Annual Review 2014
Arq Psychotrauma Expert Group
Annual Review 2014
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Arq Psychotrauma Expert Group
Care when needed
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Prevention where possible
Arq annual review 2014 | 1
Arq
Arq Psychotrauma Expert Group
The founding of Arq Psychotrauma Expert Group took
place in 2007, on the initiative of Foundation Centrum ’45.
Over the years, nine institutions have joined the group, all of
which are engaged on the impact of overwhelming events
or psychotrauma even as each works in its own field and in
its own manner. Arq brings together the partners’ specialisms, facilitates and connects. In addition, Arq works to initiate and drive the public discourse on this matter. Arq has
grown into an internationally leading group of experts on the
subject of overwhelming events and psychotraumatology to
benefit individuals, organisations and society at large. Arq
deploys its knowledge and experience in its commitment to
prevention, care and support.
In order to structure its research, Arq has opted to work
with eight development areas linked to the various stages
of psychotrauma. These are: Resilience & Intervention,
Aftermath of Crises & Disasters, Screening & Diagnostics,
Evidence-based Treatment, Complex Trauma, Child &
Family and Trauma and Diversity & Trauma, Mental Health
and Psycho Social Support in Emergencies (MHPSS).
The partners in Arq support, stimulate and inspire each
other in their work.
Arq brings its partners synergy in the field of facilities
management and on the subject of psychotrauma care. Arq
pools, develops and disseminates knowledge and provides
specialist services and care. Below you will find numerous
projects and initiatives of major social relevance that have
been realised; themes include terrorism, radicalisation,
e-health, care to undocumented migrants and support to
survivors of the MH17 air disaster.
The present level of knowledge development, scientific research and efficiency is due to the supporting infrastructure
of Arq Psychotrauma Expert Group. Scaling up and sharing
resources have played a major role here. Arq has not only
put thinking about prevention and enhanced tie-up within
the chains on the agenda but has also promoted this in
an exceedingly positive manner. On the basis of research
findings, interventions and policy recommendations can
be taken to a higher level and any shortcomings in care services and policy analysed. At the same time, new research
questions can be formulated from the actual practice of
care-giving. What is it that we know, and do not know?
What gaps are there in our knowledge? What incorrect
assumptions are we working on in the areas of care-giving,
prevention and policy? This is manifestly a two-way street:
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research nourishes care while care encourages research.
It is in this way that scientific research bridges the gap between practice and science. After all, the role Arq aspires to
fulfil is one of connecting, reinforcing and supporting.
Arq seeks to acquire a place as an internationally respected
research institute by seeking answers to such important
questions as: How should we diagnose and treat the
problems of seriously traumatised survivors of violence and
terror, and can we predict these problems? How could we
enhance recovery mechanisms? What is the nature of the
interplay between biological and psychological processes
and how do we apply research-based insights as to care
and prevention in everyday practice?
The past year proved a most productive year for Arq in
terms of hallmark research. In May the conference ‘The
Impact of Great Wars and Beyond. Medical and Military
Psychotraumatology: Past, Present and Future’ was held in
Leiden’s St Peter’s Church. On 23 May Prof H.G.J.M. (Eric)
Vermetten delivered his inaugural lecture as he took up the
position of professor by special appointment at Leiden University/LUMC. In November Prof M. (Miranda) Olff, who had
earlier chaired the ESTSS, was elected chair of the ISTSS.
Staff and professors produced a constant flow of publications on such subjects as child abuse, the efficacy of emergency relief aid in war and disaster areas, the importance
of the hormone oxytocin in reducing trauma reactions,
problematic grief reactions and care for deployed soldiers.
Important was also the further underpinning of the concept
‘Complex PTSD’ through diagnostics, treatment and deliberate policy. With the publication of the book on Narrative
Exposure Therapy Arq invested in the further enhancement
and innovation of psychotherapy. It is the high-profile, hallmark quality of all this research that draws relevant societal
parties such as ministries and mental healthcare institutions
to Arq, to request its support and advice.
Organizational Chart Arq Psychotrauma Expert Group
Foundation Arq
Supervisory Board as on 31-12-2014
F.W. Weisglas MSc, chair
J.B.M. Streppel MSc, member
Ms M.L. Bot MSc, member
J.J.M. Goderie MSc, member
R.J. van der Kluit LLM, member
Raad van Bestuur
J.W. Reerds MSc, MBA, chair
J. Schaart MSc, MHA, member
Foundation Arq Psychotrauma Research
Professors
Prof R.J. Kleber
Prof M. Olff
Centrale Ondernemingsraad
Prof H.G.J.M. Vermetten
Ms P.H. Laban, chair
Prof em. B.P.R. Gersons, adviser
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Knowledge and Research Partners in Arq
IMPACT
Impact
—
• Commemorative medal MH17 (photo: Erik Kottier)
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Knowledge and Research Partners in Arq
Impact
Impact is responsible for gathering and documenting
the knowledge and research about psychosocial care
and safety following overwhelming events. It is on the
basis of this knowledge that Impact advises survivors
and other interested parties on how to enhance resilience and reduce negative consequences. The MH17 air
disaster played a major part. All activities centre around
organising high-quality psychosocial care for survivors
and enhancing the resilience of high-risk organisations
and their staff. Impact translates, besides the practical
advice it tenders, (inter)national scientific research into
everyday clinical practice, and vice versa. In Arq, Impact
coordinates the development areas Resilience & Intervention and Aftermath of Crises and Disasters.
Social positioning
In Arq, Impact is a collaborative partner pur sang, seeking
collaboration with IVP on the subject of crisis and aggression management and with Foundation Centrum ’45/PDC
on INPREZE, the knowledge platform internet applications
for prevention and self-help in mental healthcare, and the
Aftercare Contact Point for the bereaved following the
MH17 disaster.
Over the past years, Impact has become ever widely engaged on psychosocial care and safety following shocking
events. However, the air disaster in the Ukraine forced
Impact to focus on its main objective: providing advice
and support to, here, the Ministry of Health, Welfare and
Sport, the Ministry of Security and Justice and to aid organisations involved in the disaster. The Arq Crisis Team, in
which Impact takes part, first of all organised, together with
Victim Support Netherlands [Slachtofferhulp Nederland],
the establishment of the Information and Referral Centre
[Informatie- en Verwijscentrum, IVC]. The Information and
Referral Centre (IVC) enables bereaved to seek immediate
psychosocial care. Next, and at the behest of the Ministry
of Health, Welfare and Sport, Impact created the Aftercare
Contact Point [Nazorg Contactpunt, NCP] for the support
of staff of Victim Support Netherlands, GPs and other care
givers of the bereaved. The Aftercare Contact Point (NCP)
constitutes a unique service in Europe. Impact further provided advice on the organisation of the widely appreciated
National Commemoration of the MH17 air disaster. At the
request of the Ministry of Health, Welfare and Sport, Impact
wrote the aftermath plan MH17 in line with the Multidisciplinary Guideline Psychosocial Care after Disasters and
Crises.
