
## **Trustees’ Annual Report for the period** 

## **From: 02/04/2020    Period start date   To: 13/02/2021   Period end date Charity name: INSIGHT International for Mental Health and Integrated Health Systems** 

## **Charity registration number: 1188880** 

## **Objectives and Activities** 

||SORP<br>reference||
|---|---|---|
|Summary of the<br>purposes of the<br>charity as set out<br>in its governing<br>document|Para 1.17|The objects of the CIO are, for the public benefit, the<br>preservation and protection of good mental health and the<br>promotion of recovery in those experiencing or at risk of<br>experiencing poor mental health, comorbidities with somatic<br>health problems or other mental health related issues anywhere<br>in the world by the provision of advice on sustainable system-<br>based improvements of mental health systems and integrated<br>approaches to promote universal access to good quality mental<br>health care, by the provision of training and capacity building<br>and by advocating for good mental health.|
|Summary of the<br>main activities in<br>relation to those<br>purposes for the<br>public benefit, in<br>particular, the<br>activities,<br>projects or<br>services<br>identified in the<br>accounts.|Para 1.17<br>and 1.19|During this reporting period, the charity initiated 5 projects:<br>1) Training of Workforce in the framework of 'Social Inclusion<br>for People with Mental Disabilities in Turkey' funded by EU &<br>WHO.<br>On behalf of WHO Turkey, a Consortium consisting of GGZ<br>Noord-Holland-Noord and of INSIGHT International which is<br>training and helping build the capacity of the workforce in<br>community mental health centres in Turkey, and enable them to<br>deliver high-quality, evidence-based and person-centred<br>community services. Key deliverables are:<br>•<br>21 Turkish Train-the-Trainers (TOT): 15 days of training.<br>This was delivered during this reporting period.<br>•<br>200 Turkish Mental health professionals (to be delivered un<br>the next reporting period).<br>•<br>32 Turkish community mental health teams covering a<br>population of aprox. 11,7M people (to be delivered un the<br>next reporting period).<br>2) Driving research & dissemination of good practices in<br>Romania<br>Supporting the Romanian League for Mental Health on<br>implementation of good practices in mental health, focusing on<br>innovative solutions for remote areas and vulnerable groups, in<br>particular:<br>•<br>Raising awareness among vulnerable adult populations<br>about risk factors, signs and symptoms of mental disorders.<br>•<br>Increasing the mental health resilience of children form<br>vulnerable and at risk groups|





|||•<br>Improving access to care for people with mental health<br>problems in remote areas or vulnerable groups.<br>During this reporting period, we have initiated the preparation of<br>the RLMH’s International research and development strategy.<br>We have also initiated the preparation of a joint project proposal<br>on rural mental health in Northern Romania.<br>3) Evaluating the mental health services delivered by the WHO<br>Collaborating Centre Lille Metropole, France.<br>Invited by the WHO Collaborating Centre, INSIGHT<br>International has partnered with Maastricht University, School<br>for Mental Health & Neurosciences to design and carry out a<br>comprehensive evaluation of a leading mental health service<br>based Sector 59G21 of EPSM Lille Métropole. The research will<br>seek to:<br>•<br>Determine whether the model of care and interventions<br>provided are based on evidence or documented good<br>practices<br>•<br>Evaluate the functioning of the mental health services by<br>examining implementation, mechanisms of impact and<br>contextual factors<br>•<br>Assess the outcome delivered at client, service, population<br>and society level<br>•<br>Determine whether this model of care could be scaled up in<br>France, and if so, lessons could be learned.<br>During this reporting period, the research protocol has been<br>drafted. Start date of the research has been delayed due to<br>pandemic, it is now expected to start in the first quarter of 2022.<br>4) Delivering advice & support to the European Community<br>Mental Health Service providers network (EUCOMS) & its 60<br>members in 27 countries.<br>During this reporting period, the charity:<br>•<br>Co-hosted EUCOMS’ 9th Network meeting on the 11thof<br>June 2020 (which was its first online network event) that<br>addressed_Delivering Community Mental Health Care_<br>_During Covid-19: Innovative Practices & Lessons Learned_.<br>•<br>Contributed to drafting of EUCOMS’ 2021-2024 strategy.<br>•<br>Facilitated dialogue on peer support work at the 10th<br>EUCOMS meeting on the 27thof January 2021 which<br>focused on peer support in mental health care.<br>•<br>Facilitated working partnerships with leading international<br>organisations and networks.<br>5) Tanzania Mental Health Project- Reaching Those in Need –<br>Collaboration in implementation the National Strategy and its<br>Implementation Plan<br>INSIGHT International team has been invited by the Tanzanian<br>government to provide expert support which will enable the<br>country to meet its national mental health challenges and seek<br>long term, sustainable and innovative solutions.<br>During this reporting period, the charity prepared a draft<br>Memorandum of Understanding with the Tanzanian Ministry of<br>Health.|
|---|---|---|
|Statement<br>confirming<br>whether the|Para 1.18|The trustees have had regard to the guidance issued by the<br>Charity Commission on public benefit.|





trustees have had regard to the guidance issued by the Charity Commission on public benefit 

