Insport+ Vademecum

INSPORT+ VADEMECUM

December 2017

Poesia dedicata all’Insport

“The European Commission support for the production of this publication does not constitute an endorsement of the contents which reflects the views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein .”

What is INSPORT +? ∑ INSPORT+ is a project, co-funded by the Erasmus+ Programme of the European Commission, which aims at promoting the social inclusion of people with mental health disabilities through sport. ∑ The INSPORT+ approach builds upon the experience developed by partners in their territories and in their collaboration during the previous INSPORT project (2013-2014).

About the Consortium: ∑ Insport+ partners are public bodies and not for profit organisations coming from 9 different EU Member States (Belgium, Bulgaria, France, Germany, Hungary, Italy, Portugal, Spain, U.K.). ∑ They all use sport as a vehicle to promote social inclusion of disabled people and other vulnerable and disadvantaged groups.

INSPORT+ Vademecum

TABLE OF CONTENTS

EXECUTIVE SUMMARY...... 1

1. MENTAL HEALTH AND SPORT: THE SCENARIO IN INSPORT+ PARTNERTS’ LOCATIONS ...... 6 1.1 PRATO AND TUSCANY (ITALY) ...... 6 1.2 ANDALUSIA (SPAIN) ...... 14 1.3 BREMEN (GERMANY) ...... 22 1.4 LISBON (PORTUGAL) ...... 27 1.5 BUDAPEST (HUNGARY) ...... 31 1.6 REDON (FRANCE )...... 37 1.7 SOPHIA (BULGARIA)...... 41 1.8 OXFORDSHIRE (U.K.)...... 49

2. INTERREGIONAL EVENTS AND GOOD PRACTISES...... 53 2.1 KICK-OFF IN PRATO AND AURORA INTERREGIONAL EVENT...... 53 2.2 OFIS INTERREGIONAL EVENT ...... 55 2.3 PODES INTERREGIONAL EVENT...... 57 2.4 OXFORDSHIRE INCLUSIVE SPORT FORUM ...... 59 2.5 ANDALUSIA TIQUITACA FOR MENTAL HEALTH ...... 61 2.6 BREMEN INTERREGIONAL EVENT ...... 63 2.7 BUDAPEST INTERREGIONAL EVENT...... 66 2.8 SOFIA INTERREGIONAL EVENT ...... 68

3. INSPORT+: A LOOK INTO THE FUTURE ...... 70

ANNEXES

ANNEX 1: INSPORT+ TESTIMONIALS ANNEX 2: MEMORIES FROM INSPORT+ INTERREGIONAL EVENTS ANNEX 3: INSPORT+ AT A GLANCE

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LIST OF ACRONYMS

ACES Europe European Capitals and Cities of Sport Federation A.A.M.A. Association for Adapted Motor Activity (Portugal) ADO Association of Olympic Sports (Spain) ADOP Helps the Olympic Target Athlete (Spain) ANDDI National Association of Sport for People with Intellectual Disability (Portugal) AEDIR Spanish Sport Association for Integration and Rehabilitation National Association of Families of People with Intellectual and/or Relational ANFFAS Disabilities (Italy) AOSZ National Autism Association (Hungary) Association of Parents and Friends of People with Mental/Intellectual APPACDM Impairement (Portugal) A.S.D. Amateur Sports Association BTS Bulgarian Sports Totalizator CDAPH Commissions of the Rights and Autonomy of Handicapped Persons (France) Cooperatives for Education and Rehabilitation of Citizens with Disabilities CERCI (Portugal) CGFS Youth Centre for Sport Training (Italy) CIP Italian Paralympic Committee CNSA National Fund for the Autonomy of Aged and Disabled People (France) CONI National Olympic Committee (Italy) CSPs County Sports Partnerships EFDS English Federation of Disability Sport CPF Portuguese Sports Confederation ÉFOÉSZ Association for Persons with Intellectual Disability (Hungary) EU European Union Andalusian Public Foundation for Social Integration of the People with Mental FAISEM Disorders FEAFES Andalucía Federation of Relatives of People with Mental Disorders in Andalusia FÉBSSZ Budapest Sport Association of Disabled Persons FEDC Spanish Federation of Sports for the Blind FEDDF Spanish Sports Federation for Persons with Physical Disabilities FEDDI Spanish Federation of Sportspeople with Intellectual Disabilities FEDPC Spanish Federation of Sportspeople with Celebral Palsy FEDS Spanish Federation of Sports for the Deaf FENACERCI National Federation of Social Solidarity Cooperatives (Portugal) FESZT National Council of Disabled Persons' Organisations FODISZ National Student and Free Time Sport Federation of Persons with Disabilities (Hungary)

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FPDD Sports Federation for Persons with Disabilities (Portugal) HOC Hungarian Olympic Committee INAS International Federation for Sport for Athletes with an Intellectual Disability INR National Rehabilitation Institute (Portugal) IPDJ Portuguese Institute of Sport and Youth ISTAT Italian National Statistics Institute LSB Regional Sports Confederation LUCAS Links United for Coma Awakenings through Sport MDPH Departmental Houses for Handicapped Persons (France) MEOSZ National Federation of Disabled Persons' Associations (Hungary) MIH Mental Ill Health MVGYOSZ Federation of the Blind and Partially Sighted (Hungary) NARB National Assembly of the Republic of Bulgaria NGO Non-governamental Organisation NHS National Health Service OFIS Sport Intercommunal Office of the County of Redon OFT National Disability Council (Hungary) OxSPA Oxfordshire Sport and Physical Activity PESA Bulgarian Physical Education and Sports Act PODES Association for the Promotion of Sustainable Development PORDATA Portugal Database RFAF Royal Andalusian Football Federation SINOSZ National Association of the Deaf and Hard of Hearing (Hungary) SMOL State Money – Object Lottery SOE National Deafblind Association (Hungary) UNAPEI National Union of Associations of parents of persons with intellectual disabilities and their friends UNCRPD United Nations Convention on the Rights of Persons with Disabilities

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Executive Summary

INSPORT+, building upon the experience of the previous INSPORT project, is born with the idea of creating a network of associations across Europe committed to engage people suffering from mental health problems in sporting activities.

The value of sport has been widely recognized by research literature, pointing the attention to a variety of benefits for both the physical and the psychological well-being of people with mental disorders 1, but also for improving the role they have in the society 2.

Participation in sport provides the opportunity to interact with peers and build relationships beyond the family’s circle and the home environment, it also teaches the significance of teamwork and cooperation, goal-setting and discipline, fair play and respect of the rules. It is thus important for the personal growth and the education to basic social skills.

Sport can also make a difference for Sport for persons with disabilities….. challenging negative attitudes and stereotypes associated with disability. Indeed, despite important milestones ….a therapy and a growing sensitivity towards ……a tool for a healthier lifestyle disability issues, persons with disabilities ……a platform for learning social skills continue to experience stigma, ….a means for promoting a more inclusive community disempowerment, social and economic ……..a human right marginalization.

By focusing the attention on skills and abilities sport helps overcome barriers and attitudes about persons with disabilities by promoting self-esteem and self-confidence in the individuals concerned and by reducing the tendency to see the disability instead of the person and his potential within the community.

The need to guarantee persons with disabilities the right to enjoy full and equitable access to sport and physical activities finds strong support on the international scene. In 1975 it was firstly recognized by the Council of Europe it its “ EU Charted of Sport for All: Disabled People ”. In 2006 the right to sport has been extended beyond the European frontiers with the United Nations Convention on the Rights of Persons

1 Several studies confirm the positive consequences of sport for people with mental disorders, for instance: - Dr Ralph Richards, Senior Research Consultant, Clearinghouse for Sport, Australian Sports Commission (2015), Persons with Disability and Sport. - Andrew Soundy, Paul Freeman, Brendon Stubbs, Michel Probst, Carolyn Roskell and Davy Vancampfort (2015), The Psychosocial Consequences of Sports Participation for Individuals with Severe Mental Illness: A Metasynthesis Review. - Matthieu Marlier Delfien Van Dyck Greet Cardon, Ilse De Bourdeaudhuu, Kathy Babiak, and Annick Willem, Koustuv Dalal, Editor (2015) Interrelation of Sport Participation, Physical Activity, Social Capital and Mental Health in Disadvantaged Communities: A SEM-Analysis. - Rosenbaum S, Tiedemann A, Sherrington C, Curtis J, Ward PB (2014), Physical activity interventions for people with mental illness: a systematic review and meta-analysis. 2 For instance: - International Network of Sport and Development Consultants (2008), Sport and persons with disabilities : fostering inclusion and well-being [Chapter 5]. - Sherrill, C. (2005), Young people with disabilities in physical education/physical activity/sport in and our of schools, Technical Report for the World Health Organisation.

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with Disabilities (UNCRPD), recognizing persons with disabilities as holding an equal place in the society and promoting participation in sport as integral part of the strategy for advancing this underlying principle of equality (box 1).

Box 1 – Article 30 “Participation in cultural life, recreation, leisure and sport” of the United Nations Convention on the Rights of Persons with Disabilities

5. With a view to enabling persons with disabilities to participate on an equal basis with others in recreational, leisure and sporting activities, States Parties shall take appropriate measures:

a) To encourage and promote the participation, to the fullest extent possible, of persons with disabilities in mainstream sporting activities at all levels;

b) To ensure that persons with disabilities have an opportunity to organize, develop and participate in disability-specific sporting and recreational activities and, to this end, encourage the provision, on an equal basis with others, of appropriate instruction, training and resources;

c) To ensure that persons with disabilities have access to sporting, recreational and tourism venues;

d) To ensure that children with disabilities have equal access with other children to participation in play, recreation and leisure and sporting activities, including those activities in the school system;

e) To ensure that persons with disabilities have access to services from those involved in the organization of recreational, tourism, leisure and sporting activities.

Since then, the European Union has strengthened its attention to the promotion of inclusive sport transformed into a priority area of intervention, as reflected in the Council Conclusion “ Sport as a source of and a driver for active social inclusion ” and the related “ EU Disability Strategy 2010-2020 ”, highlighting the commitments to (i) promote the participation of people with disabilities in sports, (ii) develop and disseminate standards for accessibility of sports, leisure, and recreation activities, (iii) promote the participation of people with disabilities in European sport events as well as the organisation of disability- specific events including Special Olympics; (iv) Include a priority on social inclusion through and in sport, with a particular regard to persons with disabilities, in the future Commission policy and incentive measures in the field of sport.

There is no doubt about the progress made in European policies for advancing sport and physical activity for persons with disabilities; similarly the normative changes that advocate inclusive sport and the progressive increase of non-governmental organizations, associations and professionals involved in this area reflect important developments. However, the initiatives launched in Europe continue to be limited when it comes to tackling the sport practice of people with disabilities coming from a serious mental disorder. Only a minority of people with these problems in Europe participate in sport compared with people with other disabilities. Users of mental health, in addition to less physical activity, report very little confidence in their ability to exercise and are not adequately motivated or encouraged to practice sport by institutions and professionals of primary health care. The main barriers come from the mental illness itself and some of its symptoms, stigma and discrimination, environmental and environmental factors, and the absence of a dedicated legislation: while in most European countries there is a regulation to promote sport for people with intellectual, physical and sensory disabilities, there is not a specific provision for people suffering from mental health problems.

It is in response to these challenges that INSPORT+ partners have been working together over the last two years and their efforts have been capitalized though the following actions:

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• mobilising local stakeholder groups in order to; (i) support voluntary-based sport activities, (ii) promote increased cooperation among relevant stakeholders (social services, volunteers, users and their families, sport organisations, authorities and institutions dealing with sport, mental health and education, etc.), (iii) encourage participation of people with mental disabilities in sport; • organising interregional events at partners’ locations, with the participation of local stakeholder groups, experts in the fields of sport and mental health and the other European partners in order to exchange information, experiences and good practices about effective ways of promoting the social inclusion of people with mental disabilities through sport; • improving knowledge on the delivery of sport and physical activity for people with mental disabilities through a research into the local, regional and national contexts; • extensive communication of the project content across relevant networks and channels to raise awareness on the situation of people with a mental disability, the role of sport as a means to promote their social inclusion, the opportunity of making sport and physical activity more accessible in the different cultural settings.

With this Vademecum we would like to raise the attention to some of the key deliverables of INSPORT+. The Vademecum starts with an analysis of the situation existing in the areas where INSPORT + partners are engaged in their daily work. A number of dimensions have been investigated for this purpose, such as the legislative and normative frameworks, the institutions and facilities linked to the provision of sport and physical activity, the participation of persons with mental disabilities in sport and in social activities within the community.

The analysis does not pretend to be an exhaustive one nor to present in details the situation at regional and country level which is best documented by the scientific literature. It should be rather considered as a contribution to gain an insight into the variety of contexts existing in European countries and to better grasp the work of INSPORT+ partners in coping with existing deficiencies and in offering persons with mental disabilities opportunities for getting involved in sport and in community life.

The following chapter describes one of the strength of INSPORT+’s philosophy promoted through the interregional events, which consists of sharing innovative practices and know-how, the collaboration and search for synergies, the commitment to work hand in hand with people with mental disabilities in order to increase mutual understanding and to give them real chances for improving their lives. In two years INSPORT+ partners gathered in 8 different events across Europe, where they had the chance to participate in a number of initiatives, including seminars, interactive mentoring workshops, volunteer-led sport activities, visits to centers of excellence and mobilization events. It was a unique opportunity not only to learn from each other’s experiences on innovative practices and know-how to promote inclusive sport, but also to get in touch with the persons looked after by their European partners and to know more on the difficulties they face, on the one side, and the ambitions and desires they have, on the other side.

Overall, INSPORT+ activities reflect the overall ambition pursued through the project: the desire to set up a common European language in a complex area where contexts differ widely. Important steps have been achieved, and future line of actions have also been identified in the final chapter of the Vademecum, putting forth a set of recommendations as basis for inspiring future work in the area:

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Sport as a right of citizenship

o The exercise of a right of citizenship . In line with the UN Convention on the Rights of Persons with Disabilities, the different legislations and regulations must guarantee that the right to sport has a universal character and imposes on all public administrations the duty to ensure access to the practice of sport under equal conditions and opportunities for people with severe mental disorders. In this area, special emphasis must be placed on effective equality between the sexes, through the commitment to an equal sport that encourages the sporting practice of women and young people with mental health problems. o The exercise of this right should require that the goods, services, equipment, sports facilities and transportation are accessible and facilitated for people with mental health problems.

Communication strategy

o Sensitization of the different actors involved (providers of general health services, mental health departments and social services, as well as operators of physical and sports activities, representatives from public administration, private associations and local agents) on the usefulness of sport for people with severe mental disorders in terms of health promotion and disease prevention, on its therapeutic value for promoting psychological well-being and its role as a platform for learning social skills and for building a more inclusive society.

o It is necessary to guarantee maximum dissemination on the evidence of the benefits of sport and to promote the care of the physical health of people with mental health problems as an integral part of a community treatment. Likewise, a communication strategy should be established on the different offers of physical activity and sports that exist locally. This communication strategy should involve sports associations, social organizations, users and mental health professionals and sports entities.

Sport pratice

o The offer of training on sport and mental health should be extended to professionals of mental health and primary care, operators of sport associations (sport clubs and sport centres), volunteering and social agents. For this to be done, an excellent network of trainers should be encouraged in order to promote increased expertise, knowledge and capacity-building for operators in the provisions of sport activities for people with a mental disability, ensure that sport practice is well suited to individual needs and preferences of the participants and also to increase their motivation , identifying personal barriers and setting up individual goals o It is necessary to develop research initiatives with the participation of the universities. o It is essential to continue promoting sports practice for people with mental health problems on a regular, frequent and simple way . Physical activities that can be developed in community programs or in daily life should be further encouraged, also introducing, for instance fiscal discounts for people with mental disorders, so that sports practice, as a leisure activity but also at a higher competitive level, is carried out in a sustainable manner. o Whenever possible, opportunities for mixed groups should be welcomed by setting up usual age groups, but also groups of levels (with different ages).

o It is necessary to study organizational formulas so that the sports practice of people with severe mental disorder, in equal opportunities with other disabilities, find a federative enclave for competitive sport.

Community life and inclusion

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an inclusive character and must involve public administrations and local entities. These practices can be competitive, or leisure or recreation aimed at getting related to the improvement of health, the acquisition of sports habits, as well as the active occupation of free time. Similarly, practitioners should be involved in the associative life by taking part in the various activities of the associations, from the organisation of events and initiatives to the management and decision-making process of the association in order to work towards a common vision, shared by all members of the associations, notwithstanding of their condition.

o It is suggested introducing questionnaires in order to gather quantitative information on the number of people with mental disabilities involved in regular sport activities, community life and EU programmes, but also qualitative information in order to ensure that the points of views, ideas and suggestions from all participants receive proper attention and are taken into account for shaping future activities and programmes.

Enhanced cooperation and synergies

o It is essential to continue the path aimed at setting up the basis for an enhanced cooperation among relevant stakeholders (representatives from the health, sport and social work sectors, but also from the local and regional institutions) in order to guarantee a better coordination of the responsibilities regarding the sport offers for people with mental disabilities and increased synergies in the provision of sport and physical activity, but also in ensuring that the linkages between sport and mental health are effectively considered and exploited.

In the effort to continue the path carried out over the last 4 years in INSPORT+ and the predecessor INSPORT project, the recommendations sets the basis for further strengthening the potential of sport in providing opportunities for socialization and for creating real chances for improving the life for people suffering from mental health disorders and their families.

Recalling a famous quote of Basaglia, the Italian psychiatrist whose pioneering reforms led to the closure of psychiatric hospitals in Italy in 1978 and to a rethinking, on the European scene, of the mental health system in favour of community-based services,

“there are no normal and abnormal people, but women and men with strengths and weakness and that it is up to the society to make them feel free, but not left alone ”

Sport is a powerful tool the society has at its disposal for pursuing this goal: its strength and attractiveness is helpful for getting people with mental disabilities involved in a social network, where they can get not only opportunities for recreational activities but also, more importantly, the chances to build relationships and friendships and to live a life in a community, where everybody is accepted, is encouraged to take care about the other people and to pursue his desires and dreams, in other words a context where everybody feels to be part of a group, loved, valued and worthwhile for the others.

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1. MENTAL HEALTH AND SPORT: THE SCENARIO IN INSPORT+ PARTNERTS’ LOCATIONS

1.1 Prato and Tuscany (Italy)

∑ Stakeholders responsible for the provision of sport and physical activity

In the Region of Tuscany, where Prato is located, sport is managed by both public institutions and private organizations:

• The Region of Tuscany legislates on sport policies to be adopted, implemented and developed in the region, and provides financial support to organizations and sports associations. • The Province and Municipality of Prato: they hold the property of sports facilities, define their purpose and are responsible for the policies adopted in the territory of Prato. • Sport Federations: they are entities responsible for the development of amateur and professional sports and disciplines under the dependence of the Italian National Olympic Committee (Comitato Olimpico Nazionale Italiano – CONI); they also include the Italian Paralympic Committee ( Comitato Italiano Paralimpico - CIP) which is in charge of specific tasks to support the development of sports for physically and/or mentally handicapped athletes. As for the players of high level, the CIP coordinates and promotes the development of Paralympic athletics representative of the various disciplines in view of national and international commitments and especially of the Paralympic Games, summer and winter, which take place about two weeks after the Olympic Games, in the in the same venues and facilities used for the Olympics. • Public Sports Promotion: national organizations promoting amateur sports, within which there are special sections aimed at promoting adapted sports for people with different abilities. • Sport associations: individual companies affiliated to CONI, in promotion bodies, international organizations developing one or more sport disciplines. In the province of Prato there are 131 sports associations engaged in various disciplines. • Youth Centre for Sport Training (CGFS): independent body and unique example of a participatory association at national level, including municipalities in the province of Prato, the CGFS has the mission of promoting and disseminating experiences in sport and physical activity, through targeted educational interventions, ranging from recreational and educational activities for younger children to guidance and specialized activities for older children/young adults. The Centre helps bring them closer to different disciplines as a way to teach them social skills and develop physical skills as integral to their individual well-being. • Trofeo Città di Prato: created by the Municipality of Prato to operate in cooperation with the local offices of the Ministry of Education supporting sports activities in schools at all levels. The City of Prato signed an agreement lasting three years (2015/2018) with the Province of Prato, the municipalities of the province, the schools, the Ministry of Education, the Regional Education Office for Tuscany and the office for the land area of Prato, the Sports Training Youth Centre, the Regional CONI Committee for Tuscany and sports promotion bodies. The agreement foresees the presence of experts, made available through the institutions, in the classroom and with teachers, for updating, training and providing advice to teachers and specialized professionals on issues related to the world of sport and new teaching methodologies, as well as through the organization of competitions and events at various schools or public facilities.

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∑ About Mental Disability : Prevalence in the population

The number of residents registered by the City of Prato as of 31/12/2015 amounted to 191,150 inhabitants. The population in the course of 2015 slightly increased from 31/12/2014, with an increase of 148 inhabitants (0.08%). Between 2013 and 2014, the population had decreased by 422 inhabitants, in contrast to 2014 and 2015 - the first time the city witnessed a gradual increase observed since 2009. During 2015, again, the number of residents returned to grow, albeit contained.

