Annual Report April 2011 - March 2012
90 S.A. Federation for Mental Health
Table of Contents Message from the President
2
Message from the National Director
4
The South African Federation for Mental Health Explained
7
Central Risks, Challenges and Achievements
9
Governance
12
Human Resources
15
Environmental Responsibility
15
Programmes
16
Finance and Administration
23
Financial Statements
26
Financial Period April 2011 - March 2012
1
Message from the President I am proud to be part of the Mental Health Movement that has, during the year under review, experienced some memorable highlights but also some serious challenges and yet continues to address the mental health issues experienced by the people of South Africa. The first World Mental Health Congress of the World Federation for Mental Health held in Sub-Saharan Africa was hosted by the South African Federation for Mental Health in October 2011. The Congress certainly delivered on its promise to spotlight mental health issues of global importance and of particular relevance to low and middle-income countries. The theme “African Footprint in Global Mental Health� invited participants from across the globe to explore how mental health challenges are being addressed in both developing and developed countries.
Shona Sturgeon
It was interesting that many of the papers reflected the current focus of the World Health Organisation on mental health and development. We have been pushing hard to create interest and awareness around mental health in developing countries, where the main concerns are lack of services and poverty. Africa and South Africa are in the forefront of recognising and dealing with these issues. It was particularly satisfying to see that the rest of the world gained a newfound respect for Africa and South Africa as a result of the Congress. The international consumers were amazed at the relationship they found between the professionals and the consumers, and that the latter clearly knew they had a voice here, and were active in advocacy. The positive feedback received throughout and after the event did us proud.
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South African Federation for Mental Health
New partnerships and friendships were formed. Bonds were strengthened and focuses renewed towards our common goals. The global mental health community took note that South Africa and Africa can not only learn from others, but are also leaving their footprint in global mental health. Having been the President of the World Federation for Mental Health (WFMH), on the Board for many years and attending WFMH Congresses around the world, it was particularly exciting and rewarding for me to experience this excellent Congress in my home town! I would like to thank all those who engaged in the organisation of the Congress and all those who participated. It was also around this time when the South African Federation for Mental Health launched its first-ever national awareness campaign with PJ Powers as the face and voice behind the campaign, together with other celebrities and a group of consumers. The launch took place at a glittering event in Montecasino's Skoobs Theatre of Books on 1 September 2011. Aptly named 'Be Lifted', the campaign aimed to lift the veil on the myths surrounding people affected by mental illness and intellectual disability and emphasise the importance of mental health for all. The campaign was generously funded and made possible by the National Lottery Distribution Trust Fund. The campaign successfully reached a widespread audience across the country and as a result there have been countless enquiries and offers from volunteers who wish to give of their time and skills. Many persons, therefore, who were in dire need of professional assistance received the help they required.
Despite all the excitement, the shadow of lack of funding is, however, a reality. We had to witness many of our non-profit organisations in Gauteng in a desperate situation earlier this year due to the delay in payment of approved subsidies by the Gauteng Department of Health. The majority of these organisations cannot continue without funds. Some have been forced to shut down and others will, without intervention, inevitably follow suit. As a party to the United Nations Convention on Rights of Persons with Disability, South Africa is committed to ensuring that the human rights of persons with intellectual disability and mental illness are being protected. However, it seems that the implementation thereof is still being grossly neglected. During the year under review, the Federation continued to develop and strengthen partnerships with Government, other civil society organisations and the private sector, in order to raise the profile of the organisation and to ensure that the mental well-being of all South African citizens is improved and further development and growth is made possible. The Federation, together with the Mental Health Movement, continues to fight for the spotlight on Mental Health on the national agenda. I urge you to add your footprint to ours, as together we continue to blaze a trail to global mental health this coming year. Mrs Shona Sturgeon President: S.A Federation for Mental Health
In October 2011 the National Office hosted its 'Be Lifted' breakfast at the magical Shepstone Gardens in Houghton. The event was a big success and we look forward to the next event on 10 October 2012, which is also World Mental Health Day.
Financial Period April 2011 - March 2012
3
Message from the National Director Care Users and service providers in mental health, gathered in Cape Town to share their research, knowledge and experience in the field. The SA Federation for Mental Health is proud of this successful Congress as we were able to demonstrate to the rest of the world what we have thus far accomplished in improving the lives of persons with mental illness and/or intellectual disability in South Africa. The local organising committee must be commended for their efforts in coordinating this world-class event. The support and assistance from the Mental Health Societies also contributed greatly to the success of the event. The loss of R222 000 is financed by the loan from the Equilisation Fund, contributed to by the Mental Health Societies, and the balance by the Direct Mail Fund. Bharti Patel During the period under review (April 2011 - March 2012) the Mental Health Movement celebrated a progressive 91 years in service delivery. Looking back at the state of mental health care in the country over the year, mental health care organisations must be acknowledged for their dedication and commitment to improve the lives of Mental Health Care Users. Despite various challenges, Mental Health Care Users are now able to advocate for themselves through the various advocacy forums and support groups that were established. Our national Mental Health Advocacy Movement effectively addressed relevant issues at both provincial and national levels. An advocacy manual was developed for the Mental Health Care Users to ensure that forums are developed provincially. These forums will provide a vital platform for service users where they can turn to for the necessary support, guidance, etc. In November 2011 the SA Federation for Mental Health hosted the first ever World Federation for Mental Health Congress in Sub-Saharan Africa. Experts, Mental Health
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South African Federation for Mental Health
More than 800 global delegates discussed key challenges, shared experiences and identified issues that will be explored and followed up on in years to come. The Congress concluded that Governments needed to scale up mental health services to ensure that the burden of disease is reduced. For the first time ever, the conference provided a platform for Mental Health Care Users to deliberate on challenges experienced when accessing services, which resulted in the declaration developed and delivered by Mental Health Care Users. The SA Federation for Mental Health has made great strides in its Programmes Department. A task team was elected to develop programme guides on Protective Workshops that will ensure a more structured and comprehensive plan to up skill persons with mental disability within the protective workshop environment. Many protective workshops struggle to provide the much-needed services as they are faced with tough economic challenges and extremely high running costs. It is envisaged that the programmes developed will also provide guidelines on how to manage the protective workshops more efficiently to address sustainability challenges.
