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“Empowering the Nation�

Annual Report April 2012 - March 2013

90 S.A. Federation for Mental Health


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 the four main programmes: • • • •

Capacity Building Social Integration Human Rights Mental Health Awareness

South African Federation for Mental Health


Table of Contents From the President's Desk

2

From the Pen of the National Director

4

Organisational Profile

6

Programmes of the South African Federation for Mental Health

10

Governance

23

Human Resources

24

The Green Element

25

Finance and Administration

26

Financial Statements

29

Special Projects Requiring Funding

32

Financial Period April 2012 - March 2013

1


From the President's Desk It is an honour and privilege to return as President of the SA Federation for Mental Health. Looking back at the developments over the year, I am filled with pride and gratitude towards the Mental Health Care Users and service providers who have devoted much time and energy in raising the profile of Mental Health in South Africa. The Federation proudly follows a 'social model' of service delivery, which focuses on changing the environment to become more accessible and accommodating to persons with Mental Illness and Intellectual Disability. Hence the launch of the SA Mental Health Advocacy Movement (SAMHAM) ensued, which ensures that we live up to the slogan “nothing about us without us� (declaration of the World Federation for Mental Health Congress 2011 - Cape Town). The inclusion and 50 % representation of Mental Health Care Users on the Board of the Federation reflects the progressive culture of the movement which strives to improve the lives of Persons with Mental Illness and Intellectual Disability despite the challenges associated with economic, environmental and social performance. Aroo Naidoo

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South African Federation for Mental Health

Employment is a serious obstacle, as the workplace struggles to understand the needs of persons with Mental Illness and Intellectual Disability. The transformation of Protective Workshops within the movement has seen huge developments in terms of a Best Practice model that will ensure that all persons with Mental Illness and Intellectual Disability are afforded the opportunity to develop some skill. The model boasts six phases of development, from catering for persons with the most severe and profound Mental Illness and Intellectual Disability to successful job placements in the open labour market.


The sustainability of such programmes depends on partnership development with the Private Sector. The Federation is grateful for the existing donors who have contributed graciously over the past 93 years to ensure that the programmes and services reach communities most in need. However, the Federation will further embark on an aggressive donor development campaign to generate more partners to assist the Federation to become sustainable in the next five years. While it is Government`s responsibility to provide psycho-social programmes to Mental Health Care Users to ensure their full integration into society, we are proud of and grateful to the Mental Health Societies that provide the majority of these programmes very frugally on behalf of Government, despite limited funding allocated to the disability sector. The Federation was dealt a hard blow by the National Lottery Distribution Trust Fund, who declined the 2011 application for funding. The Federation had to realign its budget and programmes to address this challenge without compromising services to its Mental Health Care Users.

We acknowledge the contributions made by our Mental Health Care Advocacy Movement and their input into the Country Report to the UN Assembly. Mental Health Care Users are empowered to monitor services at the local community level and to raise concerns using legislative tools. Our partnerships with the legal firms Pro Bono.Org and Webber Wentzel Attorneys have secured access to justice for Mental Health Care Users in South Africa. As we strive to empower our beneficiaries, I wish to acknowledge the contribution of the Director and staff of the National Office, Board members, committee members, staff and Mental Health Care Users in all of the nine provinces for their dedication, commitment and service in the interest of a mentally healthy nation. Mr Aroo Naidoo President: S.A Federation for Mental Health

The Federation has successfully included Research as a separate programme of the Federation during the last strategic planning session, to address the need for essential statistics on the prevalence, needs and services for Mental Health Care Users in South Africa. The lack of relevant data on Mental Health has led to the under-prioritising of Mental Health services due to poor allocation in the budgets of the Departments of Health and Social Development. The Federation will lobby for the active implementation of the UN Convention on the Rights of Persons with Disability and the development of a much-needed Mental Health Policy to address human rights violations as well as the needs of the Mental Health Care Users.

Financial Period April 2012 - March 2013

3


From the Pen of the National Director The SA Federation for Mental Health has positioned itself strategically as the largest Mental Health Movement in South Africa, with 17 well established Mental Health Societies in 9 provinces and over 100 member organisations that provide generic social services to persons with Mental Illness and Intellectual Disability in disadvantaged communities. During an intensive two-day strategic planning session, the Federation reviewed its existing programmes. Funding, sustainability, stigma and Mental Health being at the bottom end of the national agenda were identified as factors that may threaten the continued existence of the organisation. On the other hand, opportunities to be capitalised on include the fact that we are regarded as experts in the field of Mental Health with experience, skill and knowledgeable staff. A strategic plan has been developed to address the above-mentioned threats and take advantage of the opportunities within our grasp. The Federation will make a conscious effort to develop more, solid partnerships to extend Mental Health into all aspects of social services.

Bharti Patel

The Federation played a dynamic role in the summits arranged by the Department of Health as well as the Department of Social Development, to raise concern around the lack of a Mental Health Policy and integrated services from the respective departments, which impacts negatively on the allocation of adequate resources to Mental Health services. The gaps identified in the Mental Health Care Act 17 of 2002 - when compared to the UN Convention on the Rights of Persons with Disability - was reported to the Department of Women, Children and Persons with Disability to lobby for the revision of the Act. The progressive involvement of our Mental Health Advocacy Movement in monitoring services in the communities has led to a constructive contribution by Mental Health Care Users to the 2012 Country Report.

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South African Federation for Mental Health


The Federation continues to strive to improve the lives of persons with Mental Illness and Intellectual Disability by advocating for their full inclusion in employment, housing, education and health care. With regard to employment, the Federation has developed a strong partnership with the Bidvest Steiner Group to develop the skills of the management staff of the Protective Workshops in Gauteng (pilot study). The Protective Workshops provide a conducive and productive environment where the skills of Mental Health Care Users are developed while providing the private sector with opportunities to invest in the development of these individuals. Financial sustainability of national Non-Government Organisations is a growing challenge and the Federation has revised its fund-raising strategy to ensure that services to Mental Health Care Users are not compromised. Government departments fail dismally to allocate necessary resources to Mental Health services and without the services of the Federation, the needs of the Mental Health Care Users will remain unaddressed. Events such as Casual Day and our own annual Feather of Hope champagne breakfast will be driven vigorously to ensure increased revenue in the coming years.

Despite the challenges experienced in the period 2012 2013, the Federation has enjoyed many achievements, which include: • Increased media coverage and awareness • Increased interest in the employee wellness programmes • Increased reporting on human rights violations and • A successful Biennial Conference The successes achieved in this period can only be attributed to the dedication and loyalty of our generous donors, Mental Health Societies and member organisations. I wish to further acknowledge the Board, Management Committee and our office personnel for their ongoing commitment and perseverance in improving the lives of our Mental Health Care Users and empowering the nation. Bharti Patel National Executive Director

Our association with the World Federation for Mental Health as well as the World Health Organisation ensures that South Africa is also part of the Global Mental Health Action Plan from 2013 to 2020. Mental Health is a vital component of all chronic and life-threatening diseases and affects all ages from infants to the elderly. The Federation will seek to partner with relevant national organisations to ensure that Mental Health and wellbeing is addressed appropriately. While the Departments of Health, Social Development and Women, Children and Disability allocate minimal resources towards Mental Health services, the Federation will also reach out to the Departments of Housing, Labour and Public Works to monitor programmes and allocate resources for persons with Mental Illness and Intellectual Disability.