In the City of Prato, there has been an increase in the foreign population and a decrease in the population of Italians, a process which has now been underway for a long time. The share of the foreign population in the total population increased from 17.89% at the end of 2014 to 18.20% on 31/12/2015. The share of the foreign population in the total population residing in Italy at national level on 31/12/2015 is 8.3% (according to the Italian National Statistical Institute), much lower than the level found in Prato. In summary, 2015 was a year that was characterised by an increase in the number of deaths and a decrease in the number of births, including those of foreign citizens. The reduction in this balance has been partly compensated by immigration from other cities and from abroad.

The overall structure of Prato's population has undergone a shift to older age groups. The share of the foreign population is more and more present in younger age groups. The average age continues to rise and hence increase the number of people of old age. This brief description of the resident population in Prato is proportional to the percentage of people suffering from mental health problems in our area, as shown in the tables attached, showing an increase of foreign nationals who turn to health facilities for psychiatric problems.

Prevalence of users by 1.000 inhabitants in services of Mental Health for adults

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Prevalence of users by 1.000 inhabitants in services of Mental Health for Childhood and Adolescence

∑ Specific support mechanisms and frameworks for people with mental disabilities

The key reference for the legislation is the Italian Constitution of 1947, in particular:

Art. 2 " The Republic recognizes and guarantees the inviolable rights of man, as an individual, and in the social forms in which he expresses his personality, and demands the fulfilment of the mandatory duties of political solidarity, economic and social " Art. 3 " All citizens have equal social status and are equal before the law, without distinction of sex, race, language, religion, political opinion, personal and social conditions. It is the duty of the Republic to remove those obstacles of an economic and social nature which constrain the freedom and equality of citizens, prevent the full development of the human person and the effective participation of all workers in the political, economic and social business of the country ".

National guidelines for Mental Health

On the basis of the principles set down by the Constitution, national guidelines for mental health have been adopted. Thirty years after the reform introduced by the Law no. 180/1978, the contents of which have been included in the Health Reform law no. 833/1978, following the specific reform measures of the childhood disability sector, and laws no.’s 118/1971, 517/1977 and 104/1992 that guided schools in overcoming the segregation of differentiated and special classes for disabled children and the consolidation of processes to include children in regular classes, there is now the need for strategic direction to regenerate the culture of services and intervention practices in this increasingly crucial area for the welfare of the population.

The 3 pillars of the General Health Law no. 833 of 1978 on the reform of the Italian mental health system: o A ban on building new mental hospitals and on admitting new patients to the existing ones, which had to be gradually phased out and used for other purposes. o The principle that prevention, treatment and rehabilitation of the mentally ill normally be carried out in community services. The law also establishes the creation of Services or Stations for Psychiatric Diagnosis and Treatment within the General Hospitals, which can have a maximum of 15 beds each. o The establishment of Involuntary Health Treatment

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"There is no health without mental health " is the message delivered to European countries from the Helsinki Conference of 2005 in which the Ministers of Health of the states belonging to the WHO European Region pledged to promote health policies with a view to: general public health to the attention of all age groups, including the qualification of interventions, the continuity of operations, the respect of human and civil rights of people with mental disorders.

The ethical and political aspects of human rights and equality among citizens has also prompted the European Union to express its forthcoming guidelines to Member States through the development of the Green Paper (Green Paper) on Mental Health that was approved by European Parliament and is now a reference for national governments.

The main information in this places particular emphasis on prevention, mental health promotion, social inclusion, and on practices based on local services and on the voluntary nature of treatments and progressive reductions in traditional institutional settings such as psychiatric hospitals. It is an implicit recognition of the validity of ethics and effectiveness in Italian practical experience developed in the wake of the 1978 reform and continued through the two projects ‘Objective Mental Health’ in 1994- 1996 and 1998-2000, and of the project ‘Mother and Child Objective’.

Regulation in the Region of Tuscany

As far as the sports sector is concerned, this is regulated by a specific Sports Act since 1981 (national law n. 91 of 1981). Besides the national legislation, which sets fundamental principles, the Regions legislate on sport policies to be adopted, implemented and developed with regulations. On this basis the Region of Tuscany have adopted:

• The Regional Law of 27 February 2015, n. 21 entitled " Promotion of culture and the practice of sports and recreational/motor-recreational activities and procedures for the award of sports facilities " • The “ Regional Plan for Sport for promoting the culture and the practice of sport and recreational activities 2012/2015 ”. Equal access to sport, promotion of healthy lifestyles, social integration as a basis for welfare development. These general objectives of the new regional plan for the promotion of culture and the practice of sport and recreational motor activities 2012-2015 was approved a few days ago in the Regional Council.

Through this new planning document for sports policy, the Region plans to develop and strengthen the principles and objectives already identified by the three previous plans that can be summarized in the promotion of sport and motor-recreation throughout the Tuscan region through the integration of actions with interventions related to health, education, training, cultural and environmental promotion. A key element that comes from the cross-cutting nature of this theme is the involvement of all stakeholders in the sector, both public and private.

The achievement of overall objectives occurs through specific actions: incentives to sport associations; a more widespread practice of sport as a health prevention tool and to combat disadvantage; development of rehabilitative functions (with regard to the most vulnerable and fragile groups of the population) and education (especially the young, encouraging meetings with people who have made the history of sport, spreading the principles of the Charter of Ethics).

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• The Ethical Charter of Sport - Resolution no. 729 of 29 August 2011, Tuscany Region, Department of Sport. Fifteen clear and concise articles that affirm the right of all citizens to practise a sport and that defines the practice of sport as "an essential component in the educational process" and loyalty or "fair play" that is fundamental to any sport at both amateur and professional levels.

SportHabile project: Sport for All Abilities

Both amateur and competitive sports are socializing element and an integral part in the rehabilitation journey and in the life of a disabled person, as well as a valuable and stimulating tool for achieving and maintaining psychophysical well-being.

From these beliefs comes the awareness that practising a sport must be exercised, encouraged, empowered and offered throughout the territory of Tuscany. CIP Tuscany created in 2010 the project SportHabile , with the help of CONI and the Region of Tuscany , and has initiated a process aimed at establishing partnerships with institutions to search for the best outcome in rehabilitation through sport. In this regard, all possible actions will be taken so that we can significantly spread and bring all the benefits of sport to disabled people.

The Project is developed, in summary, as follows: • Information ("InformHabile") Opening of autonomous information desks at major centres frequented by people with disabilities, to inform them about the possibilities on offer and direct them to sport activities. • Training ("FormHabile") Training meetings for sports teachers, school teachers, sports coaches, voluntary associations. • SportHabile Centres Creating centres of excellence for disabled sport that are accessible and equipped with qualified staff where people are able to integrate. Each centre is designed to make sport truly accessible to all persons with sensory, physical or intellectual impairments supplying equipment and specially trained personnel. The sports available are tennis, basketball, bocce, archery, canoeing, baseball and softball, table tennis, bow, athletics, skiing sport dance, fencing, football 5, horseback riding, wheelchair hockey, handball, gymnastics rhythmic, football and diving activities. Specifically there are 2 centres in Prato.

Health services & social services

As of January 2016 the Region of Tuscany has restructured its health services from twelve to three Local Health Units for Central, North-West and South-East Tuscany. The one that affects Prato’s territory, the Local Health Units for Central Tuscany, has merged four previous companies settle in Prato, Florence, Pistoia and Empoli). Mental health services are organized as follows:

• The mental health centre

o Performs reception and analysis of the needs of users and their families; o Assures the responsibility for patients’ caseload; o Ensures links with hospital departments and other community services; o Performs filter actions on admissions in order to limit it to cases of proven need;

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o Monitors and evaluates the quality of operations and procedures for the purpose of continuous improvement of the service; o Provides information and support service for users and their families; o Ensures the maintenance of activity data, medical records, and the therapeutic projects of the clients in its competent area; o provides assistance and scheduled and urgent interventions, at its headquarters, at outpatient and inpatient clinics, hospital units, private and residential homes.

• Psychiatric diagnosis and treatment

o Foresees psychiatric hospitalization taking place under advice of the specialist mental health centre or family doctor or, even, at the request of the person concerned; o Provides psychiatric service for diagnosis and treatment; o Ensures treatment of patients in hospital stay through psychiatric diagnosis and treatment; o Performs hospitalization functions in voluntary and compulsory medical treatment; o Is located at a local hospital or at the premises of services providing hospitalization; o Contains beds and spaces dedicated and tailored to the specific needs of patients.

• Semi-residential structures Semi-residential facilities provide assistance to users who need care and/or rehabilitation during the day on the basis of individual short, medium or long-term programmes (day-hospital psychiatric activities and day-care centres).

• Day Centre Carries out therapeutic, rehabilitative functions based on individual programmes to promote higher levels of independence and social skills.

• Residential Facilities Residential facilities are extra hospital structures for creating therapeutic and social rehabilitation programmes led by psychiatric expertise for patients needing residential services for a specific time according to their individual treatment plan or for those requiring treatment for situations of mental acuity for which hospitalization would not be useful. The residences are categorized into distinct types, related to their specific welfare commitment:

o Therapeutic, rehabilitation residences with ongoing assistance over 24 hours o Social rehabilitation residences with limited assistance during a 12-hour day o Apartment groups with limited assistance to timetables

• Mental Health Departments In each Local Health Unit there is a Department of Mental Health with the task of ensuring a comprehensive response to the mental health needs of citizens and to ensure the uniformity of care pathways and prevention interventions. In particular, they guarantee:

o Consistency of procedures and service levels; o Development of data collection and integration methods; o Overall assessment of the results achieved, the identified needs and the likely epidemiological trends, for the purpose of planning services;

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o Assessment of the costs / benefits, including in relation to admission to hospital and residential activities within public and private structures; o Promoting continuous quality improvement programmes; o technical support for the organisation of programmes and also for the qualification and the strengthening of the network of services throughout the area;

At the Department of Mental Health there are functional units classified into “Mental Health for Adults” and “Mental Health for Childhood and Adolescence”, both organizational structures that ensure an integrated supply of professional services: psychiatrists, children’s psychiatrists, psychologists, nurses and rehabilitation therapists, social and administrative assistants.

• The Health Company of Prato It is the second of its kind in the Region of Tuscany and includes seven Municipalities (Prato, Cantagallo, Carmignano, Montemurlo, Poggio a Caiano Vaiano, Vernio), as well as representatives from the Local Health Units for Central Tuscany.

The Health Company of Prato was created to carry out the functions of policy, planning and governance of social and health activities and represents a tool for : (i) ensuring better health and social services; (ii) understanding and meeting the actual demand of health and social services; (iii) optimizing available resources; (iv) improving the level of involvement and satisfaction of workers and the population.

• Voluntary Associations The Region of Tuscany promotes and supports the creation of groups of self-help of users and former users, through incentives and support for their activities. All this in the context of the importance that increasingly have taken on forms of self-organization and mutual aid/self-support from those who share the same problem, in the promotion of personal autonomy and state of health. Significant experiences have highlighted the importance of active collaboration with the associations of family members whose value to the community are recognised alongside services.

∑ About Mental Disability : engagement with other members of the community

Since its birth in 1994 the NGO A.S.D. Aurora has been working in order to involve mental users in the community of Prato and its Province. The founders (volunteers including doctors, therapists, clients and their family members) wanted to use strategies and policies of mental health community care to recognise to everybody, included persons suffering from mental health disorders, the right to have a better life and using sport as a powerful tool for social inclusion.

Football, volleyball, gymnastics, trekking, fit walking and, as of 2011, rugby (with its very own “Invictus” team) have been the main sporting activities promoted by the association. Aurora also encourages other social activities within “Fuori Di Pizza”, a restaurant run by clients and hosting various events throughout the year (photo exhibitions, conferences, tango lessons, movie nights among others).

Each year Aurora organises the “Trofeo Aurora International” gathering Italian and foreign delegations for exchanging ideas and views on mental health in dedicated conferences and interactive seminars

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and meetings, and for organising among teams, made up by disabled and non-disabled persons, football and volleyball matches and organising. In 2017 the “Trofeo” reached its 23rd edition.

In the 2 years of INSPORT+ Aurora has: • launched the “ Territorial Pacts for Mental Health ”: a model for unifying all institutions and actors who, at different level and degrees, work in the fields of sport and mental health (volunteering, local authorities, departments of mental health, social services, sport clubs, schools) and thus creating a network of integrated services, fully exploiting the role and added value of each actor. The Municipalities of North Tuscany are about to sign the Pacts that will take initial steps in the sport sector. • gained the management of the rugby facility “Chersoni” and for Aurora's clients this meant: (i) work opportunities in line with the INSPORT Charter of Sport; (ii) the chance to get trained in a first class field (where also professional players from a club of Italian first league play). • proposed, and Prato’s Municipality approved with a Regulation, that the INSPORT+ and the ERASMUS+ logos must be placed in all sport facilities favouring sport practises of disabled people in the city.

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1.2 Andalusia (Spain)

∑ Stakeholders responsible for the provision of sport and physical activity

The organization of sport in Spain is based on a system of collaboration between the public and the private sectors. Both sectors share the responsibility for the promotion and the development of activities and physical-sporting practices. The main institutions involved are the following ones:

Public sector: Private sector:

• The Higher Sports Council • Spanish Olympic Committee • General Sports Directorates of the • Spanish Paralympic Committee Autonomous Communities (Comunidades • Professional Leagues Autónomas). • Spanish Sports Federations • Local Entities: • Autonomous Sports Federations o City Councils, • Associative Sports Organizations o Provincial Councils,

o Town Councils

Mixed system of public and private financing:

• ADO (Association of Olympic Sports) • ADOP (Helps the Olympic Target Athlete)

The Higher Sports Council ( Consejo Superior de Deportes ) directly exercises the performance of the state administration in the field of sport in compliance with the constitutional mandate that establishes that the public powers will encourage physical education and sport and facilitate the proper use of leisure. It is an autonomous arganization, attached to the Ministry of Education, Culture and Sport, dependent on the government of Spain.

The Integrated Sports and Physical Activity Plan ( Plan integral para la Actividad Física y el Deporte) is the primary policy instrument adopted by Council; its aim is to ensure that the Spanish population has universal opportunity to participate in sports and physical activity, thereby helping to reduce the levels of physical inactivity and obesity, in addition to promoting active and healthy lifestyles; it also specifically promotes sport as a tool for social cohesion;

The functions and competencies for the promotion and development of sports policy in the Spanish Autonomous Communities are established in the respective Statutes of Autonomy of the different regions of Spain.

The Sports Legislation of each Region delimits the field of action in this matter and, in turn, differentiates it from the State Administration and the other Communities.

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In Andalusia, sports policies are established by the Department of Tourism and Sports of the Regional Government ( la Consejeria de Turismo y Deporte ) and specifically through its General Secretary for Sport.

In this context the Law for Sports in Andalusia ( Ley 5/2016 del Deporte de Andalucía ) was proposed and approved by the Andalusian Parliament in July 2016. The law recognizes that access to sport from persons with mental disabilities requires special attention and includes a specific provision in art. 9:

Article 9. Sports for people with disabilities

1. Administrations with competence in sports in Andalusia, in their respective fields, shall promote and encourage the practice of physical activity and sport for people with physical, mental or sensorial or mixed disabilities, seeking to eliminate any obstacles to their full integration.

2. To this end, they will promote appropriate measures to promote the specific training of people in charge of sports training for people with disabilities, both in competition and leisure athletes, taking into account the potential effects of sport on health and quality of life for people with disabilities.

3. The Ministry responsible for sport will favor the progressive integration of athletes with disabilities in the Andalusian federations of the corresponding sports modality.

More recently, in September 2017, Law 4/2007 on the Rights and Attention to Persons with Disabilities in Andalusia, in its Article 41, indicates that the Public Administrations of Andalusia will ensure the right of persons with disabilities, in conditions of equality and non-discriminatory, of goods and services that are made available to the public in physical activity and sport.

Within this context sport for disability is managed by Sport Federations under the umbrella of the Spanish Paralympic Committee . Since its creation, the Spanish Paralympic Committee was set as the institution for unifying and coordinating sport for people with disabilities in Spain, in close collaboration with the Sports Council. Within the Spanish Paralympic Committee there are five multi-sports members organized by type of disability:

• the Spanish Federation of Sports for the Blind ( Federación Española de Deportes para Ciegos, FEDC) 3; • the Spanish Sports Federation for Persons with Physical Disabilities (Federación Española de Deportes de Personas con Discapacidad Física, FEDDF) 4 ; • the Spanish Federation of Sportspeople with Intellectual Disabilities ( Federación Española de Deportes para Discapacitados Intelectuales, FEDDI) 5 ; • the Spanish Federation of Sportspeople with Celebral Palsy ( Federación Española de Deportes de Personas con Parálisis Cerebral y Daño Cerebral Adquirido - FEDPC) 6 ; • the Spanish Federation of Sports for the Deaf (F ederación Española de Deportes para Sordos, 7 FEDS ).

3 http://www.fedc.es/ 4 http://www.feddf.es/ 5 http://www.feddi.org/ 6 http://www.fedpc.org/ 7 http://www.feds.es/

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As in other European countries, there is no federal structure, either at the national level or at the regional level, specifically aimed at people with disabilities derived from suffering a serious mental illness. There is also no representation of this group of people within the Paralympic movement.

Promoted from Andalusia, the Spanish Sports Association for Integration and Recovery ( Asociación Española Deportiva para la Integración y la Recuperación - AEDIR) 8 was created in 2010. AEDIR is made up of public and private organizations from most of the Spanish regions that are linked to the social care of people with severe mental disorder. This association has been linked to different events organized by FAISEM in the Insport + project. AEDIR is a space for the exchange of experiences, the organization of national championships and is currently the interlocutor in Spain for the sports practice of people with mental health problems.

Specific support mechanisms and frameworks for people with mental disabilities

The Andalusian Public Foundation for Social Integration of the People with Mental Disorders ( Fundación Pública Andaluza para la Integración Social de Personas con Enfermedad Mental, FAISEM 9), depending on the Regional Government, develops and manages social support programs aimed at people with serious mental health problems, in close collaboration with the Public Mental Health Services and the associative movement of family and users.

It was created by the Andalusian Parliament in 1993, following the reform of the mental health system, as a public foundation entrusted with the following tasks:

• the responsibility for supporting public services delivered by the Department of Health, Social Services and Employment of the regional government of Andalucía and, in this perspective, working as a model of services supported by co-ordination with the general health and social service networks; • acting as an instrument of the inter-sectoral policy of the Andalusian Administration, its goal is the development and management of resources to provide social support for individuals with disabilities derived from serious mental illness; • working as a structure and functioning following efficiency and quality criteria, and including the participation of professionals, family, users and other social bodies.

The overall objective of FAISEM is to prevent the marginalization and maladjustment of the people affected by mental illness causing serious personal disability, but also social disability, and to support their social and professional integration.

In this context FAISEM’s action is also aimed at promoting sports and physical activity and, for this to be achieved, develops an annual program for physical activity and sports in the 8 provinces of Andalusia in collaboration with the Andalusian Sports and Mental Health Commission ( Comisión Andaluza de Deportes y Salud Mental ) and the following actors:

• The Federation of Relatives of People with Mental Disorders (Federación Andaluza de Familiares y Personas con Enfermedad Mental - FEAFES Andalucía), which is dedicated to improving the quality of life of people with mental illness and their families and to defending their rights.

8 www.aedir.es 9 www.faisem.es

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• En Primera Persona, i.e. the Andalusian Federation of Mental Health’s Associations ( Federación Andaluza de Asociaciones de Salud Mental ), the first regional federation in Spain to unify the emerging associations of people with mental illness. • The Spanish Sports Association for Integration and Recovery ( Asociación Española Deportiva para la Integración y la Recuperación - AEDIR) 10 that is formed by people with experience in issues concerning mental health, family, professionals and organizations from different regions of Spain. • The Research Group HUM-760 at the University of Almeria, which organizes meetings aimed at deepening, on one hand, the personal, physical and social benefits that sport can offer people with mental illness and, on the other hand, at learning the latest developments in adapted sport for different groups, not only with mental illness, but more generally for people at risk of social exclusion.

Specifically, the program for physical activity and sports includes sports activities focusing on the following main concerns:

• Sports activities are programmed in each province of Andalusia through programs directly managed by FAISEM or in collaboration with FEAFES Andalucía. These activities are planned by a coordination group for sports activities formed by representatives of all Andalusian provinces. • Provincial championships are carried out (mainly football, paddle, volleyball, trekking, swimming, basketball and table tennis) and activities organized for people cared for in the residential program of FAISEM and in the social clubs. One of these is the program called “ One Million Steps ” which fosters group walking by users on a regular basis.

Examples of these meetings, at the local level , are the VI Sports Olympics "United for the Ball and Mental Health" (Sevilla, Malaga) with a participation of more than 300 people or the Festival "Other Capacities" (Seville – 2015-17) with a participation of 500 people in collaboration with the Royal Andalusian Football Federation (RFAF)

• Regional Football Championships are held with the participation of people coming from all Andalusian provinces. Special note is the initiative of “ Locos por el Remate ” which is celebrated since 2005 in the city of Cordoba. The sports activity is matched with cultural events, recreational events, round tables with the presence of sports professionals and users, volunteers, etc. with the aim of favoring social awareness. This experience, which takes place every year using resources of the city and gathering attention from the media, has received in Andalusia diverse recognition as an efficient action in the fight against stigma.

