Cape Mental Health

Innovation in Mental Health Solutions to the crisis in service provision

Annual review 2016/17 Message from the Director Contents Our Our mission Dedication 1 Innovation in mental health – innovation is to provide or facilitate comprehensive, Message from proactive and enabling mental health solutions to the crisis in service provision the CMH Director 2 vision care services in the . We are CMH Mental Health committed to challenging socially restrictive he under-provisioning of mental health Cape Mental Health has led the way in community- Ambassadors 2016 3 is to be a leading organisation in the provision of services in has been cause based innovations for over 104 years – in the and discriminatory practices affecting the for grave concern over recent years. Little Right to Education campaign for children with mental health care services in the Western Cape mental health of all people. Our work is Eden Karoo rural progress has been made, despite the severe and profound intellectual disability, career and in the development of innovative and relevant National Mental Health Policy Framework pathways for youth and adults with intellectual expansion 5 underpinned by a commitment to quality, solutions to the mental health crisis in our country. excellence and professionalism. Tand Strategic Plan 2013–2020 and South Africa’s disability, access to justice through Sexual Abuse Innovation at work 7 commitment to drastically improving mental Victim Empowerment, psycho-social rehabilitation, Administration 7 health services. Learning for Life – distance learning and Community living 7 customised training in the disability sector, Recovery models for persons The recent Life Esidimeni deaths placed the spotlight peer counselling and support, self-advocacy, with psychosocial disability 8 on the dearth in mental health services and gross and community-based living and Awareness-raising 9 Dedication human rights violations of the most vulnerable and accommodation models. Social Work Services 9 stigmatised individuals in our country. This tragedy highlighted the dire need for increased resource The overt focus on the bio-medical approach, Access to justice 9 Cape Mental Health remembers over allocations and radical transformation in mental however, creates a blind spot and failure to CMH mental health care beneficiary 100 persons with mental disability who The Health Minister Dr Aaron Motsoaledi has subsequently closed health care in South Africa. However, the process recognise best practices which have been at the statistics 2016-17 10 died in the wake of the relocation of more down 14 of the 27 NGOs in which patients died and most of the is frustrated by multiple barriers and bureaucratic forefront of community-based mental health Quality education for children with than 1 000 patients from the Life Healthcare patients have been relocated to hospitals, back to Life Esidimeni severe & profound intellectual resistance to collaborative efforts to innovations and service delivery by non-profit organisations. Esidimeni facility. and other suitable facilities. disability 11 best practice models and programmes offered by Innovation in mental health upscaling requires a Learning for Life—targeted training mental health non-profit organisations. different dialogue and implementation strategy. We have an obligation to ensure that all in the disability sector 12 The decision by the Gauteng Department of Health to end its We are appalled that service users died due to neglect, starvation, To implement and plan community-based mental long-running contract with Life Esidimeni and move patients to dehydration or hypothermia while in the care of ill-equipped those who have died – and all those who Training Workshops Unlimited Transformation in mental health requires a radical health services from a medical model perspective for adults with intellectual unregistered and unsuitable NGOs was condemned by Health facilities. We call for those responsible to be held accountable, and continue to live with mental disability – shift from the largely bio-medical approach with a is counter-productive to innovative community- disability 13 Ombudsman Prof. Malegapuru Makgoba as being ‘reckless for any future deinstitutionalisation of mentally ill patients to be visible scarcity in community-based mental health orientated interventions which are context and have access to mental health interventions Carla’s Career Path—from shy and negligent’. managed carefully. trainee to confident intern 14 interventions, to interventions that regard mental mental health user sensitive. in their communities. They need to be health service users as central in planning and Cape Mental Health’s René Minnies, manager of our Fountain Beyond the tragic and preventable loss of life is the fact that there supported to live fully integrated lives, developing interventions which impact on their lives. The tragic loss of the many Life Esidimeni Staff snapshot as at House SA programme, served on a National Department of are cost-effective solutions available to provide community-based Notwithstanding the advances in mental health individuals beckons South Africa to think progres- free from the ongoing injustices caused 31 March 2016 15 Health’s task team to visit and review the NGOs where mentally mental health that can prevent such gross violations of human research, the millions of dollars spent on research sively and proactively about transforming and disabled patients discharged from Life Esidimeni had been rights. Mental health care users have a right to services that by inadequate community-based mental Profile of CMH Employees 16 hardly translate into sustainable ongoing mental implementing its policy. We need to guard against accommodated, in order to make urgent recommendations and put recognise their humanity and honour their right to be treated health care. health care interventions. reactionary responses to the Life Esidimeni tragedy in place emergency measures to prevent further loss of life. with dignity and respect. Donor recognition 17 that could limit and inhibit progress and innovation. Ingrid Daniels, CMH Director