## **Additional information (optional)** You may choose to include further statements where relevant about: 

||SORP<br>reference||
|---|---|---|
|Policy on grant<br>making|Para 1.38|Not applicable.|
|Policy on social<br>investment<br>including<br>program related<br>investment|Para 1.38|Not applicable.|
|Contribution<br>made by<br>volunteers|Para 1.38|Not applicable.|



## **Achievements and Performance** 

||SORP<br>reference||
|---|---|---|
|Summary of the<br>main<br>achievements of<br>the charity,<br>identifying the<br>difference the<br>charity’s work<br>has made to the<br>circumstances of<br>its beneficiaries<br>and any wider<br>benefits to<br>society as a<br>whole.|Para 1.20|During this reporting period, the charity sought to contribute to 5<br>main strategic objectives emerging from CIO’s objects, as<br>follows:<br>1) Contribute to improved access to mental health care<br>through system-based changes<br>As a new charity, INSIGHT has initiated a number of activities<br>which seek to contribute to this objective. In particular, the<br>projects in Romania and Tanzania focus on this objective.<br>During this reporting period this work has just started, with<br>concrete outcomes expected to be delivered in following period.<br>2) Contribute to improved staff competencies through training<br>& capacity building<br>The charity has managed to successfully deliver training to 21<br>Turkish train the trainers, which enabled them to both:<br>•<br>Train a large number of mental health professionals working<br>throughout the country and serving a population of aprox.<br>11.7million people.<br>•<br>Improve their own clinical work and deliver high-quality,<br>evidence-based and person-centred community services.<br>In addition, the preparations for the project in Tanzania<br>undertaken during this reporting period also relate to building<br>capacity of mental health and related professionals. Outcomes<br>of this work are expected in the following period.|





3) Contribute to improved governance for mental health and integrated health systems The charity has delivered support to EUCOMS which includes the drafting of the network’s strategy for the next 4 years. Implementation of this strategy is expected to have a direct positive impact on stimulating the activities of over 60 mental health service providers which are members of EUCOMS. They entail preparation of workplans for each of the 25 countries represented in EUCOMS. In addition, the preparations for the project in Tanzania undertaken during this reporting period also relate to the development and implementation of a national mental health strategy, which will have impact on almost 70% of the population who are living in remote rural areas. With 44% of the 56.3 million population under the age of 14, there is a great need to help children and adolescents build resilience for mental health. Outcomes of this work are expected in the following period. 4) Contribute to increased research-generated international base of evidence for good mental health system. The charity has started one project focused on delivering on this objective, namely the evaluation of the mental health services delivered by the WHO Collaborating Centre Lille Metropole, France. EPSM Lille-Métropole is often presented as an example of good practice in community care in France and internationally. While the Centre is conducting various research projects aimed at evaluating the impact it has in the coverage area, to date no external evaluation has been conducted. In this context, EPSM Lille-Métropole has asked INSIGHT International to design and carry out a comprehensive evaluation of its services, which would also address the process of implementation of the EPSM Lille-Métropole model of care. The research, which is expected to start in the first quarter of 2022, will seek to determine whether EPSM Lille-Métropole is a good practice in mental health service provision that delivers measurable outcomes by employing interventions which are based on evidence or documented good practices which can be used as a model at national level in France. 5) Contribute to increased prioritisation and investment in good mental health systems and integrated approaches. During this reporting period, the charity initiated engagement with potential donors for the implementation the Tanzanian National Strategy through the Tanzania Mental Health Project Reaching Those in Need. This is still work in progress, with the pandemic having delayed a number of planned fundraising activities for this purpose. 