In this tenth edition participated Soccer selections - 7 representative of each one of the provinces Andalusian and incorporated the sport modalities of Paddle, Athletics 800 m, Test of Speed of 60 m, Table Tennis and Petanque. As a novelty this year included a competition of Basketball. Parallel activities of Biodanza and Aerobic also took place.

• Among the activities carried out, at regional level, we highlight the "Champions League for Mental Health" Tournament held in Alcalá la Real. (Jaén) with a participation of 200 people or the Tiqui Taca for Mental Health Tournament (Almería) in which more than 200 people and athletes from the 8 Andalusian provinces, and Spanish regions. The Tiqui Taca for Mental Health Tournament has

10 www.aedir.es

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been framed within the activities of the International Congress of Physical Activity and Inclusive Sport , held at the University of A lmeria. • At the national level , there have been sports tournaments such as Mentatlon Sports Meeting (Bilbao), the National Futsal Tournament “Puerta Abierta” , held in Logroño (Spain) , is of special importance since it counted on the participation of more than 300 people, among public, sportsmen and professionals of the Mental Health of the communities of Andalusia, Madrid, Castila y León, Euskadi and Aragon or Spotsa Futbol 7 , Padel and athletic Tournament in Valencia. • In collaboration with the University of Almeria, projects in research and courses for specialization in adapted sports are carried out. Of special importance has been the project Effectiveness of a Program of Physical Activity in People with Serious Mental Health Disorders 11 . • Of equal importance are the conferences, congresses and awareness activities on Sports and Mental Health celebrated at national level (San Sebastián, Oviedo, Madrid, Valencia, Toledo), in which FAISEM has disseminated good practices included in the Project INSPORT, bases of the Declaration of Málaga on Sport and Mental Health and its continuation in the current project INSPORT + • An internal program for training in physical activity and sports for professionals working in the day centers of FAISEM has been developed.

There are 167 professionals working in the program for physical activity and sports. This group of professionals are trained in sports activities (football, basketball, paddle or volleyball), are involved in activities for physical exercise which are carried out in community centres or gymnasiums, in the sport centres (maintenance gym, aerobics, pilates, yoga) or in open spaces or in nature (trekking, walking, cycling or marathon running).

A group for following-up the Mental Health Plan in Andalusia evaluates the physical activity of the people cared for in the mental health services, thanks to resources of FAISEM, the public mental health network and the association movement of relatives and users.

All activities are characterized by close collaboration with local bodies, engagement of local communities and involvement of social media as a strategy to make the activities known and, thus, to create social awareness and fight against stigma.

∑ About Mental Disability : prevalence in the population

Reference is made to people with "severe mental illness", i.e. to "people with difficulties in personal and social functioning, arising from suffering severe and persistent mental health problems ", thus delimiting a group of persons requiring special attention, given the multiplicity and severity of their problems and the existence of reasonably effective interventions.

This group of people with persistent mental and other health dependence is characterized by the following dimensions:

• The symptoms, which could be summarized broadly as "psychotic", to the extent that creates significant difficulties in grasping the reality and managing, inter alia, interpersonal relationships. What translated into diagnostics, usually mainly include schizophrenia and other psychoses (major

11 Revista Internacional de Medicina y Ciencias de la Actividad Física y el Deporte vol. 17 (67) pp. 507-521, http://cdeporte.rediris.es/revista/revista67/artefectos842e.pdf

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diagnostic group), affective psychosis and some types of personality disorders (the "close" to the psycho). • The long evolution, usually set in over two years, which also implies a continuous or very frequent use of different types of health and social resources. • And a disability component, which is usually measured with instruments like the Global Assessment of Functioning (GAF - the operating criteria is to have a minimum score above 50) and involves the presence of alterations in various functional aspects, difficulties in performing basic activities daily living, instrumental skills deficits and the need for different supports to ensure their personal autonomy attention to situations of dependency.

On the other hand, in Andalusia, the average prevalence of people with a serious mental disorder goes from 1,5 to 2,5 per 1.000 inhabitants, the same as the national average figures. If we extrapolate this data in Andalusia, we should consider a range of between 30,000 - 35.000 people who have some sort of disability arising from having a serious mental disorder within the Andalusian Public Health System and FAISEM.

During 2013, 27.967 people were treated for severe mental disorder, which represents 13,7% of patients treated in the community mental health units (9,76% in 2012), and 17.465 were included in the mental health care process serious. 57,9% were men, being the most numerous groups those of men between 31 and 50 years old (31,1%) and that of women of the same age (19,3%).

∑ About Mental Disability : prevalence of persons practicing a sport or a physical activity on a regular basis

In the General Strategic Plan for Sports in Andalusia (2009-2016) a study was drawn up to get to know the perceptions, requirements and trends of the Andalusian population over 14 years old as far as physical activity and sports are concerned.

3.200 interviews were done and among the more significant results was that Andalusian citizens show clear interest for sport (a lot or quite a lot, men 78% and 59% women), and they are aware of the scope and importance that it has today and will inevitably have in the future. Also, for 99% of the Andalusians “practicing sport is related to the idea of source of health”.

In this sense a poll was carried out about physical activity done by people with serious mental disorders in Andalusia. The sample was of 2.173 people with this type of problem, being cared for in residential units. In this poll, as of the definition of the practice of physical activity as defined by “carrying out an activity that accelerates cardiac rhythm for at least 10 minutes in a row”, people were asked : (I) how many people of both genders carried out physical activity, (ii) what sort of activity it was, (iii) the frequency it was carried out and (iv) the duration of the activity.

The data collected from information files coincide in a large way with the opinion of experts in physical activity who state that people with mental disorders, walking along with routine activity of daily living, become the pillars of any program to promote physical activity. However, in general, these activities are of low intensity and have a short duration. Thus, sports and physical activity done by people with serious mental disabilities becomes a priority undertaking in Andalusia, this is the reason why FAISEM has been carrying out a program of physical activity and sport.

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∑ About Mental Disability : engagement with other members of the community

People with severe mental disorders are a group characterised by the need for care, over long periods of time, in significant and diverse areas of their social, personal and family functioning. These difficulties may be accompanied by varying degrees of disability and dependence.

Today, there is a high degree of professional consensus as to the interventions which should be available and which are effective for the individual with serious mental illness and his or her family. This requires a co-ordinated set of interventions in the areas of health and social support which guarantee his or her permanence in the community and respect in his or her consideration as a citizen.

Andalusia is a region of Spain with 8 provinces and 8 million inhabitants.

In Andalusia there is a community network of Community Mental Health Services, without psychiatric hospitals, the care of these people is carried out through the health and social serviceswhich are community based and orientated. There is also a specific network of social support programmes – complementary to both the health services and the general social and employment services, – managed by the Andalusian Public Foundation for Social Integration of the People with Mental disorders.

Ever since its creation, FAISEM, with an overall personnel of 1.053 people with 73,2% of women (772) and 26,8% of men (281), has been consolidating a network of resources for social backing that serves 10.000 people with disabilities due to suffering a serious mental disorder, within residential facilities, social enterprises, social clubs, workshops, day care centers and sport programs. This follows from the psychiatric reform process that closed in Andalusia the psychiatric hospitals and supported instead the development of a community model. In particular, the principal areas of intervention of FAISEM are as follows:

The residential program, providing accommodation with varying degrees of support in:

• 172 apartments (“supervised housing”) with a total of 689 places; • 55 sheltered homes with a total of 955 places; • Home support programmes used by 251 individuals; • Arrangements with 30 residential homes with a total of 42 places.

The day support program offering care in:

• 79 occupational workshops, with a total of 2.047 places. • 29 day center, with a total of 1.176 places. • Leisure and free time, providing opportunities for re-socialisation through 46 social clubs, attended by 1.843 users, as well as a programme of holidays and sports activities used by 254 individuals.

The Labour of Employment Program which develops professional training and employment support activities, some of which are carried out through the company IDEMA, S.A. basically:

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• 8 services of employment guidance and support, attended more than 2,800 users, of which 1,745 were employed with a vocation for employment in the short or medium term, initiating personal insertion itineraries, 1,265 new hires were made to people with mental disorder illness. • 9 social firms providing employment to 625 individuals, 355 of whom have mental health problems:

SOCIAL FIRM PROVINCE ACTIVITY PROILABAL ALMERIA Residential support, graphic arts, gardening and home delivery

GESSER" S.L. CADIZ Dog kennels, gardening and home delivery AZAHARA SUR, S.L. CORDOBA Carpentry and home delivery

AJARDINAMIENTOS NEVADAS, S. L. GRANADA Gardening and home delivery

INDESUR S.L. HUELVA Cleaning and home delivery

GRUPO DE EMPRESAS SOCIALES S.L. JAEN Graphic arts, restoration, cleaning and home delivery

MULTISER S.L. MALAGA Gardening, car park surveillance, catering, cleaning and home delivery PROAZIMUT, S.L. SEVILLE Computing, telecommunications, restoration, catering, cleaning and home delivery SERVILIA, S.L. SEVILLE Hotel and catering and gift shop

In addition to the above-mentions programs, FAISEM is also active in providing

• various training, research and cooperation national and international activities, • Support programme for homeless and imprisoned people with severe mental health disorders. • Guardianship , promoting and supporting the development of institutions with guardians on a provincial level, attended by a total of 1.467 individuals. • Support to the Andalusian Federation of Relatives of People with Mental Disorders (FEAFES- Andalucia) and the Andalusian Federation of Associations of Users of Mental Health (En Primera persona Federation).

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1.3 Bremen (Germany)

∑ Stakeholders responsible for the provision of sport and physical activity

In Germany the authority responsible for managing sport is the Regional Sports Confederation (Landessportbund - LSB).

The Landessportbund for the city-state of Bremen (LSB Bremen) is the umbrella organization of 430 Bremer and Bremerhaven sports clubs and 50 sports federations. With around 160,000 members, it is the largest personal association in the two-city state. In the 50 trade associations, the whole range of sports from aero sport to water skiing is offered. The wide sport has always had a solid tradition at the LSB Bremen. Equally, there is the performance sport with its organized competition groups at home. The associations of the Landessportbund submit offers for various performance demands and age groups and are also aimed specifically at children, senior citizens, emigrants, foreigners and people who are in the rehabilitation phase.

In order to fulfil its socio-political responsibility and to meet the needs of the athletes, the LSB takes care of securing the material and organizational framework, the qualification of its employees, the development of special sports and exercise programs, the analysis of sports trends and the cooperation with public and private institutions. At the same time, the LSB also wants to open up other institutions to participate in the large sports community in Bremen and Bremerhaven.

The services of the LSB are documented in a qualified association service, training and qualification for employees in sports, targeted public relations work, integration work, the development of groundbreaking models (projects), youth work, as well as the promotion of female participation 12 .

For our project, however, the " Position paper and action recommendation for implementation to inclusion in organized sport in the city-state of Bremen " of March 11, 2014 is interesting 13 . Here, LSB and its affiliates undertake to implement the Convention on the Rights of Persons with Disabilities adopted by the UN in 2006. This is to be implemented together with the following associations:

• Disabled Sports Association Bremen e.V .14 ; • Deaf Sports Association Bremen e.V.; • Special Olympics Germany in the state of Bremen e.V. 15

∑ Specific support mechanisms and frameworks for people with mental disabilities

The promotion of sport for people with disabilities is based on the principles set down in the United Nations Convention on the Rights of Persons with Disabilities, binding on Germany since 2009. The implementation of the Convention takes place on two levels: at national level the Federal Cabinet of the Government agreed in 2011 the National Action Plan to Implement the Convention with a time horizon of ten years, while at regional level the regional federal states ( BundesLänder) have planned,

12 http://www.lsb-bremen.de/standard.aspx?id=567763) 13 Positionspapier und Handlungsempfehlung für die Umsetzung zur Inklusion im organisierten Sport im Land Bremen. 14 Deutscher Behindertensportverband DBS (http://www.dbs-npc.de/) 15 http://www.specialolympics.org/Regions/europe-eurasia/Locations/Special-Olympics-EE-Germany.aspx

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for the areas for which they are responsible, action plans or other schemes to improve the participation of persons with disabilities.

Germany is not starting from scratch when it comes to implementing the Convention. There are many laws, regulations, schemes and projects at federal, regional and municipal level facilitating and promoting the right to a self-determined life, as well as the participation and inclusion of persons with disabilities. In particular:

• In 1994 the Basic Law ( Grundgesetz, i.e. the German constitutional law )), which recognises the equality of all people before the law, was supplemented by a provision which came into force in November 1994 in favour of persons with disabilities. • The next steps at federal level were taken in 2001 with the adoption of a separate the Code for the rehabilitation and participation of persons with disabilities – Book IX of the Social Code ( Neuntes Buch Sozialgesetzbuch, SGB IX ) and of the Act on Equal Opportunities for Persons with Disabilities (Behindertengleichstellungsgesetz ) in 2002:

The Book IX of the Social Code laid the foundation stone for a right to rehabilitation and participation reflecting the general public’s interest. The tasks of the various rehabilitation institutions were set out and combined in one law for the first time. This facilitates citizens’ access to rehabilitation and participation benefits. Improved procedural regulations can enable claimants to receive the benefits to which they are entitled more quickly.

The Act on Equal Opportunities for Persons with Disabilities governs accessibility in an extensive manner, defines disability, takes account of the special interests of disabled women and makes regulations on agreed goals to bring about accessibility in the domain of private law. A core element of the Act is accessibility, with special attention being paid to the public-law domain. The latter ranges from the recognition of German sign language as a separate language, and making documents accessible for both blind people and visually-impaired persons in the administrative procedures, through to the barrier-free design of the Internet presentations of the Federal authorities. A signal effect has furthermore gone out from the voluntary undertaking of the Federation for barrier-free building. Major statutes have also been amended in the transport field, aiming to bring about “optimally broad” accessibility. 16 Acts on Equal Opportunities of the Länder flank the Act on Equal Opportunities for Persons with Disabilities and regulate the preconditions for bringing about accessibility at Land level.

• In 2006 the General Anti-Discrimination Act ( Allgemeines Gleichbehandlungsgesetz ) entered into force; this statute protects people at work and in civil legal transactions against discrimination not only on grounds of a disability, but also of race or ethnic origin, of gender, religion or philosophical creed, age or sexual identity.

As far as sport is more specifically concerned, the associations Disabled Sports Association Bremen e.V., Deaf Sports Association Bremen e.V. and Special Olympics Germany in Bremen e.V., already mentioned in the previous paragraph, are responsible for guaranteeing basic conditions for making sports accessible for people with disabilities in the state of Bremen. As is already apparent from the outline, there is a strict separation according to the respective target groups.

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People with intellectual disabilities are represented by Special Olympics Bremen. There is a sports festival once a year, in 2015, for instance, there were about 320 participants 16 . However, regular sporting activities for people with disabilities are mainly offered by institutions and associations which are not working in the sports sector, but in the health care sector or in the area of "Arbeit und Beschäftigung ” (work and employment); for example at the 2015 event the largest contingent was the “ Werkstatt Bremen ”17 with 100 participants; an organization whose real purpose is the employment of people with intellectual disabilities in workshops.

Also our organization, Initiative e.V ., is assigned to a different sector (health) and offers sport rather as a therapeutic or leisure offer. More specifically, Initiative, within the project “ AC Matti ” founded in 2004 after an invitation to the Aurora Trofeo in Prato, offers open football training for mentally ill and addicted people and from the beginning has regularly organised national and international games and tournaments, including the annual tournament “ Bremen Rivercup ” which meets national and international teams together and reached its 9 th edition this year (see par. 2.6).

The largest organisation for peoples with disabilities and provider of leisure time activities is Martinsclub that offers, besides supported living and care services, a large number of sport opportunities like football, table tennis, swimming, bowling and many more. It was founded in 1973 and is involving more than 1700 people. “The Martinsclub puts the concerns of people with disabilities in the middle of society.”

On the other hand, only a few sports clubs offer sports opportunities for people with impairments, for instance we can mention the "Club for College Sports” at the University of Bremen and the experience of the internationally renowned sports club Werder Bremen, that appointed an inclusion representative offering sports for the disabled people throught the project “ Weder Bewegt ”. Several sports clubs would be willing to make their services available to people with impairments, but complain about the lack of means for subsidizing.

In summary, sport opportunities for people with mental disabilities are generally not supported by sports clubs, but rather by the organisation of the “ Freie Wohlfahrtspflege ” (free welfare system). 18

16 http://specialolympics.de/bremen/veranstaltungen/landesspiele-bremen-2015/ 17 http://www.werkstatt-bremen.de/sixcms/detail.php?gsid=bremen02.c.730.de 18 For example the German Red Cross

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∑ About Mental Disability : prevalence in the population

There are no concrete figures for Bremen. On the basis of nationwide figures for the whole country, estimates for Bremen have been calculated (see table 1).

Table 1: Estimated incidence of mental retardation; Resident in the state of Bremen Estimated prevalence rate 19

Geschätzte Prävalenzrate 0,4% 0,5% Land Bremen 2.600 3.200 Stadtgemeinde Bremen 2.200 2.700 Stadtgemeinde Bremerhaven 400 500

The same also applies to psychological disability. Here, the situation with data is somewhat better because there is often a psychiatric treatment or a stationary care. But these numbers are also to be treated with caution, because of course not every disease is recognized. This also applies in the reverse case, where people are suspected of a mental illness, for example due to deviant behavior, without a disturbance in the clinical sense.

Table 2: Frequency of diagnosed mental disorders with disability report compared to all mental disorders with / without diagnosis and disability report 20

Psychologically ill with AU Psychologically ill all Prävalenzrate 5,9 % 33,3 % Land Bremen 38.660 224.700 Stadtgemeinde Bremen 32.240 188.700 Stadtgemeinde Bremerhaven 6.420 36.000

Table 3: Overview of fully and partially stationary treatment centres at the treatment centres 21

Bevölkerung/ population Stationary: vollstationär /fully stationary teilstationär partstationary /partstationary Plätze EW pro Platz Plätze EW pro Platz

Land Bremen 661.716 68 : 32 378 1.751 174 3.803 Stadt Bremen 547.685 64 : 36 296 1.850 164 3.340 Region Mitte* 130.977 73 : 27 101 1.297 37 3.540 Region Nord 98.079 54 : 46 44 2.229 38 2.581 Region Süd 123.290 57 : 43 38 3.244 29 4.251 Region Ost* 106.280 64 : 36 68 1.563 39 2.725 Region West 89.064 68 : 32 45 1.979 21 4.241 Bremerhaven 114.031 89 : 11 82 1.415 10 11.600

Based on table 3 there are 552 persons who are looked after in the supply system. As there is no serious under-supply, the number of places can serve as a basis. However, it should be borne in mind that these figures only represent the lower range of the estimate, since hospital stays and out-of-home offers are often limited in time, which means that treatment places have more than 1 occupation over one year.

19 Geschätzte Häufigkeit von geistiger Behinderung; Einwohner/Einwohnerin im Land Bremen, Mitteilung des Senats vom 13. Januar 2015 p,7. 20 Häufigkeit diagnostizierter psychischer Störungen mit Arbeitsunfähigkeitsmeldung im Vergleich zu allen psychischen Störungen mit/ohne Diagnose und Arbeitsunfähigkeitsmeldung , Mitteilung p 9. 21 Überblick über voll- und teilstationäre Behandlungsplätze an den Behandlungszentren , Mitteilung p.14.

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∑ About Mental Disability : prevalence of persons practicing a sport or a physical activity on a regular basis

Again, we can only work with an estimate. The LSB has created a questionnaire that deals with this question, however there are no results yet. We may consider that approximately 50 people would participate in a sports offer. It is however suggested to make a distinction between the voluntary decision to participate in a sporting offer, such as the football group of Initiative e.V ., or a therapeutic sports offer as part of inpatient treatment. In the therapeutic context, it is not possible to speak of a regular physical activity, since this ends with the end of the therapy.

∑ About Mental Disability : engagement with other members of the community

An important opportunity of engaging with other members of the community comes from the participation in sporting events in Bremen. An indication of numbers or frequencies would not be sustainable, but regular football tournaments in the sports garden 22 have recently crystallized out as a possibility of exchange. The UI Cup and the Rivercup take place here once a year. Naturally, the sporting parties of the Special Olympics must also be mentioned. They have a big event once a year, with a large national sports festival every 4 years.

22 http://www.sportgarten.de

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1.4 Lisbon (Portugal)

∑ Stakeholders responsible for the provision of sport and physical activity

The main public national stakeholders in Portugal in the field of sport and disability are:

Ministry of Education

Secretariat of Youth and Sport

Portuguese Institute of Sport and Youth (Instituto Português do Desporto e Juventude- IPDJ)

Ministry of Labour, Solidarity and Security

Secretariat of the Inclusion of Persons with Disabilities

National Rehabilitation Institute (Instituto Nacional Reabilitação - INR)

Portuguese Sports Federation for Persons with Disabilities (Federação Portuguesa Desporto para Deficientes - FPDD)

National Association of Sports for People with Intellectual Disabilities (Associao Nacional De Desporto Para a Deficencia Intelectual - ANDDI)

Portuguese Institute of Sport and Youth (Instituto Português do Desporto e Juventude - IPDJ)

23 The IPDJ is a public institute that has as mission the implementation of an integrated and decentralized policy for areas of sport and youth, in close collaboration with public and private entities, particularly with sports organizations, youth, student associations and local authorities.