IMPACT
Activities in 2014
In January Impact presented the revised Multidisciplinary
Guideline Psychosocial Care after Disasters and Crises at
a conference organised by the Dutch National Institute for
Public Health and the Environment (RIVM). In consultation with the Community Health Services [GGDs], Impact
composed a practical tool for the use of Community Health
Services based on the guideline. Together with the Dutch
National Institute for Public Health and the Environment,
Impact organised four Psycho-Social Care [Psychosociale
Hulpverlening, PSH] knowledge circles. Besides, a PsychoSocial Care Study Group as well as a Psycho-Social Care
Programme Council were created to gather and answer
queries from the field. The EU programme OPSIC, in its
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turn, amasses, processes and incorporates these data into
the Operational Guidance System for crisis managers. Other
participants, apart from Impact, include the Danish Red
Cross, the Netherlands Organisation for Applied Scientific
Research [TNO] and the AMC. With the ‘Blueprint Management Psycho-Social Care Organisations in the Netherlands’
[‘blauwdruk inrichting PSH organisaties in Nederland’] in
the offing, psychosocial care will again be in the limelight in
2015.
Always grounding its activities in its belief in people’s natural
resilience, Impact seeks to support and enhance resilience.
Based on this principle, the INPREZE project explores online
applications to enhance resilience. At the INPREZE Arq
autumn symposium Impact presented an integral resilience
model.
Results
Impact and its staff had a busy and exciting year of it.
Despite the departure of two employees in the course of
the year, the one because of a career change and the other
due to cutbacks in funding for a project, the team found
itself once more at full strength towards the end of the year.
The year closed with favourable trading results at € 8,570
with total turnover amounting to € 1,500,000. This signifies
a decrease in turnover by 19% compared to 2013. This
decrease is caused by cutbacks in subsidies for institutions
and lower other subsidies.
Further, Impact compiled the report ‘Governance in Action’
[‘Bestuur in Actie’] from the Safe Public Work programme
as well as the ‘Implementation Monitor Guideline Uniformed
Services’ [‘Implementatiemonitor Richtlijn Geüniformeerden’]
for the Ministry of Security and Justice. In addition, Impact
and the Netherlands Organisation for Applied Scientific
Research developed a self-screener for child porn and
vice squads, as part of the Police Resilience programme.
Autumn marked the centre-staging of the Interventions
Aggression Management project of the Safe Public Work
programme. Two pilots of this project are scheduled for
next year, to be carried out at Dutch Railways and Nieuw
Amstelrade.
Following the successful completion of the Terrorism and
Radicalisation (TERRA) project, the European commission
committed to TERRA II. The TERRA toolkit is meanwhile
being put to good use in schools and youth work agencies.
By extension, Impact worked, with Arq, to create public
support for setting up the successful Berlin HAYAT family
programme in the Netherlands. This programme seeks to
support relatives of radicalised youth and people travelling
to Syria. Impact also joined the Radicalisation Network for
survivors of terrorist attacks.
Impact
Director
A.N. Drogendijk, PhD
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Knowledge and Research Partners in Arq
COGIS
Cogis
—
• Cogis library; knowledge transfer
Arq annual review 2014 | 9
Knowledge and Research Partners in Arq
Cogis
National knowledge institute Cogis not only develops,
amasses and spreads knowledge and information
among educational institutes, universities and the
general public, it also advises and supports care givers
in their work. It fulfils a major role in the recognition of
the victims of WW II and their relatives. After all, their
experiences are of great importance for the approach
of present-day survivors of war, violence and disasters.
Social positioning
Organisationally, Cogis is merged with Foundation Impact.
Cogis brings its knowledge of war and violence to bear
on topical themes such as radicalisation. But Cogis also
developed its network function. Arq partners Foundation
Centrum ’45, Foundation 1940-1945 and Pelita Foundation,
and Cogis strategically joined forces within the Arq WW II
programme. Cogis is to actively involve such organisations
as the Central Organ Former Resistance and Victims
(COVVS), the National Committee for 4 and 5 May and
the NIOD Institute for War, Holocaust and Genocide Studies
in 2015 in the programme.
For the Point of Contact Postwar Generation (POC), Cogis
worked in collaboration with Foundation Centrum ’45,
Foundation 1940-1945 and Pelita Foundation. The POC
seeks to enhance the immaterial care to children of war
victims. The POC occasionally enlists a care giver from its
own ranks but mostly refers clients for further treatment.
The POC also fulfils an advisory function in the matter of
the Temporary Psychotherapy Reimbursement Scheme
for the Post-War Generation (TVP), in which scheme the
Ministry of Health, Welfare and Sport and the Pension and
Benefit Board, part of the Sociale Verzekeringsbank, are
also involved.
Visitor numbers for the Cogis library, which collects and
opens up material on the theme of psychosocial consequences of overwhelming events, PTSD, radicalisation and
terrorism, are on the increase. Users mainly include the
partners in Arq and organisations connected with WW II.
Literature studies take place regularly. Cogis further integra­
ted both the book collections acquired in the past and the
Impact knowledge bank.
COGIS
The Psychotrauma Net (www.psychotraumanet.nl) neared
its completion. This digital knowledge network enables
Cogis to disseminate its knowledge in yet another manner,
and one that is easily accessible. Very different target
groups can do an easy search by relevant theme. Its linkage
to the Psychotrauma Net ensures that Cogis library’s knowledge is always up-to-date.
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Activities in 2014
The Point of Contact Postwar Generation processed 29
requests under the Temporary Psychotherapy Reimbursement Scheme and provided advice in 34 cases.
Cogiscope magazine was published four times, with a
circulation of 900. The magazine informs about the psycho
social consequences of overwhelming events and the care
provided for victims and survivors. Attention was also given
to the workload that people who are recurrently involved in
the aftermath of such events have to cope with. A special
edition focused on the MH17 disaster and the National Day
of Commemoration.
Results
Naturally, Cogis records its activities in the annual accounts.
These show the results for the past fiscal year to be € 5,297
deficit. Total turnover amounted to € 728,293, which signifies an increase of € 18,990 compared to the year before.
This is in connection with payment that Cogis received
for organising the One WW2 conference. The subsidy for
institutions received from the Ministry of Health, Welfare
and Sport amounted to € 647,874. Turnover was also
generated from courses, conferences, library services and
subscriptions to Cogiscope.
Further, Cogis trained care givers and volunteers in nursing
and old people’s homes in how to deal with war victims.
A contribution from Foundation 1940-1945 enabled Cogis
to once again offer training to volunteers working in hospices. In addition, Cogis trains groups of professionals who
are repeatedly confronted with overwhelming events. Cogis
developed the course Mental Health Care and Trauma in
collaboration with the Free University and Tilburg University.
Among the events organised by Cogis were the presentation of the Multidisciplinary Guideline Psychosocial Care
after Disasters and Crises, the Arq Spring symposium on
Narrative Exposure Therapy, the congress in the light of
the inauguration of Prof Eric Vermetten, the Arq Autumn
symposium in collaboration with INPREZE Resilience Online
and the One WW2 conference, organised together with
the COVVS, Indisch Platform and Pelita Foundation. This
last conference resulted in a publication describing the
presentations and findings of the conference. Last, Cogis
organised, in collaboration with the National Committee
for 4 and 5 May and Centrum ’45, the experts’ day Family,
Generations and War.