A desktop analysis of services and sustainability of residential facilities has yielded valuable information from which to develop a discussion document to assist the Federation to lobby Government on issues like adequate resources, parity in funding, and services provided within residential facilities. The study revealed that there is a great need for independent living facilities in communities and government needs to explain how this need will be addressed. Mental illness and/or intellectual disability remains a poorly funded and neglected field despite evidence that it affects us all. Limited resources, poor allocation of funding and delegation of responsibility, severely threaten the delivery of Mental Health Services to society. Despite these challenges, the Federation has increased the profile of Mental Health, by utilising social media to communicate with the general public and government. The national marketing campaign has yielded positive results in creating awareness of Mental Health. The launch of our educational booklet Mental Health Matters has provided the general public with clarity on the different kinds of mental illnesses as well as intellectual disability, where to get help and also guidelines to eradicate stigma and discrimination. The awareness campaigns have been well received, with schools remaining the best avenue for education and creating awareness. Despite significant progress in the field, mental health continues to receive little attention and is low on the list of priorities in resource allocation - both by government as well as the private sector. Mental health organisations struggle to deliver the essential programmes and services to communities across South Africa due to financial strain. Since mental illness and intellectual disability do not always present with physical symptoms, society at large tend to underestimate and even ignore the existence of persons with mental illness and/or intellectual disability.
Our advocacy and awareness programmes have been revised to ensure that the greater community is educated around mental health issues so as to eradicate stigma and discrimination and to build a society that is supportive of and willing to embrace and engage with Mental Health Care Users. In the past financial year, much of our attention and energy focused on the relationship between Mental Health and HIV and Aids since roughly 5.54 million of the South African population is infected and/or affected by this feared pandemic. The Biennial Congress held in October 2010 further highlighted the relationship between Mental Health and HIV and Aids and the need for integrated health care. A significant outcome of this Congress is the partnerships that were forged with several other organisations and professionals, which will ensure increased attention of mental health services in the treatment, education and awareness of HIV and Aids. The conference also confirmed the need for greater allocation of resources towards mental health services within the primary health care settings so as to ensure early diagnosis and treatment of mental illness and intellectual disability. Unemployment poses another huge challenge for our sector. Mental Health Care Users compete with the broader community to secure employment. Protective workshops have been strategically developed to provide Mental Health Care Users with a supportive environment to develop and improve skills so as to secure employment, which will lead to an improved lifestyle and an opportunity to contribute towards the economy. During the workshop on Protective Employment held in March 2011 it was agreed to develop a division for protective workshops to draw up a strategy to improve the employment opportunities for Mental Health Care Users. Carefully selected partnerships with the private sector will ensure the sustainability of these workshops. The Federation's relationship with Disability
Financial Period April 2011 - March 2012
5
Employment Concern since 1996 has created opportunities for Mental Health Care Users to enhance their entrepreneurial skills. A highlight of this project is the development of enterprises by Mental Health Care Users of which 50% are black women. Norms and standards in the delivery of Mental Health Services have always ensured improved quality and efficiency of Mental Health Services delivered by the Federation. During a workshop held at the National Office, the norms and standards were reviewed and agreed upon so that mental health services in the country are accessible and contribute to improving the lives of all persons in the community. The next step in this process is to determine the actual costing of mental health services for the allocation of adequate resources to achieve the desired outcomes. The increasing demands for mental health services have placed enormous strain on the sustainability of our organisation. We truly appreciate the support of our valuable donors who continue to show their commitment and support for improving the lives of Mental Health Care Users and the community at large. Greater effort has been made to increase the database of donors to secure continued income to address the increasing demands.
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South African Federation for Mental Health
The National Office has enjoyed the loyalty and dedication of staff members who had served the Federation for a very long time. We wish Driena Palm, who has retired after 19 years, the very best. We also thank the Board, executive committees and staff for their loyal, ongoing support. They are pillars of strength that help ensure that Mental Health Services to the most vulnerable, can continue. With the ongoing support and assistance of all our benefactors we will persist in our efforts to make mental health a top priority in our country. Bharti Patel National Executive Director
The South African Federation for Mental Health Explained The S.A Federation for Mental Health is a national, not for profit, non-government organisation that aims to co-ordinate, monitor and promote services for persons with Intellectual Disability, Psychiatric Disability as well as promoting mental health and well-being. Seventeen (17) mental health societies and numerous member organisations, actively involved in the field of intellectual disability, psychiatric disability and mental well-being, constitute the Federation. The National Office serves as a centralised coordinating body for the Mental Health Movement by: • Serving as a spokesman on national and international issues about mental health; • Negotiating with authorities on behalf of the mental health movement on policy issues; • Providing a forum for local organisations to share information and expertise; • Assisting local organisations to give effect to national policy decisions; • Providing consultation on mental health administration matters; • Maintaining a national information and resource centre on mental health matters; • Developing and publishing educational material on the promotion of mental health related issues; • Developing in-service training programmes for staff; and • Facilitating the commencement of community services in areas not serviced by mental health societies.