The IPDJ is involved in the definition, implementation and evaluation of sports public policy, promoting the spread of sport, as well as support regular sports and high performance through the provision of technical, human and financial resources. The preservation of ethics in sport is also one of the main scopes of IPDJ.

Similarly, the IPDJ aims to boost support to associations, volunteer and promoting citizenship, leisure activities, non-formal education, information and geographical mobility of young people in Portugal and abroad. It is proposed also to revitalize the youth tourism, particularly with regard to youth hostels network and the Youth Card, in order to increase mobility, with efficiency gains and cost savings.

National Rehabilitation Institute (Instituto Nacional Reabilitação - INR)

24 The INR is a public institute that is currently under the Ministry of Solidarity, Employment and Social Security but with administrative autonomy and its own assets.

23 HTTP :// WWW .IPDJ .PT / 24 HTTP :// WWW .INR .PT /

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The principles that guide the actions of the National Institute par Rehabilitation are ensuring equal opportunities, combating discrimination and exploitation of people with disabilities, with a view to promoting their fundamental rights.

Portuguese Sports Federation for Persons with Disabilities (Federação Portuguesa Desporto para Deficientes - FPDD)

25 The FPDD is a multisport Federation, legal person of private law, endowed with Sports Public Utility and incorporated as a non-profit association. The FPDD works within the umbrella of the Portuguese Sports Confederation (CPF), which promotes and defends all sports-related federations and represents them in front of the Government, European Union and all international sports organizations.

Within this context the FPDD is the main organization towards the implementation and defense of programs and NGO’s that provide activities in the field of the disability, it also supports them though coordination and financial guidance. The are five national associations that figure as its affiliates:

• The National Association of Sports for the Visually Impaired (ANDDVIS) • The National Association of Sports for the Disabled Motor (ANDDEMOT) • The Portuguese League Sports for the Deaf (LPDS) • The Cerebral Palsy National Association Sport (PC-AND) • The National Association of Sports for Intellectual Disability (ANDDI-Portugal)

26 ANDDI is the only Association totally devoted to the implementation of sports specifically for people with Mental/Intellectual Disability.

ANDDI is a nonprofit institution whose main activity is to promote and organize the practice of sports activities of competition for athletes national with mental retardation / intellectual disability, to be carried out both in Portugal and abroad with the main objective of their full rehabilitation and integration into society.

Regarding the local public stakeholders , their chart of action is adapted to the reality of each municipality. For instance, the areas where we act in the district of Lisbon:

Municipality of Lisbon

Branch: Social Rights

Branch: Information Systems / Sport / Relationship with Citizen

Municipal Council for Inclusion of People with Disabilities

3 Work groups (Accessibility and mobility / Education, Training and Employment / Culture, Sports, Leisure and Associations)

Municipality of Oeiras

Branch: Cohesion and social development

Division of Social Action, Health and Youth

Division of Sports

25 HTTP :// WWW .FPDD .ORG / 26 HTTP :// WWW .ANDDI .PT /

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In Lisbon area, beside the national and public stakeholders, there are various NGOS whose purpose is helping people with disabilities:

National Federation of Social Solidarity Cooperatives (FENACERCI)

27 FENACERCI is the representative structure of social solidarity cooperatives, whose mission is to promote the creation of conditions that, through the strengthening of associated organizations, defend the interests and rights of people with disabilities.

CERCI means Cooperatives for Education and Rehabilitation of Citizens with Disabilities, i.e. cooperatives of social solidarity and public utility.

They were founded, after the Portuguese dictatorship fell in 1974, all over the country by groups of parents and rehabilitation technicians dissatisfied with the care their intellectually disabled children received.

It has sought, above all, to humanize this service through the insertion of scientific methods and techniques applied by specialized collaborators in the areas of psychology, social work, therapies (occupational, speech and physiotherapy), physical education and psychomotricity.

In Lisbon’s metropolitan area the cooperatives that work within FENACERCI’s umbrella are Cerci Lisboa, Crinabel, Cerciama, Rumo, Cercisa, Cercimb, Cercima, Cerci Oeiras, Cercica.

Salvador Association (Associação Salvador)

28 The Salvador Association is a private social solidarity institution acting on motor disability field, was founded by Salvador Mendes de Almeida in 2003.

In late 2007 it obtained the status of public utility, meeting since then under the Patronage Law. In 2008 initiated various ambitious projects, which have had results and impact in improving the integration and quality of life of countless people, and in general achieved the objectives we have set.

Jorge Pina Association (Associação Jorge Pina),

29 The Jorge Pina Association is a non-profit association, founded in 2011, with the mission of promoting and developing activities in favor of the community and in areas of social relevance, practice of citizenship and human rights, education and ethics , Youth associations, protection of children, young people and citizens with special needs through artistic and / or sports programs, occupation of leisure, courses, meetings, events, lectures or others. They combat discrimination based on gender, race, ethnicity and religion or any other form.

A.A.M.A - Association for the adapted motor activity (Associação Actividade Motora Adaptada)

30 A.A.M.A is a non-profit association, Private Social Solidarity Institution, that support people with disabilities and other special needs, providing sports, therapeutic, recreational, educational and training activities.

All A.A.M.A. programs seek to develop and optimize the individual characteristics of each person, not only in their motor structures but also in their emotional, cognitive and even social structures.

27 HTTP :// WWW .FENACERCI .PT / 28 HTTP :// WWW .ASSOCIACAOSALVADOR .COM / 29 HTTP :// ASSOCIACAOJORGEPINA .PT / 30 HTTP :// ASSOCIACAOAMA .ORG /

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∑ Specific support mechanisms and frameworks for people with mental disabilities

According to the Constituição da República Portuguesa (Portuguese Constitution), the State is obliged to enforce a national policy of treatment, prevention, requalification and integration of citizens with disabilities, support their families, to develop a pedagogy that raises awareness in the society towards them and to embrace the encumbrance of the effective concretization of these rights. The government also supports citizen organizations with disabilities.

In Portugal we find the mention to the sport practice by people with disability in the Portuguese Constitution, where it is stated that everyone has the right to the physical culture and sport, tasking the state in cooperation with schools, associations and sport authorities, to promotes, stimulate, guide and support the practice and dissemination of the physical culture and sport (art. 79, n. 1 and 2) being the promotion of the physical culture and sport one of the embodiments of the right of protection of health (art. 64, n. 1 and 2, paragraph b) and one of the objectives of the youth politic (art. 70, n. 1, paragraph d). The State has to adopt specific measures necessary to ensure access by people with disabilities to sport and the enjoyment of leisure, by, inter alia, the establishment of appropriate structures and forms of social support (law n. 38, n. A38).

Each municipality applies the constitution according to their reality.

Since 2009 we’ve seen a lot of empowerment by the state in regulating and improving infrastructures that support the disabled, as well a grown in people working in order to help any individual with special needs. In that order, we now see elevator and access ramps in every public building, also in companies, schools and organizations as it was imposed as an obligation for every infrastructure. Public bathrooms designed for the disabled are also seen everywhere, including in regular education school, either private or public.

Within the regional and municipal policies, they offer a lot of help in the integration of people with different skills, they usually offer experts in caretaking and nursing for all needs. In this field, the National Institute for Rehabilitation (INR) has created and implemented the SIM-PD (Information and Mediation Services for the Disabled), which were installed in every municipal structure.

∑ About Mental Disability : prevalence in the population

According to PORDATA – Base de dados Portugal contemporãneo (Portugal contemporary database) and the last available population census from 2011, in the metropolitan area of Lisbon there are 167.535 persons with disability, and 14.247 among them have a mental disability. This means that 6,30% of the population as some kind of disability and around 0,54% of the population has a mental disability.

According to the National Association of Sports for Intellectual Disability, in Portugal in the last 5 years the situation was the following one:

Affiliated Athletes Not Affiliated Adapted Sport Participants in regular (No.) Practitioners (No.) Events (No.) and sporadic activities (No.) 2010 1824 117 514 11450 2011 1751 118 444 8064 2012 1526 128 383 7488 2013 1564 374 255 6708 2014 1607 237 256 7864 2015 1700 199 244 7247 2016* 1800* 200* 250* 8000* * prediction

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Also, according to the last PORDATA census from 2011, among the 66.092 individuals with mental disabilities living in Portugal, only 5.701 were employed, while 1.019 persons were unemployed and the rest had no economic activity.

∑ About Mental Disability : engagement with other members of the community

People with mental disability who are involved in institutions such as the Cooperative for Education and Rehabilitation of Citizens with Disabilities (Cerci) or the Portuguese Association of Parents and Friends of the people with mental/intellectual impairment (APPACDM) have access to programs of social integration that promote regular interaction with other members of the community, through partnership with schools, enterprises and institutions.

For instance, Cercioeiras (Cooperative for Education and Rehabilitation of Citizens with Disabilities at Oeiras – outskirts of Lisbon) offer services of public utility as cleaning offices, wash cars and others similar services within the community. This allows do people with a mental disability to interact and get involved in the community.

The APPACDM offers a good variety of programs for the disabled as well as their families and friends, such as occupational therapies, speech therapies, psychological intervention, psychomotricity interventions and physiotherapy, offering weekly sessions, either individual or in groups. For families and friends, they have a good school with courses on emotional understanding, language, approaching of the mentally disabled and psychological support.

This kind of exchange is limited to the offer given by the institutions, besides that, the engagement is very limited.

1.5 Budapest (Hungary)

∑ Stakeholders responsible for the provision of sport and physical activity

In Hungary the umbrella organization of people with special needs is the Hungarian Paralympic Committee which has 36 member organizations (Hungarian Parasport Federation, Hungarian Deaf Sports Association, Special Olympics Hungary, Hungarian Transplant Federation, School and Recreation Association of the Persons with Disabilities and several Integrated Sport federations from athletics to wheelchair tennis).

The National student and free-time sport federation of disabled persons (FODISZ) is the main organization that coordinates the regional sport federations of disabled people (20 regional organizations). These federations are in charge for the implementation of physical and sporting activity of disabled persons’ in Hungary. Sport clubs (or associations) are affiliated and handled by these regional sport federations. The Ministry of Human Capacities cooperates and gives financial support for the system.

FODISZ is a non-profit social organization which developed a structure in the case of every deficiency to make possible the qualitative and efficient management of the spare time sport activities of disabled people. FODISZ integrated more than 8.500 young and adult disabled persons in its his system in the last five years and organizes a continuous sporting activity for them collaborating with his 20 regional membership organizations. FODISZ is organizing the spare time sport of handicapped sport sphere for nearly 12.000 people.

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The experiences of the past five years made it unambiguous, that FODISZ has an enormous role and responsibility to be able to address the nearly 300.000 disabled persons because sporting life organized by FODISZ and its membership organizations is the single breakout point and the opportunity of the social closing up for them.

Hungarian Paralympic Committee

School and Recreation Association of the Persons with Disabilities (FODISZ) & 35 other member organizations of Hungarian Paralympic Committee

20 regional sport federations of FODISZ (in Budapest - FÉBSSZ 31 )

Sport clubs, associations of disabled persons

The structure above reflects the Hungarian sport organizations for disabled people with special attention to the local partners of Megálló

∑ Specific support mechanisms and frameworks for people with mental disabilities

Policy and legislation

Hungary ratified the United Nations Convention on the Rights of Persons with Disabilities in July 2007, and is working to ensure that Hungarian laws and codes comply with the Convention. Hungary ratified the Optional Protocol to the Convention as well. When individuals or groups feel that the Hungarian state breached the Convention and they have already used all legal remedies available in Hungary, they may turn to the Committee on the Rights of Persons with Disabilities.

With regard to the rights of persons with disabilities, the key piece of Hungarian legislation is Act XXVI of 1998 on the Rights and Equal Opportunities of Persons with Disabilities (Act on the Rights of Persons with Disabilities). At the time of its adoption, this act was a unique piece of legislation and was one of the principal reasons why the UN honoured Hungary with the Roosevelt International Disability Award in 2000.

The main aim of the act is to guarantee the rights of persons with disabilities, and promote their equal opportunities, independent living and active involvement in social life. The Act on the Rights of Persons with Disabilities created a basis for the organisation of disability policies as the Parliament must create a long-term strategy: a National Disability Programme for a period of seven years. A law prescribed by the Constitution of the Republic Hungary is the right for every Hungarian citizen to freely choose a profession as well as to receive equal pay for equal work. According to these regulations a disabled person has to be given the equal compensation for equal work at a workplace like other workers without disabilities.

31 FÉBSSZ : Fogyatékkal Élők Budapesti Sportszövetsége

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The current Hungarian government has set up rules to help people with disabilities into employment, and the system of state subsidies has been restructured. Additional measures have been adopted by the government for travel/parking and access to public places, e.g. a discount of 90 percent is available for people with disabilities and a person accompanying them on the vehicles of National Railway and National Coach Company. Cars parking in disabled parking spaces must display the blue disabled parking card or a European Community blue badge. Furthermore the Government passed regulations regarding providing low-floor busses which are wheelchair accessible. Furthermore every public building like schools, universities, business offices have to provide a safe incline for anyone with a handicap to enter a building. Besides building an elevator these buildings usually provide a special ramp for handicap people.

Existence of and access to facilities/infrastructure

The low level of education is a serious drawback in the labour market. There is a big difference between the education level of disabled and non-disabled people. Nearly three fourths (71.1%) are in an especially difficult situation when wanting to find a job. 38.2% of them have only primary education or less, and another third have vocational and apprentice school. Hardly more than one fourth of disabled persons have a General Certificate of Education or higher education and as few as every fifth of them have a higher education degree. In higher education handicapped people can learn if they are not mentally handicapped. Colleges and universities offer different help to the handicapped students. Deaf students can write the exams and can have interpreters on classes. Blind or visually impared students can take exams verbally, can use their special machines. Disabled students can have special tools. etc. Speech disabled people can write the exams.

Economic activity of disabled persons are limited, and there is a great difference between the employment rates of non-disabled and disabled people. Fewer than one fifth of disabled persons (139 thousand) aged 15– 64 work and nearly two thirds of them (63.3%) have only income from work. About 51 thousand receive social payments in addition to income from work, and 42 thousand of them receive a disability pension or an allowance on account of their health condition.

The prospects for people with disabilities in Hungary of finding a job in the open labour market have traditionally been poor. Their employment rate is currently 18.1%, which is higher than 10 years ago but still lags behind the EU average, as does overall employment.

There are some organizations in Hungary, which employee disabled people:

• hearing damaged or deaf people: ( Siketek és Nagyothallók Országos Szövetsége , SINOSZ) • eyesight damaged or blind people: Fehérbot (Foundation) • bodily handicapped: Motiváció (Foundation),MEOSZ, Hátrányok Dacára (Foundation) • mentally handicapped: Kézenfogva (Foundation), Salva Vita (Foundation)

Associations for disabled persons

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• National Disability Council (Országos Fogyatékosügyi Tanács, OFT): an official council, maintained by the government. Members are made up of government representatives, disability organisations and other stakeholder organizations. • Hungarian Association for Persons with Intellectual Disability (Értelmi Fogyatékossággal Élők és Segítőik Országos Érdekvédelmi Szövetségének, ÉFOÉSZ): the umbrella body for the various organizations concerned with the care and rehabilitation of people with intellectual disability in Hungary. • National Federation of Physically Disabled Persons' Associations (Mozgáskorlátozottak Egyesületeinek Országos Szövetsége , MEOSZ): an association representing the interest of people with physical disabilities in Hungary. • National Deafblind Association (Siketvakok Országos Egyesülete, SOE): : Association representing the interests of people with deafblind disability. Offers training for sign language interpreters and special education teachers, as well as education and therapy for deafblind children. • The Hungarian Federation of the Blind and Partially Sighted (Magyar Vakok és Gyengénlátók Országos Szövetsége, MVGYOSZ): an umbrella body representing the interests of blind and partially sighted people, providing support, assistance and a range of resources.

• National Autism Association (Autisták Országos Szövetsége, AOSZ): an umbrella body for the various organizations representing the interests of autistic people and their families. • Down Foundation (Down Alapítvány ): an organization seeking to ensure that as many children with Down Syndrome as possible are brought up within their own families and live an independent life. • National Association of the Deaf and Hard of Hearing (Siketek és Nagyothallók Országos Szövetsége, SINOSZ): an association providing support and assistance for deaf and hard of hearing children, adults, and their families.

Sport and free-time organizations for disabled in our operational territory

On the operational territory of Megálló Group works the Sport association of disabled persons of Budapest (FÉBSSZ), one of the regional sport federations of disabled persons. Sport clubs and associations in Budapest belong to this organization and they organize regularly sport events. FÉBSSZ is an organization working in the field of national sport of handicapped people, which organizes and coordinates the activity of people living with deficiency in this area and represents its members' interests. The main aim of FÉBSSZ is to implement the sporting tasks agreed by national associations and the local government of Budapest and help to improve the life quality, the physical and mental health of handicapped people and their social integration.

Para-fitt S.E .32 - is a non-profit sport organization in Budapest created in 2002 for children with intellectual disabilities. They offer several sport opportunities for children. Swimming is offered for children with intellectual disabilities in the swimmingpool of the cultural centre Kőbányai Szabadidő Központ twice a week. If the children join the gymnastic course they can experience fitness, physical exercises, Pilates, games, etc. in one playful training. Furthermore Para-fitt S.E. offers karate, roller-skate, weightlifting and stretching trainings. Para-fitt S.E. organizes summer camps and the children already participated in several competitions and championships achieving good results, one of them even got out to the XII. Special Olympic Games where she won a 4. place, and a gold medal. By providing the children the

32 http://www.para-fitt.hu/main.html

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feeling of being part of a sport team and making them proud of themselves by achieving good results at competitions Para-fitt S.E. intends to reduce social differences and try to give these children a full life.

The Blind Students Sport Association (VDSE) was founded in 1992. Designed to provide recreational and competitive sport in the school of the blind children, who are currently studying, and who has finished the school. The association co-ordinates different sport activities: track and field, goalball, torball, chess, swimming, free-time activities (hiking, canoeing, bicycle), judo, karate.

Outdoor Association of Blind People (LÁSS) is a non-profit organization. Ordinary or associate members can be any blind or seeing person who agrees with the associations’ objectives and personally and morally supports the work of the organization.

∑ About Mental Disability : prevalence in the population

Figure 2 – Percentage of people with disabilities as a According to the data of the 2001 census, percentage of the total population per county, Central Statistics Office (2011) 577,000 persons with disabilities live in Hungary (5.7% of the population). By 2011 census, this number has decreased to 457,000, representing 4.6% of the population. Mentally disabled people account for 56.963.

In the capital of Hungary (Budapest) there are official statistics about number of disabled people. 1,7 million inhabitants live on our territory, including 73 079 people with a mental/intellectual/psychiatric disability (around 4,2 % of the total population of Budapest). Among these 5 946 people suffer from a mental disability.

In comparison to the whole population the great majority of disabled people with the highest completed school live in Budapest with a degree (19.1%). The situation of people with disabilities are best in terms of employment (18.4%).

∑ About Mental Disability : engagement with other members of the community

In our territory mental disabled people meet with other members of the community on different sport programs organized by FÉBSSZ. All members of the community (citizens and officials) can take part on these events. The work of FÉBSSZ consists on one hand to welcome the mental disabled public and on the other hand to structure sport clubs of the territory. The final objective is that every clubs can welcome and manage mental disabled people.

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FÉBSSZ has currently 38 member associations. The yearly competition calendar contains 35-40 different sport events. International competitions, domestic championships, free-time and student sport competitions are organized and they attend at bigger events as well, like the EU sport day. Events can be divided in two forms of competition: events for disabled persons and integrated events (where healthy people take part as well). FÉBSSZ organizes the bigger part of these events since years, like “Pattogós” (bouncy) (which was organized ninth times in the last years) and it has a big popularity.

Initially sport days organized in different kind of sport activities for kindergartens and primary schools were the first events, including the special ones (e.g. rattle ball in schools, which was tested by students with deficiency and their healthy classmates as well). Since 1998 the grammar school age group took part on the sport days as well.

The other part of their events is TANAK, which is a student sport event of learning hindered, underprivileged, poor and roma children and they organize it on a regional level. FÉBSSZ tries to help the students achieving an outstanding result to participate on the national competition.

The sport events, which they organize for the youth and for adult age group are different: rattle ball, table tennis, blind table tennis, swimming, athletics, football, wall climbing, wheelchair tennis, wheelchair basket, bicycle, diving, wheelchair dance, wheelchair team ball games, row competitions.