## **Additional information (optional)** You may choose to include further statements where relevant about: 

The charity has met its set objectives on most of its projects, Achievements Para 1.41 see above details on the deliverables during this reporting against objectives period. It is worth noting the swift shift towards online working set which allowed the charity to carry out its planned work. In particular, we would like to note the successful delivery on 



|||online training to Turkish train-the-trainers. Considering its<br>efficiency and positive outcomes, it is likely that this approach<br>will be employed also post-pandemic in other projects the<br>charity will engage in.<br>Some of its planned activities have however been delayed due<br>to pandemic, namely:<br>a) Shaping new models of community-based mental health<br>care in the Swiss canton of Valais.<br>b) Assessment of the mental health services in Morocco,<br>commissioned by WHO EMRO<br>c) Evaluation of the national plan for mental health in Belgium,<br>at the invitation of the Ministry of Health.|
|---|---|---|
|Performance of<br>fundraising<br>activities against<br>objectives set|Para 1.41|The charity met its fundraising objectives in relation to 2 of its<br>projects, namely the projects 1 and 2 in described above.<br>However, the emergence of the pandemic led to a delay in<br>securing pre-discussed funding for activities related to 3<br>projects (a, b and c) mentioned above. The charity will follow up<br>on all these fundraising activities, with the expectation that they<br>can be reactivated in 2022.<br>Preparation of fundraising activities related to the Tanzania<br>Mental Health Project- Reaching Those in Need has also been<br>delayed due to pandemic.|
|Investment<br>performance<br>against objectives|Para 1.41|Not applicable.|



## **Financial Review** 

||Review of the<br>charity’s financial<br>position at the<br>end of the period|Para 1.21|The charity has been affected by the emergence of the<br>pandemic which coincided with the start-up of its activities (the<br>charity has been registered on the 2ndof April 2020, just in the<br>beginning of the first wave). The most important difficulty was to<br>open a bank account, while banks refused to take on new<br>clients during this period. Therefore, the charity did not have<br>any financial operations during this reporting period.<br>The lack a bank account limited the ability of the charity to apply<br>for funding, while donors require financial validation of<br>applicants, including of their bank accounts. Consequently, the<br>charity was able to engage financially only in 2 projects:<br>1) Training of Workforce in the framework of 'Social Inclusion<br>for People with Mental Disabilities in Turkey' funded by EU<br>& WHO, and contracted by WHO Country Office in Turkey.<br>For the purposes of the project, the charity is part of a<br>consortium together with the Dutch-based organisation GGZ<br>Noord-Holland-Noord. WHO requires that funding is transferred<br>to only one of the consortium partners, who in turn is required to<br>transfer funds to the other consortium partners. This allowed<br>INSIGHT to be part of the consortium and have its activities<br>contracted with funding while not yet having a bank account.|
|---|---|---|---|





|||2) Driving research & dissemination of good practices in<br>Romania by supporting the Romanian League for Mental<br>Health<br>The charity was contracted by the Romanian League for Mental<br>Health in the basis of a contract which required that payments<br>are made only upon submission of deliverables, and bank<br>information was expected only at that point.<br>As a new organisation, the charity only has one employee, its<br>CEO appointed by the Board of Trustees, Dr Petrea. The Board<br>has secured an agreement whereby Dr Petrea has been able to<br>deliver its work with payment subject to fundraising, and to the<br>availability of financial operations (i.e. having a bank account to<br>process payments). Once funding is available any salary<br>arrears will be paid as agreed with the CEO. This allowed the<br>charity to be active and conduct its work as reported in this<br>Annual Report despite the financial challenges noted here.|
|---|---|---|
|Statement<br>explaining the<br>policy for holding<br>reserves stating<br>why they are<br>held|Para 1.22|Not applicable.|
|Amount of<br>reserves held|Para 1.22|Not applicable.|
|Reasons for<br>holding zero<br>reserves|Para 1.22|Due to pandemic, charity was unable to open a bank account<br>during this reporting period, while banks refused to take on new<br>charities as clients during this period.|
|Details of fund<br>materially in<br>deficit|Para 1.24|Not applicable.|
|Explanation of<br>any uncertainties<br>about the charity<br>continuing as a<br>going concern|Para 1.23|Not applicable.<br>Bank account was finally open in March 2021, and the charity<br>started to operate financially (this will be reflected in the next<br>Annual Report)|



|**Additional information (optional)**<br>You may choose to include further statements where relevant about:|**Additional information (optional)**<br>You may choose to include further statements where relevant about:|**Additional information (optional)**<br>You may choose to include further statements where relevant about:|
|---|---|---|
|The charity’s<br>principal<br>sources of<br>funds (including<br>any fundraising)|<br>Para 1.47|During this period, the activities of the charity have been funded<br>by:<br>- World Health Organization, Country Office in Turkey<br>- Romanian League for Mental Health<br>While contracts have been closed during this reporting period<br>with both organisations, due to lack of bank account, no<br>financial operations were conducted during this reporting<br>period.|
|Investment<br>policy and<br>objectives<br>including any<br>social<br>investment<br>policy adopted|Para 1.46|Not applicable.|
|A description of<br>theprincipal||The main risk during this reporting period was posed by the<br>inabilityto open a bank account duringthe firstperiod of the|