Financial Period April 2012 - March 2013

5


Organisational Profile Introduction The South African Federation for Mental Health (SAFMH) consists of 17 Mental Health Societies, located across all 9 provinces, along with the National Office, situated in Randburg, Gauteng. The Mental Health Societies provide frontline, community-based services, whilst the National Office functions at a more strategic level, and does not provide direct services to communities. The Mental Health Societies are all independent organisations, with their own Boards of Management and Executive Committees. The National Office is therefore not a 'Head Office' as is often the case in these types of structures, but is also an independently functioning body. It works with and supports the work of the Mental Health Societies by securing high-level buy-in into the Mental Health sector from Government and other key stakeholders. Whilst this is an essential function within the Federation as a whole, it does however make it challenging for the National Office to obtain funding, as it is often difficult to illustrate the direct impact of the National Office's programmes on beneficiaries in the conventional sense of the word, i.e “people on the ground.�

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South African Federation for Mental Health

The National Office has a contractual agreement with the Department of Social Development and Department of Health to build and strengthen the capacity of Mental Health Organisations and create awareness of Mental Health. This agreement does not, however, guarantee complete programme funding by Government Departments. Said Departments are under pressure to include other disabilities within the existing allocations made by Treasury, resulting in a decrease in funding towards the existing disability organisations. The National Office has to seek stronger partnerships with individual donors and the private sector to ensure that the needs of the organisation are met on a monthly basis, along with exploring other new, innovative ways to boost its annual income. It is important to recognise that the National Office's target group is the Mental Health sector - specifically the organisations that function therein and the processes, systems, legislations and policy that play a role in this. For this reason, the National Office cannot always illustrate the exact impact of its services in terms of direct community numbers, and it is important that stakeholders acknowledge the fact that funding towards the National Office goes towards creating an environment in South Africa wherein Mental Health services can be delivered more effectively, thereby benefitting those organisations who function at community level.


Services and Beneficiaries The South African Federation for Mental Health serves the most vulnerable, deprived and often marginalised communities in South Africa, where most people have limited access to resources. As previously explained, the National Office does not provide direct services to communities. All programmes conducted by the National Office are, however, managed according to strict project management principles, and where possible, in consultation with Mental Health Societies and Mental Health Care Users. This is to ensure that the strategic nature of the work that the National Office undertakes is tied up with a Mental Health Care User perspective and is a true reflection of the needs at community level. This guarantees that all programmes are developed and implemented in a way that has the ultimate beneficiary - the Mental Health Care User - at its core. The National Office has four main areas of work, which will be described in more detail under the Programmes section on page 10: Capacitation, Human Rights, Awareness and Social Integration. In the coming financial year, these will be adjusted to also include Research as one of the National Office's core functions, whilst amalgamating Social Integration with Capacitation. Each of these focus areas comprises a number of programmes, all of which are managed by the two Programme Managers at the National Office, and overseen by the Deputy Director. The National Office also manages its own Administration and Finance functions internally, but outsources its Marketing & Public Relations functions, which is managed by Blank Canvas PR & Marketing. The National Office will also outsource its Human Resources functions from April 2013.

Significant changes that have occurred during the fiscal period included: • Employing a full-time fundraiser as part of the National Office's core staff team - this was an important component of the sustainability plan of the National Office. • Changing the approach to awareness from the mere development of information (such as leaflets) to a more national, strategic approach. This now sees the National Office developing a concept and supporting documentation, which is filtered to the Mental Health Societies, who utilise these documents within their unique target communities in ways appropriate to them. Staff Employed at National Office: Mrs B Patel - National Director Mr L De Beer - Deputy Director Ms A Labuschagne - Financial Manager Ms C Albertyn - Programme Manager Ms I Masilela - Programme Manager Ms C Banganai - Personal Assistant to National Director • Ms T White - Fundraiser • Ms M Makhubu - Receptionist • Mr C Chimbalanga - Groundskeeper • • • • • •

Financial Period April 2012 - March 2013

7


BOARD

17 MENTAL HEALTH SOCIETIES MEMBER ORGANISATIONS

MANAGEMENT COMMITTEE P.A. TO NATIONAL DIRECTOR

NATIONAL DIRECTOR

FUNDRAISER

MARKETING & PR

DEPUTY DIRECTOR

MANAGER: FINANCE & ADMIN.

Cleaner Programme Manager

Maintenance Programme Manager Receptionist/ Clerk

Management responsibility when National Director is absent

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South African Federation for Mental Health

Finance Assistant/ Clerk


Risks, Challenges and Achievements Because the 17 Mental Health Societies and National Office are all independently functioning bodies, there is always the risk of disjointed practice within the Federation as a whole. The National Office recognises this as a key risk and challenge, and invests a great amount of time in building and nurturing relationships to ensure that the Federation as a whole continues functioning as a coherent body through good communication and inclusive, transparent work practice and ethics. Secondly, as any NGO in South Africa would currently confirm, funding is a big, ongoing challenge - especially in the field of Mental Health, which is unfortunately still viewed as one of the “invisible” disabilities. An ongoing challenge for the National Office is to ensure that Mental Health receives proportionate funding and attention to other disabilities. The launch of the S.A Mental Health Advocacy Movement can be viewed as a significant achievement of the past decade. Self-advocacy empowers persons with Mental Illness and Intellectual Disability to break the myth about the capabilities of Mental Health Care Users. The movement is growing and the fact that 50% of our Board is represented by persons with Mental Illness and Intellectual Disability is a noted achievement.

Key Concerns Good monitoring and evaluation processes are often a challenge because of the nature of the work of the National Office (which doesn't focus on direct services to communities) as our work is reliant on a) effective implementation and b) effective feedback from organisations providing direct, community-based Mental Health services. Since the work of the National Office is at a more strategic level, this is also more problematic to monitor, as we cannot list, for example, numbers of direct beneficiaries. Outcomes are therefore often more abstract and qualitative than actual numbers of beneficiaries served (quantitative).

To try and illustrate more clearly what the impact of the National Office's work is, it has prioritised Research as a core function, as we believe that this will provide detailed information around strategic outcomes within the Mental Health Field in South Africa. Another challenge that the National Office experienced during the past financial year was the problems caused by an outdated fundraising software programme, which led to delays in the issuing of tax certificates. It meant that donors were forced to contact the National Office telephonically to confirm donations made. The upgrading of the fundraising software programme has been listed as a priority for the next financial year.

Our Brand The brand that is the South African Federation for Mental Health has become synonymous with human rights, advocacy, lobbying, enabling and developing persons with Mental Disabilities and striving for social justice for all. Our brand is communicated to the public through our website, social media pages (Facebook and Twitter), press releases, and our selection of marketing material such as newsletters, leaflets, booklets, direct mail, concept documents, etc. There was no negative publicity about the South African Federation for Mental Health in the past year. News articles were mostly related to our three awareness campaigns: • July 2012 - Psychiatric Disability / Mental Illness “Be Kind To Your Mind” • October 2012 - Mental Health Awareness Month / Day: Depression as a global crisis • March 2013 - Intellectual Disability with an educational focus • Promotion of our 2nd annual champagne breakfast and fashion show