Cogis
Director
A.N. Drogendijk, PhD
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Knowledge and Research Partners in Arq
WAR TRAUMA FOUNDATION
War Trauma Foundation
—
• Sudan: women participate in a narrative theater event – a collaboration with Ahfad University for Women
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Knowledge and Research Partners in Arq
War Trauma Foundation
War Trauma Foundation (WTF), being a knowledge
organisation, carries out its work in cooperation with
many other parties. This cooperation starts close to
home, with the partners in Arq Psychotrauma Expert
Group. Conflict countries is where WTF undertakes its
activities, giving the organisation a strong international
focus. Together with, among others, universities,
NGOs and governmental organisations, WTF gains
and develops knowledge of and experience with
psychosocial support for individuals and communities
traumatised by war and violence. War Trauma
Foundation considers enhancing people’s resilience and
increasing their self-confidence to be of the essence,
and the dissemination of knowledge and ‘best practices’
in Mental Health and Psycho Social Support (MHPSS) to
be crucial.
War Trauma Foundation
Director
WAR TRAUMA FOUNDATION
M. Schouten, MPH
Committee of Recommendation
H.H.J. Dijkhuizen (former Chair Board of Directors KPMG)
P.J.A.M. Jongstra RA (former Chair Board of Directors Ernst
& Young)
Prof R.F.M. Lubbers (former Prime Minister)
P.W. Moerland PhD (former Chair Board of Directors Rabobank
Nederland)
Social positioning
We see images of displaced people in the Central African
Republic, migrants in Mexico, survivors and victims of the
Ebola epidemic, refugees in Syria, Iraq, of refugees washing
ashore on Europe’s borders. How do local authorities and
humanitarian organisations in these conflict areas cope with
the large-scale traumatic events and what is WTF’s role in
this? WTF trains care givers and develops training courses
in increasing psychosocial skills. WTF links up science and
research with hands-on care work through its publication of
Intervention: the International Journal of Mental Health and
Psychosocial Support in Conflict Affected Areas. An external evaluation of the magazine resulted in an action plan to
increase the number of authors and readers from low and
middle income countries.
Worldwide, WTF works in collaboration with, among others,
the World Health Organisation (WHO) and the International
Organisation for Migration (IOM) Geneva. WTF is regularly
invited by international humanitarian organisations to share
its expertise in MHPSS. This may take the form of Psychological First Aid training for such international organisations
as the London-based Plan International, Handicap International in Lyon or the Pisa Summer School, or may involve
training staff from organisations based in Pakistan, Mongolia
and North Iraq.
Depletion of resources and the changing role of social
organisations in times of crisis have induced WTF to reconsider its positioning as a knowledge organisation. Nevertheless, developing knowledge about the psychosocial impact
of traumatising crises is certain to remain an imperative. It is
for this reason that WTF, as co-chair of the IASC Reference
Group of MHPSS, organised a round-table meeting in
the Netherlands with policy-makers from WHO, UNICEF,
UNHCR and the Dutch government. Central to the meeting
was the plea to structurally allocate a role to MHPSS in
emergency aid and earmark emergency relief funds for the
purpose.
Prof A.H.G. Rinnooy Kan (Economics and Management
Sciences University of Amsterdam)
J. van der Weerd (former Director Médicins snas Frontières)
B.E.M. Wientjes, LLM (former Chair Union VNO-NCW)
Prof W.H.G. Wolters (clinical psychologist, psychotherapist)
H.H.F. Wijffels MSc (former Dutch representative Wold Bank)
A.R. Wynaendts MSc (Chair Board of Directors and CEO
AEGON N.V)
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Coaching local care givers, peer review and research into
evidence-based psychosocial interventions are all long
pathways. That is why WTF constantly seeks to reinforce its
network. In MHPSS, ‘resilience’, both of individuals and of
communities, is central. Vulnerable governments in conflict
areas tend to adopt a restrictive policy towards aid organisations, thus posing an additional challenge. Care givers
are increasingly vulnerable to attack from armed groups or
regimes. This impedes the development of locally relevant
MHPSS interventions.
Activities in 2014
WTF develops and disseminates MHPSS best practices
and trains care givers in the Middle East, northern Africa
and the Great Lakes Region, Asia and Europe.
Closely cooperating with Birzeit University Ramallah, WTF
trained trainers and local care givers on the West Bank in
the Multi Family Therapy/Approach in Community-Based
Rehabilitation. WTF coordinates and finances the programme, to which Foundation Centrum ’45 also contributes
input, through private funding.
In Israel WTF worked in collaboration with ASSAF (Organisation for Care of Asylum Seekers and Refugees) and Tel
Aviv University to provide psychosocial support for refugees
from northern Africa. WTF provides knowledge as to content as well as experience with MHPSS.
In Libya WTF was successful in assessing two psychosocial
programmes at the request of the IOM Libya and AMICA
Germany/Libya. A follow-up, however, proved impossible
owing to the political situation deteriorating rapidly, and
fighting erupting.
In stricken Sudan WTF strengthened MHPSS capacity by
training psychologists, psychiatrists and staff of humanitarian organisations. WTF, Ahfad University for Women and
Ahfad Trauma Centre trained ten facilitators who, in their
turn, school NGO staffs in basic counselling skills and the
use of narrative theatre. They published a training video,
set up a digital platform for students and wrote a manual.
In the unstable situation of the Democratic Republic of
the Congo WTF organised training in giving psychosocial
support to children for primary school teachers, carers and
employees of the Salvation Army. WTF also carried out an
assessment of the nature and impact of the stress experienced by children and their carers on a daily basis.
In Sri Lanka WTF concluded a two-year programme to
make Psychological First Aid (PFA) more widely known.
The ‘PFA Application Guide’ was translated into Singhalese
and Tamil. This method shows how to implement knowledge in a specific cultural context. Some 24 trainers did a
course on the subject.
The four partner organisations in the North Caucasus
published all their training modules on the theme of domestic violence. A large group of psychologists and counsellors
followed the course, and are now available. Next year, WTF
is to reduce its deployment here due to a lack of financial
resources for the area.
Nearer home, WTF examines how we, in the Netherlands,
approach refugees who have to return to their country of
origin even though they present psychiatric problems and
are weighed down with shame and stigmatisation. With the
Terugkeer op Maat [Tailor-made Repatriation] project, WTF
examines what mental healthcare institutes these countries
of origin have in place. Centrum ’45 helped WTF train staff
of repatriation organisations in how to deal with returning
migrants.
Results
WTF has six members of staff in its employment (3.8FTE),
two of whom have temporary contracts. In addition, there
are three staff members with a freelance contract. WTF
also contracts various trainers for just the duration of a
training. FTEs are expected to drop further while demand
for MHPSS experts will increase. WTF increasingly deploys
freelancers to bring down costs even though this may harm
knowledge transfer.