||risks facing the<br>charity|Para 1.46|pandemic, which coincided with the first reporting period of the<br>charity, established on the 2ndof April 2020. That was despite<br>making every effort and approaching all the UK based banks.<br>This risk has now been eliminated while the charity has<br>managed to open a bank account with Lloyd Bank.<br>In the upcoming period, the main risk for the charity relates to<br>cashflow. The pandemic enabled the performance of the<br>charity’s work online, and reduced significantly any indirect<br>costs and activity costs related to travel. At the same time, it<br>limited the charity’s ability to fundraise. Mitigation strategies<br>have been put in place to ensure planned work can be funded<br>through alternative fundraising activities.|
|---|---|---|---|



## **Structure, Governance and Management** 

|Description of<br>charity’s trusts:|||
|---|---|---|
|Type of<br>governing<br>document<br>(trust deed, royal<br>charter)|Para 1.25|CIO Constitution|
|How is the<br>charity<br>constituted?<br>(e.g<br>unincorporated<br>association, CIO)|Para 1.25|CIO|
|Trustee selection<br>methods<br>including details<br>of any<br>constitutional<br>provisions e.g.<br>election to post<br>or name of any<br>person or body<br>entitled to<br>appoint one or<br>more trustees|Para 1.25|According to Article 10 on “Appointment of charity trustees” of<br>the CIO Constitution,<br>“(a) Apart from the first charity trustees, every appointed<br>trustee must be appointed for a term of four years by a<br>resolution passed at a properly convened meeting of the<br>charity trustees.<br>(b) In selecting individuals for appointment as appointed<br>charity trustees, the charity trustees must have regard to the<br>skills, knowledge and experience needed for the<br>effective administration of the CIO.”|



**Additional information (optional)** You may choose to include further statements where relevant about: 

|Policies and<br>procedures<br>adopted for the<br>induction and<br>training of<br>trustees|Para 1.51|According to Article 11 of the CIO Constitution, “The charity<br>trustees will make available to each new charity trustee, on or<br>before his or her first appointment:<br>(a) a copy of the current version of this constitution; and<br>(b) a copy of the CIO’s latest Trustees’ Annual Report and<br>statement of accounts.”<br>In addition, during this reporting period the charity has<br>adopted the following policy documents, which are used for<br>the induction and training of trustees:<br>•<br>Code of Conduct and Ethics<br>•<br>Anti - FraudPolicy|
|---|---|---|





|||•<br>Conflict of Interest Policy<br>•<br>Data Protection Policy<br>•<br>Risk Management Policy<br>•<br>Volunteer Management Policy<br>•<br>Health and Safety Policy<br>•<br>Safeguarding Vulnerable Beneficiaries Policy<br>•<br>Complaints Handling and Whistleblowing Policy<br>•<br>Gender Equality Plan.<br>•<br>Paying staff.|
|---|---|---|
|The charity’s<br>organisational<br>structure and any<br>wider network<br>with which the<br>charity works|Para 1.51|The charity is led by its Board of Trustees and managed by its<br>CEO.<br>The team is expected to grow from 1 staff (the CEO) to 5-6<br>staff over the next 3-4 years.<br>The charity collaborates with key international organizations<br>and maintains close working relationships with government<br>officials, local authorities, researchers, health professionals,<br>leading mental health and academic centers, civil societies,<br>and scientific communities. We also work closely with<br>professional organizations, care associations, and people with<br>lived experience of mental health issues.|
|Relationship with<br>any related<br>parties|Para 1.51|The charity collaborates with partners and donor agencies to<br>develop locally-led mental health systems, programs, and<br>policies through capacity building, education, and training. Our<br>network spans 35 countries in Europe, Africa, and Asia. Our<br>team has:<br>•<br>Long term collaboration and work experience with key<br>international organisations e.g. World Health Organization,<br>the European Commission, OECD.<br>•<br>Established close working relationships with senior<br>government officials, researchers, health professionals &<br>other key stakeholders in over 35 EMEIA countries.<br>•<br>Track record of forging collaborations with leading mental<br>health centres and academic centres.<br>•<br>Collaboration with leading non-state actors e.g.<br>professional organisations, service users and carers<br>associations.<br>•<br>Board Director, co-initiator and founding member of the<br>European Network of Community Mental Health Service<br>Providers (EUCOMS).|