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1.6 Redon (France )

∑ Stakeholders responsible for the provision of sport and physical activity

In France, the Ministry of Youth and Sport gives delegation to sport federations that are in charge for the implementation of physical and sporting activity. Since their action cannot cover the whole territory, they also delegate regional committees that, from their side, delegate departmental committees. Sport clubs (or associations) are affiliated and handled by these departmental committees. It’s a pyramidal system:

Ministry of Youth and Sport

Sport federations

Regional committees

Departmental committees

Sport clubs

The organization of sport organizations for disabled people in France

Sport and disability are also managed by federations in France:

• Fédération Française Handisport (French Federation for Sport for Physically Disabled People) • Fédération française du Sport Adapté (French Federation for Sport for Mentally Disabled People)

These federations two ones are multidisciplinary and work in favor of a specific public, while other federations deal with a specific discipline (Handball French Federation for instance). Each federation has decentralized services in the regions (leagues) and then in departments (committees).

Regions, departments, cities and other sport associations (such as OFIS) also lead sporting policies and actions on their territory.

∑ Specific support mechanisms and frameworks for people with mental disabilities

In France, the expression « mental disability » qualifies on one hand an intellectual deficiency (scientific approach) and, on the other hand, the consequences that it causes on daily basis (social approach). The mental disability is reflected in more or less important difficulties to think, conceptualize, communicate, decide, etc. 3.5 million persons are disabled in France (2 million suffer from a severe disability). Among them, 700 000 are mental / intellectual and / or psychic disabled people.

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We distinguish 3 actors of mental disability, 3 types of structures that will take in charge and / or accompany mental disabled persons:

Associations

Associations are essential actors in the field of disability. They gather, for the most part, disabled people or their families and friends, and are in interlocutors at every level for public authorities. Some of them are members of the UNAPEI (National Union of Associations of Parents, of mental disabled persons and their friends). The UNAPEI is the first federation of French associations that represents and defend the rights of mental disabled people and their families.

Some associations, notably the one that are members of that network such as ADAPEI, also create and manage socio medical structures and departments. On the territory of Redon, it is the case for the IME la Rive (medical and educational institute that welcome 35 young people, aged between 6 and 20, suffering from an intellectual deficiency. Some of them also suffer from language and communication troubles) or the ESAT Pâtis (Production unit that works in favor of local companies which employees are mental disabled persons).

In the field of mental disability, the UNAPEI is the main associative network and the spokesperson of the 550 associations that it gathers. Other associations, specialized or not, also act in favor of mental disability (such as OFIS) and partnerships are created to make progress for the cause of general interest they fight for.

On our territory, besides OFIS that uses sport as vector of social inclusion of mental disabled people, other associations lead actions for that public. It is notably the case of the GEM of Redon (Mutual support group). This structure offers coffee breaks, themes days, projects and activities, and is based on the fact that each disabled person has one or some skill(s) that he/she can share with the rest of the group he/she lives with. For instance, a person can share his/her skills with wood one day, and another his/her talents with a computer the day after.

Facilities

Some medical social facilities or departments have a mission of welcoming and accompaniment of mental disabled people. This mission and their work depend on their age and deficiency. Among these facilities, 3 000 are handled by members of the UNAPEI.

Disabled people are orientated to these structures by commissions of rights and autonomy of handicapped persons (CDAPH in France) that sit in each departmental house for handicapped persons (MDPH in France). The State, health insurance and departmental councils finance these facilities.

Individual and adapted welcoming and accompaniment: This is the stake of the mental disabled people care in socio medical facilities and departments.

Blossoming of the youngest children and early care, adapted education for children and teenagers, access to the professional world for young people and adult, socialization and autonomy, life choice and openness to the world, etc. These are the key words that professionals from these facilities intend to

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respect on daily basis with the disabled people they work with, on short or long term. There are facilities and departments for each age:

• Early childhood • Childhood and adolescence (6 to 20) • Adults (more than 20 years old)

Public authorities

Besides associations and facilities, public actors that are their interlocutors at the national and local level, implement the policy for disability in France. Since the adoption of the law on disability (11 Th of February, 2005: Law for the equality of rights and chances, participation and citizenship of disabled people), the system has been simplified with notably, the creation of the departmental houses for handicapped persons. They are unique counters for families and disable people.

Here are a not limited list of public authorities that manage and regulate disability in our country:

• State • CNSA (National fund for the autonomy of aged and disabled people) • Consultative councils • Territorial collectivities • Departmental houses for handicapped persons these 3 actors (associations, facilities and public authorities) are on our territory and lead actions in favor of disabled people. Some associations (including OFIS), facilities (welcoming homes, IME la Rive, ESAT Pâtis, GEM de Redon, etc.) and public authorities in charge of disability work together to facilitate and improve the life of disabled persons.

∑ About Mental Disability : prevalence in the population

OFIS works on an intercommunal territory, which means several small cities (including Redon). This territory gathers two regions, three departments and 30 cities. It is very difficult to get a precise number of mental disabled people. However, after having discussed with some specialized structures, we realize that figures are close from what we can see at a national level.

66.000 inhabitants live on our territory, including 3.000 with a mental/intellectual/psychic disability (around 5%). We consider that among these 3.000 people, 2.000 suffer from a severe disability. These data tend to reflect the broader situation at country level.

∑ About Mental Disability : prevalence of persons practicing a sport or a physical activity on a regular basis

Only OFIS implements a specific sport session in « sport adapté » (sport for mental disabled people). 26 persons take part to this session each week. Other sport associations welcome directly mental disabled persons in their structure: Swimming club, judo club and athleticism club.

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Moreover, other facilities, i.e. IME la Rive, IME / ITEP of Saint Jacut les Pins, IME / ITEP of la Bousselaie (Rieux) or ESAt Pâtis, organize sport sessions directly in their structures, among other activities (manual workshops, theater, etc.). These structures employ or call on sport educators (notably from the OFIS). It represents 290 mental disabled people practicing a sport activity on regular basis.

in total, 320 mental/intellectual/psychic disabled people are used to practice a physical / sporting activity each week: 45% of mental disabled people living on our territory.

∑ About Mental Disability : engagement with other members of the community

Mental disabled people interact with other members of the community on daily basis for the most part of them. All actors of the territory (collectivities, associations, and public authorities) act in favor of social inclusion, and disabled persons engage every day with their families, friends, educators, citizens, etc. The work of OFIS consists notably, on one hand, to welcome the mental disabled public and, on the other hand, to structure sport clubs of the territory. The final objective being that every clubs can welcome and manage mental disabled people.

Moreover, OFIS currently works on the creation and management of a shuttle system (two adapted buses) in order to allow everyone (notably mental disabled people) to practice a sporting activity.

Obviously, we cannot guarantee 0% of isolation. Some mental disabled persons may live isolated but it is only because they are not connected, in one way or another, to one the three actors described earlier.

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1.7 Sophia (Bulgaria)

∑ Stakeholders responsible for the provision of sport and physical activity

Legal background

The main legal act that regulates the public relationships concerning the physical education and sports in Bulgaria is the Bulgarian Physical Education and Sports Act (PESA). It lists the state’s competence towards sports, that are, not comprehensively, as follows: The state throughout its organs creates the normative regulation of physical education and sports (art.4.3), establishes the conditions for the development of the ‘sports for all’ – the children sports, the sports for the pupils and students (art.4. 4); ensures the preparation and the participation of national and Olympic teams in international competitions and Olympic games (art.4.5); builds, maintains, modernizes and controls the exploitation of sports bases and equipment – public state property and establishes the conditions and procedures for their exploitation (art.4.6); supports, coordinates, regulates and controls the activity of the sports organizations (art.4.7); educates the sports specialists and supports their future qualification (art.4.10); finances the approved sports related projects (art.4.12). The same authorities are given to the municipalities as bodies of local self-governance, even though they are not mentioned in the Constitution as executive bodies which ‘stimulate’ sports.

In fact, the whole following legal regulation of sports activities in the Act on physical education and sports, namely – the type and competence of state bodies of physical education and sports governance, the status of the sports organizations and the degree of their dependence to the state, the regulation of the rights and obligations of the athletes, the exploitation of the sports bases, the financing of sports and other, is structured according to the above mentioned general principles about the state and the municipalities authority in sports. The concrete municipality has the authority to regulate all the basic sports related matters, to control their implementation and to finance the sports activities, it could be concluded that the sports system in Bulgaria is built according to the mentioned by Josef Cobra ‘interventionist model’.

Government bodies for the management of sport

In accordance to Art. 7 of the active Physical Education and Sports Act (PESA) the basic directions of the national policy in the field of the sports are approved by the Council of Ministers (CM). CM accepts national program for the development of physical education and sports for a period of 4 years (the period of the mandate of the government according to the Bulgarian Constitution which coincides with the Olympic cycle) and reports its fulfillment before the National Assembly of the Republic of Bulgaria (NARB). The CM annually provides the necessary funds for the development of physical education and sports due to the State Budget Act of Republic of Bulgaria where financing of sports activity is stipulated.

The CM determines the special administration institutions, which will fulfill the government policy in the area of physical education and sports. Regularly these are the respective Ministers which are members of the Government and which are approved by NARB after the newly chosen prime minister introduces the members of the new Council. CM was established the Committee for the physical education and sports as special body of CM for pursuing the government policy in the area of the education and sports. The establishment of that body and the assigning of the functions in the field appointed above

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does not contradict the aims of the law and does not subordinate the government policy to the internal interests of the Committee.

Sports organizations and clubs. Relations between the sports organizations and clubs and the Ministry of Youths and Sports.

The sports organizations, according to the PESA, are separate legal entities which are incorporated as Joint Stock Companies according to the Commerce Act (for the professional sports clubs) or in the form of legal entities with non- benefit purpose for carrying out activity in private or public favour according to the Non profit Legal Persons Act. PESA recognizes three basic kinds of sport organizations in the Republic of Bulgaria.

The first basic kind of partnership are the sports clubs

The sports clubs are voluntary associations of citizens, registered as non-profit legal persons, which develop and promote physical education and sport and carry out training and competition activities for one or more sports (Art. 11, par. 1 from PESA). Sports clubs which develop and practice professional sports may be registered as joint-stock companies - professional sports clubs, or as non-profit associations - professional sports clubs.

Professional sports clubs must also meet the following additional conditions:

• their name should explicitly indicate that they are "professional sports clubs"; • they have stipulated through contracts the rights and obligations of the professional athletes according to their status; • one natural person or legal person should not hold the majority shares or the control of two or more professional sports clubs participating in one competition or championship; • professional sports clubs - joint-stock companies shall issue only registered stocks. The merger, separation, division and incorporation of professional sports clubs pursuant to the Commerce Act or pursuant to the Non-profit Legal Persons Act shall not lead to the change of the ranking of teams in the respective championships and their transition from one group to another.

Sports clubs build and manage sport facilities, organize and administrate sport contexts, prepare competitors. The sports clubs after registration as a legal entity are obliged to submit an application for membership in the respective sports federation (Art.10, pat.6 from PESA). The membership in the respective federation is a condition for the sport club to have the right to propose to the respective sports federations the granting, termination and withdrawal of competition rights of athletes, carry out transfer of athletes and hold the rights of advertising, TV and radio broadcasting of sports events organized by them under conditions and following a procedure determined by the respective sports federation as well as to provide sports services (Art. 13, par.3 from PESA). That requirement has been initiated with the amendment of the law during 2008, before the amendment only the registration of a sports club as a legal entity was enough for exercising of the rights stipulated in Art. 13, par.3 from PESA.

The second kind of association are the sports federations

According to the law they are voluntary associations of sports clubs for one or similar type of sport which coordinate the development, practicing and administration of the respective sport on national level

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and represent their members before the state and international sports organisations. (Art. 14, par..1 from PESA). It is an obligation of the sports federations to be granted a license by the competent state body.

Together with gaining a sports license the respective sports organization receives some particular powers in the filed of the sports activity developed. These are listed in Art. 19 from PESA and are as follows:

• regulate and organize the state championships of the country for the respective type of sport • determine the champions for the respective age groups; • confer titles to athletes, coaches and sports specialists under a procedure specified with a regulation of the Council of Ministers proposed by the Chairperson of the State Agency of Youth and sports; • develop and apply specific normative and methodological and administrative regulations for the respective sport; • select and organize the training of national teams and represent the Republic of Bulgaria at international sports competitions and forums; • train specialists for the respective types of sport; • sanction athletes and officials who have permitted doping usage and application of doping methods in training and sports activities; • adopt rules and carry out sports jurisdiction and sports and technical arbitration; • grant, terminate and withdraw the competition rights of athletes and hold the rights of advertising, TV and radio broadcasting of sports events organized by them by submitting, on a contractual basis, a percentage of the receipts to the sports clubs participating in the event.

The respective sports federation respond to the criteria and conditions established by the law, following the procedural rules established in the Ordinance accepted by the CM. The membership in the respective international sports federation is firstly settled in the secondary legislation, namely the Ordinance for the procedure of gaining a license of the sports organizations in Republic of Bulgaria, issued by CM.

Each sports federation accepts a regulatory act with which determines the basic points of its activity – organization structure, bodies of management and representation, powers of the bodies of the sports organization, the way of appealing of theirs acts and other. The sports federations issue as well regulations, ordinances connected with the contractual, sports and transfer rights of the sportsmen, regulations concerning the disciplinary procedures and sanctions. So, Ffrstly, the sports federations have administrative competence and the acts that they issue have an administrative character. Actually the sports federation are not administrative bodies included the administration of the state. They are sports organizations which are registered as separate legal entities under the regulations of the Law for the non – profit legal persons. On the other hand, PESA assigns to the sports federations powers of management of the sports activity, which are part of the government policy in the area of the education and sport. Something more, sports federations are liable together with the specialized government body – the ministry or agency for the realization of the national program for development of the physical education and sports in Republic of Bulgaria. In that sense sports federations are organizations, which are empowered by PESA with executive – order capacities in the field of physical education and sports and with the exercising of them they carry out administrative activity. On the next place, the question is about the kind of the acts of sports federations issued - whether they are

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individual, general, or normative administrative acts. Considering that the individual administrative act is directed to a particular recipient, whereas the acts of the sports federations issued under art 19, p. 9 of PESA are directed to a broader circle of legal subjects and having in mind the material essence of the individual and normative (statutory) act, it could be concluded that the acts of the licenced sports federation have a normative character. The normative administrative acts in comparison to the individual administrative acts contains legal regulations which are determined by the theory as “secondary legislation” and for that reason their aim is to give datailization and concretization of the first line regulatory rules and legislation. The material legal essence of the statutory administrative acts explains their application for many times over unlimited number of recipients. In that sense is the legal explanation for the statutory administrative acts stipulated in Art 75 from Administrative procedure code. In connection to the abovementioned, the acts of the sports federations due to which they establish rules to organize their activities in connection with the different kind of sports, establish rules about the status and transfer of athletes, about disciplinary sanctions are statutory administrative acts due to which a secondary legislation is created. In a view to the legislative competence of the sports organizations established in art. 19 par. 1 from PESA there should be made an important notice. Only the licensed sports federations which have gained their sports license under the procedure established have the expressly determined powers in art 19 par. 1 from PESA. Article 19, par, 1 says: „Sports federations holding a sports license shall have the right to…“issue rules and to execute sports arbitration (p .9 of art.19 from PESA). Therefore the organizations which have not received a sports license under the procedure established do not have the rights stipulated in art. 19, p. 1, 1- 10 including. On the next place the provision of Art. 19 par. 1 from PESA distinguishes the type of sports organizations that have the rights given in the pointed above provision and these are only the “sports federations”. Therefore in a view to the difference between the sports organizations – sports clubs, sports federations and national sports organizations only the sports federations which have gained the license under art. 19, par. 1, p.1- 10 have the legal competence of issuing normative acts regulating the behavior of the subjects participating in the respective kind of sport.

National sports organisations

According to art.15 from PESA National sports organisations are voluntary associations of sports clubs and/or sports federations which coordinate their activities in a specific subject of activity in the system of physical education, sports and social tourism, and interact with the state and with the international sports organizations in forming and implementing the national sports policy. The ministry of Youths and Sport acknowledges the status of national sports organizations of those organizations whose members constitute at least two thirds of the sports clubs and/or sports federations carrying out activities in the respective subject sphere of the system of physical education and sports. National sports organizations shall be registered as non-profit legal persons for the public benefit. The national sports organizations participate principally in the development, implementation and reporting the results of the fulfilment of the National Programme for the development of physical education and sports. It is indisputably accepted in the jurisprudence that the acts of the national sports associations have a normative obligatory character for the subjects addressed. As I outlined above, however only the licensed sports federation have normative authorization by the law to issue normative administrative acts establishing obligatory provisions. In that connection the logical legal conclusion is that the acts of the national sports organizations do not consist of legal provisions with binding character.

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Athletes

PESA distinguishes two types of athletes – amateur athletes and professional athletes. The status of the athletes – professionals or amateur is determined by the regulations accepted by the relative sports federations. The regulations of the sports federations about the status of the athletes, according to Art.35, par. 3 from PESA should be approved before issuing from the minister. That requirement is an obligatory prerequisite for the legal conformity of the statutory acts of the sports federations under art. 35, par. 3 from PESA and the non observing of the same would lead to a defect in the administrative act which is a ground for its cancelling.

Capacity of an “athlete” by registering in the respective federation. After the registration the person receives “athlete rights” for competing for the sport club which initiated his registration in the respective sports federation. The competition rights are determined in PESA as “a combination of the athlete's right to participate in the training and competition activities of a sports club as well as the rights related to this participation”. With the registration in the sports federation, the sports club which promoted the athlete for registration gains the transfer rights of the certain athlete. The transfer rights are designated by PESA as well as “combination of the right to negotiate a change in an athlete's club affiliation and the right to receive a transfer price” (Art. 35 from PESA).

Together with the legal provisions connected with the statute of the athletes there is a secondary legislation act – Ordinance № 3 from 18th of June 1999 for the statute of the persons which participate in training and sports–competitive activities and for transfer of competitive rights issued by the Chairman of the Commission for physical education and sports. The Ordinance determines the statute of the persons participating in the training and sports competitive activities – the amateur and professional athletes, the status of the coaches, the instructors and sports referees, as well as the basic principles in transferring competitive rights.

On the first place, the Ordinance lays down some basic principles connected with the establishment and the suspension of the competitive rights of the athletes. The registration of the athletes is done by respective sports organization which issues a certificate to the athlete. The certificate gives the right for the person to participate in the training and sports – competitive activities of the respective sports organization. The registration is within the term of one sport – competitive year.

According to the Ordinance the athletes are divided in two kinds – athletes – amateurs and athletes – professionals. The criteria accepted for distinguishing the types of athletes is whether they receive a financial reward for their sport activity or not. The amateur athletes do not receive remunerations. For the sports competitive activity they have the right of funds that cover their expenses (Art.12 from the Ordinance). In contrast to them the professional athletes receive remuneration on the grounds of a labour contract or due to their professional activity in accordance to art. 13 of the Ordinance. The respective sports club that promotes the registration of a professional athlete determines the way of the legal relation between the sportsman and the organization – whether it should be on the ground of a labour or civil contract. The football players, for example, are competing for the respective football clubs on the grounds of labour contracts which minimum requirements and contents are determined by the Bulgarian Football Union The tennis players, for example, are competing on state championships and receive remunerations on the grounds of civil contracts which are concluded for each respective championship organized by the Bulgarian Tennis Federation. The way due to which the legal relationship between the professional athlete and the club is established does not affects legal

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conformity of the connection between the club and the athlete only if the respective tax and insurance obligations of the club are fulfilled.

The Ordinance determines the statute of the sports referees, the trainers and the instructors as well as the minimum requirements for the transfer of the competitive rights. The contracts for transfer should be concluded in written form with notary certification of the signatures of the parties after which they are entered in a special Transfer register (Art. 22, par 2 from the Ordinance). Art 23 from the Ordinance sets the principle of free agreement of the price of the transfer as well.

Financing the Sport sector

Financing the sport sector has two main origins in Republic of Bulgaria. The funds for sports are settled in the state budget, respectively in the municipal budgets, as well as funds for the sports are coming from the specially established state company – Bulgarian Sports Totalizator (BST). PESA settles the sports activities, which are financed from state budget funds and the sports activities financed from the money collected from the Bulgarian Sports Totalizator. Resources from the state budget finance:

• the construction, reconstruction and modernization of sports sites of national importance and the facilities for social tourism of national importance; • the expenses for educational, training and competition activities in the secondary specialized sports schools; • the scientific and research and applied activities in the sphere of physical education and sports; • the medical and doping control; • activities and measures from the National Programme for Promotion and Development of Physical Education and Sports; • other activities in the sphere of physical education, sports and social tourism determined by a law or by an act of the Council of Ministers; • programme for Olympic training; • preparation and organization of world and European championships hosted by the Republic of Bulgaria; • Programme for youth activities (art.58, p.1 from PESA). The resources under this article are ensured on an annual basis with the Republic of Bulgaria State Budget Act and differentiate as a percentage each year.

In 2000 with an Ordering of Counsel of ministers № 163 from 2-nd of August 2000 on the grounds of § 11 from PESA was established the Bulgarian Sports Totalistic (BST) as a state company under art. 62, par. 3 from the Commercial Act. In fact BTS is the recipient of the rights and the obligations of the existing before its incorporation the state owned so called “money lottery” which was a company that carried out lottery, to and lotto games, especially betting over the results of sports games. The Minister of finance according to the schemes proposed by the Chairman of the State Agency for Youth and Sports approves the allocation of the money raised by the BST.

