Palestine: Rehabilitation programme

Background and Project context

The Israeli-Palestinian conflict has been going on for more than half a century. An improvement or even a solution to the intricate conflict is still not in sight. In 2022 there have been more and more incidents, attacks and escalations. People are suffering from the situation and young people in particular find it difficult to see perspectives. Horyzon supports the young people in the Palestinian territory with two different projects: on the one hand with the Joint Advocacy Initiative and on the other hand with the rehabilitation programme.

Many young people in the Palestinian territory suffer from a disability that is often a direct result of the Israeli-Palestinian conflict. The hopelessness of the conflict, clashes between the different parties and the everyday violence lead to mental or physical injuries. The resulting disabilities can be psychological, for example in the form of depression or trauma. However, many also suffer from a physical handicap such as paraplegia or visual impairment. Some young people have been living with a physical disability since birth. There is a lot of discrimination against people with disabilities in the Palestinian population. Horyzon's rehabilitation programme aims to create equality for these young people. Equality is to take place in Palestinian society on the social, economic and political levels. To achieve this, the young people are accompanied in therapies. They learn different coping mechanisms and increase their psychosocial well-being. They are also given the opportunity to participate in vocational training and tutoring programmes. There, for example, they complete an assessment in which their strengths and abilities are shown to them. In this way, the young people get to know themselves better and discover their interests. Afterwards, they can decide which career direction they would like to pursue. In the reintegration programme, the young people receive valuable support in finding an apprenticeship, or they can open their own small business with organisational and financial help.

Target Groups

Every year, nearly 600 children and young people with disabilities and trauma throughout the West Bank benefit as direct beneficiaries from the services of the YMCA East Jerusalem (Young Men's Christian Association). Over 100 beneficiaries improve their income opportunities and increase their economic self-sufficiency. In addition, around 200 therapists from the YMCA East Jerusalem and other organisations receive further training each year.

Aims

The ultimate goal of the project is for people with physical and mental disabilities to be better integrated into society in all aspects of life and thus to be able to actively contribute to society. The three project components are:

  • Psychosocial counselling services and support for relatives
  • Educational and vocational reintegration
  • Awareness raising and public relations

Locations

Activities & Effects

Psychosocial Counselling Services and Support for Relatives

Activities
  • Adolescents receive psychosocial counseling and trauma therapy.
  • Caregivers are trained by therapists in dealing with children and adolescents with disabilities.
Effect

Adolescents as well as children and young adults with disabilities or trauma can better cope with their impairment/trauma.

Educational and vocational reintegration

Activities
  • Support/tutoring for children who have dropped out of school due to their impairment/trauma.
  • Construction of handicapped accessible homes for the beneficiaries and at public facilities, such as schools.
  • Financial contributions for necessary medical aids (e.g., wheelchairs, walkers) and medical treatments (e.g., physical therapy).
  • Vocational counseling, job skills clarification and manual training at the YMCA Vocational Training Center.
  • Provided start-up capital for newly established small businesses by young people with impairments.
Effect

People with impairments are better integrated in Palestinian society and have improved access to education and employment.

Awareness Raising and Public Relations Work

Activities
  • Developing the capacity of other disability organizations in awareness and advocacy through the YMCA Advocacy Coordinators.
  • Organization of public awareness campaigns carried out by people with disabilities.
  • Publication of position papers and lobbying activities with the government, private sector and civil society for better respect of the rights of people with impairments.
  • Conducting education and training for therapists from YMCA East Jerusalem and other organizations in the region.
  • Participation and co-organization of national and international trainings and conferences on topics such as rehabilitation, trauma care and rights of people with disabilities.
Effect

The rights of people with disabilities in Palestine are better respected in all aspects of life.

