Within the landscape of mental health services in Israel, one name stands out for its dedication, innovation, and impact—ENOSH. At the helm of ENOSH is CEO Hila Hadas, whose leadership has been instrumental in navigating the organization through periods of significant change and growth. Hila’s background in biology and her passion for mental health have driven ENOSH to innovate continuously and expand its reach.
ENOSH was born from a specific need and evolved because of its important purpose. “Prior to the establishment of ENOSH,” recalls Arik Cohen, ENOSH’s Deputy CEO, “community-based rehabilitation was a foreign concept.” So a group of mothers whose children had severe psychiatric diagnoses such as schizophrenia set out to change the narrativeFrustrated by the stigma and lack of community support for their children, the story of ENOSH begins. The mothers started with three goals: to reduce stigma, to advocate for the rights of their children, and to provide practical services within the community. At a time when mental health issues were largely hidden away in institutions, this approach was nothing short of revolutionary.
In the 1980s, ENOSH laid the foundation for its future successes. It established protected workplaces that provided employment opportunities and life skills training, helping individuals regain a sense of purpose and normalcy. Social clubs offered vital social interactions and activities, combating isolation and fostering community. Perhaps most notably, ENOSH opened the first hostels in Israel for psychiatric patients transitioning out of hospitals, providing a residential setting with comprehensive support.
ENOSH opened the first hostels in Israel for psychiatric patients transitioning out of hospitals
As the organization moved into the 1990s, it continued to expand its reach. ENOSH’s hostels provided a safe and supportive environment for those leaving psychiatric hospitals, marking a significant shift in mental health care. The organization pioneered community rehabilitation practices, developing best practices for psychosocial rehabilitation in the community. These models were so effective that they were later adopted nationwide, showcasing ENOSH’s ability to lead by example.
The turn of the millennium brought national recognition and integration for ENOSH’s services. In 2000, a landmark legislation—the Rehabilitation of the Mentally Disabled in the Community Law—mandated government support for community-based services for individuals with psychiatric disabilities. This was a testament to ENOSH’s influence and success. The Israeli government began funding ENOSH’s services, recognizing their importance in reducing hospitalization rates and improving quality of life.
“Today, thanks to years of dedication and evidence-based practices, we’ve shown that people can lead meaningful lives within their communities,” says Cohen, addressing the transformation in mental health care.
ENOSH had relied heavily on philanthropic donations to fund its services in the 80s and 90s. Early support from the National Insurance Institute and various foundations was crucial in establishing and proving the efficacy of community-based mental health services. However, through consistent demonstration of positive outcomes, ENOSH successfully advocated for government integration of its services.
Today, approximately 90% of ENOSH’s budget is funded by the government, supporting a comprehensive range of services from housing and employment to social and family support. This transition from 100% philanthropy to substantial government funding highlights ENOSH’s role in shaping national policy and ensuring the sustainability of its programs.
ENOSH’s scope of services is extensive and continues to evolve. Itsr housing programs include hostels and independent living support, providing individuals with a safe place to live while receiving the support they need. Employment programs offer both protected work environments and support for integration into the competitive job market, helping individuals build skills and gain confidence. Social and family support programs assist families and provide social activities, fostering a sense of community and belonging.
One of ENOSH’s most innovative initiatives is the Headspace program, focused on early intervention for youth mental health.
One of ENOSH’s most innovative initiatives is the Headspace program, focused on early intervention for youth mental health. This program provides vital support to young people, addressing mental health issues before they become more severe.
Reflecting on ENOSH’s mission, Hila emphasizes the importance of community and early intervention: “Our goal is not just to provide care but to foster a supportive community where individuals feel understood and valued. Early intervention can change lives, and that’s where we focus our efforts.” Additionally, ENOSH has expanded access through digital platforms, offering online mental health support to reach even more individuals.
As ENOSH continues to innovate and expand, its commitment to reducing stigma, advocating for rights, and providing comprehensive community-based care remains steadfast and ENOSH is well-positioned to continue making a profound impact on mental health in Israel.
In celebrating its achievements, we are reminded of the power of community, advocacy, and unwavering determination. ENOSH’s story is one of hope, resilience, and the belief that everyone deserves the chance to live a fulfilling life.
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