Financial Period April 2012 - March 2013

9


Programmes Capacitation Biennial Conference On 27 and 28 August 2012, the National Office hosted its Biennial Conference at Emperor's Palace in Gauteng. The theme of the Conference was “Youth and Mental Health” and a comprehensive programme was developed, aimed at capturing many of the critical issues facing the youth of South Africa today. Our young people face a multitude of factors which have the potential to affect their personal wellbeing and Mental Health in a negative way. Unemployment, substandard education, poor living conditions, low morale, substance abuse, risky sexual behaviours, bullying, violence and inadequate access to health care are but a few examples of challenges that could affect young people's resilience to effectively coping with Mental Wellbeing. The SAFMH Biennial Conference explored a number of these challenges in more detail through presentations by various experts and key speakers, including: • Dr Shegs James, Senior Specialist, South African Medical Research Council on South African Youth and their Health and Wellbeing • Prof Lourens Schlebusch, Suicidologist, Stress Management Consultant and Behavioural Medicine Specialist, University of KwaZulu-Natal on the topic of Youth and Suicide

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South African Federation for Mental Health

• Ms Lidia Pretorius, Chief Director: Department of Children, Women, Youth and Disabilities on Monitoring and Evaluation (Rights of People with Disabilities) • Mr Bongani Magongo, Senior Manager, Research and Policy, National Youth Development Agency on an overview of youth in South Africa • Other speakers included representatives from NICRO; the Department of Health; Department of Social Development and Department of Labour These presentations, along with showcasing and sharing information about strategies, projects and programmes that are being run by Government and Civil Society, aimed to address the above-mentioned challenges. Structured workshops, focused around some of the key issues identified (such as the youth and violence, suicide and substance abuse) were run. Facilitated by a group of experts, the workshops provided delegates with the opportunity to work together to further explore these challenges in the South African context, along with working on some proposed interventions to address these challenges in the future. The Conference saw a total number of 68 delegates attend. The post-conference evaluation was extremely positive and highlighted that the majority of delegates had experienced the Conference as very successful and useful.


Workshop on Children's Act 38 of 2005

Corporate Wellness

The Children's Act 38 of 2005 (as amended), is very relevant to the Mental Health Sector because the term “children” includes everybody under the age of 18 years, whether disabled or not.

One of the key areas of capacitation for the National Office has been supporting corporate partners with raising awareness of Mental Health related issues, specifically in support of their Employee Assistance Programmes. During the 2012 - 2013 year, the National Office conducted a number of Corporate Wellness sessions around Gauteng. These were all requested by the corporates mentioned below, and tailor-made programmes were developed by the National Office and delivered by its Programme Managers and Deputy Director:

In response to this, the National Office organised a twoday workshop in March 2013, which was open to anyone working within the field of Mental Health in South Africa. The workshop was co-facilitated by an expert in the field. Purpose • To equip Service Providers in the Mental Health Sector with knowledge about the Children's Act 38 of 2005 (as amended) and to identify the effect the Act will have on the services and lives of children with Intellectual Disability and Mental Illness • To check if the Act is in line with the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) • To identify challenges that Service Providers meet with regards to the implementation of the Children's Act

• South African Revenue Services - Mental wellness in the workplace • Road Accident Fund - An overview of Mental Illness and how this pertains to the workplace • ADvTech - Stress, depression and suicide • City Power (Johannesburg) - exhibition and engagement exercise as part of their yearly wellness day • Bidvest Steiner (Laundry Group) - Stress at management level All these programmes and engagement sessions were very well received by the corporates and their employees.

Outcomes Organisations that deal with children in the Mental Health Sector from all over South Africa were invited, and 35 service providers attended.

An area for development around Corporate Wellness for the future is around the potential development of standardised Corporate Wellness Programmes, which could generate substantial income for the National Office and the 17 Mental Health Societies.

The workshop equipped employees from relevant organisations with a better understanding of the Children's Act 38 of 2005. The South African Federation for Mental Health is expected to act on the recommendations that were suggested, and will be utilising these outcomes when engaging with Government over the coming years. This workshop has opened a path for NGOs to work together, which will strengthen their voices when lobbying for the rights of all Mental Health Care Users in South Africa.

Financial Period April 2012 - March 2013

11


Henley School of Business & ESKOM Management Development Project The Henley School of Business approached the National Office at the end of 2012 regarding a management development programme they were running with ESKOM. All ESKOM's middle and senior managers were going through a project management and management development programme, facilitated by Henley Business School. For the purposes of this programme, Henley identified that the NGO sector could potentially benefit from the ESKOM project teams, who would be assigned to an NGO to work with them (at no cost to the NGO) for 6 months on a “problem” or identified area for development within the NGO. The National Office was asked to submit a proposal to be considered for this project, and a proposal was drafted in December 2012, which highlighted the area of Corporate Wellness as a potentially viable area of development for the National Office as income stream. Henley School of Business considered the proposal favourably, and the National Office was consequently assigned a team of 6 managers (from various areas of expertise) from ESKOM. By the end of March 2013, some preliminary work had been done in terms of analysing the problem statement, and the National Office had an introductory meeting with the ESKOM team (dubbed “Team Mindpower”) to devise a way forward. The project is aimed for completion by July 2013, at which point the National Office will be provided with a detailed action plan / business case in terms of developing the Corporate Wellness model. The problem statement included the Mental Health Societies as part of the proposed model. This was specifically aimed at seeing how (as described under Corporate Wellness) the National Office could progress the model as an income generating initiative for the Federation as a whole. As there were no costs involved for the National Office, it was felt that this project could only benefit the organisation, and possibly enable the National Office to forge linkages to a major corporate partner.

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South African Federation for Mental Health

Training of Care Givers The National Office has previously provided training to care givers in the community (mainly those who work with children with Intellectual Disabilities). During 2012 - 2013, the National Office conducted one such an intensive, 6-day training workshop in Carletonville (Gauteng) at a Centre called Zanele Mtshali Disability Home, located in the Khutsong Township. The Centre was established in 2003, and currently supports 32 children ranging in age from 3 years to 18 years. It focuses on services for children who are moderately to profoundly Intellectually Disabled. The children admitted to the facility are not only from Gauteng, but also from other provinces. 24 care givers were trained in the Basic Course for Persons with Intellectual Disability. The objectives of the programme were: • To empower Care Workers with skills to care and contribute to the development of persons with Intellectual Disability • To ensure that the rights of persons with Intellectual Disability are upheld • To promote the integration of persons with Intellectual Disability into society, the workplace and schools • To increase job opportunities for the Care Workers The training was delivered in partnership with ECD (Early Childhood Development) Solutions. The skills obtained during the training will impact not only on the lives of the children who are residing in Zanele Mtshali Disabled Home, but also on the communities in which the Care Workers reside.


Partnerships

November 2012 Advocacy Workshop

We visited a number of our Member Organisations to learn more about what services they were providing and what support, if any, the National Office could potentially provide them with in terms of capacitation, support with human rights violations, or other areas of work. Partnership development is becoming an increasingly important part of the work the National Office engages in, and will be built on in the years to come. Organisations that were visited in this regard included Cresset House in Midrand, Little Eden Society in Edenvale and Thandanani Home in Roodepoort

When SAMHAM was launched in 2007, it was decided that there was a need for programmes that would be implemented to strengthen the advocacy concept.

Social Integration South African Mental Health Advocacy Movement (SAMHAM) During the 2012-2013 financial year, the National Office continued its work with the national group of Mental Health Care Users, named SAMHAM, which it has been supporting for the past few years. The mission of this group is to provide a national platform for Mental Health Care Users to come together, discuss and analyse key issues related to the lives of persons with Mental Disabilities in South Africa, their rights, challenges they experience, and to devise potential solutions for those common challenges.