01 | cape mental health annual review 2016/17 cape mental health annual review 2016/17 | 02 CMH Mental Health Ambassadors 2016 Persons who through their profession promote Cape Mental Award presented by Volunteer with exceptional service Health’s objectives and live the the CMH President Ashley Ware-Lane has been the kiting expert for our International Kite Festival Mental Health CMH Mental Health Dignity in Mental Health The AGM committee made a since 2011, selflessly promoting mental health through kiting. Ashley and his wife Mari Ambassador principles. unanimous decision to award Ingrid represented CMH at kite festivals in Weifang and Beijing in China in April 2016, sponsored Daniels with a Platinum Award for the through a partnership with the Department of Cultural Affairs of the Western Cape Awards in the other Ambassadors 2016 exceptional advocacy role she plays at Government and the Sport Bureau of Shandong Province, China. categories are local, national and international levels. Cape Mental Health launched the Mental Health Ambassador Awards at our AGM in As CMH Director for the past 17 years, awarded during August 2016. The awards are given to people who promote and support our work, raise she has led and inspired by example. the year awareness about mental health in every aspect of their lives, and speak out against stigma and discrimination. The Platinum Award was bestowed in a number of categories. A staff member with 30 or more Promoting Cape Mental Health’s CMH Platinum Awards years of service objectives through music These awards were handed to CMH Sheila Selfe, one of the organisation’s Jarrad Ricketts is a national and international music celebrity who has supported our president Dr Amelia Jones, vice-presidents social work managers and the longest- work since the age of 17. His first public debut was at our Kite estival.F Unfortunately Dr Mandla Tshabalala and Mr Ken serving staff member at the time with 34 Jarrad was in Sweden at the time of the AGM, but sent a videotaped message of Sturgeon, and board members Tracy years of dedicated service, is recognised support which was screened at the award ceremony. van der Heyden, Gary Pond, Alan Crisp, as an exceptionally skilled mental health David Lotz, Shona Sturgeon, Kim Cooper, clinician. She has trained, developed Hombakazi Zide, Dr Johannes John- and supported many social workers Langba, Carla Peacock and Lorna Raatz. over the years in providing mental health services in some of the most TOP: Ashley Ware-Lane pictured here with Liu TOP: Ingrid Daniels, accepting her award challenging of communities, and has Zhiping of the Executive Committee of Weifang from CMH President, Dr Amelia Jones therefore impacted on the lives of many International Kite Festival. thousands of mental health LEFT: Ashley Ware-Lane, volunteer kiting expert care users. on the kite festival organising committee.

Sheila has performed various roles at the organisation over the years — including Corporate Platinum Award: Floating Trophy those of deputy director, researcher,

trainer, lobbyist and fundraiser. Her Platinum status wardeda to The Corporate Platinum Award is awarded to corporates who have for a number of years Ingrid Daniels made a significant contribution valued at R500 000 or more. First for Women Foundation has wisdom and strength have benefited Mental Health Ambassadors support Cape Mental Health by promoting our mental health care services as widely as everyone around her, and her retirement possible and encouraging more people to support us. supported our Sexual Abuse Victim Empowerment (SAVE) programme since 2011, endorsing They are committed to our cause and to raising awareness of mental health and mental health problems and disabilities. the work we do in providing access to justice for victims with mental disability. We honour their TOP: Dave Lotz, CMH board member in 2017 has left a void not easily filled. ______commitment to fighting gender-based violence and to uplifting and empowering women. (far right) receives his award from TWU job But we know she will continue to be Dr Amelia Jones President an ambassador for mental health and, 18 August 2016 coach Shamila Ownhouse and service RIGHT: Theresa Manual, on behalf of First for Women Foundation user Jason Pereira. indeed, for Cape Mental Health.

03 | cape mental health annual review 2016/17 cape mental health annual review 2016/17 | 04 Eden Karoo rural expansion of services

Eden Karoo rural expansion of services Top features of ape Mental Health has invested • Involuntary admissions Social Development (DoSD) and Department Framework Strategic Plan 2013—2020, our EK training four years in a five-year strategy • Referral pathways in the Eden Karoo of Health (DoH) remain eager partners in and the National Health Insurance (NHI) to expand our mental health • Tele-psychiatry the ongoing dialogue between CMH and plans and deliverables must prioritise services to rural communities in • CMH Sexual Abuse Victim Empowerment State departments. mental health needs. Eden Karoo Training drew on CMH’s the Western Cape, specifically • Psychosocial rehabilitation 1 experience in providing Cthe Eden Karoo where more than half a & support groups For our long-term goal of upscaled mental CMH will continue to offer training as Participants globally recognised best million people lack access to adequate • Advocacy health care in the Eden Karoo to be realised, funds become available, and will operate mental health care. however, the State must get to grips with strategically to ensure that other mechanisms practice community-based The social workers who attended the the reality that the cost of treating persons are used to roll out mental health services George: mental health interventions. The CMH training team presented two training indicated that they had had little or with mental disability is considerably and ease the burden on specialist mental 20 social workers three-day training courses in George and no previous training in mental health and less than the cost of mental illness going health care workers. One of those & social auxiliary The majority of participants Beaufort West, using a task-shifting model. really benefitted from the sessions. They untreated. The DoH is ultimately responsible mechanisms will be to offer tele-psychiatry workers indicated they would Fifteen sessions in each course covered: also appreciated accessing training that for implementing the Mental Health Policy to support social workers in the Eden Karoo. 2 implement most of the • A Cape Mental Health overview could provide them with CPD (Continuing • Introduction to intellectual disability Professional Development) points. training and that they could • Introduction to psychosocial disability Our objective has been to challenge the ‘gap’ in mental Beaufort-West: see the possibilities for • Mental health promotion In spite of logistical challenges stemming 21 social workers rendering services to mental health service delivery by addressing the stigma and & social auxiliary • Intake assessment from providing training so far away from discrimination associated with mental ill-health and workers health care users, in particular • Mental state examination our CMH-base, we were able to achieve the running of psycho-social • Treatment plan our immediate goals. The intersectoral mental disability, and educating our rural partners rehabilitation groups. • Crisis management collaboration has also been a huge about community-based interventions that have a • Managing challenging behaviour achievement and the Department of RIGHT: The Eden Karoo training track record of being evidence-based, cost-effective team consisted of (clockwise) The use of videos, voice clips, Wasima Fisher (SAVE Manager), 3 practical activities and case and sustainable. René Minnies (Fountain House & Kimber House Psychosocial studies added enormous value Implementation pathway 2013–2018 Rehabilitation Programme to the training process. Manager), Taryn du Toit (Learning for Life Manager), Haseena Parker Post-workshop evaluation 2013 2014 12/09 2014 10/06 2015 2/09 2015 2016 February 2017 (Social Work Manager), and Gerrie van Eeden (PR & Communications 4 revealed scores from good to The CMH Strategic CMH launched a The first introductory Collaborative An Eden Karoo Preparation for the Eden Specialist training of Manager). The team was supported excellent, with self-knowledge Operations five-year strategy meeting with the partnerships were Mental Health Karoo task-shifting by DoSD social workers by the Strategic Operations ratings improving by 35% and formed with the DoH Committee of CMH. Committee was to expand its Department of Health Inter-sectoral Task CMH hubs focused on took place in George 31% respectively from the pre- given 12 months to services ‘beyond (DoH) took place. and the DoSD at a Team was formed referral pathways, training, and Beaufort West with complete a Needs 100 years’ into the high-level Round Table with the aim of self-advocacy, and mental positive outcomes. workshop impact assessment. Analysis of the Eden next century of its meeting in George. upscaling mental health awareness and Karoo district. service provision. health care. promotion.