The law for the physical education and sports provides that the amounts coming from the BTS incomes should be kept and reported to the Chairman of SAYS and should be used for the designated in art. 59b from PESA purposes, namely:

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• for activities of licensed sports organizations, sports clubs and members of licensed sports organizations; • for organization of internal championships and international competitions on the territory of the country which are included in the state and the international sports calendar; • for preparation and participation of Bulgarian athletes in European and world championships and Olympic games; • for construction, restoration and management of sports sites and social tourism facilities of national importance; • for granting of monthly bonuses to Olympic medallists who have ceased their active competition career;

The resources for the sports organizations are provided on the basis of contracts for sports development, by taking account of the social importance of sports activities which are being supported.

According to art. 63 from PESA the state and the municipalities support licensed sports organizations and their members under terms and procedures determined by the Minister of Finance, the Chairperson of the State Agency of Youth and Sports and the municipalities. Paragraph 2 of the same article provides that the state and the municipalities may also support other non-profit associations and organizations which organize and encourage children and young people to practice physical exercises, sports, sports games and tourism. Paragraph 3 of art. 63 of PESA says: “State resources and subsidies may not be used and the state and the municipalities may not support organizations which are not registered as non-profit legal persons for the public benefit under the Non-Profit Legal Persons Act.”

The legal regulation of the mentioned provision of art. 63 of PESA lead to the conclusion that the only criteria for determining the sports organizations which have the right to be subsidized and helped from the state budget is the received license. Another determining criterion this article does not contain. The additional criteria are included in par 3 from the article and it provides that the sports organization should be instituted as legal entity for non – profit purposes. As I mentioned above, the sports federations are voluntary associations of sports clubs of one or another kind of sports and should be registered as legal entities for non – profit purposes (art. 14, par. 1 and 4 of PESA). The national sports organizations are voluntary associations of sport clubs and/or sports federations and they are also registered as legal entities for non – profit purposes (art.15, par. 1 and 3 from PESA). Only the sports federations and the national sports organizations should be licensed and the logical conclusion of all is that the sports clubs are sports organizations which should not be licensed. That circumstance leads to conclusion that art. 63, par 1 from PESA excludes the possibility sports clubs to be supported by the state and the municipalities even if they are registered as legal entities for non – profit purposes for pursuing activities for public benefits. Only because that they do not cover the requirement stipulated in that legal rule – to be licensed sports organizations.

In contrast to the mentioned above, the regulation of Art. 59b from PESA provides that the licensed sports organizations as well as the sports clubs which are members of the licensed sports organizations should use the amounts which are spread by BTS and the State money – object Lottery /SMOL/. The provision of Art. 59 b from PESA does not puts a requirement about the sports organization for registering them in the form of legal entities for non – profit purposes for pursuing activities for public benefits in order to receive the amounts by BTS and SMOL for supporting of their activity in a view to which the only

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condition for a national sports organization or sports federation is the same to be licensed and for the respective sports clubs to be a member of a licensed sports organization

∑ Specific support mechanisms and frameworks for people with mental disabilities

Bulgaria has ratified the UN Convention on the Rights of Persons with Disabilities in January 2012. The first review of the implementation of the convention in Bulgaria is due in 2017-2018 by the special body set up to control the national implementation – UN Committee on the Rights of Persons with Disabilities.

Some of the leading organizations providing social assistance and services to help people with disabilities and their integration in the society are: the National Centre for Social Rehabilitation, the Bulgarian Center for Not-for-Profit Law (BCNL), the Bulgarian Helsinki Committee (BHC), the Bulgarian Association for Persons with Intellectual Disabilities (BAPID), Chovecolubie (Philanthropy) Association and the Minerva Foundation.

Recently they have jointly submitted a report to the UN Committee on Economic, Social and Cultural Rights (CESCR Committee) to point out some requests to the Government for a higher commitment in the promotion of the social inclusion of people with mental disabilities in the country, among the main issues: the need to review and amend the legislation to comply with the UNCRPDs and the opportunity to have a comprehensive de-institutionalisation strategy.

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1.8 Oxfordshire (U.K.)

∑ Stakeholders responsible for the provision of sport and physical activity

County Sports Partnerships (CSPs) are networks of organisations working in sport and physical activity, including, Local Authorities, National Governing Bodies of Sport, Schools, Colleges and Universities, Professional Sports Clubs, charities and Public Health.

Nationally, there are 49 established County Sports Partnerships in England predominantly funded by Sport England. They are led by a core team whose job it is to provide leadership and co-ordination of a network that is focused on sport and active recreation.

Oxfordshire Sport and Physical Activity (OxSPA) is the CSP for Oxfordshire.

OxSPA lead and implement the Oxfordshire Strategic Framework see below:

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∑ Specific support mechanisms and frameworks for people with mental disabilities

The Oxfordshire Mental Health Partnership is a partnership that formally brings together six local mental health organisations from the National Health Service (NHS) and the charity sector: Connection Floating Support, Elmore Community Services, Oxford Health NHS Foundation Trust, Oxfordshire Mind, Response and Restore.

The benefits of this partnership include:

• More freedom for providers to design services flexibly to suit the needs of patients, rather than just satisfying the demands of a contract specification; • Greater levels of recovery and well-being that increase both the individual’s ability to manage their illness, and the resilience of the health and social care system to cope with the increasing demand for mental health services in Oxfordshire over the coming years; • One front door for mental health services for those seeking help; • Greater stability for key mental health service providers so that Oxfordshire will see the transformational benefit of this approach.

All of these organisation understand the importance of physical health and promote, signpost and deliver (in various degrees) opportunities for people to get involved in Sport and Physical activities. These organisations as well as other mental health charities and stakeholders previously worked independently to provide opportunities. In 2014 a project called Active Body, Healthy Mind was funded by Sport England to help these partners come together to share knowledge, resources and provide more appropriate, supportive and varied opportunities for people with Mental Health problems take part in Sport and Physical Activity.

∑ About Mental Disability : prevalence in the population

At any one time, one in six people (16.6%) in the UK suffer a mental health problem. In Oxfordshire that translates to 88,500 people age 16+ at any one time. Mental Ill Health (MIH) is a spectrum but even at the most severe end, data from the Department of Health suggest that nearly 9,000 people between 16 and 65 suffer from major depression and over 4,000 have schizophrenia.

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The highest incidence of mild mental illness is in the 50-54 age group and amongst women (50.6% of Oxfordshire’s population is female).

• Anxiety and depression affect 19% of people aged 16 and over (113,244 people in Oxfordshire). • 21% of women and 16% of men report the symptoms of anxiety or depression • People who are not in paid work are more likely to experience mental health issues: 23% • compared to 15% of people in paid work. • Carers are more likely to report mental health issues; 25% compare to 17% of people who do not provide care.

Source: ONS Measuring National Well-being programme(2010-2011)

∑ About Mental Disability : prevalence of persons practicing a sport or a physical activity on a regular basis

People with MIH are not only less likely to take part in sport than the rest of the population but also less than many other impairment groups. Even those that are regularly active spend on average less hours per week doing activity.

Research shows that nearly half of people with MIH did not enjoy the last time they played sport and are less likely to see playing sport and being active as important. People with MIH are also less likely to want to identify as ‘disabled’ and so we use the definition from the Equality Act 2010, working with people ‘who’s mental health condition has an effect on their day-to-day activity which lasts, or is likely to last, more than 12 months.

People with MIH are much less likely to take part in sport in the club setting but are much more likely to take part socially, and activities that can be done alone are more likely to appeal. English Federation of Disability Sport (EFDS) Research suggests:

• People with mental health issues are much less likely to be engaged in sport compared to people with other impairments: • Only 56% stated that they enjoyed the last time they played sport compared to 78% of people with other impairments. • Only 46% see playing sport or being active as important compared to 69% of people with other impairments. • Only 35% enjoyed PE at school compared to 51% of people with other impairments. • Only 28% think of themselves as a sporty person compared to 52% of people with other impairments. • The expense of sport is a significant barrier to participation for people with a mental health issue.

As well as the barriers to sporting participation, EFDS's research also determines a number of opportunities for policymakers and sports providers:

• Unlike people with other impairments who take part because it is fun, the main reason people with mental health issues take part in sport or physical activity is to improve their health.

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• Taking part in sport and physical activity alone is much more common among people with mental health issues, who are twice as likely to take part alone (53%), compared to than other impairments (24%). • People with mental health issues seek sport and physical activity opportunities which require minimal commitment- something which is flexible that focuses on fun and enjoyment that they can take part in alone.

It is hard to estimate the exact number of people who regularly take part in sport with Mental Health problem in Oxfordshire but from the information gained at the start of the Active Body Healthy Mind Project (169 Baseline of regular participants) and Active People Survey it is estimated that between 169 and 400. These are known clients/ participants who access support services.

∑ About Mental Disability : engagement with other members of the community

Inclusion and Integration of people with mental Health problems within community provision of sport and physical activity are very high on the priority of Sport England, English Federation of Disability Sport and Oxfordshire Sport and Physical Activity. They support, provide training and highlight to clubs, sport and physical activity providers, facilities and coaches the important of being inclusive and welcoming to people with Mental Health Issues, to try and reduce the stigma attached to mental health problems.

3000 people have accessed Oxfordshire Mind’s services so far in 2015 alone and the charity Restore currently has approximately 1000 people accessing its services. The Chief Executive of Restore estimates that half of those would take up activity given the appropriate opportunity.

People with MIH are much less likely to take part in sport in the club setting but are much more likely to take part socially, and activities that can be done alone are more likely to appeal.

There are good opportunities for people with mental health difficulties to take part in community Sport. Many activities such as “No Strings” Badminton appeal to participants as they are drop in low cost sessions. There are Public Community Health walks that some of the supported Forensic Mental Health patients attend weekly.

There is a mix between community, supported and mental health specific sessions but there always a need for community sessions to be more appealing and welcoming.

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2. INTERREGIONAL EVENTS AND GOOD PRACTISES

2.1 Kick-Off in Prato and Aurora Interregional Event

On 30 March 2016, the city of Prato hosted the official launch of the INSPORT+ project, including representatives from 10 partner organisations of the project across 9 European countries and over 12 local associations.

Associations gathered under the leadership of Polisportiva Aurora, an NGO born in 1994 from the idea of volunteers, including doctors, therapists, clients and their families, to create opportunities and spaces for people with mental health disorders to socialise, mostly through sport. Football, volleyball, gymnastics, trekking and, as of 2011, rugby (with its very own Invictus team ), have been the main sporting activities promoted by the association. Aurora also encourages other social activities within “Fuori di Pizza ”, a restaurant run by clients and hosting various events throughout the year (photo exhibitions, conferences, tango lessons, among others).

Partners representing mental health associations, public bodies, and NGOs from the 9 locations in the project, including Prato, engaged in a series of workshops and seminars led by experts in the fields of mental health and sport over the first 2 days.

The 12 associations from Prato joined INSPORT+ partners to hear about and exchange thoughts on local experts’ testimonials on the state of mental health and the role that sport plays in improving the conditions of people with mental health conditions in Prato. An issue of discussion was also the Territorial Pacts for Mental Health , a means for creating an integrated path for health and socio-assistance services involving public authorities, institutions and generally all people working for promoting the well- being of people suffering from mental disorders.

The project kick-off also stimulated a round of lively interactive sessions led by the Società Italiana di Mentoring , where participants discussed and learned about the distinct roles of mentoring, tutoring, and coaching in everyday life whilst reflecting and discussing on the role of mentoring in supporting sport and physical activity for people with mental disabilities.

The opening of the project on the 30th and the 31st of March took place at the Magnolfi theatre, an iconic cultural venue and former convent near Prato’s city centre; the indoors sessions were followed by site visits to show sport activities for people with mental disabilities organised in Prato province (footbal sessions of Atletic Nadir , riding horse of Cavalli e Carrozze , rugby in the match between the Prato Academy and the guys of Invictus, Aurora’s team, at Chersoni stadium. The day closed with a popular street demonstration event, where the INSPORT+ delegations capitalised their visit by joining a flash-mob organised by Prato Municipality together with Aurora and local partners, and wearing a T-shirt “Up close nobody is normal”.

The flash mob followed the street band of the school “G.B. Mazzoni” in the city’s main squares until the Municipal School of Music “Giuseppe Verdi”, where a final concert was held.

The final day was dedicated to visiting the seat of the National Association of Families of People with Intellectual and/or Relational Disabilities (Associazione Nazionale Famiglie di Persone con Disabilità Intellettiva e/o Relazionale – ANFFAS), where the European partners were introduced to the work of

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ANFFAS, met the people receiving its assistance and participated in a lesson of danceability run by the association Rotelle Attive.

Box 3 – Some experiences from Aurora A.S.D. : “Fare insieme” to “Pangea “, “L’Appennino Vien Giocando” and “Squisio” The good practice developed by ASD Aurora in the province of Prato include::

• The set-up of “Pangea” (literally “the origins of the world”), an association of Mental Users and of “Fare assieme” (“doing together”), an Italian movement where mental health trusts, voluntary associations, family and users organizations are allied for a better life of mental users and in the fight against psychiatric stigma. • The cooperation with other sport associations and NGOS, such as Alice, Cieli Aperti, Cavalli e Carrozze, Pallamano a Ruota Libera, Sporting Scherma Prato and Polisportiva Baol, and the joint organisation of events. Examples include “L’Appennino vien giocando” (the Appennine is playing), a event mixing inclusive sports and interactive conferences on mental health-related problems, and “Squisio ….e ora giochiamo insieme” (meaning, in the local dialect, “Excuse me”), where one of the main square of the city centre, in front of the Emperor’s Castle, was transformed for two whole days into an outdoor gym where everybody could participate and try different kind of adapted sport activities, from danceability to martial arts, fencing to judo, slow down, lacrosse, boccia, chess and many other activities.

Box 4 – The project Sigmammaziamoli (“kill the stigma”) The project, born in 2014, consists in weekly training sessions between the adults suffering from mental health problems and hosted in the sheltered housing Home of Alice” and children from the football team “Impavida Vernio” (Amateur Sports Association).

The coach of “Impavida Vernio”, Domenico Coschignano, said that “I am very happy of having started this cooperation because I feel socially useful and, needless to say, because I like my work, being a coach. Initially I was afraid, I did not know the reaction of the adults nor of the kids, but now there is a good confidence with everybody and a good atmosphere among the whole group”.

According to Fabio Apa, occupational therapist of “Home of Alice” “The difficulty in this profession, and in general for all social workers dealing with rehabilitation, is mixing up people with mental problems with other people with similar disorders. However this is not sufficient to inspire a change. A change is possible when you involve citizenship, and we tried to achieve this change by involving kids. Their involvement has been important because when you are a kid you are more likely to fight stigma and prejudice and this certainly represented a unique experience in this field. Our final goal is to improve the well-being of our adults, but also to build something together - this is the only way to get rid of or, at least, to kick the stigma”.

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2.2 OFIS Interregional Event

After the official kick-off of INSPORT+ in Prato, OFIS welcomed representatives from 6 partners (Aurora, FAISEM, Initiative, NGO MY Wold, Megálló Group Foundation and Prato Municipality) in its interregional event that took place from the 27th to the 30th of September.

After a preliminary meeting on the state of art of the project, European partners took part in a “rallye photos ” (orienteering course with photos) aimed at introducing participants to discover the city of Redon and at promoting exchange, sharing and inclusion. Many different people answered the invitation and took part in the event. In addition to our European partners (13 people), a total of 70 people from 5 different structures and local stakeholder organisations participated, including 40 high school students and members of the community of people with mental disabilities. Inclusion was promoted by gathering together and mixing people with different capacities, origins and ages.

The following day the conference “Looks at Mental Disability” was organized in Rennes. After the introductory speeches from OFIS Chairman and of the Vice-President of the Conseil Départemental of Ille-et-Vilaine , French and European experts exchanged experiences about their work in the fields of sport, work (and the implication of the disabled person in the “decision-making process”) and research.

The conference started on the theme « sport and disability », with an intervention of Michel Austerlitz, Mission Head at the National Department of Sport and Disability at the Ministry of youth, sports and associative life. His presentation allowed the attending audience to understand how sport for disabled people is organized in France. We also asked him on inclusive practices within the Ministry of Sport and to present some “best cases’” and some brakes to this inclusive operation.

Still on the theme of sport and disability, we gave the floor to Ms Valeria Carrocci and her husband Lorenzo Donati (professor and master of martial arts), both members of the association Quarta Via from Prato (Italy). They introduced us in details their association, its main goals, methods and working schemes. It was the opportunity for the audience to discover a good practice example from Italy and to understand how to favor social inclusion by the use of dance and martial arts. Another “best case” was presented with the project "Stigmammazziamoli" that encourages the inclusion through the practice of football in Vernio (Italy, box 4).

The second theme of this conference aimed to open the field of inclusion to talk about the involvement of the disabled person in the process of decision making in a firm. For this intervention, we gave the floor to Koulmig Chenay, human resources manager of the firm "Bretagne Ateliers". The idea was to present an example of god practice and to understand the functioning of this firm that works with a majority of disabled people.

Finally, the last time of this conference was animated by Mr William SHERLAW, teacher-researcher at the Ecole de Hautes Etudes en Santé Publique (Public Health School) and specialist of the disability and social inclusion theme. The objective was to see from the research point of view how this subject is treated. With his approach, Mr Sherlaw questioned and challenged the audience on their representations about disability and tried to propose a different vision of it.

The afternoon and the last day were dedicated to sporting activities, adapted to disabled people, and presented by OFIS and some local partners: Handi Sport and the French Federation for Adapted Sport .

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Also the two representatives of the Italian association La Quarta Via participated with a demonstration of danceability and a lesson of martial arts.

Box 5 – Handi Pilote, sensibilisation and independence

∑ Good practice 1 : Handi Pilote

The country of Redon gave rise, under the initiative of OFIS and thanks to INSPORT and INSPORT + projects, to a group of persons gathering on regular basis, on the theme of disability. This group is composed of disabled people, associative volunteers, parents, professionals, stakeholders and representatives, public service technicians. Three actions per year are organized and their goals is to prove that disabled people have their place in our society. A lot of projects came to life thanks to this group called HANDI PILOTE.

Example : HANDI PILOTE representatives (professionals, disabled people, etc.) and OFIS organized sensitizations days in various schools of the territory. Many themes were discussed with children that could explain their representations on disability. They also put themselves into the skins of disabled people through various sporting activities and daily situations people with disability have to face.

HANDI PILOTE also works on a short video that shows a disabled person facing many difficulties in the streets of Redon (orientation, moving, exchanges with non-disabled people, etc.)

∑ Good practice 2 : Sensibilisation

In order to change the look of the society on disabled people and to have an impact on tomorrow adults, OFIS organizes, with the collective HANDI PILOTE, sensitizations days in schools of the territory. A day inside the school where children can try adapted sporting activities for disabled people, where children are put in situation of disability, where they can hear testimonies of disabled people, where they can play with disabled people in order to not talk, and the end of the day, of a disabled person but a partner, a colleague, a friend.

Example : We organized a morning in the school of Rieux. 4 “workshops” were proposed : Testimony of disabled people, sign language workshop, adapted sporting activities, wheelchair course.

∑ Good practice 3 : the importance of independence

The trip to Spain opened our eyes on one of the first actions allowing social inclusion of disabled people : independence. Today, in the Country of Redon, it is hard to move from a location to another (no public transportation service) and to locate ourselves (no adapted signage), even to find sport facilities. In order to compensate these problems, but also to develop the autonomy of disabled people, we organized a shuttle service that can transport disabled persons from their home to facilities, and to facilities to home. To do so, the person has to go out his/her isolation, during the last session or by phone so the shuttle can pass by his/her home. The trip has to be anticipated and can be used only for sporting activities. This service is very appreciated and allows to practice a sport on regular basis, and to develop autonomy.

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2.3 PODES Interregional event

After the events in Prato and Redon, PODES (Portugal) welcomed INSPORT+ partners for its interregional event which took place from 5 th to the 7 th of October 2016. seven countries took part in the three day- event (Spain, France, UK, Italy, Germany, Hungary and Portugal of course).

During the morning of the first day of activities, PODES organised the seminar “ Increase of Quality of Life of People with Disability through Sport” in Oeiras, a town at the outskirts of Lisbon. The seminar introduced the INSPORT+ project to the Portuguese stakeholders and presented Portuguese best practices to the general public with interventions from four different Portuguese associations in the field of disability and social integration through sport and three key testimonials from Paralympic athletes.

The next day was dedicated to sport activities. During the morning the participants had the chance to get to know associations that implement sport activities for people with disability: the Associação Hípica Terapêutica de Cascais presenting an adapted horse riding training and the Clube Naval de Cascais with an adapted sailing session.

After a traditional Portuguese lunch, the afternoon was spent at “ 3º Open Day Desportivo ” organized by the Rehabilitation Medicine Centre of Alcoitão (Centro de Medicina de Reabilitação de Alcoitão) , where the international partners practiced various sports as bocce, archery, seated volleyball, traditional Portuguese games and judo together with the users of the Centre.