Vision Our vision is to be a dynamic movement, which serves as an effective resource to empower people to attain optimal mental well-being and quality of life, in a just society.
Mission We actively work with the community to achieve the highest possible level of mental health for all by: • Enabling people to participate in identifying community mental health needs and responding appropriately; • Developing equal, caring services for people having difficulty coping with everyday life, and those with intellectual and / or psychiatric disability; • Creating public awareness of mental health issues; and • Striving for the recognition and protection of the rights of individuals with intellectual and / or psychiatric disabilities. The National Office aspires to contribute to a just and fair society through our four main programmes: • • • •
Mental Health Awareness and Promotion; Capacity Building; Human Rights; and Social Integration.
Financial Period April 2011 - March 2012
7
The Federation is an affiliate member of the World Federation for Mental Health (WFMH) and contributes towards its advocacy and public education programmes in the field of Mental Health. The WFMH is an international membership organisation that strives to advance the prevention of mental and emotional disorders, the proper treatment and care of those with such disorders, and the promotion of mental health. The membership to the WFMH allows the Federation to adopt global standards of practice to benefit South Africans, but also to share with the world our cutting edge projects. Our popular October campaign is based on the WFMH theme to create awareness of Mental Health on World Mental Health Day, which is celebrated annually on 10 October. Inclusion South Africa (ISA) is a non-profit organisation founded in February 2006 by the following four organisations: Autism South Africa, Down Syndrome South Africa, Epilepsy South Africa and the South African Federation for Mental Health. Inclusion South Africa is a working forum to promote and protect the rights of all people with Developmental and Neurological Disabilities in South Africa.
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South African Federation for Mental Health
The key focus of ISA is to promote the inclusion of people with developmental and neurological disabilities by directly linking to and liaising with relevant government departments and sectors such as Education, Health, Social Development, as well as civil society. SAFMH liaises with the Department of Health to advocate on policy issues and to raise awareness of Mental Health in the country. The Federation also partners with the Department of Social Development to empower Mental Health Care Users and organisations to improve the quality of service to the community and ultimately to improve the lives of persons with mental illness and/or intellectual disability. Ongoing liaison with the various advocacy groups is of the utmost importance. This item has received great attention over the past year. However, it is an area that needs further development still. In the coming year, even more effort will be made to grow and expand these forums provincially and nationally. The Department of Women, Children and Persons with Disability is strengthened to monitor the services made available to persons with intellectual disability and/or mental illness and to ensure that the Rights of Persons with disability are upheld.
Central Risks, Challenges and Achievements Risks • The current global economic crisis has been to the detriment of NGO's all over the world. We are being forced to rethink the way we operate, how we generate funding as well as the programmes that we can afford to implement. As Civil Society, we are working towards the goal of a healthy, educated nation. Yet we seem to be competing for resources. Fundraising in the current economic climate has become increasingly difficult and challenging. • Funding from the National Lottery Distribution Trust Fund for the period 2010 was not yet approved and future allocations are uncertain and not guaranteed. The delay in processing applications as well as minimal allocations to certain Mental Health Societies is of grave concern for the Federation. Mental Health Care Users are often the poorest and most vulnerable members of society and should be a priority for funders in our country. As a result of the National Lottery Distribution Trust Fund's allocations being delayed, many Mental Health Societies have had to dilute their services and some facilities even closed down. This has had devastating consequences for children and adults with intellectual disability and/or mental illness, who, as a result, have not been receiving the necessary stimulation, care and nutrition that is essential to their wellbeing.
• During the period under review, the SA Federation for Mental Health experienced a high staff turnover. The call for applications for the vacant posts highlighted the shortage of adequately trained personnel in the Mental Health field. There is an urgent need to encourage tertiary institutions to increase their attention towards training students adequately in the field of Mental Health. • Recruiting competent and loyal staff also presents a number of challenges to the Federation. As a nonprofit organisation we experience difficulties in competing against the private sector in terms of salaries.
Challenges • Hosting the World Federation for Mental Health Conference 2011 was a proud moment for the Federation. Securing the necessary sponsorships was, however, an enormous battle. While the Department of Social Development and the Department of Health assisted with some funding, other departments did not see mental health as a priority for the country. The National Lottery Distribution Trust Fund was instrumental in ensuring that service providers participate in the conference. While some corporates did contribute to sponsorships, the larger, more prominent corporates no longer make provision for such projects. Conferences provide service providers, Mental Health Care Users and the community the opportunity to share knowledge, studies and current information that can assist in the way services can be transformed to improve the lives of persons with mental illness and/or intellectual disability.
