SUPPORTING HEALTH COORDINATION, ASSESSMENTS, PLANNING, ACCESS TO HEALTH CARE AND CAPACITY BUILDING IN MEMBER STATES UNDER PARTICULAR MIGRATORY PRESSURE — 717275/SH-CAPAC REPORT OF THE COMBINED SH-CAPAC WORKSHOP ON WP4 AND WP5: IMPROVING ACCESS TO HEALTH CARE AND CAPACITY BUILDING IN MEMBER STATES UNDER PARTICULAR MIGRATORY PRESSURE Deliverable 4.2 Organised on behalf of the SH-CAPAC project by Azienda Unità Sanitaria Locale di Reggio Emilia Venue: Università di Modena e Reggio Emilia, Palazzo Dossetti, Viale Allegri, 9 - 42100 Reggio Emilia 16th - 17th June 2016 717275 – SH-CAPAC – Report on combined WP4 and WP5 Workshop – Deliverable 4.2 © – 2016 – Escuela Andaluza de Salud Pública. All rights reserved. Licensed to the Consumers, Health, Agriculture and Food Executive Agency (CHAFEA) under conditions. This report is part of the project ‘717275 / SH-CAPAC’ which has received funding from the European Union’s Health Programme (2014-2020). The content of this report represents the views of the author only and is his/her sole responsibility; it cannot be considered to reflect the views of the European Commission and/or the Consumers, Health, Agriculture and Food Executive Agency or any other body of the European Union. The European Commission and the Agency do not accept any responsibility for use that may be made of the information it contains. 717275 – SH-CAPAC – Report on combined WP4 and WP5 Workshop – Deliverable 4.2 Table of contents User’s Guide……………………………………………………………………………………………………………………………………….2 1 Introduction ................................................................................................................................... 3 2 16th June 2016 .............................................................................................................................. 3 2.1 Introduction to the first day of the workshop, and welcome to AUSL Reggio Emilia ...................... 4 2.2 Objectives and status of SH-CAPAC Project. Linkages with the current situation of the influx of refugees, asylum seekers and migrants to Europe ................................................................................ 4 2.3 Aims and development of WP4: improving access to health care for refugees and asylum seekers . 5 2.4 Plenary discussion .................................................................................................................. 6 2.5 Results of the focus group conducted in 10 EU countries: new challenges that the refugees and health professionals are facing in relation to the current crisis ............................................................... 7 2.6 Results of the focus group conducted in 10 EU countries: existing measures and solutions to address barriers in the access of health care .................................................................................................... 8 2.7 Plenary discussion .................................................................................................................. 8 2.8 Working Group session “Mapping the gaps on accessing health care” .......................................... 9 2.9 Effective measures and solutions to address barriers to health care .......................................... 12 1) Addressing language and communication barriers: Intercultural mediation service in Emilia-Romagna and Belgium................................................................................................................................. 12 2) Addressing information barriers: Refugee Humanitarian Crisis: A Rapid Response from the College of Psychology at University of Seville .............................................................................................. 12 3) Addressing legislative and administrative barriers: Voucher for one free consultation for uninsured patients ....................................................................................................................................... 14 4) Addressing organisational barriers: Health Intake practices for asylum seekers in Netherland ...... 14 2.10 Working group session “Implementing effective measures to address access barriers” ................ 15 3 17th June 2016 ............................................................................................................................ 17 3.1 Implementation and dissemination of the resource package: results of the FGs analysis, brainstorming on dissemination strategies of the resource package and networking .............................. 17 3.2 Plenary discussion ................................................................................................................ 18 3.3 Activities to develop refugee/migrant-sensitive health services by training health managers and health professionals ......................................................................................................................... 18 3.4 Working group session: ”Identification of barriers and enablers for the training strategy” ........... 19 3.5 Plenary discussion ................................................................................................................ 22 4 Next steps in the implementation of SH-CAPAC ............................................................................... 22 Annex 1 SH-CAPAC Reggio Emilia workshop “Improving access to health care and capacity building in member states under particular migratory pressure” and list of participants. Annex 2 Resource package for ensuring access to health care of refugees, asylum seekers and other migrants in the European Union (EU) countries. Annex 3 Training strategy to develop refugee/migrant-sensitive health services by training health managers and health professionals. Annex 4 “Objectives and status of the SH-CAPAC Project“. Presentation by Daniel López Acuña. Annex 5 “Aims and development process of WP4 “. Presentation by Antonio Chiarenza. Annex 6 “Challenges for health professionals and health care managers”. Presentation by Hans Verrept. Annex 7 “Best practice 1 – LCM service in Reggio Emilia”. Presentation by IlariaDall’Asta. Annex 8 “Best practice 2 – VRIM service in Belgium”. Presentation by Hans Verrept. Annex 9 “Best practice 3 – Rapid Response University of Seville”. Presentation by M. Escobar Ballesta”. Annex 10 “Best practice 4 - Voucher for one free consultation“. Presentation by I. Van Eechoud Annex 11 “Best practice 5 – Extensive intake”. Presentation by S. Goosen and J. Suurmond. Annex 12 ”Implementation and dissemination of the resource package“. Presentation by Antonio Chiarenza. Annex 13 Training strategy. Presentation by Olga Leralta. Annex 14 Online course. Presentation by Ainhoa Ruiz Azarola. 1 717275 – SH-CAPAC – Report on combined WP4 and WP5 Workshop – Deliverable 4.2 User’s guide The present document corresponding to Deliverable 4.2 of the SH-CAPAC Project presents the proceedings of the deliberations held in Reggio Emilia on June 16th and 17th 2016 in a workshop devoted to discuss how to improve access to health care and how to implement capacity building activities at country level in EU Member States subject to a particular migratory pressure . Section 1 provides the background on the salient aspects of Work Package 4 and Work Package 5 concerning access barriers to health care and development of institutional capacities in EU countries for improving the health response to refugees, asylum seekers and other migrants. Sections 2 and 3 summarize the presentations made, deliberations held and conclusions reached during day 1 and day 2 of the workshop respectively, including the salient recommendations formulated by the working groups assembled during the workshop with the participants form various Member States. Section 4 highlights the next steps to be followed in the implementation of the SH-CAPAC action. A draft Resource Package for Ensuring Access to Health Care of Refugees, Asylum Seekers and Other Migrants in the European Union Countries , developed as part of the Work Package 4 (annex 2), was used as the background document for discussions with representatives of nine target Member States. The document identifies a series of barriers for accessing health care, and formulates recommendations to overcome those barriers. The Resource Package is based on a large number of interviews and focus groups, conducted in several target countries. It aims to ensure emergency as well as routine treatment by facilitating access to mainstream services, to primary care services and ancillary services addressing specific refugees, asylum seekers and other migrants’ needs. It also aims to ensure the entitlement to health care for failed asylum seekers. The resource package is based on available evidence and expertise involving health and social service authorities, IOs and NGOs active in the field. A number of Annexes are also included in this report as background documents which supplement the main content of the report and provide the necessary background. As a result of this workshop the final version of the resource package for identifying access barriers to health care and of the training strategy developed by SH-CAPAC were developed Both intend to improve the health response to refugee’s, asylum seekers and other migrants and are contained in documents corresponding to Deliverable 4.1 and 5.1. 2 717275 – SH-CAPAC – Report on combined WP4 and WP5 Workshop – Deliverable 4.2 1 Introduction A combined workshop on the Work Package 4 and the Work Package 5 of the SH-CAPAC Project was organized in Reggio Emilia,