05 | cape mental health annual review 2016/17 cape mental health annual review 2016/17 | 06 innovation @ work At the heart of innovation Innovation @ work Recovery models for persons with psychosocial disability Household matters Psycho-social Vocational Administration Community living Rehabilitation (PSR) Skills Training We constantly review and revise Kimber House in Observatory for 11 adults results, so access to medical care and Our PSR services provide a CMH offers a comprehensive prevocational and the ways in which we work. with psychosocial disability and Garden timely treatment is facilitated. Residents continuum of care for adults with vocational skills training programme for people with Keeping everything organised Cottage in for 8 women with of Kimber House and Garden Cottage can psychosocial (psychiatric) disability psychosocial disabilities at Fountain House (SA) in helps us to save resources and intellectual disability offer community- also access training programmes through and offer a ‘best practice’ response to Observatory. Over 500 members a year access a work effectively. Control sheets based living at its best — the respective Fountain House and Training Workshops deinstitutionalisation. day programme of on-the-job training in four work enable us to do regular inventory residential programmes provide affordable Unlimited respectively — both job creation units (viz. catering, workshop, administration, and checks and monitor demand accommodation and care that meet the and work skills development projects that Research has shown that PSR groups employment), as well as life skills training, and and supply, and to manage holistic needs of the residents. Life skills are recognised nationally and internationally, often provide the first contact with a recreational and social activities. Members can also maintenance and IT requests training, resilience building and self-advocacy furthering the socio-economic inclusion of community organisation after a patient join the Cape Consumer Advocacy Body (CCAB) to these service users. has been hospitalised, and that ongoing develop and exercise their right to self-advocacy. Santie Terreblanche & Carol Bosch in terms of how long it takes opportunities complement the development us to complete a job, what of daily living skills. participation reduces relapses and problems exist and how Community living offers a ‘remedy’ to the readmissions. This lessens the pressure With unemployment being especially evident in the s Cape Mental Health’s deputy we can resolve them. Physical illness in people with mental ills of institutionalisation and, when well of the ‘revolving door’ phenomenon ranks of persons with disability, the international directors, we are pleased to present disability can be too readily overlooked managed and properly resourced, can be where patients are repeatedly readmitted Fountain House clubhouse model of PSR has been Aour organisation’s community- The implementation of the and neglected, often with life-challenging life-enhancing. for short-term hospitalisation with ever- adapted to home in on a range of employment or based services as models of innovation Paycard system across our worsening prospects of recovery. Digital inclusion skills opportunities. Sixty-eight service users that offer solutions to the crisis being various projects has reduced Our Rainbow Foundation PSR groups have set this past year were able to access permanent experienced in mental health care the risk associated with cash Through skills training, psycho-education, up WhatsApp groups for group leaders and all jobs, transitional employment programme services in our country. management. Where possible craft activities, and social events, the group members so that they can access their (TEP), Learnerships, Internships, FET and TIS THE groups restore community integration, groups for information, reassurance or feedback. SEASON TO volunteer positions. we have migrated Disability Grant recycle Innovation has different drivers — (DG) management for persons build a sense of belonging and purpose, This empowers members to give valuable input technology and product development with mental disability onto this enhance physical and mental well-being, before the facilitator’s involvement is required, Unusual partnerships such as the one spring to mind, and CMH has evidence ‘cashless’ card system as well. and develop the skills necessary for and develops better group cohesion as a result. Fountain House forged with Wellness of these, but innovation is also evident in independent living. Group leaders also Members also use Facebook to post their group Warehouse play a valuable role in exposing the way in which we all work together to benefit from training in peer support and activities and their achievements. Get involved & members to open labour market practices. embrace change, explore new ventures, self-advocacy. and manage the risks along the way. Families and carers of members are welcome to donate this We are especially proud that innovation With 26 groups that meet weekly in alert our PSR staff on WhatsApp to any incidents festive season LEFT: A contract with Wellness Warehouse Bring or buy any item from the list below and add it to the designated Wellness Garden Cottage residents Fountain House centre. to make Christmas seasonal decorations for the greater Cape Town area, reaching and relapses, enabling us to act swiftly and minimise box found at all the tills. Every item will be donated to the members at the happens at every level of our operations Toothpaste | Toothbrush | Soap | Shampoo | Deodorant Roll on | Face cloth | Body wash | Lotion | Razor enjoy a special Valentine’s Any other toiletries their stores from recycled paper provided and that the voice of service-users has 219 members (and their families), the the ’fall-out’ to relationships, without our having to Day visit from the ladies Thank you for your contribution. four weeks of work programme is cost-effective, and can resort to long and costly telephone conversations. Enjoy your festiveGo Green. season Recycle. the Wellness way. served as catalysts and inspiration of the Northern Virginia for 60 service-users. for the ideas and practices that have Alumnae Chapter, Delta be replicated with great success in rural Digital communication is proving to be a ‘lifeline’ evolved over time into the best practice Sigma Theta Sorority. communities such as the Eden Karoo. – offering immediate support as the need arises. programmes that they are today.