Financial Period April 2011 - March 2012
9
Achievements Successful World Congress (LOC Chairperson Ingrid Daniels) It was a great milestone for the South African Federation for Mental Health and World Federation for Mental Health to host a World Congress in South Africa - the gateway to the Southern African region of the African Continent. As a National Federation consisting of 17 Mental Health Societies and 66 affiliates working in nine Provinces across the diverse communities of South Africa with 638 mental health workers in co-operation with our National Service User Movement, we were honoured after 91 years of existence to be the platform for vibrant dialogue which seeks to find solutions to improve care. The tireless planning from the bid process in 2008, launched in Athens in 2009 and hosting in 2011 by a committed SAFMH Local Organising Committee with its Finance & Sponsorship, Scientific Programme and PR & Communications Committees ensured a highly and much talked about successful event. The South African Federation for Mental Health's lime green presence was visible for all to see. The Congress was preceded on 17 October 2011 by the popular 2nd Summit of the Global Movement for Mental Health and the launch of the Second Lancet Series on Global Mental Health. The Congress not only placed a spotlight on mental health issues of global importance, but it also had positive spin-offs for South Africa and the African continent. It was an opportunity for the Mental Health Movement in Southern Africa to highlight the plight of people living with mental health challenges and finding creative, cost effective solutions to address inadequate resources and funding which limits optimal care.
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South African Federation for Mental Health
We believe that the 2011 World Congress of the World Federation for Mental Health will have provided delegates with an opportunity to leave a large footprint on the landscape of mental health and mental disabilities in developing and developed countries. The eyes of the world were on South Africa as we created the platform to dialogue and engage with the successful best practice models as well as the challenges we encounter. It was the opportunity for the world to prioritise mental health issues and to advocate for increased resources and funding to address mental health needs. The success attained through hosting the Congress will contribute towards strengthening the worldwide campaign for mental health. This gripping era in the history of the Mental Health Movement has been a journey troubled with injustice but also triumphs in Mental Health Rights. The journey continues as we seek solutions to ensure that Mental Health receives the attention it deserves in the sociopolitical realm. Mental Health affects all of us - there is an international burden and need to address the gaps in services and through our common vision and purpose this Congress will hopefully contribute significantly to legislative and policy changes. The closing message to the world was delivered by Danelle du Preez on behalf of the group of international service users who said: “In conclusion we state together that we can and do go on to live full and contributing lives: we are not weak, we are not broken, we are not damaged, we are whole, we are strong, we are proud, We are recovering and above all we are human.�
We believe that it is within the reach of people with mental disability to live a life free of prejudice, discrimination and stigma - a life where access to services and appropriate care is possible. It is within the reach of governments across the world and people across the nations to unify our call for greater access to services.
Website Award
It is our dream that the success attained through hosting the Congress will contribute towards strengthening the worldwide campaign for mental health. A Movement that serves to empower people to attain optimal mental health and quality of life in a just society, where governments across the world are held accountable to ensure Mental Health remains a national priority.
APEX 2011 - the 23rd Annual Awards for Publication Excellence - is an international competition that recognises outstanding publications from newsletters and magazines to annual reports, brochures and websites.
Our motto is simple - “Mental Health is a Nation's Wealth.�
Our website received an Award for Excellence in the Web & Intranet Site Design & Illustration category at the recent APEX Awards.
The competition attracted over 3 300 entries - almost all of which were from organisations within the USA. The Federation's website was one of only two South African websites to win an award - proving that South Africa is on par with the best in the world.
Review of the Constitution The Board of the SA Federation for Mental Health undertook to review the Constitution in light of the reform of financial legislation and developments in the welfare field. After much consultation and deliberation the Constitution has been revised and is compliant with current policy and legislation.
Financial Period April 2011 - March 2012
11
Governance
Boards of Management Overall Breakdown Asian Male Asian Female
Governance Structure
Black Male Black Female
Comments and Observations from Statistics Collation 2011 - 2012
Coloured Male Coloured Female White Male
With reference to the above statistics (based on the 12 Mental Health Societies that participated), the following comments and observations could be made regarding Governance structures: • Whilst there are prominent differences regarding the makeup of Management Boards in total in terms of ethnicity (predominantly made up of white and black persons, followed by Asian and Coloured persons), there is a fairly equal spread in terms of gender. • Psychiatric Disability in men was the most common disability amongst Board Members, followed by psychiatric disability in women. • The total number of service users on the Management Boards was 28. Not all respondents listed Mental Health Care Users on their Management Boards. The question that could be asked is: what is Mental Health Care Users representation ideally meant to look like across the Federation? This question must be discussed and possibly standardised.
