EU-Projekt
    Project: European cities network for HIV/AIDS chronic multiproblematic patients
     
    Projektteilnehmer Mailand, Athen, Berlin, Frankfurt am Main, Wien, Amsterdam, Göteborg, Helsinki, Barcelona, Madrid, Lissabon, Brüssel, Dublin, Liverpool, Southampton, Birmingham, Carcasonne, Paris. 
     
    Beteiligte 
    EG-Mitgliedsstaaten    		 Belgien, Deutschland, Griechenland, Finnland, Frankreich, Italien, Niederlande, Spanien, Großbritannien, Ireland, Österreich
     
    Projektbeginn December 2001
    Dauer 1 Year
    Abschlußbericht Vorlage bis 31.11.2002
    Projektleitung Dr. Eleuterio Rea / MD Gabriele Codini, Mailand
     
    Projektbeschreibung
    Arbeitsplan 
    und Methoden    		 Thanks to the arrival of new therapies, the problem of non-hospitalised assistance for people with HIV/AIDS can be considered more like chronic assistance when the HIV-infection problem is connected with previously existing problems such as drug addiction, poverty due to serious social conditions (homeless) or immigration, psychiatric illness and postdrug penal condition. Owing to the long period of assistance resulting after possible infection care (even if not final), it has been found necessary to pay particular attention to the rehabilitation of these particular groups of patients who require other social health intervention due to additional, existing conditions other than the virus care. The consequences emerging from the previous studies of the two European projects promoted by Cooperativa Farsi Prossimo of Caritas Ambrosiana of Milan and Milan City Council (project number SOC 97 202348 05F02 1997/1998 and project number 99/SID/093), have revealed a change from the assistance until death towards organisation of rehabilitation and programming of possible living. In fact while until recently health care was necessary in communities, hospices or shelters, nowadays we have to use different kinds of psychological and social support. Intervention to bring the assisted people to their reinstatement in work and society. The chroniced pathol-ogy is transforming the kind of users needing outside hospital assistance, whether in shelters or communities or hospices such as apartments, day centres. In many European countries the HIV infection connected drug addiction phenomenon has been extremely important right from the beginning. Even now this is the case and multiproblematic phenomena are emerging even more in this kind of people in connection with clinically and socially disadvantageous situations which often reveal, inhibition to drug infection and drug use, psychiatric, neurological, penal, social deviation and in some cases immigration problems (since for certain immigration groups, lifestyle can cause druguse and all the relevant consequences). Another problem, which has created outside-hospital help difficulties, whether through help or therapy adherence and contact with sick people, concerns the preexisting psychiatrie pathology er neurological pathology caused by the Virus. In this situation the contacts with the psychiatrie services and commiunities are very difficult. Considering the foregoing, the project is attempting to study thc replies obtained in several European Nations concerning these problematics and the charaeteristics of the patients. 

    METHODS: The comparison, in the partner cities, will consequently give us opera-tional indications on die various types of assistance and intervention techniques foreseen. Particular attention will be given to die study of various health systems and contribution of non governmental organisations. Based on the experience of the European projects effected in 1998—2000 and the contribution of die partners who took part in the projects enlarged to other European cities and other countries we want to organise four European seminars where the different realities of national assistance and the methodology organised to reply to the needs of patients with drug addiction, poverty problems such as immigration, homelessness, social emargination, penal and psychiatric problems, will be discussed.
    Some very important European researchers coming from the partner countries, who will give us indications of different problematics emerging, will be invited to the seminars. The partners will explain die various local situations and at the end of the studies guidelines for individual intervention will be prepared and made available to die various European countries. Moreover, local meetings in the cities, which did not take part in the previous project in the last years, are foreseen. Newsletters also will be organised in English to inform on European competent services on the results of our research and will be made available to the partners countries.
     
     
    Zeitlicher Ablauf Timetable

    November 2001 start of works with contact and start of the studies in the cities partners

    1.  ATHENS seminar April 2002 ( homelessness )
    2. PARIS seminar May 2002 (immigration)
    3. VIENNA seminar June 2002 ( drug addiction/penal )
    4. MILAN seminar November 2002 (psychiatric)

    November 2001 and October 2002 local meetings and analysis of the results.

    November 2002 Final report
     






     
     
     
     
     


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