07 | cape mental health annual review 2016/17 cape mental health annual review 2016/17 | 08 innovation @ work innovation @ work CMH Mental Health Care intervention Mental health - a human right Beneficiary Statistics 2016-17 levels Prevention Population distribution Awareness-raising Access to justice Social work 948 CMH runs three successful awareness-raising The CMH Sexual Abuse Victim services Life Skills training and media campaigns annually, coinciding Empowerment (SAVE) programme CMH offers a model of with Intellectual Disability Awareness Month is unique to South Africa, providing a social work intervention 18 916 16 752 958 32% 0.1% 8.2% 0.9% 58% (March), Psychiatric Disability Awareness Month psycholegal service to victims with that is community-based Information (July), and Mental Health Awareness Month mental disability that addresses and mobile, and reaches into dissemination (October), in order to promote knowledge and barriers to accessing justice – SAVE the heart of disadvantaged Number of index understanding of issues related to mental health has also begun to address cases communities in the greater service users who early and to encourage the full inclusion of persons where perpetrators are persons with Cape Town area. Through benefit from our intervention with mental disability in society. This past year mental disability. counselling services, 4 729 direct services levels African Indian White Other Coloured we reached more than 16.5 million people, information dissemination, Total number of people 1540 3 389 42 2755 largely because of national coverage of our The programme garnered a prestigious life skills, carers’ groups, food reached through our 4 524 Cape Town International Kite Festival and its international Zero Project Award in gardening, schools’ awareness holistic family-focused Counselling mental health focus on #BornToFly. 2015 for a comprehensive service age groups programmes, employee assistance 2 024 interventions 184 delivery model that encompasses programmes, and rural outreach, we 701 1 863 141 The campaigns have been complemented by clinical assessment of between Early Childhood build the resilience and coping skills #BarriersMustFall Development the production of video clips which educate 120 and 140 clients annually, court of many thousands of individuals The purpose of Female Male people about mental disability and their potential preparation, counselling, expert and families. innovation is to stay 2 429 2 300 624 for successful employment in the open labour testimony service, and stakeholder abreast with new Support groups market. training. The service can be replicated Our social workers work creatively in urban and rural communities across with limited resources in order generations, lifestyles, 1 323 Every year our social media presence has the country, exponentially increasing to serve our communities. For technology and Children Youth Adults Older Service user strengthened and we are in the process of the number of cases reported, the instance, some support groups are legislation—and to be 0–17 18–34 35–59 persons empowerment redesigning our website and updating our numbers proceeding to court, and the held to coincide with the days that 14.8% 39.4% 42.8% 60 + 51.4% 48.6% social media profile. Thanks to funding from conviction of perpetrators. clients attend clinics for their Depo- proactive in developing 3.0% 468 the Foundation for Human Rights, we have also injections, and social workers offer strategies that improve Income generation created a substantial resource of materials Future planning for the programme will snacks for group members (ensuring the quality of life of our (pamphlets, infographics and posters) on include better integrated technology they eat before the injections). This CMH offers a model of social work intervention that is a wide range of topics, and have been able to manage information and facilitate service users. alternative win-win situation boosts group Persons with mental disability are equal citizens in South to have all these materials translated into improved communication between care attendance and members get the Wasima Fisher, community-based and mobile, and reaches into the heart of Africa, with the right to access equal opportunities for Xhosa and to promote learning and stakeholders, and electronic archives information and support that they SAVE Manager disadvantaged communities in the greater Cape Town area. education, lifelong learning and employment, However, 19 understanding in the mother tongue of the to safeguard documentation over need. there are many barriers that prevent this from being a reality. majority of our public. many years. 2 group homes

09 | cape mental health annual review 2016/17 cape mental health annual review 2016/17 | 10 innovation @ work innovation @ work