White Female
Boards of Management Gender Breakdown
Male Female
Boards of Management Ethnicity Breakdown
Asian Coloured Black White
Disabilities of Board Members Psychiatric - Male Psychiatric - Female Intellectual- Male Intellectual - Female Physical - Male Physical - Female Other - Male Other - Female
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South African Federation for Mental Health
Board of Management: Office Bearers • Ms S Sturgeon - President • Mr T Davies - Honorary Treasurer • Ms S Kleintjes - Immediate Past President Mental Health Society Directors • • • • • • • • • • •
Vacant Ms S Septoe Mr J Petzer Mr J van Zyl Ms I Daniels Ms T du Preez Ms E Welman Ms L du Preez Ms M Louw Mr C Mouton Mrs B Patel
Gauteng Eastern Cape (Resigned 31/12/2011) Northern Cape Western Cape Free State KwaZulu Natal North West Mpumalanga Limpopo National Office
Non-voting Mental Health Society Directors • • • • • • • • •
Ms F Shabangu Ms K Lenahan Ms Y Coertze Ms A Soondka Ms Z Mpurwana Ms M van Loggenberg Ms E van Rooyen Ms L Harie Ms G Pillay
Gauteng Gauteng Gauteng Gauteng Eastern Cape Eastern Cape Free State KwaZulu Natal KwaZulu Natal
Provincial Representatives • • • • • • • • •
Dr D Sekhukhune Ms M de Goede Dr JH van der Berg Johan van Wyk Ms Hanneli Steyn Mr S Wolfaardt Mr R Teunissen Vacant Vacant
Gauteng Western Cape (Resigned) Free State KwaZulu Natal North West Mpumalanga Limpopo Eastern Cape Northern Cape
Psychiatric Service Users • • • • • • • • •
Ms C Sunkel Mr O January Ms M Farr Mr W Nieuhoff Ms T Bekker Mr A Mlombo Mr G Mamitwa Mr Ronald Shaw Vacant
Gauteng Western Cape (Resigned) Free State KwaZulu Natal North West Mpumalanga Limpopo Eastern Cape Northern Cape
Intellectual Disability Service Users Representative • • • • • • • • •
Ms Z Skosana Ms G Daniels Mr J Gerber Ms JL Venter Ms E Pretorius Vacant Vacant Vacant Vacant
Gauteng Western Cape Free State KwaZulu Natal (Resigned) Mpumalanga Limpopo Eastern Cape Northern Cape North West
Experts • Dr L Mountany • Ms L van Wyk • Mr A Naidoo Management Committee • • • • • • • • •
Ms S Sturgeon - President Mr T Davies - Honorary Treasurer Ms S Kleintjes - Immediate Past President Ms G Daniels Ms I Daniels Mrs B Patel - National Executive Director Ms E Welman Ms S Septoe Mr R Shaw
Financial Period April 2011 - March 2012
13
SAFMH National Office Employees • • • • • • • • • • •
Mrs B Patel - National Executive Director Vacant - Deputy Director Ms A Labuschagne - Manager: Finance & Administration Ms A Haas (Resigned 10/11/2011) Ms C Banganai (Appointed 8/01/2012) - Personal Assistant Ms G Monare - Finance Assistant Ms I Masilela - Programme Manager Ms L Shayi (Resigned 30/11/2011) - Programme Manager Ms D Palm (Retired 31/12/2011) - Admin Officer: Fundraising Ms M Makhubu - Receptionist/Clerk Mr. C Chimbalanga - Groundskeeper
NATIONAL EXECUTIVE DIRECTOR
DEPUTY DIRECTOR
FINANCE & ADMINISTRATION
PROGRAMMES Accounting
Social Integration
Fundraising
Capacity Building
Training Centre
Human Rights
Office Administration
Mental Health Awareness
Premises
Marketing
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South African Federation for Mental Health
Human Resources The high staff turnover during 2011-2012 and the reasons for staff leaving were discussed under central risks on page 9.
Vacant Posts The post of the Deputy Director has been vacant for over a year. Many applications have been received. However, it was found that very few professionals have the required knowledge of the NGO sector. Social work has been declared a scarce skill. It is therefore a huge challenge to find a person who is adequately qualified and experienced for this particular position.
Review of Salary Structures Within the Movement The Board of SAFMH had mandated the revision of salary bands within the Mental Health Sector to assess whether the salaries paid by organisations in the Mental Health Sector are market related and attract suitably qualified personnel. The salary bands also provide guidelines to the Boards of these organisations to ensure staff retention.
Norms and Standards for Service Delivery to Guide Costs of Service Funding of services in the Mental Health Sector has been erratic, discriminatory and unrealistic for a very long time. Due to stigma, discrimination and lack of understanding, many Mental Health Societies have experienced poor funding from Government. Despite the Mental Health Societies providing the muchneeded services in under-serviced communities to the most vulnerable persons, funding for these services is inadequate. The SA Federation for Mental Health undertook to develop Norms and Standards for services in the mental health sector to assist Government and funders to better understand the needs of persons with mental illness and/or intellectual disability as well as the resources necessary to provide adequate services, thereby reducing the long-term costs.
Environmental Responsibility The National Office is aware that it too, has a responsibility towards our Earth, to minimise its impact on the environment. Therefore we have implemented the following: • Recycling of garden refuse. • All paper used in the office is recycled. • We have decided not to use the central heating in the Training Centre. However, the winters can be very cold and avenues for alternative, energy-efficient and economical heating need to be explored. • In summer, the huge windows throughout the office allows fresh air and light to come in, eliminating the need for airconditioning. • We carefully monitor the use of our water in the gardens and in the offices. • Electricity usage is also monitored and limited where possible.
Financial Period April 2011 - March 2012
15
Programmes Beneficiaries 12000 African Male - 24652 African Female - 33348
10000
Coloured Male - 5042 Coloured Female - 5699 Asian Male - 3643
8000
Asian Female - 4809 White Male - 3316 6000
White Female - 4418
4000
2000
0 Children
Youth
Adults
Older Persons
Persons with Intellectual Disability
Persons with Psychiatric Disability
Persons with HIV/AIDS or Terminal Illness
Persons with Emotional/ Relationship Problems
Others
With reference to the above statistical collation (based on the 12 Mental Health Societies that participated) the following comments / observations could be made: • The highest number of Mental Health Care Users was Persons with Intellectual Disability, followed by Persons with Psychiatric Disability. • The target group (by age) receiving the most support from Mental Health Societies was adults. Children were the second highest. However, it is important to note that even though children were second highest, the number of adults being supported was almost double that of the children. Youth was third highest, with older people being the lowest. • The target group (by ethnicity) receiving the most support from Mental Health Societies was Black persons. • In terms of the Mental Health Care Users' geographical breakdown, based on the information provided, it can be said that the majority of Mental Health Care Users by far came from metropolitan areas. • It is highly recommended that a unified approach for recording of service users' statistics be implemented and used for the coming years in order to more accurately capture details.