This workshop was aimed at empowering Service Users with key skills and knowledge surrounding advocacy and the development and running of advocacy groups and activities at provincial level. However, the National Office recognises that the implementation of advocacy work at provincial level is often slower than expected, due to limited resources. Mental Health Care Users, with the assistance of a facilitator, interrogated advocacy in the context of SAMHAM as part of the constituency of the Board of SAFMH. The facilitator referred to a progressive community development model named the Ladder of Participation, which has been shown to be successful when used for community development programmes. This model can be used by the groups in their communities, especially when starting an advocacy group. It can also be used for monitoring progress of group members' readiness to progress and be involved in higher levels of empowerment activities such as influencing policy and lobbying for better services.

The group is a vehicle for effective advocacy for Mental Health Care Users on a national basis. This group also serves on the Board of Management of SAFMH to ensure that Mental Health Care Users are adequately represented in all strategic and operational discussions regarding the work of the National Office. Apart from the annual Board Meeting where Directors, Provincial Representatives and Mental Health Care Users all have parallel sessions to ensure effective input into the combined Board Meeting, SAMHAM also had two additional empowerment sessions, both facilitated by the National Office:

Financial Period April 2012 - March 2013

13


In addition, a manual on how to establish an advocacy group was provided to the SAMHAM members a month in advance for preparation. Using this manual (which the National Office developed), the workshop also addressed key issues such as: • • • • •

Human rights Legislation and policies relevant to advocacy Leadership The role of SAMHAM Potential solutions to common challenges

During the workshop, Mental Health Care Users connected the concept of advocacy to what is expected of the Advocacy Groups they are involved in at provincial level and committed themselves to the cause. February 2013 Legislation Workshop One of SAMHAM's key functions is to lobby and safeguard persons with Intellectual Disability and Mental Illness against human rights violations. One of the mechanisms of guarding against human rights violations is to know your rights as a person with a disability. The workshop was aimed at empowering Service Users with a detailed understanding of legislation pertaining to Mental Health, specifically in terms of the Mental Health Care Act of 2002, the UN Convention on the Rights of Persons with Disabilities, and how these two pieces of important legislation are being used (or not) to protect the rights of Mental Health Care Users in South Africa. Other Acts, which have an impact on the lives of persons with Intellectual Disability or Mental Illness, were also included, for example the National Health Act, Access to Information Act, Employment Equity Act, Electoral Act, and Bill on Assisted Decision Making. Mental Health Care Users are expected to participate in their local communities' development with regards to advocacy and Mental Health. The information received from this workshop was the first step towards empowerment in implementing the Ladder of Participation model.

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South African Federation for Mental Health

The workshop also covered key areas such as (and recommendations related to) services rendered by State Institutions: • • • •

Health Services South African Social Security Access to information Employment of persons with Mental Illness and Intellectual Disability • The right to vote for persons with Intellectual Disability /Mental Illness • Bill on assisted decision making The workshop was delivered in partnership with the Department of Women, Children and People with Disabilities. SAMHAM's comments on the implementation of the UN Convention on the Rights of Persons with Disabilities, as well as comments from the Central Gauteng Advocacy Movement, were included in the Country Report to the United Nations in Geneva. Protective Workshops Best Practice Model As reported in the previous Annual Report, the National Office appointed a Task Team, comprising of Managers from various SAFMH Protective Workshops, Mental Health Care Users, and a coordinator from the National Office (Programme Manager) to look at the development of a Best Practice Model for Protective Workshops within the Federation. This was in part due to the Department of Social Development's newly developed guidelines on the transformation of Protective Workshops, and the continuing difficulties that many Protective Workshops within SAFMH were experiencing in terms of sustainability.


By February 2013, the Task Team had devised an innovative, progressive 6-stage Best Practice Model for Protective Workshops, aimed at persons with Mental Disabilities, which took into consideration the Department of Social Development's guidelines on the transformation of Protective Workshops, but also specifically looked at the role of Protective Workshops in terms of their role in supporting skills development, integration, and the obtaining of employment for persons with Mental Disability. The model's outline looked as follows:

LEVEL 1:

LEVEL 2:

LEVEL 3:

LEVEL 4:

LEVEL 5:

LEVEL 6:

Higher Care

Life Skills

Work Skills

Bridge to Open Labour Market

Supported Employment

Entrepreneur/ Self Employment

I N T E L L E C T U A L C A PA B I L I T I E S

At the March 2013 Directors meeting in Gauteng, the model and proposed way forward was unanimously accepted by all the Directors. The National Office was given the mandate to proceed with the project. This is a very exciting prospect for SAFMH, and will see the National Office develop a Protective Workshops “Hub� at the National Office to take the lead with the further development of the Best Practice Model and the consequent implementation thereof across all Mental Health Societies (and potentially other organisations).

Protective Workshops Management Development Programme (Gauteng Pilot) Another exciting project related to the development of Protective Workshops is a management development programme, funded by Bidvest Steiner and delivered (at no cost to Disability Organisations) in partnership with a Johannesburg-based Training Consultancy (Bizztrain), at the National Office of SAFMH in Gauteng. The programme will be aimed at managers of Protective Workshops (all types of disabilities), will be delivered between April 2013 and March 2014, and will initially be piloted in Gauteng. The programme will be delivered in the form of a year-long course, with two days per month being used for the workshops, along with additional days in-between for site visits and assignments.

At the time of writing, the course had attracted nearly 30 managers from Protective Workshops across Gauteng, and it is foreseen that this will be a highly successful programme, which will complement the aforementioned work around the establishment of the Best Practice Model for Protective Workshops. Services SETA Disability Sector Committee During 2012 - 2013, the National Office attended a meeting of the Services SETA and other Disability Organisations on the employment of persons with disabilities, with the aim of representing Mental Health and supporting the establishment of a committee to help the Services SETA address skills and employment issues in the Disability Sector. The committee was established and it is hoped that the Services SETA will continue to facilitate these meetings.

Financial Period April 2012 - March 2013

15


Awareness Three awareness programmes were executed during the 2012 - 2013 financial year: July 2012 - Psychiatric Disability (Mental Illness) The “Be Kind To Your Mind” initiative was launched. For this programme, the National Office produced 20 000 first-of-its-kind, colourful and engaging z-cards, along with youth-friendly posters, which were targeted at high school learners in mostly deprived and vulnerable communities across South Africa through the outreach work of the Mental Health Societies. The goal with the programme was to provide young people with an easy-to-grasp guide on Mental Illness, some hard-hitting statistics around its prevalence and how to recognise signs and symptoms. Furthermore, the z-cards also contained information on the link between substance abuse and the development of Mental Illness, which is often overlooked, misunderstood or not known at all. Lastly, the z-cards also included a section on suicide prevention, as this was seen as a critical factor surrounding young people in the world we live in today, which is characterised by high levels of stress, competitiveness and pressure to perform. The National Office partnered with SADAG and SANCA to provide the youth with avenues for support via this programme. Whilst the programme was deemed a success (based on feedback received via the Mental Health Societies) the only shortcoming was the limited number of zcards that had been available. Unfortunately the production costs related to the z-cards were very high, which meant that, due to funding restrictions, only 20 00 cards were produced. This was, however, taken on board for the 2013 - 2014 financial year, and the National Office will be seeking funding during the coming financial year to facilitate a re-print of the z-cards.

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South African Federation for Mental Health

So what’s this all about?

Good Mental Health is very important in our fast-paced, stressful world today. Understanding it could make a BIG difference to your life and to those around you. Take some time to think about it...

So where can I find help?