## **Reference and Administrative details** 

|Charity name|INSIGHT International for Mental Health and Integrated Health<br>Systems|
|---|---|
|Other name the charity uses|-|
|Registered charity number|1188880|
|Charity’s principal address|THE HOLLY BUSH<br>UPPER BOND STREET<br>HINCKLEY<br>LE10 1RH|





## **Names of the charity trustees who manage the charity** 

|**Trustee name**<br> <br>Mohammad Haroon<br> <br>Frederick William<br>Saunders<br> Yasirah Fatimah|**Office (if**<br>**any)**|**Dates acted if not for**<br>**wholeyear**|**Name of person (or body) entitled to**<br>**appoint trustee(if any)**|
|---|---|---|---|
||Chair|For entire reporting<br>period.|The first charity trustee,<br>appointed through the CIO<br>Constitution.|
|||For entire reporting<br>period.|The first charity trustee,<br>appointed through the CIO<br>Constitution.|
|||As of 19 February<br>2021|Appointed by the Board of<br>Trustees.|



– Corporate trustees names of the directors at the date the report was approved 

**Director name Not applicable** 

Name of trustees holding title to property belonging to the charity 

|**Trustee name**|**Dates acted if not for whole year**||
|---|---|---|
|**Not applicable**|||
||||



## **Funds held as custodian trustees on behalf of others** 

Description of the assets held in this capacity Name and objects of the **Not applicable** charity on whose behalf the assets are held and how this falls within the custodian charity’s objects Details of arrangements for **Not applicable** safe custody and segregation of such assets from the charity’s own assets 

## **Name of chief executive or names of senior staff members (Optional information)** 

Dr Ionela Petrea, CEO 

## **Exemptions from disclosure** 

Reason for non-disclosure of key personnel details 

Not applicable. 



## **Declarations** 

**The trustees declare that they have approved the trustees’ report above.** 

**Signed on behalf of the charity’s trustees** 

**Signature(s) Full name(s)** Mohammad Haroon **Position (eg Secretary,** Chair **Chair, etc) Date** 13/12/2021 




**Charity Name No (if any) INSIGHT International for Mental Health and Integrated 1188880 Health Systems CC16a Receipts and payments accounts For the period** 02/04/2020 13/02/2021 **To from** 

## **Section A Receipts and payments** 

|**A1 Receipts**|**Unrestricted**<br>**funds**<br>**to the nearest      £**|**Unrestricted**<br>**funds**<br>**to the nearest      £**|**Restricted funds**<br>**to the nearest £**|**Restricted funds**<br>**to the nearest £**|**Endowment**<br>**funds**<br>**to the nearest £**|**Endowment**<br>**funds**<br>**to the nearest £**|**Total funds**<br>**to the nearest £**|**Total funds**<br>**to the nearest £**|**Last year**<br>**to the nearest £**|
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|**_Sub total_**_(Gross income for AR)_|**-**||**-**||**-**||**-**||**-**|
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|**A2 Asset and investment sales,**<br>**(see table).**||||||||||
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|**_Sub total_ **|**-**||**-**||**-**||**-**||**-**|
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|**A4 Asset and investment**<br>**purchases, (see table)**||||||||||
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|**_Sub total_ **|**-**||||||||**-**|
|**_Total payments_**<br>**_Net of receipts/(payments)_**<br>**A5 Transfers between funds**<br>**A6 Cash funds last year end**<br>**_Cash funds this year end_**||||||||||
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CCXX R1 accounts (SS) 

13/12/2021 

1 



## **Section B Statement of assets and liabilities at the end of the period** 

|**Categories**<br>Signed by one or two trustees on<br>behalf of all the trustees<br>**B5 Liabilities**<br>**B3 Investment assets**<br>**B2 Other monetary assets**<br>**B4 Assets retained for the**<br>**charity’s own use**<br>**B1 Cash funds**|**Details**<br>**Details**<br>**_Total cash funds_**<br>(agree balances with receipts and payments account(s))<br>**Details**<br>**Details**<br>**Details**<br>Signature|**Unrestricted**<br>**funds**<br>**Restricted funds**<br>**to nearest £**<br>**to nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>OK<br>OK<br>**Unrestricted**<br>**funds**<br>**Restricted funds**<br>**to nearest £**<br>**to nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Fund to which asset**<br>**belongs**<br>**Cost (optional)**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Fund to which asset**<br>**belongs**<br>**Cost (optional)**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Fund to which**<br>**liability relates**<br>**Amount due**<br>**(optional)**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>Print Name<br>MohammadHaroon|**Endowment**<br>**funds**<br>**to nearest £**|
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||||Date of approval|
|||MohammadHaroon|13/12/2021|
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CCXX R2 accounts (SS) 

13/12/2021 

2 