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South African Federation for Mental Health
Capacity Building Empowering Communities The community programmes provided by the National Office were aimed at care workers or caregivers and parents of children with intellectual disability. During the month of August 2011 an intensive training course was conducted at the Avril Elizabeth Children's Home in Johannesburg. Sixty-three care workers participated in the training, some of whom are themselves parents of children with intellectual disability, residing at the Avril Elizabeth Home. The training included an in-depth component about Early Childhood Development. The 63 care workers who participated in the training were empowered to assist other parents in their own community where they live. The training will increase these individuals' opportunities of being promoted and to continue expanding their skills and knowledge base. Most importantly, the children who are being taken care of by these care workers will benefit, as the staff will use a more developmental approach and encourage the children to become increasingly independent according to their unique abilities. The training programme was identified as a great resource for the entire organisation. Transferal of knowledge is ongoing.
The Board of SA Federation for Mental Health mandated the National Office to spearhead the Transformation of Protective Workshops within the Federation. A Task Team for Protective Workshops of the Mental Health Societies was established. In February 2012, the Task Team had its first strategic planning session. The transformation of Protective Workshops will ensure that all workshops adhere to current policies. The Department of Social Development has developed a policy guideline on transformation of Protective Workshops. The Policy Guideline is focused on the interests of persons with a disability, sustainability of the Workshop and the participation of persons with intellectual disability and/or mental illness, in the economy of the country. The transformation process will not only change the structure of Protective Workshops within the Federation, but will develop programmes that can address and accommodate all the Protective Workshops affiliated to SAFMH as well as focus on the development of persons with intellectual disability and/or mental illness, attending those Protective Workshops. The programmes will result in a best practice model within the organisation. The process will be used as a research project for the entire organisation based on practical observations and hands-on experience. The result will not only benefit the Movement but also the entire disability sector in South Africa.
Organisations We have a responsibility to ensure that services rendered are up to standard and to ensure that the special needs of persons with intellectual disability and/or mental illness are being met. This is accomplished through coordinated training and workshops or conferences.
Financial Period April 2011 - March 2012
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Social Integration The Social Integration Programme seeks to assist persons with intellectual disability and/or mental illness with re-integration into their community, workplace and schools after having received proper treatment, care and the necessary support. The individual is empowered to know his/her rights. They are taught to represent themselves and to be included in decisions that concern them. Self Advocacy The SAFMH is also the home of the South African Mental Health Advocacy Movement (SAMHAM), which consists of representatives of Mental Health Care Users. These representatives are also Board Members of SAFMH. They actively participate in the national advocacy and awareness campaigns. They are involved in choosing the theme for each new campaign and the implementation thereof. In 2011 the Mental Health Care Users were involved in the sensitisation of the community regarding the Rights of Persons with Mental Illness. Some of the Mental Health Care Users were accompanying staff members to deliver talks to the public, employers and other Mental Health Care Users who are also responsible for awareness campaigns in their respective Mental Health Societies. Influencing policies and legislation • The Mental Health Care Users play a significant role in influencing policies within the organisation. In 2011 the Constitution of the SA Federation for Mental Health was reviewed and the Mental Health Care Users were actively involved in amending the Constitution. They were able to voice their opinions and share their experiences. • The Africa Mental Health Care Users Congress was held in October 2011 and the Chairperson of SAMHAM, Ronald Shaw, attended and represented the National Advocacy Movement at this meeting.
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South African Federation for Mental Health
• Members of SAMHAM attended the World Federation for Mental Health Congress and they contributed to the discussions about the policies that affect their lives. From those discussions the Declaration was produced and delivered by Mental Health Care Users world wide, addressing their rights and the accountability of Governments with regard to their rights. Ten years ago, no one could have imagined the participation of Mental Health Care Users in the formulation of policies that affect their lives. The thought of an Advocacy Group of Mental Health Care Users in South Africa was beyond imagination. Mental Health Care Users today are proud of their contribution to the amendments of the Constitution of SAFMH. It provides them with a sense of belonging and purpose to know that they do have control over their own lives. A lack of manpower means that some Mental Health Societies struggle to establish and successfully run and monitor advocacy groups for persons with mental illness or intellectual disability. The existing groups are finding it difficult to mobilise and recruit more members in their already established groups.
Human Rights
Mental Health Awareness & Promotion
The vision of the National Office is “Justice for all.� This naturally implies that our focus is on the Human Rights of Persons with Intellectual Disability and/or Mental Illness. The National Office is mandated to lobby Government and to advocate with and on behalf of persons with intellectual disability and/or mental illness. The Federation is in essence a watchdog that monitors the protection and violation of the human rights of persons with intellectual disabilities and/or mental illness. The Mental Health Care Act, 17 of 2002 has prescribed a structure (Review Boards) that investigates the violation of human rights of patients in hospitals. A Human Rights Violation Register is available on our website and incidents can be reported. The Human Rights Commission is committed to ensure that the rights of the citizens of South Africa are upheld. This is evident in the response to complaints lodged by the public. SAFMH monitors violations of Human Rights and reports it to the Human Rights Commission or Review Board. Depending on the violation, a criminal case may be opened.