Cont act u s for a FR EE Pocke tguid e to Men tal H ealth

SA Federation for Mental Health (with offices and support programmes across SA) 011 781 1852 / safmh@sn.apc.org / www.safmh.org.za SA Depression and Anxiety Group (SADAG) SMS Helpline 31393 / www.sadag.org (helplines and information, specifically also on suicide prevention) SA National Council on Alcoholism and Drug Dependence (SANCA) (support with drug and alcohol-related problems) 012 542 1121 / sanca.pta@absamail.co.za / www.addictionrehab.co.za

90 S.A. Federation for Mental Health


October 2012 - Mental Wellbeing The World Federation for Mental Health's theme of “Depression as a global crisis” was adopted for this campaign. The National Office reached a critical point in August 2012, when both funders as well as the National Office started questioning the effectiveness of the continuous production of leaflets and other marketing material in terms of promoting Mental Health. There was an increasing notion that the National Office needed to start focusing more on strategic, national issues, whilst the Mental Health Societies continued focusing on community-based issues. The National Office also recognised that the Mental Health Societies, who differ greatly in terms of their capacity to deliver frontline services, have varying degrees to which they can engage in programmes (such as awareness) designed by the National Office. It was therefore deemed necessary for the National Office to review its approach to awareness, both in terms of method and target groups. The National Office provided information on the World Federation for Mental Health's theme to all Mental Health Societies, once again focusing on the youth. The programme was successful, and Mental Health

Societies across all provinces utilised the information provided by the National Office to engage with schools and communities, along with preparing press releases in their own areas and engaging in activities all aimed at raising awareness of the rising global prevalence of depression in ways appropriate to their communities. The October awareness programme also saw the launch of the “Turn Blue Mondays Green” awareness initiative, which was launched in October 2012 and was intended to be an ongoing programme for the National Office. This concept is aimed at engaging the South African public by tapping into the well-known expression “Blue Mondays” and highlighting that people who suffer from depression often experience the “Blue Monday” feeling all day, every day. The concept aims to persuade South Africans to wear a green item of clothing on Mondays to show their support for Mental Health. The Mental Health Societies enthusiastically adopted the concept. However, it was not rolled out to the degree that the National Office hoped it would be and this will be reviewed within 2013 - 2014 as we believe it has great potential for raising awareness.

Financial Period April 2012 - March 2013

17


March 2013 - Intellectual Disability This campaign focused on a preventative or educational angle, targeting high school learners to raise awareness about the nature and causes of Intellectual Disability. This particular age group represents the parents of tomorrow, and we believe that by sensitising them to key aspects surrounding Intellectual Disability, they can safeguard themselves against some of the main risk factors such as alcohol and drug abuse. Furthermore, this programme was also aimed at developing an increased understanding of the rights of individuals with Intellectual Disability, and once again the National Office aimed to make a contribution towards building a more tolerant society. The National Office developed a user-friendly factsheet on Intellectual Disability, along with press materials, which were provided to the Mental Health Societies with the brief of using these materials in ways that were appropriate and effective in their respective communities.

• Since the National Office has started moving away from the development and distribution of pamphlets and leaflets, the awareness programmes are becoming more dependent on the subjective interpretation of the Mental Health Societies of the theme and supporting materials. This is positive in the sense that it empowers the Mental Health Societies to take ownership over rolling out the awareness programmes in the provinces in ways that are fit-for-purpose in their communities. However, this also means that the activities the Mental Health Societies engage in across the provinces are not all the same, which makes monitoring and evaluation challenging To try and address some of these difficulties, the National Office will be introducing a standardised awareness programme evaluation process in order to capture the outcomes of the awareness programmes more concisely in future. Drommedaris / Sonop Cycle Tour (Pretoria to Oudshoorn)

Based on feedback from the Mental Health Societies, the programme was successful, as the information was used as part of outreach activities aimed at schools and community groups. The National Office once again engaged the media and took part in (amongst others) two radio interviews with SAfm in support of this awareness programme. Several radio interviews and also television exposure were secured and yielded a response from the public. In summary, the 2012 - 2013 awareness programmes were deemed successful. However, there has been an increasing difficulty to quantify the outcomes of the awareness programmes. This has mainly been attributed to two reasons: • Obtaining feedback from Mental Health Societies is sometimes difficult as they often do not have the capacity to monitor and report on all awarenessrelated activities in the provinces

18

South African Federation for Mental Health

Sonop Christelike Tehuis, a leading male residence at the University of Pretoria, organised the Drommedaris VIII cycle tour in March 2012. The Drommedaris is a longstanding tradition, which is held every second year in aid of those in need. This year, the students wanted to raise awareness about Mental Health and wellbeing.


The cycle tour stretched from Pretoria to Oudtshoorn: an astonishing 1380km covered in 10 days. The group stopped at more than 21 towns. SAFMH supplied the students with awareness material such as branded t-shirts, pamphlets, posters, pop-up banners and information booklets on Mental Health and also arranged a range of media coverage for the tour. The National Office also did a 5-minute advertisement on SAfm for the cycle tour. Health Unlocked Towards the end of the 2012 - 2013 financial year, the South African Federation for Mental Health developed a community profile page on the UK-based healthunlocked.com website, which is an online community that provides a platform for Mental Health Care Users, their families and carers to share health related experiences and provide information and support to one another. There are currently over 200 organisations worldwide on the growing healthunlocked.com network, and the National Office pursued this as an opportunity to raise the Federation's profile internationally, and also to forge linkages with international partners and Mental Health Care Users to improve its understanding of Mental Health as a global issue. A link to Health Unlocked is available on the SAFMH website and Facebook page. It is hoped that the healthunlocked.com initiative will grow as an awareness programme with the potential of gaining international exposure for SAFMH.

of Mental Health Care Users. This has always been a challenging area of work, as the National Office has never had the necessary resources to provide Mental Health Care Users and their families with the (often required) legal support needed to fully and adequately address human rights violations. During the August 2012 Board Meeting, this was once again flagged up as a key area of development, and the National Office consequently included the development of legal support as one of its programmes for 2012 - 2013. Due to some proactive work by the staff at National Office, the identification of legal partners, and some initial discussions around a model, already took place towards the end of 2012 - 2013, which means that the National Office had already made important strides towards developing this project by the beginning of 2013 - 2014. The project involves two legal service providers, namely Webber Wentzel Attorneys and ProBono.Org, both based in Johannesburg, working alongside the National Office to provide persons with Mental Disability and their families with affordable legal support, where appropriate. This support can be accessed via the National Office through a clearly defined communication process between the National Office and its legal partners. Over the coming year, the project will be refined in more detail, put into practice and will be promoted widely. It was encouraging to see Mental Health Societies also engaging with local legal service providers in their provinces after the National Office took the lead with this approach.

Human Rights Legal Support A core function of the National Office has for many years been addressing the violation of the human rights

ProBono.Org

Financial Period April 2012 - March 2013

19


Mental Health Watch An ongoing challenge for the National Office for many years has been the effective capturing and reporting of human rights violations. The National Office has in the past relied on Mental Health Care Users or their families to complete a Human Rights Violation Register, which could be found on the SAFMH website. However, the pdf document had to be downloaded, completed and submitted back to the National Office. During a review of operational processes in 2012, it was recognised that this reporting measure was in fact a great barrier in itself, as it operated under a number of assumptions, including amongst others: • That Mental Health Care Users and their families had access to computers and the internet • That Mental Health Care Users and their families had the necessary computer skills and resources to download, complete and return the Human Rights Violation Register to National Office Furthermore, no clear processes for receiving, actioning and monitoring these Human Rights Violations were in place at the National Office, possibly because the number of Mental Health Care Users and their families actually utilising the Human Rights Violation Register was so low because of the abovementioned barriers. As a result, the National Office has decided to go through an extensive process in terms of reviewing existing reporting procedures across South Africa during 2013 - 2014. This includes consultation with Mental Health Care Users themselves and also a range of organisations: Mental Health Societies, Member Organisations, the Human Rights Commission, and the Human Rights Foundation. Furthermore, it will involve designing and implementing new reporting mechanisms, and then publicising these extensively to ensure that Mental Health Care Users and their families are aware of these new and improved methods for reporting Human Rights Violations.