In the morning of the final day the participants were accompanied to Cerci Oeiras , a reference centre for the support of people with mental disabilities from Oeiras. At Cerci Oeiras an effort is made to keep the assisted healthy, active and integrated in the community.

For the final afternoon, the participants, together with the project group LUCAS Links United for Coma Awakenings through Sport , celebrated the 2 nd European Day of Awakenings in Cascais. A study visit was organised to Novamente , an association created by parents, doctors and friends of people with traumatic brain injuries and acquired disability, and from there all the group participated in a walk through Cascais streets, distributing balloons and flyers with the intention to raise awareness for the INSPORT+ project and the European Day of Awakenings.

At the end of the day the event was closed with the launch of the balloons.

Box 6 – Decentralised services, psychosocial rehabilitation programme and a concrete experience: Associação Hípica Terapeutica ∑ The creation of decentralized services was a development that had a very positive impact on the improvement of accessibility and quality of care, enabling responses closer to the population and a greater interaction with health centers and other community agencies. Nationwide coverage for these services is still far from complete, but comparing the current situation with that of 30 years ago, important steps have been taken. Analysis of mental health system development in Portugal reveals some positive aspects through recent decades. It was one of the first European countries to adopt a national law (1963) in accordance with the principles of sectorisation, which enabled the creation of mental health centers in every district and the appearance of various important movements, such as

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social psychiatry and integration of mental health in primary care. Although this model involved the restructuring of psychiatric hospitals, the law did not clearly define it. This ambiguity resulted in the absence of any Mental Health Center until 1989 in the three districts where they were located. The first Centers were created in 1965, having been created 21 until 1980, with a population coverage of around 60%, which included 3 specially aimed at children and adolescents, located in Lisbon, Porto and Coimbra. In 2011 the number of Centers increased to 37, with a population coverage of about 95%. ∑ Another positive aspect was the development of psychosocial rehabilitation programmes and structures, created at the end of the 1990s as part of the European Union's (EU's) Horizon 2020 initiative (Dispatch 407/98) and of supported employment legislation. Although of limited scope, these programmes represented a significant break with the prior situation, in which residences in the community and social firms for the seriously mentally ill were entirely non ‐existent in Portugal. ∑ One of the examples of good practices in Portugal was observed during INSPORT+ meeting in Portugal: the Riding for the Disabled (Associação Hípica Terapeutica, IPSS) in Cascais, that started operating in 1989 and is now a registered Portuguese charity. It aims to provide horse riding activities in a safe, controlled environment to handicapped children and young adults in order to develop their physical and intellectual potential to the highest possible degree through a stimulating, novel activity otherwise unavailable to them. RDA sessions take place every week-day morning for some 80 youngsters from institutions and local schools. The Association owns four suitably trained horses, stabled at the Real Clube de Campo D. Carlos I in Areia, Cascais, where its custom built riding school and other facilities are located. About 30 volunteers participate in the activities and are a vital element towards guaranteeing safety and full enjoyment. A riding instructor, physiotherapist, occupational therapist and special needs teachers make up the therapeutic team responsible for designing and implementing the riding plan.

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2.4 Oxfordshire Inclusive Sport Forum

On 22-24 February 2017, INSPORT+ partners gathered in Oxford (UK) for the 4th Interregional Event organised in the project.

Our Oxford partners Oxfordshire Sport and Physical Activity, led by Ed Nicholas and Lucy Tappin, hosted the event, where representatives from various local groups representing people with mental health illnesses and disabilities shared their experiences with the INSPORT+ partnership, represented by 7 attendants from 4 partner countries (Bulgaria, Germany, Hungary, and Italy).

Over 14% of the population in Oxfordshire have a limiting illness or disability. Of these, the vast majority (or, more than 12% of the total population) have a mental health condition. In response to the need for a more inclusive agenda, Oxfordshire Sport & Physical Activity adopted a strategy to provide services tailored to Disability & Inclusive Sport and Physical Activity, focused on:

• Increasing participation • Structure and coordination • Expertise and advice to the general public, partners and professionals • Specific projects accessing funding and engaging with target audiences (such as INSPORT+) • Distribution of Disability and Inclusive Sport Information • Improving the Disability Sports provision offer across Oxfordshire

As of 2014-15, Oxfordshire had almost 25% of people active with a limited illness or disability, a significant increase from just over 17% in 2005-6. During the three days of the Interregional Event, INSPORT+ had the opportunity to learn from and exchange with participants from Oxfordshire who kindly shared and discussed their experiences, knowledge, opportunities and challenges in supporting those with a mental disability or health condition through sport to achieve this outcome over the last few years.For example, partners got the chance to learn from a highly successful local project called ‘Active Body, Healthy Mind’, which since 2014 has been run jointly by Oxfordshire Sport and Physical Activity with local and national charities Aspire, Coasters, Mind as well as user-led groups and leisure providers to support individuals with mental health illnesses.

Thanks to Active Body, Healthy Mind, 1250 people have engaged in sport and physical activity from 2014 to 2017 through a rich range of activities, from weekly football sessions to weekly health walks, climbing, boxing, canoeing and fishing, in various parts of Oxford (Cowley, Witney, Abingdon, Wallingford, Headington, and Banbury), all supported thanks to partnerships between local stakeholders and various sources of local, national, and international funding (including through INSPORT+).

Other initiatives shared throughout the seminars included:

• West Oxfordshire District Council’s work to promote greater inclusiveness by offering online applications for clubs to display the ‘inclusive’ symbol at their premises, on websites and in publicity, to show that they are recognised as inclusive for those with a disability and matching them with available services. • Coasters’ network of mental health service users and staff who come together to take part in a range of health promoting, sporting and challenging activities, such as weekly badminton activities.

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• ActivEyes Oxfordshire – a community of active Oxfordshire people aged 18+ living with a Visual Impairment who take part in a range of activities offering something for everyone, including sports, walks, cultural visits, excursions and social meet-ups, exploring the county’s vast array of eateries and watering holes.

Last but not least, INSPORT+ partners had the great pleasure to take part in a series of afternoon/after- lunch health walks and an evening of badminton kindly led by Coasters’ founder Colin Godfrey, along with fellow service users and organisers of the Event, where everyone engaged in lively and cheerful activities. INSPORT+ is pleased to have provided further support for initiatives such as the ones witnessed in Oxford and to help people improve their physical fitness, help build their confidence and self-esteem, improve their mental health and build positive relationships.

Box 7 – Oxford Social Inclusion Cup ∑ Oxford Social Inclusion Cup

Purpose: Street Revolutions CIC and OxSPA work alongside other Mental Health organisations and charities to run a Social Inclusion Football event. This is an opportunity for people with mental health issues to get together, socialise, experience team sports and play together in the united cause of Social Inclusion. This event took place on 10th October 2017 and celebrated World mental Health Day.

Action: Partners worked together to provide a whole day of fun and competitive football with stalls, information about services and support available in the area. Leisure Bags with information about other support services was given to each participant and they also received shampoo, drinks bottles, toothpaste and essential items for many of the players who are homeless, rough sleepers or Sofa Surfers (float from accommodation to accommodation with no fixed abode).

Different partners came together to provide different elements e.g. Oxfordshire Football Association provided the officials and ran the competition, Streets Revolution led the event and promoted the event and took the teams entries, Kick it Out highlighted there campaign and provided the medals, OXsPA provided funding, promotion, officer time and partnership involvement.

Impact: the majority of the players have challenges they face including homelessness, drug and/or alcohol misuse, psychological issues, chaotic lives etc. This event was a great opportunity to come together to enjoy playing football with other teams, representing a team, gaining success, and a chance to relax and forget their circumstance. We had 70 people attend from 8 different organisations; the event was mixed (Men and Women). Consulting players on what other support and physical activities they take part and want to take part in was very beneficial.

Evaluation: From the football event the partners worked well together are keen to expand to a programme of events targeting different audiences and communities including 1) Older people (walking football), 2) LGBTQI (Lesbian, Gay, Bisexual, Transgender, Queer, Intersex) 3) Black, Asian, and Minority Ethnic Groups 4) Adults with a learning disability

In Oxfordshire we already have a Mental Health Inclusive Football League (Bobi League) made up of mental health supported services teams which works effectively. This event is about coming together to celebrate this, recruit new players and celebrate together.

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2.5 Andalusia Tiquitaca for Mental Health

From 20 to 25 March 2017, and for the first time in Europe, FAISEM hosted the memorable “Tiquitaca for Mental Health” Interregional Event in 4 different provinces of Andalusia (Spain): Seville, Almeria, Granada and Malaga.

596 Athletes with mental health problems and INSPORT+ stakeholder representatives from 8 provinces of Andalusia, 9 Autonomous Communities of Spain and delegations from 7 European countries (Belgium, Bulgaria, France, Germany, Hungary, Italy and Spain) participated in an action-packed week of activities, featuring 10 national teams of players with mental health disorders across Spain and representatives from 16 sport organisations, 8 institutions, 14 health and social service organisations in Andalusia.

The event benefited from a high level of engagement of various stakeholders in FAISEM’s local partnership as it was coordinated by the Andalusian Commission of Sports and Mental Health, a multi- stakeholder body composed of: FAISEM, the Comprehensive Mental Health Plan of Andalusia III, the Andalusian Federation of Relatives of People with Mental Disorders (FEAFES-Andalucía), “En Primera Persona” Federation and the Research Group of the University of Almeria. Overall, 1.468 people have been directly involved in the activity (personalities, staff, volunteers, athletes, media, public institutions).

INSPORT+ partners joined them as spectators and practitioners with mental health service users in a wide range of events and activities, featuring:

• Regional and national tournaments held across 4 facilities in the different cities, such as the VII Olympiads “United for the Ball and Mental Health” at San Pablo Sport Centre (Seville)( 160 athletes) ; • Dissemination and masterclasses on new sports and approaches for training and recovery , such as pinfuvote, canoeing, rowing, and Nordic walking along the Guadalquivir River (Seville) ( 96 athletes ); • Visits to facilities and institutions providing mental health and social support services, for instance Proazimut firm and FAISEM’s centre at Portobello (Seville); • Cultural and touristic activities allowing visiting participants to integrate with local community representatives throughout the programme; • Meetings with local associations, such as those ones with FEAFES-Andalucía and “En Primera Persona” Federation ; • Promotion of volunteering through volunteer-led events; • Knowledge exchange through the yearly “VI International Conference on Physical Activity and Inclusive Sport” held at the University of Almeria.

At the Conference hosted by the University, seminars focused on:

• The role of mental health in supporting the common good through sport and partnerships in the community; • Sport as an instrument of recovery for young people with mental health problems; • Sport as a tool for helping women with severe mental disorders, including an insight into the Womentoring Andalusia project, aimed at promoting physical activity and sport in women with severe mental disorders;

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• Training, research, and volunteering; • An evaluation by Andrés López Pardo (FAISEM) of activities since the Málaga Declaration on Sport and Mental Health in Andalusia (2013 ‐2017) developed in the first INSPORT project promoting sport for people with disabilities; • The presentation of future guidelines for INSPORT+ in Europe .

The event also gathered support from major local, regional, and national stakeholders, including government bodies such as the Ministry of Health, the Ministry of Sport and Tourism, and the Councils of Equality and Social Policy of Spain, who also collaborated in the initiative.

The Spanish Sports Association for Integration and Recovery (AEDIR) also coordinated the organization of the “Miguel Acosta ” National Sports Meet of Football, Paddle and Athletics held in Malaga, which had, for the first time, the participation of 9 regional teams (Asturias, the Basque country, Castilla-León, Castilla-la-Mancha, Murcia, Valencia, La Rioja, Madrid and Andalusia). (more than 200 athletes)

INSPORT+ partners closed their trip with city mobilization events in 4 cities (Málaga, Granada, Sevilla and Almería), followed by visits to 4 centres of excellence and institutions, where partners interacted, shared and learned from experiences with service users and operators, and a technical, internal implementation meeting amongst themselves to review progress on Work Packages and share updates on everyone’s activities.

Box 8 – Tiquitaca for Mental Health

Tiquitaca for Mental Health was quite a unique experience since:

- it was held in 4 different provinces of Andalusia (Spain): Seville, Almeria, Granada and Malaga-

- it included the participation of 596 Athletes with mental health problems and INSPORT+ stakeholder representatives from the 8 provinces of Andalusia, 9 Autonomous Communities of Spain and delegations coming from 7 European countries (Belgium, Bulgaria, France, Germany, Hungary, Italy and Spain)

- it featured 10 national teams of players with mental health disorders across Spain and representatives from 16 sport organisations, 8 institutions, 14 health and social service organisations in Andalusia.

- The number of people directly involved in the activity (personalities, staff, volunteers, athletes, media, public institutions ...) has been more than 1,400 people.

- it included new sports such as Pinfuvote, Rowing and Nordic Walking (with a participation of 96 athletes) and the holding of 2 Provincial Tournaments (300 participating athletes) and 1 National Tournament (200 participants)

- Within the good practices of the VI International Conference on Physical Activity and Inclusive Sport "held at the University of Almeria, the study: “Effectiveness of a Program of Physical Activity in People with Serious Mental Disorders” 33 has been presented. In this paper the effectiveness of a physical activity and sport program is analyzed in a group of 28 people with Severe Mental

33 Mullor, D.1; Gallego, J.2; Cangas, A.J.2; Aguilar-Parra, J.M.2; Valenzuela, L.3; Mateu, J.M.2 y López-Pardo, A.1”

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Illness (SMI). An assessment was made before the start of the program and again after four months, measuring anthropometric variables, physical functional ability, balance and coordination , and social functioning and activities of daily life. The results showed statistically

significant improvements in those who attended more than 50% of the sessions in all anthropometric variables, and functional fitness and motor skills, as well as the Personal and Social Performance Scale (PSP). Moreover, assistance to the program was high, keeping the same 80% of people who started it.

- As a sensitization activity to favor sport in women with severe mental disorder, a football match

was held in Almería, between the Mental Health Selection of Andalusia and the Women's National Team of the University of Almería with the collaboration with training centers and Almería university volunteering.

2.6 Bremen Interregional event

The Bremen Interregional Event took place from the 16th until the 19th of May 2017 with the participation of 7 INSPORT+ partners: PODES from Lisbon (Portugal), FAISEM from Andalusia (Spain), OFIS from Redon (France), Megálló Group Foundation from Budapest (Hungary), NGO My World from Harmanli (Bulgaria), Polisportiva Aurora and the Municipality from Prato (Italy).

The event started with the seminar on the topic “ Sport and Inclusion – from local to European view ”. Currently, inclusion is not only being intensively discussed from different angles but also practiced on different levels. The inclusion of people with various types of disabilities and impairments especially in alleged everyday situations, such as sport, is a societal challenge.

After short welcoming addresses by Heidi Mergner , director of the hosting partner Initiative, and Dr. Joachim Steinbrück , representative for people with disabilities in the State of Bremen, the seminar included a presentation of good practices to show what has been done in order to achieve full inclusion in sports. The presentations were given by:

1. Michael Arends , Werder Bremen, “ Weder Bewegt ” Department for Inclusion, who presented examples of their inclusive activities, sports offers and sport events for disabled people. It is remarkable, that a professional football club like “Werder Bremen” provides inclusive sport activities and uses his public awareness level to promote the idea of inclusion. 2. Petra Schürer from Martinsclub , the largest organisation for peoples with disabilities and provider of leisure time activities, talked about inclusive table tennis which began, after a “disabled” table tennis team met a “normal” one by using the same gym. After a while both teams made an agreement to do some parts of the training sessions together. 3. Dr. Günter Scharf from the regional organisation of the Special Olympics focused on their activities, especially on the regional games which take part annually with the participation from up to 5.000 peoples from Bremen and Lower Saxony.

Bremen politics and administration offices were represented in the seminar by Dr. Joachim Steinbrück and his staff members Kai Steuck and Kai Baumann presenting funding possibilities and other programs. The main topic in this context is the implementation of the UNCRPD. It was discussed since 2012 in

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several work-shops and meetings with the participation of disabled people and their organisations. The results led in 2014 to the local agenda which became legislative in 2014 by a decision of the local government; in this agenda 198 different actions were developed in different fields: housing, education, employment, health, information/communication, culture and, last but not least, sports.

The local agenda in inclusive sports focuses mainly on the project InSpo which was introduced by Dieter Cwielong (Bremen Municipality, Sports Department), Maleike Schubert (Bremerhaven Municipality), Dr. Günter Scharf (Special Olympics). The intention is to create 7 jobs for disabled people, and the overall objectives are to improve the participation of disabled people in sports and promote the networking between different organisations, institutions and stakeholders (e.g. sport clubs, schools) in this field. The project InSpo is financed by “ Ausgleichsabgabe ”, a special tax for employers who do not give jobs to disabled people; currently 3 jobs have been created and a further job in the regional sports federation will be created next.

Beside the project InSpo there are further actions in the agenda which intend, for instance, to improve accessibility for peoples with disabilities to sport facilities and training programs for sport trainers.

During the seminar there were also contributions from INSPORT+ partner organizations from different European countries: Sara Monti (Municipality of Prato) gave a presentation about the INSPORT+ Project, while Alessandro Balzani (A.S.D. Aurora, Prato/Italy) Maxime Neveu (Office Intercommunal des Sports du Pays de Redon/France) and Peter Havasi (Megálló Group Foundation/ /Hungary) presented the state of inclusion in sports in their respective regions and countries.

The results of the seminar can be summarised as it follows: in Bremen there are organisations for disabled people and a few sport associations which provide inclusive sports. The cooperation is not very developed and require some improvements. Networking is a task for the next years. The InSpo project has started to foster networking but its experience is new and needs more time to achieve the desired results. European experiences and good practice examples in inclusive sports by INSPORT+ partners can be helpful for the local projects.

During the Bremen interregional event visiting local good practice examples of inclusive sports was a main topic as well. We had the opportunity to participate in a training session of “Werder Bewegt”, an inclusive football offer of the professional football club Werder Bremen, which was introduced one day before by Michael Arends in the seminar.

Another good practice example we have visited was the sailing group of Initiative. In the summer season one time a week Initiative’s users and employees meet in the old harbour for sailing; unfortunately the weather was not very good, but the participants did enjoy the experience.

During the event information about the work of Initiative, the target group and the structure of the organisation were also given, including a visit to “ Gemüsewerft ”, an urban gardening project and a working opportunity for the users.

The final day was dedicated to the “ 9th Bremen River Cup ”, an inclusive football tournament and a public event that Initiative organizes since 2008 to make peoples with disabilities visible as people who enjoy to play sports. With this tournament Initiative also intends to raise the awareness of the public to inclusive sports.

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In the “ 9th Bremen River Cup ” 8 teams took part. All teams came from the local and regional partnership, which was built by Initiative in the framework of sports and inclusion and of the INSPORT+ project as well.

In the ranking of the tournament, the INSPORT+ team, made up by the INSPORT+ Delegations finished on a very good third place, after the strong Via Altona team from Hamburg, while the winning and first place was won by the inviting football team of the Initiative, the AC Matti .

Box 9 – Initiative Sailing Group ∑ Initiative Sailing Group

The Sailing group from Initiative gives a sailing opportunity for people with mental health problems. For this target group, sailing is a challenging activity because every one is faced to natural forces like wind, waves and weather. In this way it is strengthen the self-confidence of the participants.

The sailing group meet once a time in the week while the summer period to sail on the river Weser. Frequently up to 9 people take part.

The Initiative Sailing Group is anually invited to international sailing contests and provides leisure time trips to the Netherlands and to the Baltic Sea.

∑ Werder Youngstars

As an established sports club, Werder Bremen not only consists of their first division male football team. Their philosophy is to unite the two different areas sports and corporate social responsibility. Over seven years ago, they founded an initiative to encourage kids with and without mental disabilities to play football together. The Werder Youngstars regularly participate in football tournaments around Germany. The coaches working with the kids are partly the Werder staff and partly adults who took part in the program in the past themselves and now want to help the younger generation.

Within this program, the aim of the club and their CSR brand WERDER BEWEGT is the social inclusion of people with mental disabilities through playing football.

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2.7 Budapest Interregional event

Budapest (Hungary) – On 20-23 June 2017, Budapest-based Megálló Foundation hosted the 7 th interregional event of INSPORT+ in the Hungarian capital, alongside 20 guests representing 7 partner delegations from Germany, Italy, France, Bulgaria, Portugal, Spain and Belgium.

Partners engaged in a 3-day event featuring interaction and sport activities with young people with mental disabilities in rehabilitation from drug and alcohol misuse and mental health disorders.

The first day was dedicated to visiting a Hungarian protestant drug therapy and sport center of disadvantaged and disabled young people: the “ MRE-KIMM Fiatalkorúak Drogterápiás Otthona ” in Ráckeresztúr, a village in Fejér county, 40 km far from Budapest.

INSPORT+ partners have been involved in exchanges and sport activities with the young people of the centre, including football, basketball, table tennis and courses in the adventure park of the centre; the day ended with a common bathe at Lake Velence.

On the following day Megálló moderated the Conference “ Sport with equal chances ” at Nyírő Gyula Hospital (National Institute of Psychiatry and Addictions) gathering sport trainers, educators, mental health and rehabilitation experts, as well as national and local authority representatives.