Demand for evidence-based psychosocial support during
and following war and organised violence remains great
while financial resources are limited. That is why WTF is
making an inventory of strategic partners for whom WTF
may serve as a knowledge partner, and who include IOM,
MedAir, War Child and others. But it is also within the Arq
group that WTF will be looking out for MHPSS experts to
enlist.
Revenue was less than had been budgeted. Contributions
from companies are in marked decline. Staffing and other
costs are low but may usually not be financed from budget
earmarked for specific purposes. WTF thus had to break
further into its contingency reserve.
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16 | Arq annual review 2014
Practise Partner in Arq
IVP
IVP
—
• IVP supported an UNESCO exercise
Arq annual review 2014 | 17
Practise Partner in Arq
IVP
The Institute for Psychotrauma (IVP), the only private
company in the Arq group, was remarkably successful
at maintaining its position within a competitive market
on the basis of its various training courses. Customer
relations with the Ministry of Education, Culture and
Science, and the Ministry of Security and Justice, as well
as with such organisations as Dutch Railways, Ahold,
ING bank, COA [the Central Agency for the Reception
of Asylum Seekers], judicial institutions, the fire brigade,
national police and many others were maintained.
IVP
The IVP celebrates its thirtieth anniversary in 2015.
18 | Arq annual review 2014
Social positioning
Besides on customer relations, the IVP focused on product
development and increased professionalization of both organisation and staff. Convincing evidence is produced with
the EMD app, two new training programmes on the theme
of ‘ways and past days’ [‘zeden en verleden’] and ‘compassion fatigue’ as well as educational projects on radicalisation
and suicide prevention. Intentions to carry out at least three
major projects on an annual basis were realised with the
establishment of the Registration Point Suicide Police, the
aggression management programme Safe Public Work
[Veilige Publieke Taak] launched by the Ministry of the Interior and Kingdom Relations and the ‘Sexually Unacceptable
Behaviour’ [‘Seksueel grensoverschrijdend gedrag’] tool kit
for schools. These projects are run by IVP together with
Impact, with Impact being responsible for aspects of
research and policy, and IVP providing tie-ups with actual
practice. IVP and PDC work in similar close cooperation,
in particular as regards the outpatient unit for police. This
cooperation allows officers with work-related trauma to
start treatment at IVP as soon as possible following their
diagnostic test.
Activities in 2014
For IVP, the Ukraine took centre stage this year. In June
the Ministry of Foreign Affairs requested support from
the Organization for Security and Co-operation in Europa
(OSCE) in the matter of the three teams of observers held
hostage in eastern Ukraine. Shortly afterwards, the MH17
disaster took place. Both matters, and in particular the air
disaster, demanded a great deal of time and effort, yet gave
a certain sense of satisfaction, however paradoxical this
may sound. The many years of experience and knowledge
on the part of the Arq Crisis Team, consisting of staff from
Impact and IVP, offered involved parties something to
hold on to, if possible, in their attempt at processing the
event. Support activities in the aftermath of the air disaster
will continue in 2015. The Ukrainian branch of the OSCE
asked IVP to think along on the subject of organising (after)
care and support services for their staff. This resulted in a
concept plan.
Results
IVP reorganised its inside staff and stepped up its collaboration with the PDC. A new trainer joined the Training &
Education department who is cognizant of the culture and
work of the police and other uniformed services. The care
services department expanded its network of therapists,
thus strengthening its national coverage. IVP invested
generously in developing its staff in, for instance, e-learning,
coaching and supervision.
Turnover increased by 10%. The positive results of the past
two years slightly decreased to well over € 300,000 due to
investments in resources and professionalization. Whereas
results for Care slightly decreased owing to a drop in the
average number of sessions per client, results for Training
& Education increased markedly by 15%. Constituting 10%
of the total, projects contributed substantially to overall
turnover. IVP intends to achieve similar results in the coming
year so as to keep up results.
What caught the eye nearer home was the training given,
in 18 simultaneous groups, for three primary schools in
The Hague.
Further, IVP manages the Aggression Management for
Safe Public Work project. Together with Impact and the
Utrecht University School of Governance, IVP examines
which aspects play a role in aggression towards public
sector workers. This yielded a simulation game, apps and
e-learning modules. These tools will be made available for
general use.
IVP
Director
G.E.T. van Bellen MSc
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20 | Arq annual review 2014
Care Partners in Arq
PDC
Psychotrauma Diagnosis Centre
—
• PDC investigates the psychological impact of traumatic events on individuals (photo: Hollandfoto)
Arq annual review 2014 | 21
Care Partners in Arq
Psychotrauma Diagnosis Centre
The Psychotrauma Diagnosis Centre (PDC) investigates
the psychological impact of traumatic events. The PDC
advises on treatment possibilities, always basing itself
PDC
on its specialist knowledge.
22 | Arq annual review 2014
Social positioning
The PDC performs an important function as a provider of
second opinions and consultation for fellow institutions and
primary and secondary healthcare. Within just one day of
tests the PDC carries out psycho-diagnostic tests that
focus on the traumatic events in the life of the individual concerned. At the end of the test day the resulting
diagnosis is discussed with the client. Within a fortnight the
PDC sends its advice including suggestions for the best
treatment to the referrer. During the testing stage, treatment
responsibility remains with the referrer.
Activities in 2014
In the PDC, a major role is reserved for the outpatient unit
for police. This is the national referral centre for police
officers with trauma-related complaints. From all over the
Netherlands police officers visit this outpatient unit for the
diagnostics and treatment of posttraumatic stress disorder
(PTSD). PDC employees are fully cognizant of the organisation and culture of the police. The PDC police outpatient
unit collaborates with the Academic Medical Center (AMC),
which, being affiliated with the University of Amsterdam
(UVA), is responsible for scientific research, and with Foundation Centrum ’45 as the provider of TOP mental health
care. In the early nineties, the then outpatient unit for police
officers, housed with the AMC, developed the Brief Eclectic
Psychotherapy (BEP) that to this day is used in the present
PDC outpatient unit for police. Apart from BEP, PDC
currently also offers other forms of treatment such as ‘Eye
Movement Desensitization and Reprocessing’ (EMDR).
The PDC has a network of psychotherapists across the
Netherlands. The organisation always endeavours to engage the services of a therapist in the client’s area unless it
is more advisable to refer the client to a specialist treatment
institute. On account of its collaboration with AMC/UVA, the
PDC also contributes to educational programmes. PDC’s
contribution consists of allowing trainees or interns to be
present at intake interviews or diagnostic tests, provided
the client gives permission. The PDC also occasionally
asks clients to take part, on a voluntary basis, in scientific
research into prevention and treatment of PTSD.
Results
The results for the PDC have been added, together with
those for the Equator Foundation, to those for Foundation
Centrum ’45. In 2014, general admissions numbered 100,
with 240 admissions to the outpatient unit for police.
In Arq, the PDC further strengthened its collaboration with
the IVP. After all, the IVP is often involved in care provisions
for companies and governmental institutions in the wake of
traumatic events. If so requested, the PDC makes diagnoses for the IVP, which uses the same therapist network for
brief PTSD treatments.