During the period under review, the SA Federation for Mental Health focused all its attention on the 'Be Lifted' national awareness campaign with PJ Powers as the face and voice behind the campaign. Several celebrities such as Dali and Rachel Tambo, Amy Kleynhans-Curd, Jolene Martin, Edith Venter, the Indie-Rock band, Easy Tiger, etc participated in the national television advertisement. PJ Powers wrote a song for the Federation called 'Lifted' which could (and still can) be downloaded via sms at a cost. Our television-, radio-, billboard- and print advertisements were visible (and audible) across the country from 1 September 2011. As a result of the campaign, we have had high volumes of enquiries, calls from members of the public seeking assistance as well as volunteers and mental health enthusiasts who wish to make a difference in their communities. It has had a huge impact on the public. It clearly highlighted for the Federation the need for more aggressive marketing campaigns. Unfortunately, the reality is that such campaigns cost millions of rands which SAFMH cannot afford. The National Lottery Distribution Trust Fund generously sponsored this awareness campaign. The SAFMH aims to educate the public on all issues surrounding mental health. This is mostly accomplished through the media, website and social media networks such as Facebook and Twitter.
Financial Period April 2011 - March 2012
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Mental Health is the Nation’s Wealth! 1 in 5 South Africans will experience mental illness in their lifetime.
4% of South Africans live with intellectual disability. Over 250 South Africans under 21 commit suicide every year due to depression.
FUNDED BY
SMS “LIFTED” to 40027 to download the new single by PJ Powers at R20 per sms in support of the South African Federation for Mental Health. S.A Federation for Mental Health
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www.safmh.org.za | 011 781 1852 000-238 NPO PBO 18-11-13-3099
South African Federation for Mental Health
We developed an educational booklet, Mental Health Matters, and distributed far and wide in an attempt to further educate the general public as well as the media, who often report on matters pertaining to mental health. The booklet was very well-received and is being distributed on an ongoing basis. Regular press releases and statements are issued to the media through the efforts of our PR Consultant Blank Canvas PR and Marketing cc. There was no negative publicity about the South African Federation for Mental Health in the past year. There were, however, some negative references to mental health in general, that appeared in the media. These issues are always firstly addressed with the media concerned. If it is not resolved the SAFMH will refer the matter to the Human Rights Commission. In these particular cases, the issues were resolved with the concerned publications. It was again realised how ignorant and indifferent the general public still is about mental health. There is a lot to be done in order to eliminate stigma and discrimination related to mental illness and intellectual disability.
Be Lifted� Champagne Breakfast and Fashion Show Together with our Patron, Mrs Rachel Tambo, the SA Federation for Mental Health hosted its first ever fundraising breakfast at Shepstone Gardens in Mountain View, Johannesburg on Wednesday 7 October 2011. Roughly 150 celebrities, friends of the Federation and the media donned in their stylish hats, joined us for a relaxing morning in the tranquil gardens of the magnificent Shepstone Gardens. The purpose: to remember and cherish our mental health whilst raising funds for our cause.
Financial Period April 2011 - March 2012
21
The day was a huge success with various sponsors coming to the party: Jan Malan Umzingeli provided the guests with a world-class fashion show featuring top designers; Auction Alliance ensured great entertainment while convincing guests to open their purses and their hearts. The lovely and talented Jolene Martin was the Master of Ceremonies and had the audience at her feet. A three-course meal and champagne, music and entertainment made for a perfect morning. Most importantly the message from our Patron, Rachel Tambo as well as the SAFMH National Director, came through clearly: mental health affects us all. None of us can afford to be ignorant or indifferent any longer. Such was the success of the event that we have no choice but to host another! The next Champagne Breakfast and Fashion Show will take place on Wednesday 10 October 2012. For more details and to book your tickets, contact the office or visit our website.
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South African Federation for Mental Health
Financial Period April 2011 - March 2012
Finance and Administration The past financial year was relatively uneventful. However, the American and European economies with their uncertainties impacted negatively on the South African economy, making income generation a near impossibility. However, despite these challenging circumstances, the Federation ended the financial year with satisfactory results. Management succeeded to keep expenditure within the budget and to maintain liquidity at acceptable levels.
Fundraising The National Office did not have the services of a professional fundraiser during the period under review, which posed a threat to the long-term sustainability of the organisation. The post is currently vacant and will be filled soon. Despite this huge challenge, we have worked very hard at maintaining our existing relationships with our valuable donors. Our agreements with our current corporate donors and Government were honoured and regular progress reports were submitted. The SA Federation for Mental Health firmly stands for ethical fundraising, transparency and accountability to Government, our stakeholders, our donors, the public and the media.
Training Centre In the absence of a fundraiser, the Training Centre was not used to its full capacity. However, various training sessions and meetings have taken place during the 2011/2012 financial year. Marketing of the Training Centre will receive priority attention during the new fiscal period. All training programmes and meetings hosted by the Federation were held at the Training Centre. This has again resulted in significant savings to the Federation.
Government Funding Over the years, the subsidies received from the Department of Social Development and the National Department of Health, have assisted the National Office in fulfilling its objectives by offering various programmes to Mental Health Societies as well as Mental Health Care Users. These include: mental health promotion, capacity building, upholding of human rights and social integration. We express our sincere thanks and appreciation to both the abovementioned Departments for their support and partnership with us, in rendering services to persons with intellectual disability and/or mental illness.
Companies, Funds and Trusts A special word of thanks to all the companies funds and trusts that have supported the Federation during the past financial year. Each and every contribution assisted the Federation to continue rendering services to persons with intellectual disability and/or mental illness. Their continued support is invaluable.