Quality education for children with severe In 2001 the Department of In order to stay at Education developed White Learning for Life the cutting edge of and profound intellectual disability (SPID) Paper 6, which sets out a 20- service delivery, LfL year plan for development Targeted training in the constantly develops 2016 Best ECD of a system of inclusive disability sector and revises its Programme that education to ensure an training materials supports Babies and integrated and accessible and programme Young Children with education system. However, An innovative resource Disabilities in spite of this strong human A leading training service provider since 1997, outlines, using The SA ECD Awards Workshop Week rights framework, children Learning for Life (LfL) offers quality training that current trends that took place in Sandton for 33 finalists responds to real needs in appropriate, creative in the national leg of the South African with intellectual disability and dynamic ways. will appeal to the Early Childhood Development Awards. still do not have equal participants. An It was a proud moment for CMH when, 2016 access to education. Customised training accommodates various Employee at a gala event on 6 April 2017, our settings, timeframes, language dependencies, and innovation goal is SECC manager Mdu Dube accepted budgets, and training materials take into account the to identify ways of the Year a South African Early Childhood and 577 background and academic abilities of participants. Development Award of Excellence Accessible, beneficiaries to use technology Taryn du Toit (née Feinberg) from the National Youth Development affordable training trained In addition to the induction training that LfL provides (such as podcasts was nominated as CMH Employee of the Agency and the Department of CMH sourced funding from the HWSETA to CMH staff and volunteers and the customised Year 2016. Her vision, leadership qualities, Social Development. (Health and Welfare SETA) to subsidise short courses and workshops offered to NGO staff, and Skype) to managerial skills, and vast knowledge and LfL has also provided training to 143 participants experience as an Occupational Therapist, have training on severe and profound intellectual 21% assist in rolling out disability for the NGO sector in South Africa. nationwide on severe and profound intellectual taken our LfL training programme to new levels. In consultation with various mental health disability (SPID) in children, run workshops for 66 training to more societies through the SA Federation for Mental participants (social workers, social auxiliary workers, remote areas where Under her leadership LfL was able to garner Special Education and Care (SECC) Health, our Learning for Life team was able to social work supervisors and community development national recognition for the programme and an CMH provides special education and day care for more than 180 The SECC manager reports a significant improvement in train 143 participants from urban, peri-urban 58% workers) in the Metro and Eden Karoo districts and access is limited. award from the SA Federation for Mental Health 21% children at three centres in Heideveld, and Mitchells the ‘organisational culture’ at the centres, brought about by and rural communities in the Western Cape, workshops for 174 educators from the Western Cape Taryn du Toit, in 2016 for innovation in the field of intellectual Plain. The programme offers a blueprint for the execution of the implementing processes that recognise staff as team Eastern Cape, Kwa-Zulu Natal, Northern Cape, and Eastern Cape Departments of Education. LfL Manager disability. Right to Education model for children with severe and profound members who have a voice in suggesting ideas and raising Gauteng and Limpopo. intellectual disability (CSPID) and meets the rulings of the High questions. This has resulted in greater staff engagement which Funding sourced from an anonymous fund Taryn is a consummate professional in every Court judgement that these children should be provided with has, in turn, allowed for growth and creativity. Parents too are Our training equips staff with the knowledge 58% NGO staff, managed by Investec has enabled LfL to initiate the aspect of her work — she is one of those rare high levels of care as well as quality education. Our centres engaging more and communicating better and we are preparing and skills to attend effectively to the needs of 21% State accreditation process so that those people working people who are visionary and creative, whilst offer individualised development programmes implemented the way for their video testimonials to showcase the impact children and adults with severe and profound educators, with people with disability will be able to access also being immensely practical and well by trained staff, nutritional assistance and customised school of our services and create further awareness of the Right to intellectual disability, promote their inclusion, 21%State social accredited training that could lead to a organised. transport — all to ensure accessibility and affordability. Education campaign. and improve their quality of life. workers career pathway in mental health.

11 | cape mental health annual review 2016/17 cape mental health annual review 2016/17 | 12 innovation @ work innovation @ work Training Workshops Unlimited for *Carla’s Career Path adults with intellectual disability From shy trainee to confident intern A model for TWU has put in place a fact-based RIGHT: One of Carla’s proudest moments was when TWU transformation assessment tool for service users in won a Ministerial Youth Excellence Gold Award in 2015. TWU is a community-based skills the open labour market to gauge the Carla (centre) is flanked by magnitude of change achieved through * Carla is one training and job development Gwendoline Daniels of TWU 2004 of more than project operating from four the specific intervention of TWU with 2013 (left) and Ingrid Daniels, CMH Carla Peacock joins 500 adults with workshops in Athlone, Mitchells respect to key social indicators. Carla moves to Director (right). Plain, Retreat and Khayelitsha for Training Workshops the Hygiene and intellectual 562 service users. The training Unlimited (TWU) as a shy Cleaning Level disability benefiting Innovation goals, amongst others, are from TWU’s and career path involves an trainee in the workshops 1 Learnership, to complete a large-scale employer structured training incremental process of training section for adults with mild successfully and career path survey and understand the intrinsic or moderate intellectual completing the and developing service users in which is designed skills required to fast-track vocational disability.Through life skills the range of severe to borderline course with The future to accommodate intellectual disability so that they development for our service users. and work skills training, Siyaya Skills Carla is able to individual can each realise their full potential and with the assistance Institute. International recognition for TWU secure and sustain learning needs and, for some, employment in the of TWU staff, she begins and abilities, and Barriers to learning continue to employment in the In the wake of national recognition in three-day conference in February 2017 open labour market. In reality the to take on responsibilities, offers experiential prevent youth with intellectual 2017 open labour market. 2016 by the SA Federation for Mental at the UN headquarters in Vienna. majority of adults with intellectual such as being a team She applies for a learning and disability from accessing post-school She earns a market- Health for TWU’s innovative work in The Zero Project network of experts disability cannot access suitable leader for her section, 2014 12-month internship access to related salary and the field of intellectual disability, the recognised 56 innovative practices training and work opportunities. education (PSE) and having an equal performing extra duties She then signs up for at Alexandra Hospital. employment in makes a purposeful the open labour programme garnered a Zero Project and 11 innovative policies as the best opportunity for socio-economic in the kitchen, assisting a 12-month internship 2016 She quickly adapts to contribution in the market. 2017 Innovative Practice Award for its worldwide. The programme serves as a participation. It is therefore a with fundraising events at programme funded by the Carla is proud of her the new environment, workplace and in intensive development and career path model for the transformation disability rights imperative that PSE the workshop, and helping Health & Welfare SETA achievements, but she the staff and her training programme for adults with The mission of Zero Project is to work out at Reception. She also longs for meaningful society. of the old-school protective settings are accessible in terms of which she completes peers, and works a intellectual disability. for a world without barriers by finding assists in the life skills successfully. She is employment and the workshops and has been the basis training and curriculum. full day in different and sharing models that improve the for the SA Federation for Mental area.TWU recognises her elected by her peers as chance to manage her departments. She and Thomas Bezuidenhout, TWU General daily lives and legal rights of persons Health’s Best Practice Model potential and encourages Chairperson of the TWU own money. Her job her employer benefit Manager, attended and presented at a with disabilities. (BPM) which is being rolled out in Although significant change has her to be part of the Trainee Council, and coach searches for from the ongoing various provinces in South Africa. been realised in the lives of our Business Administration serves as CMH board suitable employment support of her job service users, the quest for their ‘self- Learnership. But the member for a term of at many different coach and reasonable Training and Career Path actualisation’ is a journey that has lengthy reading and writing two years. She is also companies, crèches and accommodation is tasks of the Learnership old age homes, only just begun. supported in representing applied as required. Bridge Integration cleaning project prove to be too much but without success. Adult Life Work Supported persons with intellectual to open special skills skills employment of a challenge. disability at the South care labour market Waterless carwash Thomas Bezuidenhout, TWU GENERAL MANAGER African Mental Health Advocacy Movement.