PDC
Directors
A.C.H.G. Driessen MSc, MHA, managing director
R.A. Jongedijk, psychiatrist, director care and innovation
W.F. Scholte PhD, psychiatrist, director transcultural care
Arq annual review 2014 | 23
24 | Arq annual review 2014
Care Partners in Arq
FOUNDATION CENTRUM ʼ45
Foundation Centrum ’45
—
• Foundation Centrum ‘45; for people with psychotrauma complaints
Arq annual review 2014 | 25
Care Partners in Arq
Foundation Centrum ’45
Foundation Centrum ’45 aspires to an ever more effective way of treating psychotrauma. Treatment goes hand
in hand with quality control and scientific research, thus
enabling innovation. Knowledge transfer to other organisations engaged on psychotrauma is of paramount importance. This is evident from the wide range of training
courses offered by Centrum ’45 but also from the network to benefit psychotrauma centres that has been set
up. Tangible results are the TOP Clinical Mental Health
Care quality mark [TOPGGz] and the HKZ certification,
the e-health project that was set up in collaboration with
health insurer CZ and the databank that was built for the
FOUNDATION CENTRUM ʼ45
sake of scientific research.
Foundation Centrum ’45
Directors
A.C.H.G. Driessen MSc, MHA, managing director
R.A. Jongedijk, psychiatrist, director care and innovation
W.F. Scholte PhD, psychiatrist, director transcultural care
Client Council
M.C. Bruggeling LLM, chair
26 | Arq annual review 2014
Social positioning
The Minister for Health, Welfare and Sport reiterated that
Centrum ’45 is the knowledge and expertise institute in
the field of psychotraumatology in the Netherlands. This
vision is confirmed in the report of the Health Council of the
Netherlands dated 7 May 2014, in which the council advocates the creation of a network of mental health institutes
around a knowledge and expertise institute in a specific
domain of mental healthcare. The council further poses
that this institute allocate care depending on the stage of
the disorder, and that it invest in innovation, prevention and
early detection. A number of developments are significant
in the light of the knowledge and expertise function and the
specialist care linked with it. Well before the Health Council
of the Netherlands published its report, Centrum ’45 was
already bringing together all the relevant treatment centres
within the Network Psychotrauma Netherlands (NPN). Two
kinds of developments were instrumental in accelerating this
process. Firstly, Foundation Centrum ’45 developed plans
to develop, together with the NPN, a national Psychotrauma care standard. This care standard fits in with the brief
from the Mental Healthcare Quality Development Network
[Netwerk Kwaliteitsontwikkeling GGZ] that parties in the
field develop, together with the knowledge institute, quality
standards in the period from 2014 to 2017. Next, and as
part of the entire youth care transition process, Centrum ’45
placed the national specialist care to traumatised families
with the national arrangement for highly specialised youth
care that was initiated by the Association of Netherlands
Municipalities. This youth care and its tie-up with the regional specialist youth trauma care institutes will likewise come
under the Psychotrauma care standard.
As early as 2013, Centrum ’45, together with the treatment
centres for asylum seekers at the Mental Healthcare Institutions GGZ Drenthe and GGZ Den Bosch and Phoenix,
initiated a plan to improve the quality of mental healthcare
provisions for asylum seekers in the Netherlands. To ensure
the requisite objectivity, care insurer Menzis engaged an
external agency. In 2015 a blueprint is expected to be in
place for care that does justice to this target group’s needs.
This requires sustainable deployment of specialist knowledge and proper training on the part of staff working in the
asylum seekers’ centres. They provide specialist care and
consultation where necessary and increase resilience where
possible.
The national care system for veterans may serve as an
example of how qualitatively good care can be provided
through the collective effort made within a network. With
their experience and knowledge Arq partners contributed to further improvements in veteran care. E-health, a
commitment to prevention, seeking out the most efficacious
treatment with the help of effect measurement and focused
research play important roles in this.
Activities in 2014
Parallel internal developments support the external developments. The care group’s development areas yielded
numerous innovative products, which, on the one hand,
guarantee innovation and, on the other hand, help define
the Psychotrauma care standard. An example is the use of
multi-family therapy with various groups of trauma-affected
families such as families of asylum seekers or of veterans
and police officers. Publications following on from the
impact study will appear shortly, as will a manual on the
preventative use of this methodology. Especially adapted
forms of effect measurement have been developed for
patient groups for whom the regular measuring instruments
have proved inadequate. Further, Centrum ’45 produced
clear definitions of forms of complex traumatisation, with
the addition of some practical guidelines for treating the
disorders. A stepped model for screening and diagnostics
was established for the various stages of the complaints
patterns associated with traumatisation. Further, diagnostic
and treatment apps have been developed that can also be
used with chronic lingering complaints following treatment
for psychotrauma complaints.
It is within these same development areas that numerous
research projects aiming to further improve clinical practice
take place. Centrum ’45, for instance, examines the added
value of expressive therapy, the role of traumatic grief, treatment outcome predictors for veterans, the predicting value
of ORS/SRS measures, the role of sleep in psychotrauma,
the value of virtual-reality treatment (3MDR), the problems
of human-trafficking victims, limited treatment with asylum
seekers whose asylum application have been refused and
relevant factors involved in the problems of the post-war
generation. In collaboration with the Child & Youth knowledge centre and the Verwey-Jonker Institute, Centrum ’45
is to develop a module ‘Diversity’ that can be used with any
treatment trajectory in which culture plays a prominent role.
Internationally, Centrum ’45 together with Jonathan Bisson
from Cardiff University conducts research into the nature of
complex trauma complaints.
Much has been achieved in the area of e-health. Together
with Arq and health insurer CZ, Centrum ‘45 set up the
Cooperation eLab to enable the development of e-health
products in the field of psychotrauma. This cooperation
agreement also covers such existing products as the
early-detection app, the diagnostics app and the EMD app.
Further, the cooperation is developing a ‘serious game’
to support patients with chronic complaints in developing
their own resilience so as to retain an acceptable level of
functioning. Quli will become the digital platform to support
treatment.
Results
The results given here denote the joint results of the three
care partners in Arq. Against the backdrop of the disappearance of the representation model, the care partners
had to clarify to all Dutch health insurers the significance
and position of the knowledge and expertise function and
advocate suitable reimbursements for the highly specialised
care services. Despite the financial uncertainties the close
of the financial year saw positive results thanks to prudent
management and an efficient deployment of resources.
Staffing levels remained the same.
The production figures show a considerable increase in
revenue for uninsured patients and care services for asylum
seekers at the expense of revenue under the Dutch health
insurance act. Besides for care production, targets for the
knowledge and expertise function were also met.
The operating results amounted to € 237,212. Staffing
costs rose slightly due to the extra deployment of temporary
staff, the early replacement of retirees, and extra administrative input.
Although demand for beds was greater than supply,
production figures remained well within the budget. Care
provided for refugees and privately funded care increased.
These are, besides indexation of the care budgets, the main
causes for the growth in turnover to € 15.3 million. Solvency
has improved considerably due to the results and the
improved cash resources.