Financial Period April 2011 - March 2012
23
Casual Day
Direct Mail
Casual Day is a major fund raising project of the Mental Health Movement. The Federation has been an active participant and beneficiary since the inception of Casual Day in 1997. This year, the Mental Health Movement sold 40% of the 1 060 353 stickers that were sold in total. The Mental Health Movement increased its income from Casual Day from R85 196 in 1997 to R3 140 249 in 2011.
We wish to thank all our individual donors who have supported the National Office and Mental Health Societies country wide for many years. Without their continued support we would not have been able to provide much needed services.
Funds raised by the Mental Health Movement since Casual Day started in 1997 3.500,000
Urgent attention needs to be given to increasing our donor base. Many of our elderly donors have passed on and a large number of donors relocated without changing their addresses. This has had a severe influence on the income of our direct mail campaigns.
3.000,000 2.500,000
Direct Mail Income
2.000,000
450,000
1.500,000
400,000
1.000,000
350,000
500,000
300,000 2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
0
250,000 200,000 150,000
Amount Raised
100,000 50,000
Casual Day is also a major source of fundraising for the National Office. We thank the companies and their staff who have loyally supported us over the years.
Casual Day - Funds raised by the National Office
0
2007
2008 Income
2009
2010
2011
Bequests
National Lottery Distribution Trust Fund
800.000,00
The National Lottery Distribution Trust Fund assisted the SA Federation for Mental Health in fulfilling its dream to create and roll out a national advertising campaign on television and in the print media, as well as strategically placed electronic billboards. Without their support this would not have materialised.
600.000,00 400.000,00 200.000,00 0 2007
2008
2009 Amount Raised
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South African Federation for Mental Health
2010
2011
Funding of running costs is a major concern of the Federation, as very few funders are still prepared to fund this major expenditure. The National Lottery Distribution Trust Fund has, however, come to the Federation's aid during the past financial year by providing funding for some of its running costs.
Online Fundraising Donations via our website are still few and far between. This may be due to the general population group that makes up our donor base. This group may not yet be comfortable with online transactions. A vigorous marketing campaign will be launched to promote online donations via our website.
SMS Campaign “Be Lifted” The song “Lifted” especially written for the Federation by PJ Powers, can be downloaded by sending an SMS to the number 40027 at the cost of R20. Since the start of the campaign up until May 2012, over 600 people have downloaded the song.
Administration Premises The Federation is still in dire need of an extra storage facility for furniture. Whenever the conference centre is in use, we experience problems with space. The maintenance and proper care of our equipment and assets is vital to future sustainability.
Financial Period April 2011 - March 2012
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Financial Statements Financial Report for the year ending 31 March 2012 SOUTH AFRICAN FEDERATION FOR MENTAL HEALTH (Registration No. 000-238 NPO) ANNUAL FINANCIAL STATEMENTS AT 31 MARCH 2012
Statement of Financial Position Note(s)
2012 R
2011 R
ASSETS Non-current assets Property, equipment and vehicles Investments Special funds investments
2 3 4
1,891,303 1,280,847 4,885,028 8,057,178
1,900,452 1,187,621 6,206,325 9,294,398
Current assets Receivables Cash and cash equivalents
5 6
425,022 495,645 920,667
461,373 125,354 586,727
8,977,845
9,881,125
3,095,051 774,036 3,869,087
2,710,209 680,810 3,391,019
4,885,028
6,206,325
559,351 4,325,677
2,991,635 3,214,690
223,730 5,108,757
283,777 6,490,101
8,977,845
9,881,125
Total assets RESERVES, FUNDS AND LIABILITIES Accumulated funds Revaluation reserve Liabilities Non-current liabilities Special funds Donations and funds for specific purposes - National Lotteries Development Trust Fund - Other special funds
7
Current liabilities Payables Total liabilities Total equity and liabilities
26
South African Federation for Mental Health
8
Financial Statements Financial Report for the year ending 31 March 2012 SOUTH AFRICAN FEDERATION FOR MENTAL HEALTH (Registration No. 000-238 NPO) ANNUAL FINANCIAL STATEMENTS AT 31 MARCH 2012
Statement of Financial Performance 2012 R
2011 R
3,199,367 2,467,459 731,908 52,604 899,500 238,546
1,738,683 936,950 801,733 131,407 893,616 131,686
4,390,017
2,895,392
1,496,329 2,721,046
2,857,737
4,217,375
2,857,737
13
172,642
37,655
3
93,226 212,198 305,424
107,519 194,867 302,386
478,066
340,041
Note(s) REVENUE Fundraising - National Lotteries Fund - Other sources Publications Grants and subsidies Sundry
Expenditure Special Advertising Campaign Operating expenditure
Operating surplus
9 7, 9 9 10 11
7, 12 12
Income from investments Fair value adjustment of held for trading investments Interest received
Surplus for the year
Financial Period April 2011 - March 2012
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We need your continued assistance to ensure that mental health will become a priority in our country.
Mental Health is the Nation's Wealth! Please consider becoming a donor if you are not yet one of our benefactors. Without mental health there is no health. It is up to us to ensure that we raise mentally healthy future generations.
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South African Federation for Mental Health
S.A. Federation for Mental Health Private Bag X3053, Randburg 2125 | Telephone: +27 (0) 11 781 1852 | Facsimile: +27 (0) 11 326 0625
www.safmh.org.za