20

South African Federation for Mental Health

Once these new mechanisms have been implemented, they will be monitored extensively and an official review of the new processes will be conducted to ensure that the new processes are in fact making a difference and are being utilised by Mental Health Care Users and their families.

Research Protective Workshops for Adults with Intellectual Disability Several of the Mental Health Societies provide day care for children with Intellectual Disability and receive a subsidy either from the Department of Health or Social Development, according to the daily attendance of children at these facilities. However, when these children turn 18, and in some cases 21, the subsidy is revoked and there are often no facilities for these persons with Intellectual Disability to attend and continue their stimulation and learning. This has in many cases led to Mental Health Societies establishing Protective Workshops to provide this much-needed stimulation and learning opportunities for adults with Intellectual Disability. These facilities are, however, in the minority and are mostly developed by the larger Mental Health Societies, who have the benefit of infrastructure and resources to run and manage such facilities. It was also reported that other Disability Organisations often accommodate persons with Intellectual Disability, but cannot always adequately provide the necessary stimulation for persons with Intellectual Disability. It was therefore decided to conduct a study of the number of such facilities and the services provided so that the results could be used to advocate for more of these facilities. It was decided to focus on Gauteng as a pilot study and then to consider similar research projects in the future, should the results prove it a necessity.


Upon completion of the study, it was found that Gauteng had quite a large number of facilities for persons with Intellectual Disability. However, in many of the cases there were a number of barriers in terms of accessing these services. These barriers included: • Outdated or unavailable contact details • Unclear descriptions about the services they deliver • In a number of cases, where the organisations were contacted to enquire about their services, staff answering the calls were unaware of what services the organisation provided, or were unable to effectively describe this over the phone The conclusion the National Office came to after conducting this study was that there were in fact services available for adults with Intellectual Disability in Gauteng. The majority of the services were, however, centered around the Johannesburg area, with fewer services available further away from Johannesburg. Yet, in many cases, the barriers to accessing these services were caused by the service providers themselves. Perceptions Study A critical assessment of our awareness campaigns was conducted in July 2012, which included looking at a) what SAFMH does, b) how we do it and c) why we do it. Stigma and discrimination was identified as having a great impact on the lives of those affected by Psychiatric Disability or Intellectual Disability, and because Mental Illness is often seen as an “invisible” condition, many people treat it with suspicion and disbelief. Against the backdrop of this assumption, two key questions that were raised in terms of SAFMH's awareness campaigns were:

The general approach that has been followed to date has been that the South African public needs to be educated with information on Psychiatric Disability and Intellectual Disability to address the issues of stigma and discrimination and promote knowledge on Human Rights. In other words, to address these challenges, the assumption was made that the public was ignorant about the facts surrounding Mental Health and that by educating them with facts, SAFMH would be able to positively change their behaviour. However, this view has been critiqued in terms of three main areas, namely: • It makes the assumption that the population is not educated about Mental Health related issues, without having clear evidence of this • It makes the assumption that stigma and discrimination, caused by a lack of education, persists as the main challenge to furthering the cause for Mental Health, without any concrete evidence that this is in fact the case • It makes the assumption that there is a positive correlation between being educated about Mental Health and being receptive to or sympathetic towards it The need for a national perceptions study on Mental Health in South Africa became evident. Such a study is aimed at providing clear indications to SAFMH, its partners and Government in terms of what their target audience looks like in reality and what perceptions it holds. I

• What exactly was the Federation aiming to address? • At which level was it pitching its campaigns?

Financial Period April 2012 - March 2013

21


It is believed that the benefits of such a study could be numerous: • It would enable SAFMH to focus its efforts much more effectively in the future and to have more clarity on where the focus for advocacy should be • It will assist Government in better utilising its funding for awareness and advocacy • The research project itself will serve as an awareness campaign • We will be engaging Universities across South Africa to see whether Social Work and Psychology students would like to participate in the research, specifically in terms of conducting fieldwork, thereby providing some practical experience to complement their studies • We will be exploring a wide range of other partnership opportunities within Civil Society and the corporate environment to ensure that the benefits of the project are as far-reaching as possible The project is anticipated to run over a 12 - 24 month period. It will potentially be followed up by another similar study at some point in the future, to determine whether perceptions had been changed. SAFMH is currently working alongside a range of partners, including Government and the Private Sector, to develop this project. However, due to the scope of the project, it is a very costly exercise, which will require large amounts of external funding (see page 32 for more information).

22

South African Federation for Mental Health

Resource Centre The National Office identified the need to reposition itself as a well-organised, effective Resource Centre on Mental Health related information for the public, Mental Health Care Users and their families, partner organisations and Government. The National Office ran a library a number of years ago. However, due to difficulties with funding, the then role of Librarian fell away and the information developed and collected by the National Office on an ongoing basis become somewhat fragmented. There was, however, an increasing number of enquiries and requests for information from the National Office over the past few years, which clearly highlighted the need to revive this function. However, this time the project would not just involve the cataloguing of information but also include the constant sourcing and development of new resources such as factsheets on Mental Health, along with building a reference resource to enable the National Office to have a large amount of Mental Health related information at its fingertips. Even though this project was only meant to commence in 2013 - 2014, the National Office has already started working on this during the last quarter of 2012. An online Resource Centre has thus far been developed. Due to the large volumes of information to sift through on a regular basis, a volunteer will be recruited to assist.

Financial Period April 2011 - March 2012


Governance The South African Federation for Mental Health answers at the highest level to its Board of Management. The Board of the Federation mandates the National Office to adopt the resolutions of the various committees and to report to the Board on a regular basis. The Board comprises of the President (independent expert), two Vice Presidents (independent experts), an Honorary Treasurer (independent expert), 9 Directors, 9 Provincial Reps, 9 Persons with Mental Illness and 9 Persons with Intellectual Disability. The Chairman is a non-executive officer to ensure objectivity, transparency and ethical management processes. The Chairman, office bearers and members are not remunerated for their services. The representation of Provincial Representatives on the Board of Management allows for stakeholders to make recommendations to the Board, which are then adopted as a mandate. The National Office is in the process of amending the constitution to ensure that Annual General Meetings are held to allow for greater participation of the community. Provincial Forums are being strengthened to also allow for greater participation at local level, which is then brought to Board meetings. Board meetings are held annually to report to stakeholders, partners, Mental Health Care Users and Government Departments on the activities and achievements of the National Office. The Annual Report and the Audited Financial Statements are presented at these meetings. The Federation follows strict policies in terms of monitoring and evaluation principles. The minutes of these meetings are circulated to all Board members.

Management Committee meetings are held every two months and reports and financial statements are presented to ensure regular monitoring and evaluation of the activities of the National Office. Site visits are also conducted by Government Departments and funders to monitor and evaluate projects undertaken. The Annual Report and Audited Financial Statements, together with a comprehensive narrative report, are also submitted annually to the NPO Directorate to ensure compliance with the NPO Act. A list of committees of the South African Federation for Mental Health is provided below: Board of Management: the highest decision making body that is fully representative of Service Providers, Mental Health Care Users, and experts in the field of Mental Health. Management Committee: tasked to ensure that the resolutions of the Board are put into action and to provide the necessary guidance and support to the National Office. Remuneration Committee: To provide guidance and oversight in terms of remuneration and HR issues of the Mental Health movement and the National Office. Pension Fund Committee: To ensure that the pension fund is managed in the interest of the members.