Arq annual review 2014 | 27
28 | Arq annual review 2014
Care Partners in Arq
EQUATOR FOUNDATION
Equator Foundation
—
• Equator Foundation; pomoting mental recovery and social bonding
Arq annual review 2014 | 29
Care Partners Arq
Equator Foundation
Equator Foundation is committed to enhancing the
mental recovery and social bonding of traumatised
refugees and victims of human trafficking in the
EQUATOR FOUNDATION
Netherlands.
Social positioning
Much like last year, Equator has two specialist programmes
for refugees: trauma-oriented day treatment and day
treatment for traumatic grief. These programmes are based
on three treatment phases: stabilisation, trauma processing
and resocialisation. The treatment programmes have been
carefully made to tie up with related treatment programmes
offered by care partner Foundation Centrum ’45.
Equator Foundation has further developed its expertise in
providing care for traumatised undocumented aliens and
victims of human trafficking. The foundation also runs the
rehabilitation programmes. For this purpose, a methodology
was developed based on the principles of Systematic
Rehabilitation-Oriented Action, which is also used in the
outpatient unit. A model for stepped diagnostics was
designed and implemented for trafficking victims in crisis
care at the Amsterdam Coordination Point against Human
Trafficking [Coördinatiepunt tegen Mensenhandel].
A large number of undocumented migrants suffers from
mental problems that impede their functioning. They are
unable to size up their lives and appraise their future. They
need to have psychiatric diagnostic tests and treatment.
Together with Arkin, Mental Healthcare Institution GGZ
inGeest and the Amsterdam Refugee Solidarity Committee
(ASKV), Equator took the initiative to improve the mental
healthcare chain for this group. The establishment of an
outpatient unit for undocumented aliens with trauma-related
complaints constitutes an important step herein. Because
of the precarious existence these undocumented individuals
lead, fast access to care, sound and well-delineated care
trajectories and careful coordination with care organisations
and authorities are a prerequisite for preventing crises and
offering some prospects for the future.
People’s ability to think positively about the future is frequently undermined by their mental constitution. Within the
scope of ‘The Stalemate Broken’ project, which was funded
by the European Return Fund and Arq, such partners as
were involved in the project, including ASKV/MOO, the
Repatriation and Departure Service, the Immigration and
Naturalisation Services, the Amsterdam Public Health
Service and the Municipality of Amsterdam collaborated
to improve the situation of 35 undocumented migrants with
mental problems. They received care as part of the Medical
Reception Project Undocumented People [Medische
Opvang Ongedocumenteerden, MOO]. A solution has to
be found, whether legal stay or return to the country of
30 | Arq annual review 2014
origin. Often, there is ‘under-treatment’ of, in particular,
the posttraumatic stress disorder (PTSD) since little or no
trauma-focused psychotherapy is provided.
This is why Equator, in close cooperation with other Amsterdam mental healthcare and chain partners, established an
outpatient unit. Emphasis is on diagnostics and treatment
of trauma-related disorders. Treatment is phase-oriented,
and focuses on psychotherapy and body-oriented methods
such as Tension Releasing Exercises. Interpreters help
lift language barriers and bridge cultural differences. With
a length of between 2 and 12 months, the treatment is
tailored to the socio-legal context of the individual involved,
who has little or no prospect of a legal stay in the Netherlands.
Equator is investigating whether client admission might
become an activity of the aliens’ service point as yet to be
set up. For trauma treatment to be effective, it works best
if linked to the provision of housing, legal counselling and
clear future prospects. Correct information on possibilities
in the country of origin is of major importance for building
a future there.
knowledge and expertise function were met here as well.
Like Centrum ’45, Equator collaborates with training
institution RINO Noord-Holland, where it organises regular
modules and yearly guest lectures for academic and higher
vocational training.
Results
The results for Equator Foundation have been added,
together with those for the Psychotrauma Diagnosis Centre,
to those for Foundation Centrum ’45. Equator Foundation’s
results for the financial year amounted to € 131,652 deficit,
against a negative balance of € 6,310 for 2013. However,
this loss is easily accounted for as primarily caused by the
start-up costs of the outpatient unit for refugees residing
illegally in the Netherlands. And, the high interpreter costs
incurred by the outpatient unit also play a part. The Dutch
National Health Care institute does not pay for these
expenses.
Equator’s initiative to set up an outpatient clinic for the
treatment of undocumented aliens met with approval from
the Ministry of Security and Justice. The ministry laid down
the condition that treatment be aimed at reducing mental
problems. This enables the individual concerned to grasp
the reality of their situation and offers them some future
prospects. Often, treatment is a prerequisite to making the
decision to return voluntarily. Since the aliens are usually
illegal, coordination takes place with the Repatriation and
Departure Service and the Immigration and Naturalisation
Services.
Activities in 2014
Equator Foundation started the aforementioned ‘The Stalemate Broken’ project as part of its endeavour to provide
specific care for 35 individuals without valid residence
permits. Expectations are that these people will be removed
to their country of origin.
Equator Foundation
In order to be able to run this project, staffing levels were
increased by an additional 5 FTE. This project accounts
for the increase in uninsured care services, as already
mentioned in the discussion of the results for Centrum ’45.
Incidentally, besides for care production, targets for the
Directors
A.C.H.G. Driessen MSc, MHA, managing director
R.A. Jongedijk, psychiatrist, director care and innovation
W.F. Scholte PhD, psychiatrist, director transcultural care
Arq annual review 2014 | 31
32 | Arq annual review 2014
Special Interest Partners in Arq
FOUNDATION 1940-1945
Foundation 1940-1945
—
• Foundation 1940-1945, target group activity
Arq annual review 2014 | 33
Special Interest Partners in Arq
Foundation 1940-1945
Foundation 1940-1945 promotes the interests of former
members of the resistance, victims of persecution
and civilian war victims from the Netherlands.
FOUNDATION 1940-1945
The Foundation provides help with applications for
the Extraordinary Pensions Act 1940-1945 (Wbp), the
Benefits for Victims of Persecution Act 1940-1945 (Wuv)
and the Benefits Act for Civilian War Victims (Wubo)
and it arranges for payment of extraordinary pensions.
If necessary and possible, the Foundation supports
clients in medical or legal matters. Further, the
Foundation provides for social care services and
supports voluntary work.
Foundation 1940-1945
Director
J.H.M. Driever MA
Advisory Board
P. Boomsma, chair
Ms J.M. Hage-Zoetewei, member
Ms S.E. Scheepstra MA, member
J.H. de Boef, member
E.R. van den Bout MSc, RA, member
Stichtingsraad (Foundation Council)
W.J.A. Nieuwenhuijse, chair
G.D. Yspeert, deputy chair
Ms P.D. Dijkerman
Ms R. Hoolt
D. de Boef
T.J. de Boer
A. den Breejen
F. Dam
H.A. Dijkstra
H.J. Goedhart
G. Verrijn Stuart MA
J.B. Weitkamp MA
34 | Arq annual review 2014
Social positioning
Core activity of the 1940-1945 Foundation is performing
its legal duty whereby the Central Executive Committee
(Centrale Bestuurscommissie, CBC) is responsible for issuing ‘declarations of resistance membership and worthiness’
to the Pension and Benefit Board for the Extraordinary
Pensions Act, as defined in the laws for war victims.