Presentations and discussions focused on the state-of-play of access to support services and sport and physical activity for people with mental disabilities, mental health disorders and addiction in Hungary and Budapest.

The seminar was followed by a visit to Megálló House in the centre of Pest (the area right of the river Danube in Budapest), where partners experienced different group therapy methods together, including a theatre and movement training, and attended an internal meeting for a quick update and planning on INSPORT+ tasks and partners’ initiatives.

On the final day INSPORT+ partners gathered at the training of Para-Fitt S.E ., which is a sport association for disabled young people (mainly with mental disabilities), and trained together with the young people followed by the association in karate, wall climbing and a in team competition in gymnastic.

The Budapest Interregional Event closed with a public INSPORT+ bicycle tour through Budapest city centre and along the Danube up to Margaret Island, a mobilisation event with partners wearing t-shirts with the INSPORT+, Megálló Foundation and EU logos to showcase the project on a hot summer day with a great level of exposure to the general public.

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Box 10 – Best practices from Megálló experience: football, adventure therapy and rock climbing ∑ Football

Football is a competition for us, but in which the competition is just a game, an interplay, a team game and co-production. The primary aim of our football therapy is not to win against other teams, but effort, intensity, concentration, perseverance and at the same time the realization of our own game, our abilities while we follow and keep clear rules. We always aim to play a fair game, the team members run a moral competition and it is a learning process for them as well. The aim of a football therapy is the solution of the team exercises and the practice of fair play. Because of above mentioned frames and methodologies the communities are the places of increased safety, freedom and opportunities for drug addict young people. These sporting events are the scenes of learning from each other different skills and the area of networking with similar organizations. The sport meetings may give a new chance for the communities working with various therapeutic approaches to get to know each other’s values and express the respect and dignity, sharing of experiences, strengths in the name of the European idea: “unit in differences”.

∑ Adventure therapy, rock climbing

The adventure therapy is one of the most successful therapy methodologies of Megallo Group Foundation. Drug addict young people can travel to different places far from the city and their usual environment, where they can pay attention only for themselves and others during our trips. In this special therapeutic area the intensive common program, the physical and mental pressure, the hard but feasible exercises, the little successes motivate them to take care themselves and to get to know their own abilities. Rock climbing is especially suitable to get experiences in taking responsibility, paying attention to each other. The group which arrived as a horde in the nature come home as a strong team.

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2.8 Sofia Interregional Event

The last Interregional Event of INSPORT+ took place in the Bulgarian capital of Sofia from 11 to 13 Oct 2017, where NGO My World hosted partner organisations from 6 European countries (France, Germany, Hungary, Italy, Spain), alongside local partners, in the following activities:

1. Sofia International Conference – sharing and exchange of knowledge and experience among participants - local and international

2. Integrated sporting and physical activities:

4. Zumba – recently getting more and more popular across the country; 5. Paneurhithmia – Bulgarian practice of relaxation and mental health; 6. Hippotherapy – also very popular across the country; 7. Dodgeball & Team games – used in every town; 8. Football; 9. Golf – presenting the Bulgarian experience, since recently the number of golf fields increased significantly, also Bulgaria hosts many international tournaments; 10. Canoe-kayaking – even in capital, such facilities and opportunities are available and practiced. Same for country; 11. Health walking with sightseeing – an activity used in all counties; 12. National Dances – partners had opportunity to practice some Bulgarian national dances.

Almost every sport is suitable for people with disabilities, if adapted and led by professionals and trained people. Though small, Bulgaria is well-known for its sport, sportsmen and women, clubs, training centres, facilities, natural resources and climate. Sport for people with disabilities is very popular in the country as a powerful tool for social integration, although the situation varies between the capital and other regions in the country, particularly in terms of funding opportunities, access to quality facilities and trained staff. Usually in more remote regions, clubs work mainly on enthusiasm and personal/club resources, and for these any organised, bigger sport event is welcome, and they are very keen to participate, compete, share, get new skills and acquaintances, to be noticed. In the country for many years there is a sport tournament exists approved from the ministry programme for people with mental disabilities.

Thanks to this policy, NGOs and sport organisations during the last decade, along with local authorities, have more and more understood their role in society and started to support, finance and promote such sport activities for disabled people, as many new sport centres and facilities are established, and big centres usually have introduced special hours/sections for people with mental disabilities. Adapted Physical Activity as a specialty has been introduced in many big universities in the country, so Bulgaria is successfully preparing the necessary human resources for disabled sport, generally speaking.

Sports also varies from region to region, and usually in remote regions, due to limited sport facilities and centres, sports practised that do not require such special expensive structures, facilities, equipment or professionals, such as: bowling, tug-of-war, darts, boccia, healthy walking, dances, tennis and table

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tennis, wheelchair racing, football, chess, painting, etc., while in the capital many more sports are practised.

The Sofia event was very useful and interesting for all Bulgarian participants present. NGO My World supports and promotes all sport activities for people with various disabilities by organising sport events and tournaments, the dissemination of information and best practices, videos and other tutorials and is working on this policy area with local authorities, also promote to EU activities such as “Get Active” and the “EU Week of Sport”.

Box 11 – The Bulgarian body-mind practise of Paneurhythmy Paneurhythmy was created between 1922 and 1944 by the Bulgarian Philosopher Petar Danov (1864-1944).

It is a unique system of rhythmic exercises performed outdoors, in the morning - from March 22 to September 22, when nature is in uplift. It combines harmoniously music, movement, thought and word, and resembles a dance; it can be compared to such activities as Tai Chi, Yoga and other Eastern practices.

It is suitable not only for people of middle age but also for children, for elderly people and persons with chronic illness or disability, and it is considered to have a complex beneficial impact on both physical and mental well-being of its practitioners.

Matanova and Dimitrova (2003) have evaluated the effect of paneurhythmy training on the intellectual faculties of mentally retarded children. The subjects of research are children of 3rd grade from a school for mentally retarded in the town of Elhovo. Children have been divided in two groups: an experimental group, practicing paneurhythmy and a control group, who do not practice paneurhythmy. The experimental group and control group subjects were tested twice: in the beginning of paneurhythmy training period and after it. Results show that paneurhythmy training significantly improves the indicators of attention (stability and switching over) and the general intellectual development of children with mental retardation.

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3. INSPORT+: A LOOK INTO THE FUTURE

During the previous INSPORT project, partners met in June 2013 in Málaga (Spain) in order to discuss and analyse the good practices identified in the partners’ territories with relation to the social inclusion of disabled people through sport activities. The discussion also led to identify five strategic areas where the future partners’ interventions had to focus:

1. Access to the daily sports people with mental health problems, with goals promoting physical and mental health, recovery or leisure time. 2. Promoting the participation of users in sporting events locally , with special emphasis on those who have an inclusive character. 3. The development of training initiatives adapted physical activity for different professional profiles and boosting research on physical activity and disability. 4. The use of sport for people who have mental health problems, as a strategy to combat stigma and discrimination . 5. Fostering employment integration of people with disabilities via organizations that promote development of sports programs.

Linking with the experiences developed in the INSPORT project and the implementation of the current project, INSPORT+ partners have reflected on the importance of their collaboration in this European partnership and the role it has played for their daily work. On this basis, INSPORT+ partners have come up with recommendations that are intended, on the one side, to support, promote and further enhance the chances of people with mental disabilities to engage in sport and physical activity and, on the other side, to facilitate the widespread adoption of the INSPORT+ approach by integrating the concept into the wider public policy domain.

Sport as a right of citizenship

Communication strategy

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Sport pratice

Community life and inclusion

o In line with one of the 5 key areas of the European Pact for Mental Health and Well-Being of 2008, sports practice can favor the fight against stigma and social exclusion, while offering a real and positive image of these people and helping to banish prejudices and false ideas. Therefore, it must be carried out in normalized environments , in community networks that favor personal recovery and empowerment and guaranteeing a multidisciplinary approach, valuing the contributions of different professionals and services. o It is necessary to develop sporting events where athletes with mental health problems participate actively in their organization and development. Events that must necessarily have an inclusive character and must involve public administrations and local entities. These practices can be competitive, or leisure or recreation aimed at getting related to the improvement of health, the acquisition of sports habits, as well as the active occupation of free time. Similarly, practitioners should be involved in the associative life by taking part in the various activities of the associations, from the organisation of events and initiatives to the management and decision-making process of the association in order to work towards a common vision, shared by all members of the associations, notwithstanding of their condition.

Enhanced cooperation and synergies

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ANNEX 1: INSPORT + TESTIMONIALS

Poesia dedicata a INSPORT+ Poem dedicated to INSPORT+

Un folle gioco A crazy game è un fuoco is a fire che si risveglia that wakes up da questa anestesia from this vital vitale anesthesia da questa macchina from this machine della realtà. of the reality. un luogo dove incontrarci A place where we can meet each other è l’acqua It is the water che riempie that fills il vaso delle emozioni the pot of the emotions che deve sempre straboccare that always needs to overflow come fragile as fragile e umile and humble come quel brivido as that simple semplice shiver di un sogno of a dream di un sorriso of a smile che non aspettava altro that can’t wait di aprirsi to unfold e guardare lontano and to see far away umile, semplice, meraviglioso humble, simple, wonderful e banale e forte both banal and strong e senza illusioni… and without illusions… lontano… far away….

Roberto D’Anna A.S.D. Aurora Interregional event in Sofia (Bulgaria), 12 October 2017

Testimonials from FAISEM (Spain)

“My testimony about the INSPORT Project in which I have participated in from the very beginning, is that I have felt valued, a participant and friend of people like myself from all over Europe and I have been a witness of very good things between companions and athletes. The monitors, the people I have met in the places where I have been, have meant valuable experiences of feeling myself: useful, important and above all, loved and surrounded by friends.” – Cymbeline Josephine Nuñez Sheriff

"The experience in Hungary has been very important for ma both as an athlete and as a person. Thanks to this event I was able to go abroad for the first time. I live in a supervised house of FAISEM and it took me a lot to take this first step to travel. Now I feel very motivated." – Desiree García Viñolo

"The trip and the stay in Bulgaria have been very beneficial, we have shared experiences with partners and monitors of several nationalities. I have enjoyed a lot the variety of sports and activities that have been carried out, I felt very well welcomed and I also appreciated the way the hosts dealt with me. Sport activities are very useful for me, they help me to focus on what I am doing at that very moment and to forget everything else, and they give me a pleasant sensation of well-being; also, practising with other people is fun and promotes fellowship and friendship, among other things. The rest of the activities (walks and free time) that we shared together has also been very good. I can only express my warm thanks to everybody for the organisation, the attention and the time shared together” – Manuel Pintor

"For us to be able to perform a physical exercise is a great advantage and improvement for the symptoms of our disease because it is very difficult for us to leave home and to be able to enjoy such an experience is the ultimate. " – Francisco Muñoz Carmona

"I play basketball, soccer, handball. I am very happy because I have lost 2 kilos of weight, I am much more agile and I interact with more people. " – Manuel Federico Barranco

"I have been without playing sports for more than 20 years and now I have taken it up again and I like soccer a lot. I tell people with mental illness to be encouraged and to get a try. You do not have to be a champion, what is important is to participate and to do what everyone can do, you have to start little by little. " – Bernardo López Puerta

"Everyone, especially people suffering from mental health problems like us, can play sport and this is good for the people and for the society" – Santiago Salvador García

"In my opinion the trip to Bulgaria was lovely. Enigmatic city, old centre full of art, coexistence of religions, different cuisine and so tasty. This was what Sofia meant to me. I felt privileged to come to this country and try many different sports, such as canoeing, soccer, paneurythmy. I thought I would not be able to get along with them, but I tried and practiced all of them. I have also experienced other sports practices that I had not practiced before in my life, such as golf and horse riding, and they were very fun. They were very rewarding and, as I said before, I felt very privileged to participate. I also have to add that the people were very kind in this country and with the organizers we created a great family from different countries. The trip was exciting, correct, perfect I can only say ... thanks! " – Marta Carramolino Valle

Testimonials from OFIS Redon (France)

"C'est génial ! Cela me rend heureuse et m'aide à rester en forme. Cela me détend de voir du monde" “It’s awesome ! Sport makes me feel happy and helps me keep me healthy. It also relaxes me when I see other people” Claudine

“J'aime beaucoup, on apprend beaucoup de choses et on découvre de nouveaux sports. Cela permet aussi de rencontrer de nouvelles personnes" “I really enjoy it, we learn a lot of things and we discover new sport activities. This also allows to meet other athletes ands persons " Steven

“Je me sens très bien, la bonne ambiance m'aide à m'épanouir et à garder la forme" “I feel very good about sports activities, the very good atmosphere helps me growth and stay in good shape " Gabriel

“Nous pratiquons des activités variées et accessibles à tous. De plus l'ambiance est extraordinaire !" “We practise many activities, varied and accessible to everyone. Moreover the atmosphere is great! " Yvonnick

Testimonials from Megallo Group Foundation (Hungary)

“Örülök, hogy részt vehettem az INSPORT+ keretében megvalósuló sport tevékenységekben. A magyarországi edzések (sziklamászás, futball) segítettek személyiségem és erőnlétem fejlesztésében. Emellett nagy élmény volt részt venni a budapesti mozgás és színház tréningen a külföldi partnerek szakembereivel együtt.” (Patrik)

"I'm delighted to be able to participate in sport activities within INSPORT+ project. Hungarian training sessions (rock climbing, football) helped me develop my personality and strength. In addition, it was a great experience to participate in the Budapest Movement and Theatre training with the experts of foreign partners. " Patrik

"Az Insport projekt sport tevékenységei során fejleszthettem mentális egészségemet és állóképességemet. A futball a közösséghez tartozás élményét adta számomra. A sziklamászás fejlesztette kommunikációs képességeimet és segítségével át tudtam lépni saját határaimat. "

Through the sport activities practised during the INSPORT+ project, I was able to develop my mental health conditions. Football was a community match for me. Climbing developed my communication skills, and helped me challenge my own limits." Simon

Testimonials from Initiative zur sozialen Rehabilitation (Germany)

"...Jeder Mensch ist gleich, egal ob er psychisch krank ist oder nicht... ”

"...Every person is equal, it doesn't matter if he is mentally ill or not… ”

Rolf , 28 years old

"...Zusammen spielen, aufeinander zu achten, in diesen Augenblicken vergisst du die "Krankheit... ”

"...Playing together, taking care for each other, in these moments you forget about your illness … ”

Helmut , 43 years old

"...Was der eine nicht kann, gleicht der andere wieder aus... ”

"....What the one is missing, the other will make up for… ”

Thomas 23 years old

"…Es ist egal, ob du gut spielst oder nicht. Wichtig ist es, Spass zu haben... ”

"..We are not interested in who is good or not so good. The most important thing is to have fun… ”

Sabine , 38 years old

Mental Health poem (U.K.)

Battling with my mental state, It does not discriminate, Whatever, whoever, no matter your wealth, Any mind, anybody, anywhere, it’s a champion of stealth, I now can escape and pursue my dreams, InSport+ has given me hope, it seems!

DW Oxford City Council

ANNEX 2: MEMORIES FROM INSPORT + INTERREGIONAL EVENTS

INTERREGIONAL EVENT PRATO 29/03/ - 01/04/2016

INSPORT+ Interregional Event REDON (France)

Rallye Photo - REDON

Conférence “Regards sur le handicap” - RENNES

Visite de lieux exemplaires - RENNES

Activités sportives - REDON

INSPORT +

Interregional Event SPAIN Tiquitaca for Mental Health

SEVILLA, ALMERÍA, GRANADA AND MÁLAGA

CENTER OF EXCELLENCE, SEMINAR, SPORT AND CULTURAL ACTIVITIES

INSPORT+ Interregional Event - Budapest

Ráckeresztúr – MRE KIMM

OPAI & Megálló House

Para-fitt S.E

Bicycle Tour

ANNEX 3: INSPORT + AT A GLANCE

INSPORT+ PROJECT INSPORT+ PROJECT at a glance at a glance

PARTNERS COMING FROM PROJECT ALL OVER EUROPE LOCAL STAKEHOLDER 10...... The INSPORT+ approach builds upon the The project INSPORT+, co- nanced by • Prato Municipality/Polisportiva Aurora (Italy) ...... GROUPS experience developed by partners in their • FAISEM (Spain) 6 the Education, Culture and Audiovisual territories to stimulate and support • Initiative zur sozialen Rehabilitation e.V. (Germany) ORGANISATIONS Executive Agency of the European Commission, • PODES (Portugal) 250 involved in local partnerships disabled people to undertake sport • Megálló Group Foundation (Hungary) supports the social inclusion of persons activities and in their collaboration during • OFIS (France) REPRESENTATIVES • NGO My World (Bulgaria) with mental disabilities through sport. the previous INSPORT project (2013-2014). • ACES Europe (Belgium) 300 from local partner organizations • OxSPA (U.K.)

Sport can be a vehicle to EVENTS, CONFERENCES PEOPLE INVOLVED promote social inclusion of INSPORT+ intends to improve the IN INSPORT+ ACTIVITIES capacity of the local authorities and ...... & MEETINGS ...... disabled and other vulnerable or sport stakeholders in the design PEOPLE disadvantaged groups. In INTERREGIONAL and implementation of policies, 8 EVENTS 2.200 at Interregional Events EU Member States, sport is characterised by a multitude of exploiting the potential of sport as CONFERENCES & PARTICIPANTS a driver for the social inclusion of PROJECT MEETINGS 520 at Conferences & project meetings dierent approaches at 8 mentally disabled people.

RESEARCH & COMMUNICATION GOOD PRACTISES CHANNELS national and local level as The project, with an overall IN “PROMOTING SOCIAL IN “PROMOTING SOCIAL well as complex and budget of 523 600 euros, has INCLUSION THROUGH SPORT” INCLUSION THROUGH SPORT” ...... diverse structures which developed its activities from • 1 Project Final Event at the European Parliament (Brussels) enjoy dierent types of January 2016 until December • 5 City-Mobilisation Events legal status and levels of 2017, in a partnership including • 60 Press releases, interviews, newspaper articles autonomy. At EU level, the European centres of excellence • 5 INSPORT+ Newsletters • 1 Project Website potential of sport in from various countries of the plus Facebook & relation to social inclusion European Union: Italy (acting as Youtube pages of disabled people is not coordinator with the Municipality

• 1 INSPORT+ Vademecum fully exploited, in of Prato and the support of • 44 best practices tested during particular concerning the Polisportiva Aurora), Spain, interregional events • Visits to 10 centres of excellence role of the local Germany, Portugal, Hungary, www.insportproject.eu authorities in promoting France, Bulgaria, Belgium sport in local communities. and the United Kindgom. OBJECTIVES INTERREGIONAL INSPORT+ aims to promote the social inclusion of people with a mental 8 EVENTS disability through sport. INSPORT+ speciﬁc objectives: • To mobilise local stakeholder groups in order to support voluntary-based sport Interregional Events have activities, promote increased cooperation among relevant stakeholders (social been organised by INSPORT+ services, volunteers, users and their families, sport organisations, authorities partners in each location and institutions dealing with sport, mental health and education, etc.), featuring 3-4 days of interactive encourage participation of people with mental disabilities in sport activities. seminars, visits to local centres of • To organise interregional events at partner locations, with the participation of local excellence, city-mobilisation events, stakeholder groups, experts in the eld and European partners, in order to exchange volunteer-led sporting events information, experiences and good practices and activities with European about eective ways of promoting the social partners, local stakeholders, inclusion of people with mental disabilities and citizens. The events have INSPORT+ through sport. 1 Vademecum represented the opportunity • To improve knowledge on the delivery of sport for gathering, exchanging and physical activity for people with mental and testing good practices, disabilities through research into the local, networking, discussing challenges, The Vademecum embraces: regional and national contexts. new ideas and initiatives. • Extensive communication and dissemination • Country Pro les, outlining of project content and results across relevant conditions, frameworks, and networks and channels (press/online /media/ issues at stake in each partner social channels) to raise awareness on the role location and the respective of sport as a means to promote social inclusion national context with regards to PROJECT of people suering from mental disorders. sport services available to people OUTCOMES with mental health disorders. • Experiences and good practices tested and shared during the Local stakeholder groups project and its Interregional Events. 6 • Recommendations to support, LEGAL NOTICE: As a key aim of INSPORT+, partners engaged and created groups of local The European Commission support for the promote and further enhance the stakeholders (representatives from associations, NGOs, health and sport production of this publication does not constitute chances of people with mental professionals, local, regional and national authorities) working with dierent an endorsement of the contents which reects the disabilities to engage in sport and views only of the authors, and the Commission groups of people with mental disabilities and mental health disorders. cannot be held responsible for any use which may physical activity on the one hand, be made of the information contained therein. From 2016 to 2017 a series of meetings, roundtables, and activities took place in and to facilitate the widespread each location involving INSPORT+ partners and their stakeholders to exchange adoption of the INSPORT+ approach by integrating the information and good practices, identify challenges, plan joint initiatives, support FOR MORE INFORMATION the organisation of their Interregional Events, promote INSPORT+ in their areas concept into the wider public and work towards guaranteeing the sustainability of project actions. [email protected] policy domain, on the other hand.