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Vulnerable: Pilot Project Related to the Development of Evidence Based Strategies to Improve the Health of Isolated and Vulnerable Persons

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Vulnerable: Pilot Project Related to the Development of Evidence Based Strategies to Improve the Health of Isolated and Vulnerable Persons VulnerABLE: Pilot project related to the development of evidence based strategies to improve the health of isolated and vulnerable persons Case Study Inventory Written by ICF Consulting Services Ltd October 2017 © European Union, 2017 Reuse authorised. The reuse policy of European Commission documents is regulated by Decision 2011/833/EU (OJ L 330, 14.12.2011, p. 39). For reproduction or use of the artistic material contained therein and identified as being the property of a third-party copyright holder, permission must be sought directly from the copyright holder. The information and views set out in this report are those of the author(s) ICF Consulting Services Ltd and do not necessarily reflect the official opinion of the Commission. The Commission does not guarantee the accuracy of the data included in this report. Neither the Commission nor any person acting on the Commission’s behalf may be held responsible for the use which may be made of the information contained therein. ICF has used reasonable skill and care in checking the accuracy and completeness of information supplied by the client or third parties in the course of this project under which the report was produced. ICF is however unable to warrant either the accuracy or completeness of such information supplied by the client or third parties, nor that it is fit for any purpose. ICF does not accept responsibility for any legal, commercial or other consequences that may arise directly or indirectly as a result of the use by ICF of inaccurate or incomplete information supplied by the client or third parties in the course of this project or its inclusion in this project or its inclusion in this report. Document Control Document Title Pilot project related to the development of evidence based strategies to improve the health of isolated and vulnerable persons (SANTE/2014/C4/034)- Case Study Inventory Job No. 30300799 Prepared by Prepared by Reuben Balfour, Lucy Arora, Peter Farrar, Philippa Hughes and Martina Morosi (ICF); Eurohealthnet. Checked by Checked by Christina Dziewanska-Stringer and Katerina Mantouvalou (ICF) Date October 2017 October , 2017 Pilot project related to the development of evidence based strategies to improve the health of isolated and vulnerable persons (SANTE/2014/C4/034)- Case Study Inventory Table of Contents 1 Introduction.................................................................................... 5 2 Methodology ................................................................................... 5 3 Case study inventory ......................................................................10 3.1 Initial findings from the case studies ..................................................... 10 3.2 Coverage of results............................................................................ 10 4 All target groups ............................................................................14 4.1 Case study 1: POAT Salute ................................................................. 15 5 At-risk children and Families ...............................................................20 5.1 Case Study 2: Sure Start (Biztos Kezdet) .............................................. 21 5.2 Case Study 3: Family Centres .............................................................. 25 5.3 Case Study 4: Schutzengel - Support for Young Families in Difficulty .......... 29 5.4 Case Study 5: Programme on Food Aid and Promot ion of Healthy Nutrition – DIAT ROFI ........................................................................................ 34 6 People with physical, mental and learning disabilities or poor mental health ............................................................................................41 6.1 Case Study 6: SLaM (South London and Maudsley NHS Foundation Trust) ‘Tree of Life’ approach ........................................................................ 42 6.2 Case Study 7: Special Olympics Youth Unified Sports programme .............. 46 6.3 Case Study 8: I See! About Soul and Body for Women with Intellectual Disabilities ....................................................................................... 51 7 In-work poor..................................................................................56 7.1 Case study 9: Open.med Munich .......................................................... 57 7.2 Case study 10: Emprego Saudavel (Spain) ............................................ 60 8 Living in Rural and Isolated Areas ........................................................67 8.1 Case Study 11: Building Healthy Communities Programme ....................... 68 8.2 Case Study 12: Mobile Health care Fund................................................ 73 8.3 Case Study 13: Let’s Live Healthily!...................................................... 77 8.4 Case Study 14: Mallu does the Rounds .................................................. 81 9 Long-term unemployed and Inactive ...............................................87 9.1 Case Study 15: Action nutritionnelle dans une épicerie solidaire ................ 88 9.2 Case Study 16: Sortir de soi, sortir de chez soi ....................................... 93 10 Older People ..................................................................................97 10.1 Case Study 17: Healthy Ageing Supported by the Internet and the Community (HASIC)........................................................................................... 98 10.2 Case Study 18: Health promotion and prevention of risk – action for seniors (Pro-Health 65+) ............................................................................ 104 10.3 Case Study 19: Our Life as Elderly (OLE II) .......................................... 109 11 People with Unstable Housing Conditions ...................................... 116 11.1 Case study 20: Drug consumption rooms ............................................ 117 11.2 Case Study 21: Find and Treat .......................................................... 126 11.3 Case Study 22: Housing First ............................................................ 135 11.4 Case Study 23: Ombold, Homeless Football League ............................... 146 12 Prisoners ..................................................................................... 152 Pilot project related to the development of evidence based strategies to improve the health of isolated and vulnerable persons (SANTE/2014/C4/034)- Case Study Inventory 12.1 Case Study 24: Danish model on food systems in correctional facilities ..... 153 12.2 Case Study 25: Community-based Health and First Aid in Action ............. 161 12.3 Case study 26: Prison In-reach and Court Liaison Service (PICLS) ........... 168 12.4 Case study 27: Health Education for Social Prosperity ............................ 176 13 Survivors of domestic violence and intimate partner violence ........ 185 13.1 Case study 28: Multi-agency risk assessment conferences (MARACs), United Kingdom 2003-14 ........................................................................... 187 13.2 Case study 29: Medical intervention against violence (Model project Medizinische Intervention gegen Gewalt an Frauen – MIGG), Germany 2008- 11 ................................................................................................ 194 13.3 Case study 30: Care for Maternity At Risk Programme ........................... 198 13.4 Case study 31: Training Curriculum: Violence against women and children – victim protection in Vienna’s hospitals ................................................. 202 14 Overall findings from the inventory on approaches to addressing vulnerability in health................................................................... 207 14.2 Transferability through advocacy........................................................ 207 14.3 Practice funding .............................................................................. 208 14.4 Approaches to targeting ................................................................... 208 14.5 Multiagency Approaches that combine health and social care .................. 210 14.6 E-health ........................................................................................ 211 Annexes Annex 1 Longlist- overview of good practices (111)........................................ 212 Annex 2 Shortlist-overview of good practices (47) ......................................... 230 Pilot project related to the development of evidence based strategies to improve the health of isolated and vulnerable persons (SANTE/2014/C4/034)- Case Study Inventory 1 Introduction Health promotion for disadvantaged persons is a crucial objective for achieving inclusive growth under the Europe 2020 strategy. Furthermore, the 2009 Communication ‘Solidarity in Health: Reducing Health Inequalities in the EU’1 and the Regulation (282/2014) of the European Parliament and Council2 stress the identification of evidence-based good practices for health promotion and reducing health inequalities. At the national, regional and local levels, there are a number of pertinent practices and approaches, but these are not always assessed and disseminated in a systematic way at the European level. Our project seeks to address this. The 'VulnerABLE' pilot project aims to find the most effective policy strategies for improving the health of vulnerable and isolated groups. To support this, the project has compiled 31 case studies of existing strategies from across the European Union. This 'case study inventory' summarises
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