By virtue of its umbrella function for target group organisations, the Foundation gives organisational and administrative support to the Central Organ Former Resistance and
Victims (COVVS), the Women of Ravensbrück Committee,
the Buchenwald Commemoration Committee, the Foundation Friends of Mauthausen, and the Society National Contact Group Resistance Pensioners 1940-1945 (LKG). Since
the discontinuance of the Society of Ex-Political Prisoners
(Expoge) in 2010, the 1940-1945 Foundation has organised its annual 10 May commemoration on the Honorary
Cemetery Bloemendaal. This year saw the very last of these
commemorations, and with it, the end of a tradition.
Foundation 1940-1945 continued to work on its valuable
archives, in accordance with the conditions stipulated
by the National Archive, their ultimate destination. So far,
well over 1500 of the 1800 metres of archive have been
processed. The Foundation expects to terminate these
activities in 2017.
Ageing caused a drop in activities. The Committee Future
Foundation 1940-1945 accordingly advised on how to
continue certain tasks and how to wind down others.
Activities are wound down on the principle that there will
be no compulsory redundancies. Arq will seek suitable
alternative employment in Arq itself or will assist staff in their
search for work outside Arq. Some employees did a traineeship or followed courses to increase their chances.
The Committee also advised that the mental legacy of the
Foundation, the memory of the resistance, persecution
and violence towards civilians in the 1940-1945 period
and the interpretation of the notions ‘exceptional solidarity’
and ‘debt of honour’ be preserved and passed on. This
aspiration was realised through the establishment of a
special chair ‘Foundation 1940-1945’. As a consequence
of the drop in tasks outlined earlier, the Foundation will also
change its organisational form and articles of association in
conformity with the Committee’s advice. Only the Advisory
Board, which was expanded to include two members on
the recommendation of the present Foundation Council,
will remain in existence. The Consultation Board had already
finalised its activities. In 2015 the Foundation Council and
the District Councils will likewise be discontinued formally.
However, this is not the end of the road for the contact
activities. As long as there is a need, the Foundation will
continue to supply these.
The Foundation worked in close cooperation with Cogis
and Pelita on the Point of Contact Postwar Generation
(POC), on the implementation of the Temporary Psychotherapy Reimbursement Scheme (TVP) and on assistance with
applications under the Benefits for Victims of Persecution
Act 1940-1945 (Wuv) and the Benefits Act for Civilian War
Victims (Wubo). Together with Pelita the Foundation is exploring possibilities for increasing their cooperation further.
Activities in 2014
Eighteen first applications for an extraordinary pension
under the Extraordinary Pensions Act 1940-1945 were processed. The Foundation issued 28 ‘worthiness declarations’
for applications from surviving relatives. Thirty-five first and
57 supplementary reports were produced under the terms
of the Benefits Act for Civilian War Victims and the Benefits
for Victims of Persecution Act 1940-1945.
Under the Extraordinary Pensions Act 1940-1945 and as
part of the remit of the 1940-1945 Foundation, Arq paid
over the extraordinary pensions to 1996 individuals on a
monthly basis. Other income, with the exception of their
old-age pension, can also be paid over in this manner.
These figures signify a decrease by 200 clients compared
to last year. In addition, the Foundation is happy to inform
clients at their request on rules and regulations and calculations.
As to social services, clients can turn to the Foundation
1940-1945 Service Centre for information, assistance or
simply to talk to someone with a sympathetic ear. The Service Centre was contacted 361 times for these purposes.
A further 149 clients asked to inspect files.
Volunteer work and contacts with fellow survivors fall within
the remit of the District Councils, which receive support in
this from the Service Centre. Active volunteers number 150;
they pay clients a visit or accompany them on a doctor’s
visit. They also organise meetings for fellow survivors and
holiday weeks. The Contactblad Stichting 1940-1945,
which has been published for as many as 25 years and
which is largely produced by volunteers, appeared four
times, with a circulation of 9,000.
Results
Legal and official tasks, and the conservation of the
archives, are in the main funded through the Ministry of
Health, Welfare and Sport. The volunteer work and the
Contactblad are funded by the Foundation itself.
The Foundation achieved positive operating results amounting to € 284,377, as against the negative results to the
value of € 179,687 in the previous year. The budget had
therefore factored in an adverse result of € 335,000. The
reception of a few bequests enabled the recording of
€ 620,000 profit.
Moreover, the Foundation furnished legal advice or support
in 22 cases of appeals lodged under the war victims acts.
In addition, the legal adviser provided advice on various
subjects in 35 cases.
The Foundation 1940-1945 transferred its social work
activities to Foundation de Basis in Doorn. However, the
Foundation retained its monitoring and referral function with
respect to these activities. Regular consultation took place
with de Basis for these purposes.
Arq annual review 2014 | 35
36 | Arq annual review 2014
Special Interest Partners in Arq
PELITA FOUNDATION
Pelita Foundation
—
• Pelita Moluccan contact day
Arq annual review 2014 | 37
Special Interest Partners in Arq
PELITA FOUNDATION
Pelita Foundation
The Pelita Foundation draws up reports within the
framework of laws for war survivors and provides social
services for Dutch Indonesians and Moluccans. Pelita
supports voluntary organisations and initiatives on the
subject of welfare and care for Dutch Indonesians and
Moluccans. Pelita’s services are culture and context
specific. This helps clients feel recognised in both their
Social Positioning
In order to safeguard longer-term (care) services in the face
of diminishing target groups and depleted resources, Pelita
resolved, in 2013, to transfer its social services to Foundation de Basis as of 1 January 2014 and join Foundation Arq.
This is the best possible manner in which Pelita can ensure
continued and high-quality services and offer its staff new
prospects.
cultural background and in their experiences of war
and violence.
In order to maintain the high quality of its social work, Pelita
trained social workers from de Basis in the backgrounds
and culture of the target group, and in what approaches to
adopt. In coordination with de Basis, Pelita further shaped
its monitor function through case discussions, structural
consultations and client satisfaction surveys. Pelita set up
a service point where clients can make a help request, just
as they would in the past. The front desk clerk will appraise
the help request and direct it to a staff member at Pelita or
to the social services department at de Basis, depending on
the nature of the help request. Pelita and de Basis evaluate
their cooperation quarterly.
The COVVS, the 15 August Commemoration Foundation,
Indisch Platform, Cogis and Pelita organised the conference
One WW2 on 8 March 2014. This conference aimed to
build a bridge between organisations of groups of WW II
survivors from both Europe and Asia. The conference
planned the realisation of a digital and physical platform
for both European-style and Asian-style organisations.
Foundation 1940-1945 and Pelita worked closely together
towards the integration of their social reporting, archive
maintenance, support to voluntary organisations, contact
magazines and the Point of Contact Postwar Generation.
This will reinforce the organisational basis of both foun­
dations.
Cogis, Impact, Foundation 1940-1945, Centrum ’45
and Pelita work together within Arq’s WW II programme.