13 | cape mental health annual review 2016/17 cape mental health annual review 2016/17 | 14 innovation @ work How CMH nurtures its staff CAPE MENTAL HEALTH including the Administration, Donor Development and 1. A recognition and rewards policy that Finance Departments; Social Development Services; 1 guides and facilitates managers and staff to Corporate Social Work; Garden Cottage; Learning for Life; Profile of CMH Employees participate in processes that acknowledge MindMatters SA; Sexual Abuse Victim Empowerment Staff snapshot (SAVE); Public Relations and Communication; and the as at 31 March 2017 CMH employees. Volunteers Programme: 1. Annual performance appraisals and a Gender Racial demographics 2 comprehensive induction programme for new Senior Management 75 PSYCHOSOCIAL REHABILITATION (PSR) TRAINING WORKSHOPS UNLIMITED (TWU) staff and those who need a ‘refresher course’. 20%80% Ingrid Daniels (Director) including Fountain House SA, the Rainbow including Training Workshops in Athlone, , 19 120 Santie Terreblanche (Deputy Director) Foundation, and Kimber House Retreat and Khayelitsha (Nonceba), Garden Pot Centre, 1. Time-off vouchers, family responsibility days 49 5 Carol Bosch (Deputy Director) 3 2 Siyakwazi Integration Company, Eco-Carwash Solutions, off, and long-service financial rewards. 9 Brigitte van der Berg (Management Secretary) Managers and the Eagles Project Employees o u r ed Anna-Beth Aylward (Rainbow Foundation Manager) 1. Recognition through E-birthday cards for with white Managers 4 all staff, birthday celebrations, and farewell