Results 2022

Psychosocial Counselling Services and Support for Relatives
  • 525 young people with disabilities and/or trauma and their family members have received effective psychosocial and therapeutic support.
  • 327 family members have been sensitised to the needs and rights of people with disabilities.
  • 78% of all beneficiaries have improved coping mechanisms to deal with their trauma or mental health problems.
  • 85% of the sensitised parents have increased their awareness of their children's needs and rights and are better able to deal with their children's needs thanks to the project.
  • 78% of the beneficiaries stated that their quality of life has improved thanks to the programme.
Educational and vocational reintegration
  • 146 beneficiaries were supported in school reintegration.
  • 162 beneficiaries were able to improve their income opportunities and increase their economic independence.
  • 98 people received financial contributions for necessary medical aids (e.g. wheelchairs, walking aids) and treatments (e.g. physiotherapy).
  • The construction of 26 handicapped-accessible entrances at beneficiaries' houses (e.g. ramps, toilets) as well as at a public institution was financed.
Awareness Raising and Public Relations Work
  • 20 awareness-raising campaigns were conducted on the following topics: Rights of persons with disabilities to health care; raising awareness of the needs of persons with disabilities, especially persons with mental disabilities; adapting menus in restaurants and cafés to Braille; the right of persons with disabilities to equal employment; the right to education without discrimination; accessible school buildings and educational materials; the right of persons with impairments to access safe, affordable, accessible and sustainable transport systems for all, especially in terms of accessibility and mobility; and targeting drivers of public transport and taxi stations to highlight and emphasise the right of persons with impairments to move with dignity.
  • 2'559 people were educated about the needs and rights of people with disabilities through awareness-raising campaigns.
  • 88% of the trained therapists and psychology students stated that the trainings were useful for them and that they will put the acquired knowledge into practice.
  • A change at the policy level has been initiated in favour of people with disabilities: Significant progress has been made to ensure that people with disabilities can exercise their right to political participation. Ahead of the local elections in March 2022, the rehabilitation programme, in collaboration with the Union for Persons with Disabilities, presented a demand paper for accessible polling booths and voting aids that can be used by persons with disabilities without barriers. Based on this paper, the Palestinian Central Election Commission issued a series of measures to facilitate voting for persons with disabilities. To this end, 22 inaccessible polling stations were moved to other, more accessible locations. In addition, the Election Commission released a video on the voting process for persons with disabilities.

Results 2021

Psychosocial counseling services and support for relatives
  • 678 young people with impairments and/or trauma and their family members have received effective psychosocial and therapeutic support.
  • 371 family members were sensitized to the needs and rights of people with impairments.
  • 78% of all beneficiaries have improved coping mechanisms to deal with their trauma or mental health problems.
  • 82% of the sensitized parents have increased their awareness of their children's needs and rights and are better able to deal with their children's needs thanks to the project.
School and professional reintegration
  • 108 beneficiaries were assisted in school reintegration.
  • 163 beneficiaries were able to improve their income opportunities and increase their economic self-sufficiency.
  • 75 people received financial contributions for necessary medical aids (e.g. wheelchairs, walking aids) and treatments (e.g. physiotherapy).
  • The construction of 30 handicapped access points at beneficiaries' homes (e.g., ramps, toilets) and at a public facility was funded.
  • 61% of beneficiaries have gained access to further education and/ or a professional activity. In addition, 87% stated that their quality of life has improved thanks to these measures.
Awareness-raising and public relations
  • 15 awareness-raising campaigns were conducted on the following topics: Strengthening the rights of people with impairments regarding access to education, health, decent employment, public facilities and public transport, and strengthening the rights of detained children during arrest and interrogation.
  • 1,618 people were educated about the needs and rights of people with impairments through awareness campaigns.
  • 91% of the trained therapists* and psychology students stated that the trainings were useful for them and that they will put the acquired knowledge into practice.
  • Two policy-level changes were initiated in favor of people with impairments: The engineering union committed to making all of its offices accessible to people with impairments. The Ministry of Transport and the cab drivers' union decided that in the future only cab drivers who can be identified by a "Braille license plate" will be certified.
Emergency project
  • 31 young people, who suffered especially from the political tensions in East Jerusalem, worked through the experiences of the past months during 3 weeks with art and music therapy. In addition, they were trained in life skills such as conflict resolution, communication, self-confidence, teamwork and leadership.
  • 81% of the participating youth stated that their quality of life had noticeably improved thanks to the project.
  • 80% of the young people said that the skills they had learned would help them to cope better with future challenges in life.



Results 2020

Psychosocial counselling services
  • 657 persons received effective psychosocial and therapeutic support. 
  • A total of 9,139 therapy sessions were conducted.
  • 220 parents took part of family therapy.
School and vocational reintegration
  • 415 young people were supported in their professional reintegration.
  • 12 young adults were supported in setting up their own small business.
  • 322 young people received vocational consultation and 49 completed their vocational training.
  • 113 children were supported in their school reintegration through remedial teaching.
  • 208 people were integrated in a school institution.
  • 249 people received urging medical support
Awareness raising and public relation work
  • 15 youth groups conducted community initiatives addressing rights and awareness issues.
  • 5'542 people were reached with 32 awareness raising activities.
  • 9 Memoranda of Understanding on improving access to employment for people with disabilities have been signed with the private sector.
  • 42 workshops on the rights of people with disabilities were carried out. 
  • 15 groups of young people executed community initiatives which were about rights and awareness.
Continuing education for therapists
  • 340 people took part of an intern or extern training. 84 were university students, 207 were beneficiaries and 30 were employees