Financial Period April 2012 - March 2013

23


Human Resources The National Office is guided by current labour legislation, namely: • • • • • • • • • •

The Constitution (Bill of Rights) Labour Relations Act (LRA) Basic Conditions of Employment Act (BCEA) Employment Equity Act (EEA) Occupational Health and Safety Act (OHSA) Compensation for Occupational Injuries and Diseases Act (COIDA) Unemployment Insurance Fund (UIF) South African Qualifications Authority Act (SAQA Act) Skills Development Act (SDA) Skills Development Levies Act (SDLA)

The National Office has made the decision to outsource its Human Resource function to KMHR, which will be in place from 1 April 2013. In the past financial year the National Office dealt with two resignations, one dismissal and one abscondment. Staff turnover is often as a result of competitive salaries in the Private Sector. Sourcing skilled staff with a passion for the cause and retaining them is also a challenge. During the past year, the National Office has also been a victim of fraud. The necessary legal steps were taken and the situation was dealt with swiftly and efficiently. The demographics of our staff are representative of the South African population. Despite the limited budget, staff training is an essential component of capacitation of the staff to ensure that they are exposed to the latest developments in the field of Mental Health in order to continuously implement that knowledge in their work.

24

South African Federation for Mental Health

Long Service Awards Finance and Administration Clerk, Gloria Monare, was acknowledged for her 19 years of service to the National Office. Volunteers The experts and Mental Health Care Users are volunteers on the Board of the National Office. BEE Scorecard As we have a small component of staff, we are not legally required to register for BEE status. We currently have 8 staff members (1 Asian, 5 Black and 3 White). The National Office will, however, apply for a B-BBEE Verification Certificate in the new financial year as a benefit to our donors. Employment Equity The Federation strives to promote equal opportunity and fair treatment in employment through the elimination of unfair discrimination. Labour Practices and Decent Work A Human Resources consultant will review the Policy and Procedure manual of the Federation in the early parts of the new financial year to ensure that the rights of the staff are being upheld. The Federation supports local businesses and subcontracts to a number of SME's in order to support enterprise development.


The Green Element The Management of the National Office supports all initiatives that aim to ensure environmental conservation. We strive to reduce our impact on the environment by constantly focusing on ways to lower our carbon footprint. Recycling A paper-recycling project has been ongoing for many years. No formal record of recycling has been kept in the past and therefore it is not possible to calculate the positive impact these efforts have made on the environment. All electronic equipment that is no longer useable is discarded in a safe and environmentally friendly manner to reduce damage to the environment. A compost heap was started where all dried leaves and vegetable waste are buried in the garden. The swimming pool on the property was closed due to a dysfunctional pump and grass has been planted in its place. The lush and beautiful gardens attract the natural birdlife in the area.

Electricity Consumption The National Office is extremely cold during the winter months as the floor is covered in slate. Although the office has central under floor heating, the National Office does not use it, in order to save on electricity costs. However, staff have become ill more often and attempts are being made to obtain funding from donors for carpeting and curtains, which will help to make the offices warmer in winter. The geyser in the office has also been switched off so as to conserve electricity.Staff are also encouraged to switch off all electrical appliances at the end of each day to help with saving electricity. Water Consumption The National Office has a huge garden with indigenous plants and trees that do not require much water. The summer rainfall provides adequately for the plants and trees. The closing of the swimming pool is saving a huge amount of water. Fuel Consumption The office car is fuel-efficient as it has a 1,4l engine capacity. Trips are planned carefully and usually in advance, to ensure that fuel is not wasted.

Financial Period April 2012 - March 2013

25


Finance and Administration • • • • • •

With regard to the funding of operational costs, a detailed budget is approved and followed diligently. The National Lottery Distribution Trust Fund has in the past funded operational costs. However, our proposal for funding for 2011 was declined in January 2013. Operational costs are kept to the bare minimum. Securing funders for operational costs is a serious, ongoing challenge.

Various other smaller companies, funds and trusts donated smaller amounts, which are also appreciated as without these donors, Mental Health services will not receive attention and many individuals would not receive the help and attention they desperately need.

The Department of Health and the Department of Social Development provide partial funding towards Mental Health programmes. The support of these two Government departments is invaluable to the National Office. We strive to continually strengthen our relationship with them. The National Office is one of the beneficiaries of funding from the Disability Employment Concern. This funding assists with the daily costs of the National Office. We truly value this income on an annual basis. Other individual donors that contribute openheartedly to the cause of improving Mental Health service delivery in the country are:

26

Spartan Truck Hire Supreme Spring Systems (Pty) Ltd UIP Lantrust R Ginsburg Trust Fuchs Foundation

The monthly financial statements are reviewed to analyse trends and to assist in planning ahead for the future. The Management Committee evaluates these statements. A proactive approach is practiced to prevent problems from arising and systems are developed to deal with challenges.

South African Federation for Mental Health

Murray & Roberts were nominated for a special service award at our Awards Evening during our annual Board Meetings in September 2012, for their ongoing support of the Federation.

Communication with Donors Newsletters are circulated twice a year to inform donors of the activities of the National Office. It is regarded as a platform for feedback where donors can see how and where their pledges were spent. Donors are also invited to annual events such as our annual Feather of Hope Champagne Breakfast to celebrate World Mental Health Month and Day.


Direct Mail Income

Direct Mail

450,000 400,000 350,000

The income received from individual donors through our Direct Mail Programme is split and distributed on an equal basis between the National Office and Mental Health Societies. During the 2012/2013 financial year, an amount of R316,918 was raised and the Direct Mail Fund also received a bequest of R7,500.

300,000 250,000 200,000 150,000 100,000 50,000 0 2009

2008

2010

2011

Income

2012

2013

Casual Day

Bequests

Funds raised by the Mental Health Movement since Casual Day started in 1997 6.000,000 5.000,000 4.000,000 3.000,000 2.000,000 1.000,000

Casual Day is the National Office's largest annual fundraising campaign. Casual Day 2012 raised approximately R2 million more than the previous year. Organisations in the Mental Health field collectively sold 485 910 stickers, a total of 54 625 more stickers than the previous year. The amount received from Casual Day is R564,073 (a total of R250,707 less than the previous year) despite the increase in the sale of stickers.

2012

2011

2010

2009

2008

2007

2006

2005

2004

2003

2002

2001

2000

1999

1998

1997

0

Amount Raised

Casual Day - Funds raised by the National Office 800.000,00

600.000,00

The decrease in the distribution of Casual Day income was as a result of legal costs incurred by the National Council of Persons with Physical Disability. This is rather unfortunate as the Federation, together with the Mental Health organisations, have been the largest contributors towards the Casual Day Fundraising project. The National Office, who is one of the participating national organisations, received R203,144 less than the previous year. See attached graphs for an analysis of sales.