René Minnies (Fountain House SA Manager) Manager 30 indian co l

disabilities he r ot

Willemien Buys (Administration Manager) Af rica n Thomas Bezuidenhout (TWU General Manager) functions. 6% Taryn du Toit (Learning for Life Manager) Staff 20% An annual Wellness Day in October in 32.7% 50% 12.7% 3.3% 1.3% Sandra Ellis (Donor Development Manager) Roshan Abrahams • Claudia Cogill • Faldelah Fillander Staff 51. Wasima Fisher (Sexual Abuse Victim Zaida Frank • Andiswa Mantuse • Nondibane Mdyidwa Reyaan Abrahams • Rezaana Abrahams • Gavin Baatjies celebration of Mental Health Awareness Empowerment Manager) Nocawe Mxobo • Zibele Qwemesha • Saaraa Salie Faisal Bawa • Norman Blignaut • Craig Chambers Month at which staff are pampered with We also benefit from the service of 300 volunteers. Emmanuel Kelias (Finance Manager) Alvin Cloete • Gwendoline Daniels • Faith de Klerk manicures, pedicures and massages, health 70% females, 95% local volunteers, ages 11 to 69 Haseena Parker (Social Work Manager) SPECIAL EDUCATION AND CARE CENTRES Bridgette English • Aubrey Fortune • Pauline Groepes screening, enervating activities like Zumba Vimla Pillay (Social Work Manager) including Erika, Heideveld and Chantal Hess • Cecilia Jackson • Joan Jansen and powerwalking, and calming activities Gerrie van Eeden (PR & Communications Manager) Russell Jones • Faizel Karaan • Onwaba Kula such as yoga and meditation. Manager Evelyn Lakay • Claudette Louw Staff Mduduzi Dube (SECC Manager) Doreen Mabongo 1. Access to an employee assistance Christopher Adonis • Rochelle Bailey • Shamilah Cassiem Nontyatyambo Makendlana 6 programme for staff that have experienced Greg Damster • Tasneema Davids • Feroza de Leeuw Staff Syrita Malyon trauma, conflict or other emotional Ntombentle Dlokovu • Ferial Edwards • Tabile Figlan Cleo Abrahams • Nolan Bogacwi • Bathabile Bomvana Samantha Martin challenges. Glenda Fortune • Yvonne Foster • Nozuko Gxamza Xoliswa Buqa • Alma Dammert • Nontuthuzelo Dekeda Bukelwa Mbaphantsi Karen Hans • Katherine Hooper • Jeanine Hundermark Nomavenge Diko • Nomawethu Dotwana Agnes Meintjies CMH is a 1. Staff representation on forums focusing Amina Jacobs • Farenaaz Jacobs • Shakira Jardine Sethu Dyakalashe • Danielle Johnson • Zaakierah Johnson Simon Mngomeni 7 on Health and Safety, Employment Equity, Renecia Johns • Jeffeynore Jordaan • Thami Lusu Faith Jones • Shaunay Karriem • Sherlane Labans Mpontsheng Msila Level One Training and Development, and Care Internal. Thobeka Mafilika-Mapuko • Susan Manson René Maarman • Steven Madyo • Thami Majodina Sandra Nicolaai B-BBEE 1. Participation in international exchange Jonathan Manuel • Pumza Mbanzi • Deslynn Nel Boniswa Makana • Patricia Maumau-Koli • Ruwayda Meyer Colleen October contributor 8 programmes for professional staff to Zimbini Ogle • Catherine Pitt • Jenna-Lee Proctor Nomakwezi Mhlawuli • Phindeka Mini • Margaret Molefe Shamila Ownhouse Kulthum Roopen • Mastura Salasa-Schaffers Nazley Morta • Nombongo Mpateni • Thulani Muchanga Sonia Peters 135% B-BBEE Germany. Sharon Santon • Andreas Selela • Sheila Selfe Irene Ngxono • Zoleka Nongawuza • Insauf Parker Kyle Petersen Nominations to receive a Mental Health Nokuthula Shabalala • Kim Simpson • Teri-Sue Smith Denzil Prins • Thandeka Qaungule • Bukelwa Sombo procurement 1. George Philander 9 Ambassador’s Award in a number of Justine Taylor • Hedwich Tulp • Albert Vallay Kutala Soqaga • Fahiema Stemmet • Erika Thyssen Lloyd Rhoda recognition categories. Heidri van der Vyver • Khusela Veleko Ingrid Williams • Kim Windell Clive Ross Nosicelo Venkile • Jenny Walters level Shavonne Samaai 1. An annual gathering or outing for CMH Elanza Skippers 10 retired staff where they are treated to a Portia Toso • Lauren Truter substantial lunch and a gift. 15 | cape mental health annual review 2016/17 cape mental health annual review 2016/17 | 16 innovation @ work Cape Mental Health gives thanks Donor recognition Partnerships that break down barriers We value every gift of money, goods, services and time Subsidies from the Department of Social The Department of Social Development, users. A new waterless carwash project, with mental disability to develop their arts bestowed on our organisation. The involvement of Members and monetary Sponsorship and in-kind Development and the Department of Health 1st for Women Foundation, the Mary funded by the DAP, was launched in May and crafts. thousands of people in the Cape Town International Kite donations/grants donations/services funded 16 of our programmes and covered 52% Oppenheimer and Daughters 2017. Called ‘Eco-Carwash Solutions’, the Festival, the CMH Golf Day, the purchase of Old Mutual of our organisation’s operational costs. Foundation, and the Community Chest project addresses the dual challenges of Funding facilitated by the Foundation charity tickets, the Fountain 1st for Women Foundation • C M Abramovitz • B Alberts Akeso Psychiatric Clinic — Kenilworth • Aroma Drop Inn — Anene Booysen Empowerment Grant unemployment of persons with mental for Human Rights (which is funded House Art Exhibition, Casual Day and events at our V M Allison Far • Anglo American Chairman’s Fund • ATKV (Gwen Swanepoel) • Banks R&L Hiring The HWSETA and FP&M SETA, Anglo American have funded our Sexual Abuse Victim disability and the ongoing shortage of by the Department of Justice and Blend Eventlife • Bokomo Foods - Pioneer Foods community-based projects, has shown that the people Anonymous Donor • Anonymous Trust (Investec) Chairman’s Fund, the Rolf-Stephan Nussbaum Empowerment (SAVE) programme which water experienced in the Western Cape. Constitutional Development and the Australian High Commission, Pretoria (DAP) Boston Breweries • B P Atlantic • Brenton Geach Photography of Cape Town and beyond share our commitment to Foundation, the Old Mutual Foundation, The TK offers a unique psycho-legal programme European Union under the Sector Budget A Bach Waste Management • J Boese • S Brodovcky Brightfields • Building Industry Bargaining Council (BIBC) breaking down the barriers that exclude mental health for victims with mental disability in cases The National Lotteries Commission Support Programme – Access of Justice Care Career Connection • Carter Family Charitable Trust • Cape Community Newspapers • Cape Town & Foundation, Grandslots and the Iqraa Trust made service users from full participation in community life. Bruce Chelius • Community Chest Anene Booysen Empowerment Suburban Clothing Guild • Cape Town Tourism • Caturra Coffee a substantial investment this past year in the of sexual abuse. (NLC): Arts, Culture, Environment and and Promotion of Constitutional Rights) Grant • F G Connock Charitable Trust • J Cooke Company • Checkers – Tokai • Chouette • skills development and socio-economic resilience