Results 2019

Psychosocial counselling services
  • 978 persons with impairments/traumas, of which 731 or 88% were young people aged 12-25 years, received effective psychosocial and therapeutic support. 91% of the treated children and adolescents report, after completion of the therapy, that they are better able to cope with their trauma or impairment and 97.5% feel a noticeable improvement in their quality of life.
  • A total of 9,387 therapy sessions were conducted.
  • In order to ensure the mobility and independence of the beneficiaries, support was provided for 36 structural adjustments in residential buildings (e.g. construction of wheelchair-accessible ramps at the entrance, conversion of WC/bathroom).
  • 69 beneficiaries received medical aids such as prostheses, walking aids or wheelchairs.
  • Physiotherapy was organised for 13 people with physical disabilities.
School and vocational reintegration
  • 704 young people were supported in their professional reintegration.
  • 12 young adults were supported in setting up their own small business.
  • 128 young people received vocational training (e.g. IT, mechanics, design, sewing, etc.)
  • 127 children were supported in their school reintegration through remedial teaching.
  • 26 children and young people with physical disabilities were supported in their mobility and independence by adapting buildings.
Awareness raising and public relation work
  • 5'542 people were reached with awareness raising activities.
  • 9 Memoranda of Understanding on improving access to employment for people with disabilities have been signed with the private sector.
  • Together with the Palestinian Disability Coalition, various activities and workshops were carried out on the topic of "Protection from violence for women with disabilities.
  • Together with the National Alliance for the Employment of People with Disabilities, a conference on "Vocational training for people with disabilities" was organized.
Continuing education for therapists
  • 88 project staff members participated in training courses from the YMCA East Jerusalem and other organisations.
  • 7 employees took part in training courses abroad lasting several days
  • 36 Palestinian students of psychology and social work completed a 4-month internship in the reintegration programme.
  • 94.6% of the trained and further trained therapists apply newly acquired knowledge and skills in their work.

Results 2018

Psychosocial Counselling Services

  • 579 people with disabilities/trauma (Objective 600), of whom 445 or 77% were young people aged 12-25 years, received effective psychosocial and therapeutic support.
  • 7,047 individual therapy sessions were held.
  • In order to ensure the mobility and independence of the beneficiaries, 36 structural adaptations in residential buildings (e.g. construction of wheelchair-accessible ramps at the house entrance, conversion of WC/bathrooms) were supported.
  • 64 beneficiaries received medical aids such as prostheses, walking aids or wheelchairs.
  • Physiotherapy could be organised for 18 people with physical disabilities.

School and vocational reintegration

  • 334 beneficiaries (Objective 300) improved their opportunities to be economically active.
  • 94 beneficiaries were able to complete vocational training in their own workshops or in an external company.
  • The programme was able to find 40 beneficiaries a job with private companies.
  • Individual career counselling was provided to 191 beneficiaries, 92 of whom were reached thanks to the mobile counselling unit.
  • The programme supported the development of 9 small businesses, which are run independently by beneficiaries. Of these, 3 were initiated by women.
  • Thanks to remedial education for 199 beneficiaries and transport assistance for 20 beneficiaries a total of 199 young people were able to return or continue to attend school/university.

Awareness raising of families and society

  • The family members were included in the therapies and consultations (Objective 1,500 persons; the exact number of family members was not recorded).
  • 67 meetings were held with other NGOs also working in the fields of health and people with disabilities.
  • At 2 meetings with the Ministry of Labour, a list of indicators suitable for the disabled was proposed.
  • 81 workshops and information events were held to raise awareness of the needs and rights of people with disabilities.
  • 27 activities were carried out in schools and universities with the same aim. As a direct result, support committees have been established at 14 schools to promote the rights of pupils with disabilities.
  • 26 leisure and relaxation activities were carried out for traumatised children and their parents.
  • A total of 5,142 people were reached through awareness campaigns.

Continuing education for therapists

  • 99 therapists in the reintegration programme have undergone further training.
  • 171 therapists from other organisations were trained and further educated.
  • 27 students from the fields of social work and psychology completed a four-month internship in the reintegration programme.

SRF mitenand: Palestinian Youth - Rehabilitation after trauma

Palestine
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Further information

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Facts about the program

Title: Rehabilitation Program
Partner organization: East Jerusalem YMCA
Locations: Bethlehem, Hebron, Jenin, Nablus, Ostjerusalem, Qalqilia, Ramallah, Salfit, Tulkarem und Tubas
Objective: Supporting children and young people with disabilities in their social and professional reintegration, improving mental health through therapeutic offers and preventive measures
Target group: Nearly 600 children and young adults with physical and mental disabilities and their caregivers each year
Required funds 2023: CHF 275'000
Duration: Project exists since 1993, current phase: 2021 - 2024
Responsible: Isabelle Aebersold, isabelle.aebersold@horyzon.ch

Facts about Palestine

Population: 4,9 million (2021)
Capital: East Jerusalem
Human Development Index: 0,715 (rank 106 of 191)
Life expectancy: 73,5 years (2022)

Source: Human Development Report