The partners are committed to maintaining the high-level
treatment, services and advocacy for WW II survivors.
In addition, this cooperation seeks to utilise its expertise on
WW II for the benefit of survivors of present-day conflicts.
38 | Arq annual review 2014
Activities in 2014
Despite these major changes and relocation, Pelita
succeeded in fully implementing its activity plan 2014.
As part of its legal duty Pelita drew up 162 first and
176 supplementary applications. Within the scope of its social services, Pelita organised numerous target group meetings. These accessible meetings serve to combat social
isolation and function as an information and advice platform.
This also enables early detection of any problems. Staff
members and volunteers organised Masoek Sadjas, family
days, Moluccan contact days and Indies dining tables at 25
different locations. Their frequency differs per type of meeting. Some take place on a monthly basis, others quarterly.
On a yearly basis, visitor numbers are in their thousands.
The staff further organised social-contact groups.
The Djalan Pienter programme organised training for the
Tante Louisa-Vivensis Foundation and the Haaglanden assisted living complexes, and was responsible for a training
programme for 180 employees of Nusantara Foundation.
So far, 80 have received training, the remainder will be
trained this coming year.
Results
As a result of Pelita’s transfer of its social work and its joining Foundation Arq, eight social workers from Pelita took up
employment with de Basis while five employees transferred
to Arq service centre. Pelita moved to Oegstgeest, where
it was housed with Foundation Centrum ’45. One social
worker decided to take early retirement.
The financial results are out of sync with the budget. This is
accounted for through unforeseen costs and disappointing
revenue, mounting costs of holiday entitlements, adjustments to Arq’s financial system and more specific arrangements in connection with the transition budget awarded
by the Ministry of Health, Welfare and Sport. The Ministry
of Health, Welfare and Sport VWS is Pelita’s main financier
but project-based contributions also come from the V-fonds
and the National Committee for 4 and 5 May.
Pelita Nieuws, which counts Dutch Indonesians and
Moluccans as its target groups, appeared the usual six
times, with a circulation of 5,500.
Pelita is working to update its volunteer policies. In the
future, volunteers will increasingly carry out service activities,
whenever this is possible and safe, but always supported
by professionals from Pelita. Pelita also anticipates the
consequences of reforms in long-term care. These will
lead to the target group’s increased recourse to informal
care from unpaid carers and volunteers. A condition is,
however, that the client will need to have an effective social
network. Yet such a network is often missing from the lives
of vulnerable members of the target group. Pelita seeks to
improve informal care services and for this purpose needs
the committed help from the Indies and Moluccan groups
themselves. That is the reason why Pelita intensifies its
contacts with voluntary organisations and unfolds initiatives
to establish relations among Indies and Moluccan voluntary
organisations in the field of welfare and care.
Pelita Foundation
Director
H. Ferdinandus MA
Advisory Board
H.J. Verdier, chair
P.C.J. Isaak, member
A.W. Everts-Kuik, member
Arq annual review 2014 | 39
40 | Arq annual review 2014
KEY FIGURES
Key figures
EUR x 1,000
The 2014 annual accounts of Foundation Centrum ’45 and – on account of the consolidation – Foundation Arq have not been formally approved
as yet. This is occasioned by the problem of vagueness as to standardization in the case-mix system that Dutch mental healthcare is encountering
on a nation-wide scale, and which has confronted the auditors with too substantial a measure of uncertainty to be able to issue an approved
financial statement. The pathway decided on by the Ministry of Health, Welfare and Sport, the Dutch Healthcare Authority, Health Insurers and
Dutch Association of Mental Health and Addiction Care (GGZ NL) to resolve these uncertainties has not been completed yet, as a consequence
of which the annual accounts will not be formally approved until the autumn, at the earliest.
CONSOLIDATED STATEMENT OF INCOME AND EXPENSES
Income
Income provided by care activities under the Health Care
Insurance Act (ZVW)
Income provided by care activities other
Total income care activities
Project Income
Project income from European funding
Training courses and education
Donations
Other income
Total operating income
Expenses
General and administrative expenses
Depreciation
Other operating expenses
Total operating expenses
2014
11,106
2013
11,691
4,912
3,667
16,018
6,558
1,155
722
737
2,065
27,256
18,323
864
7,300
15,358
3,882
950
650
113
1,999
22,952
15,156
981
6,127
26,487
22,264
769
61
830
688
193
881
Cash flow provided by operating activities
4,157
315
BALANCE
2014
2013
Gross operating income
Financial income and expenses
Net operating income
Assets
Fixed assets
Intangible fixed assets
Yangible fixed assets
Financial fixed assets
694
1,646
2,715
915
2,154
2,791
5,860
5,055
Current assets
Inventory
Receivables
Cash and cash equivalents
0
12,789
5,981
Total assets
0
13,403
5,438
18,770
18,842
23,825
24,702
Liabilities
Shareholders'equity
Provisions
Long-term liabilities
Short-term liabilities
Total liabilities
EMPLOYEES
2014
232.92 fte
2013
204.85 fte
9,596
1,182
1,100
11,947
9,115
1,380
1,200
13,007
23,825
24,702
SOLVENCY
2014
40.3%
2013
36.9%
Arq annual review 2014 | 41
Acknowledgements
The activities of Arq Psychotrauma Expert group have been made possible through individual contributions from
donors and bij the following customers and (project) financiers: Abbas Fund, Achmea, Albert Heijn, Fire Brigade,
Youth Care (Bureau Jeugdzorg), Central Agency for the Reception of Asylum Seekers (COA), CZ, Dutch Association of
Mental Health and Addiction Care (GGZ-NL), DSW, Dusseldorp Kinderfonds, European Union and European Regional
Development Fund (for Opsic, TERRA, INPREZE/Kansen voor West projects), Municipality of Amsterdam, Municipal
Public Transport (Gemeentelijk Vervoersbedrijf, GvB), Gieskes-Strijbis Foundation, Ms Heijn, Foundation Employees
Charity Fund ING, Foundation Boo, Salvation Army, Lippincott Williams & Wilkins, Menzis/COA Administration, Ministry
of Internal Affairs, Ministry of Foreign Affairs, Ministry of Health, Welfare and Sport, Ministry of Security and Justice,
Multizorg, Dutch Railways (NS), National Police, NutsOhra Foundation, Dutch National Institute for Public Health and
the Environment (RIVM), Rotterdam Media Centra, Dutch Directorate General for Public Works and Water Management
(Rijkswaterstaat), Sociale Verzekeringsbank (SVB), SSC-Custodial Institutions Agency (SSC-Dienst Justitiële
Inrichtingen), Staatsbosbeheer, UNHCR, UNICEF New York, United States Institute of Peace, VGZ, V-fonds, Wolters
Kluwer, Netherlands Organisation for Heath Research and Development (ZonMw), Zorg en Zekerheid, Netherlands
Health Insurers (Zorgverzekeraars Nederland, ZN).
42 | Arq annual review 2014
Arq Psychotrauma Expert Group
Nienoord 5
1112 XE Diemen, the Netherlands
T + 31 (0)20 840 76 40
[email protected]
www.arq.org