National Heritage Sector provided a grant enabled our organisation to implement Coca Cola Peninsula Beverages • Community Chest of the Lynette Croudace Trust • CTP Caxton Ltd • E T Daniels of youth and adults with mental disability at our Thanks to a second tranche of funding to cover the costs associated with the three mental health and mental disability I Daniels • Design Syndicate • Diel Met Systems • Din Din Trust Western Cape • Creative Housewares • G Damster Fountain House (SA) and Training Workshops from the Australian High Commission Heritage Kite Competition and kite-making awareness-raising campaigns in March, Estate Late S J du Toit • Estate Late Ruth Watson • C J Finlay M Daniels and the knitting ladies • Department of Cultural Affairs (Direct Aid Program), we have been workshops at the Cape Town International July and October. Activities included Formsxpress • Foundation for Human Rights • A H Fourie & Sport — Western Cape Government • Digital Express • Distell Unlimited programmes, and in building the FP&M SETA • Carl & Emily Fuchs Foundation • D R Giles Drop Inn — Bergvliet • Duram Paints • S Ellis • Genmatics capacity of staff working with these service users. able to purchase further equipment and Kite Festival held at Zandvlei Nature the distribution of newly-developed Grandslots • Allan & Gill Gray Charitable Trust • G R Greene German Consulate General of the Federal Republic of materials, contributing to a more effective Reserve in October 2016. In addition the infographics, videos, media campaigns, Germany • Hellermann Tyton • Herold Gie Attorneys G SIV Systems • Anne Harris Children’s Charitable Trust Thanks to earmarked funding from a foreign income-generation strategy at Fountain grant supported the hosting of the annual advocacy and awareness-raising talks and Clifford Harris Trust • G Hastie • M E Hewitt • J Hill • HWSETA Inner Wheel Club of Claremont • JB In Habit • Kelvin Grove Club donor, our MindMatters programme reached House (SA) and Training Workshops ‘Off the Wall’ Visual Arts Exhibition at St workshops with the general public and Ian Dickie & Co.• Inner Wheel Club of Claremont • IQRAA Trust Kirstenbosch National Botanic Garden • Kwikfit • Lewis Stores Unlimited, and providing socio-economic George’s Grammar School in February in partnership with the Cape Consumer A Jakins • J John-Langba • Douglas Jooste Trust • D Keet Mantelli’s • Marshall Hinds (Pty) Ltd • Martin & East (Pty) Ltd more than 500 youth and more than 50 educators E & J Kench • H Kittmann • E Kock • Ann Kreitzer Will Trust Media 24 Magazines • MGI Bass Gordon • Millenaar Architects at Ocean View and Senior Schools development opportunities for service 2017 and providing art supplies for artists Advocacy Body self-advocacy movement. V Y Lawton • J E T Lee Will Trust • W R D Lewis Memorial Trust Neil Ellis Wines • Old Mutual Two Oceans Marathon • Office of through a comprehensive school-based mental the Premier of the Western Cape • On Course Communication Lewis Stores • D Lotz • F Marais • Mary Oppenheimer & Daughters health promotion and awareness programme. Foundation • R H McCready • MDA Property Systems Optic Print • Paarman Foods • Pacmar • Pantsula Events The programme is adapted from the Australian our partners: Metaplast • Multikulturverein Völkverständigung PEAR (Professional Evaluation & Research) • Perfect Solutions MySchool Card • J Newmarch • Rolf-Stephan Nussbaum Personal Trust • Pick n Pay — Observatory, MindMatters model to address the particular Foundation • Oasis Crescent Fund • Old Mutual Foundation Pinelands Presbyterian Church Work Group • Planet Kids needs and challenges faced by South African M J Oliver • A D Paige • N Pappadopoulos • Personal Trust PPC Cement • Rhodes Food Group • Rotary Club of Claremont youth at risk. A development that is paying Sanitech • S Selfe• Sicad SA • Sonnendal Dairies Peter Pan Down Syndrome Centre • A Phaswana • N N Philips dividends is the establishment of action teams BETTER TOGETHER. Philwest Motors • G Pond • National Lotteries Commission Standard Bank • Sulize Terreblanche Photography consisting of learners and educators at each of J M Peter • Polyoak Packaging • Hangerman • Powell Tronics Suzette Venter Photography • Aerial Cableway RLWA (Pty) Ltd • Rachel Swart Fund • Rawbone Trust The Annex Restaurant • The Body Shop • The Crankhandle Club the schools to assist learners with the ‘emotional Francis Charles Robb Charitable Trust • T Roos • S Rosenberg The Green Scene • The Pro Shop • Tiger’s Milk • Tuffy • H Tulp intelligence’ curriculum of MindMatters’ online Philip Schock Charitable & Educational Foundation • C Selfe Two Oceans Aquarium • Tytek • V&A Waterfront programmes. In addition the afore-mentioned Wellness Foundation • Western Province Blood Transfusion S Selfe • St Ola’s Trust • Suzan Stehlik Charitable Trust • C & E Steyn grant also enabled our social workers to reach Stolls Hydraulic Services • David Stolper Foundation Service • Whale Watcher’s Luxury Self-Catering Accommodation almost 900 learners in the greater Cape Town area Kurt & Joey Strauss Foundation • Syringa Trust • The Atlantic Witz Communication • Woodbender • Woolworths Financial Philanthropies Director/Employee Designated Gift Fund Services — Fraud Department • Wynberg Boys’ High School – through a schools’ programme focusing on topics TOP: Staff members from the Fraud Department of Woolworths The T K Foundation • W Tollnan • E R Tonneson Will Trust Interact Club such as bullying, substance abuse, gangsterism, Financial Services are loyal supporters of our Erika Special Transfer e.V. • M & I Völker • A Waltman • B Watlington and teenage pregnancy, in order to foster positive Education and Care Centre. A Willenberg • P M Winter lifestyle choices and good mental health.

17 | cape mental health annual review 2016/17 cape mental health annual review 2016/17 | 18 Contact us Credits

CAPE MENTAL HEALTH | REG. NO. 003-264 NPO We gratefully acknowledge PBO REFERENCE NUMBER 130004456 the contributions of (PBO 18/11/13/4456) SECTION 18A APPROVED | BBBEE CERTIFIED · Ingrid Daniels, CMH Director · Santie Terreblanche, CMH Deputy Director 22 IVY STREET OBSERVATORY 7925 · Carol Bosch, CMH Deputy Director PRIVATE BAG X7 OBSERVATORY 7935 SOUTH AFRICA · Sandra Ellis, CMH Donor Development Manager TEL +27 21 447 9040 | FAX +27 21 448 8475 · Gerrie van Eeden, CMH Public Relations EMAIL [email protected] and Communications Manager · CMH managers and staff who contributed www.capementalhealth.co.za information and photographs www.facebook.com/capementalhealth.co.za · Sulize Terreblanche (photographer and videographer) www.facebook.com/CTKiteFest Twitter@CMH_NGO Design: www.gapdesign.co.za Twitter@CTKiteFest

The 2016/17 CMH Annual Report & Audited Financial Statements are available on request.