400.000,00

200.000,00

0 2007

2008

2009

2010

2011

2012

Amount Raised

Financial Period April 2012 - March 2013

27


Event: Annual Feather of Hope Champagne Breakfast The need for an annual high-profile fundraising event, unique to the South African Federation for Mental Health, has been evident for some time. In 2011, the first champagne breakfast and fashion show was successfully held at the beautiful Shepstone Gardens in Houghton, with the help of Mrs Rachel Tambo and Mr Jan Malan from Jan Malan Umzingeli and many other sponsors. The event was also a great platform in promoting World Mental Health Month and World Mental Health Day (10 October). In the light of the success of the first event, it was decided to continue with the organisation of another function in 2012. The date chosen was 10 October, which also happened to be World Mental Health Day. The event has grown in leaps and bounds over the past two years with more and more sponsors coming on board. It has become clear that over time, this annual event could grow into an event of national interest. The positive feedback after the event was proof of the success of the day as well as the guests and sponsors' eagerness to offer further assistance in the future. The media coverage received in the Sunday Times, Soweto TV, Morning Live and others, was encouraging. On the morning of the event, the National Office was invited to an interview on Morning Live to talk about the event and its purpose, which is to raise the profile of Mental Health and to promote World Mental Health Day. High profile guests such as representatives from the Department of Health, Mr Siphiso Phakati (Chief Director) and celebrity friends Lilian Dube, Dali Tambo, Peta Eggierth-Symes, and many others joined us on the day. 3 September 2013 will see the 3rd annual Feather of Hope Champagne Breakfast. We look forward to an even greater success this year.

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South African Federation for Mental Health


Financial Statements Although the Statement of Financial Performance for the year ended 31st March 2013 reflects a deficit of R277,289 after accounting for R53,389 which was fraudulently misappropriated, the overall result was satisfactory. The expenditure for Staff and Related Costs is less than the prior year. The reason for this is that the posts were vacant for part of the financial year. Expenditure relating to Water and Electricity, Motor Vehicle Expenses and Repairs and Maintenance has increased substantially as a result of tariff increases, petrol hikes and the ageing of assets, which require more and more maintenance. Other expenditure has been carefully controlled.

The Cash Flow has been managed prudently and interest earned has been maximised. The Statement of Financial Position reflects total reserves of R3,591,799. This is represented by Property of R1,862,570 and Cash of R1,729,229. The budget for the year 2013/2014 is a breakeven budget which has no income from the National Lotteries Board and relies heavily on income from DEC Funding and Special Projects to cover a potential deficit. If these funds are not forthcoming the Cash Reserves may have to be used.

Financial Period April 2012 - March 2013

29


Financial Statements Financial Report for the year ending 31 March 2013 SOUTH AFRICAN FEDERATION FOR MENTAL HEALTH (Registration No. 000-238 NPO) ANNUAL FINANCIAL STATEMENTS AT 31 MARCH 2013

Statement of Financial Position Note(s)

2013 R

2012 R

ASSETS Non-current assets Property, equipment and vehicles Investments Special funds investments

2 3 4

1,862,569 4,495,332 6,357,901

1,891,303 1,280,847 4,885,028 8,057,178

Current assets Receivables Cash and cash equivalents

5 6

458,746 1,372,441 1,831,187

425,022 495,645 920,667

8,189,088

8,977,845

3,569,368 3,569,368

3,095,051 774,036 3,869,087

4,495,332

4,885,028

27,583 4,467,749

559,351 4,325,677

124,388 4,619,720

223,730 5,108,758

8,189,088

8,977,845

Total assets RESERVES, FUNDS AND LIABILITIES Reserves Accumulated funds Revaluation reserve Liabilities Non-current liabilities Special funds Donations and funds for specific purposes - National Lotteries Fund - Other special funds

7

Current liabilities Payables Total liabilities Total equity and liabilities

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South African Federation for Mental Health

8


Financial Statements Financial Report for the year ending 31 March 2013 SOUTH AFRICAN FEDERATION FOR MENTAL HEALTH (Registration No. 000-238 NPO) ANNUAL FINANCIAL STATEMENTS AT 31 MARCH 2013

Statement of Comprehensive Income 2013 R

2012 R

1,215,965 531,766 684,199 34,400 1,000,000 229,993

3,199,367 2,467,459 731,908 52,604 899,500 238,546

2,480,358

4,390,017

331,087 2,756,104

1,496,329 2,721,046

3,087,192

4,217,375

13

(606,834)

172,642

3

8,810 298,305 307,115

93,226 212,198 305,424

(299,719)

478,066

Note(s) REVENUE Fundraising - National Lotteries Fund - Other sources Publications Grants and subsidies Sundry

Expenditure Special Advertising Campaign Operating expenditure

Operating Surplus / (Deficit)

9 7, 9 9 10 11

7, 12 12

Income from investments Fair value adjustment of held for trading investments Interest received

Surplus / (Deficit) for the year

Financial Period April 2012 - March 2013

31


Special Projects Requiring Funds Please refer to page 21 - 22 to read more about this important study, which the National Office is currently keen to launch. The cost of the study depends on the sample size chosen (the cost includes all research related costs such as development of tools, field work across SA, data collection and collation, report writing and overall management of project). For obvious reasons, the larger the sample group is the more representative the study will be of the South African public as a whole. We need your help to realise this project. • • • • •

Sample size 2000 - R2,248,594.12 Sample size 3000 - R2,677,750.09 Sample size 5000 - R3,534,608.53 Sample size 7500 - R4,495,536.54 Sample size 10 000 - R5,428,083.58

For more information or to make a contribution towards the launch and execution of the perceptions study, contact Leon de Beer on 011 781 1852.

Publicity Materials The National Office produces a large amount of publicity materials (leaflets, posters etc) on Mental Health-related issues, and distributes these to organisations and individual across South Africa as part of ongoing awareness work. However, most of the leaflets and posters are in need of an update and revamp to ensure that the National Office can continue providing high-quality, engaging information to those requiring it. An amount of R246,720 has been identified for this project.

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South African Federation for Mental Health

Support for Special Olympics The National Office has been invited to become a key role player in the Special Olympics project, specifically in terms of providing Mental Health related support, advice and information during the quarterly Healthy Athletes programme, which sees large-scale events taking place across South Africa, during which persons with Intellectual Disability (called “athletes” in this context) and their families can access a range of medical support services via a well-coordinated “onestop” event. Services at these events are provided at no cost by Healthcare Practitioners from across the country (who volunteer their services) and are done in a fun, friendly environment, with the conscious effort of removing the anxiety which persons with Intellectual Disabilities often face when having to visit doctors etc. At present, services provided via these events include: • • • • • • •

Eye tests General physical examinations General health and wellbeing Dental examinations Podiatry Physical therapy and fitness Hearing tests

The National Office has been invited to become the 8th area of focus during these events. For this, we would like to provide two members of staff per event to engage with persons with Intellectual Disability and their families. This will also involve the development of a booklet, which will capture a range of helpful info, which can be distributed during these events. An amount of R558,849,60 has been identified for this project, which will enable the National Office to secure its involvement in the project for an initial 3-year period.


Conference Centre If you are searching for a suitable venue for your next conference, workshop or business meeting, look no further. Our facilities are extremely affordable, modern, and conveniently located off Republic Road in Randburg. Available Monday-Friday between the hours of 8am-5pm, our Conference facilities offer: • Fully equipped conference rooms arranged to your needs whether you prefer open square, cinema style or schoolroom setting • Dining room where tea and coffee, as well as lunch can be enjoyed • Break-away rooms • Beautiful garden, which can also be used as a venue for specific functions between 8am-5pm weekdays Give us a call to discuss your preferences, arrange a guided tour of our amenities, or for a formal quotation contact Taryn White on 011 781 1852 or email taryn@safmh.org

Financial Period April 2012 - March 2013


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


SA Federation for Mental Health Annual Report