychiatrists

Poster 5.indd 1 338 We are grateful for the valuable role played by our Special events Honorary Psychiatrists who provide expert advice 356 on patient care and management, and on mental national and international “Volunteerism health policy matters: volunteers provide is the noblest form of Emeritus Professor Tuviah Zabow 18 thousands of hours Dr Sean Baumann Project of dedicated work. placements citizenship.” Dr René Nassen

cape mental health annual review 2017/18 | 18 Contact us Credits

CAPE MENTAL HEALTH | REG. NO. 003-264 NPO We gratefully acknowledge PBO REFERENCE NUMBER 130004456 the contributions of SECTION 18A APPROVED | BBBEE CERTIFIED · Ingrid Daniels, CMH Director 22 IVY STREET OBSERVATORY 7925 · Santie Terreblanche, CMH Deputy Director PRIVATE BAG X7 OBSERVATORY 7935 SOUTH AFRICA · Carol Bosch, CMH Deputy Director TEL +27 21 447 9040 | FAX +27 21 448 8475 · Sandra Ellis, CMH Donor Development Manager EMAIL [email protected] · CMH managers and staff who contributed information and photographs www.capementalhealth.co.za · Cathy Williams, On Course Communication www.facebook.com/capementalhealth.co.za · Sulize Terreblanche (photographer and videographer) www.facebook.com/CTKiteFest ● The Plainsman (for the photo of Fountain House Twitter@CMH_NGO Mitchells Plain) Twitter@CTKiteFest

The 2016/17 CMH Annual Report & Audited Financial Statements are available on request. CMH is a Level One B-BBEE contributor (135% B-BBEE procurement recognition level).