Title: EUropean Refugees-HUman Movement and Advisory Network

The international refugee crisis has reached a critical point and many European countries are developing policy and plan to better define their role in supporting refugees entering Europe. The aim of this proposal is to enhance the capacity of European member states who accept migrants and refugees in addressing their health needs, safeguard them from risks, and minimize cross-border health risks. This initiative will focus on addressing both the early arrival period and longer-term settlement of refugees in European host countries. The existing European and international experience will be systematically reviewed to identify effective interventions to vulnerable groups and tools for the initial health care needs assessment of the arriving refugees including mental, psychosocial and physical health. Established approaches including Participatory and Learning Action and Normalization Process Theory will be used to gain new understanding regarding the needs and opinions of both refugees and stakeholders in regards to the measures needed for health care assessment, and preventive activities including vaccinations, general health hygiene measures, chronic disease management, and psychosocial support. The content of the services that an early or late hosting multi-disciplinary center could offer in the countries that they will accept refugees will be discussed and defined by an international expert panel. Clinical protocols, guidelines together with health education and promotion material and as well as a training programme will be developed for staff serving the refugees and migrants health care centre and tailored protocols and pilot testing in six implementation settings in Greece, Italy, Croatia, Hungary, Austria and Slovenia with contribution from experts and stakeholders from Turkey, Cyprus, Ireland and Belgium. Finally, all these efforts will be evaluated and a final report for implementation in Europe.
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The general objective of the project is to support EU Member States (MS) under particular migratory pressure in their response to health related challenges. Specific objectives of the project are to support MS’s coordination, assessments, planning of a public health response, fostering access to health care and capacity building efforts through training of health workers. Target countries are Bulgaria, Croatia, Greece, Hungary, Italy, Romania, Slovakia, Slovenia (first arrival and transit countries); Austria, Belgium, Denmark, France, Germany, Malta, Sweden, The Netherlands (traditional destination countries); and Portugal, Poland, Spain (new destination countries). The ultimate beneficiaries are registered and unregistered refugees asylum seekers and other migrants, while direct beneficiaries are the health systems of each EU MS and their health workers. The project will contribute to meeting the objectives and priorities of the Annual Work Programme 2015. SH-CAPAC is being submitted by 7 European health institutions, 6 of them have developed the EU-funded MEM-TP project under the same lead institution (EASP, Spain). The partners will function as a collective entity for developing the necessary instruments and tools through a division of labour; carrying out regional advocacy and capacity building activities; conducting site visits to target countries for specific technical assistance; coordination activities with national health authorities and other relevant national stakeholders as well as with relevant international organisations and the EU. The project comprises 6 WP -including different tools and instruments to be developed- which are organized as a set of processes that will be structured as complementary, intertwined and synergistic streams of work, mutually reinforcing each other. They are intended primarily to support MS to strengthen their health systems for addressing the health needs of the refugee, asylum seekers and other migrant populations.
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Official WHO statistics show that people with intellectual disabilities have a poorer overall health status, have lower educational access, experience barriers in daily life, particularly in access to health care and health education [SEC(2006)410]. Key risk factors for poor health issues have been documented such as no specialized disability training for health professionals, a lack of physical activity, limited access to basic health care services, and an overall lack of understanding on Intellectual Disability by the medical/clinical community.
In summary we can point out that people with intellectual disabilities*:

• have a wide range of chronic and acute health issues and conditions. In many instances, more frequent and severe symptoms than the general population.
• are twice as likely to have significant visual problems and at much younger age.
• are hardly ever engaged in vigorous physical activity and find it difficult to make themselves understood when speaking with health professionals.
• health conditions are may be similar to the general population, the impacts can be greater on those with ID.
• Experience higher mortality rates as a result of higher rates of cardiovascular diseases.

The general objective of SOEEF is to provide year around training and competition as well as well-being and health care initiatives for athletes across the EU 28.Furthermore the goal is to expand the network of trained coaches and health care professionals through training model, seminars and meetings. The ultimate goal is to engage more athlete, families, service providers and further stakeholders into Special Olympics programs to guaranty the growth of sport, well-being and health opportunities throughout the EUan as well as have positive impact on health and well-being of people with ID in general.

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