<< Background >>This project was prepared under the leadership of Lithuania, in cooperation with Turkey, the Netherlands, Italy and Poland. According to Eurostat data, more than 50 million people across the EU have more than one chronic disease, and this number will increase significantly in the near future. This increase constitutes 20% of GDP of health expenditures. For this reason, it is essential to reach the project partner countries and across Europe through the Erasmus+ project.In the context of this title, the project aims to reach elderly multimorbid people who have fewer opportunities and improve their living standards. It aims to support older people living in rural and remote areas or people over 65+ who suffer any potential discrimination on the basis of age. This project will contribute to overcoming the barriers faced by this group in accessing the opportunities offered by the program, as well as creating inclusive environments that promote equality and equality and respond to the needs of the wider society. In the context of the chosen topic, this project aims to support local learning environments, social inclusion and civic engagement through partners. PABSEM will enable 65+ multi-morbid individuals to benefit from lifelong learning opportunities by using developing technologies. The PABSEM project encourages local learning centers, civil society and university research centers to work together to enable and motivate adults to learn life skills and key competences.PABSEM, method, it is aimed to reduce the depression level of elderly multiborbidity individuals and reach a quality life.In addition, the PABSEM approach will be developed to strengthen the education and learning paths that therapists who will be educators can use. The skills and competencies required for these therapists to provide quality service will be gained during the project. With the new competencies that therapists will gain during the project process, it will turn into a quality counseling service for multimorbit individuals. Along with this quality consultation service;-Reducing the expenses related to health expenditures,-Patients staying in hospital beds for less time and reducing the risk of infection,-Accelerating the healing process with personalized practices,-Providing time savings,-Psychological benefits to the patient,-It will be possible to increase the quality of life. In order to realize the project, Social inclusion will be the leading<< Objectives >>It is expected that the rate of the elderly population will increase even more in the total population in Europe in the coming period. This will make it necessary to change policies for the elderly and to form new political elements. Due to the long process of this change, NGOs also have a big role with decision makers. We will try to develop solutions for burnout syndromes of multimorbid individuals who are in a disadvantaged position, starting from our instutions towards local, national and EU dimensions, as the 5 institutions (3 NGOs, 1 Adult Education Center, 1 University) that set out with this awareness and ensure the preparation of this project. The expected results in this solution process are;FOR TARGET GROUP•Multimorbid individuals will explain their gains after therapy in a way that encourages their peers and will motivate them positively.•The target group's life perspectives will be changed by increasing the quality of life of the target group.• Increasing awareness of Erasmus+ programs among the disadvantaged and the elderly•Depression symptoms of elderly multiborbidity individuals will be reduced.•They will also learn to find solutions for Symptoms such as sleep problems, falling asleep, over-sleeping without taking pills.•Aged multiborbidity will be provided to improve the physical health, decrease the frequency of seeing a doctor, and reduce drug use.•Health expenditures, which create additional costs related to the use of multiple drugs, will be reduced.•PABSEM process will increase self-esteem and communication skills of elderly multiborbidity individuals.FOR PARTNER INSTITUTIONSThe PABSEM theory, new methods and new competencies acquired during the project will be used in the therapy process. This will not only contribute to the sustainability of the project, but will also increase the prestige of the institutions and provide economic added value to the institutions thanks to new clients.•Institutions will be recognized as a good model at local, regional and national level, which will create a positive synergy in our region.•Empowered cooperation opportunity with partners from other countries will be achieved.•The project partner institutions will be made visible on an international level.•Competencies and experiences to be gained by the participants will be integrated to the association charter, work schedule, activity plan, training and strategic plan and shared with our other staff by management. This will give our institutions a new vision.EUROPE LEVEL•Multimorbid individuals' reduced health expenditures, which cause additional costs due to multiple drug use, will add value to the national economy.•Increasing awareness of Erasmus+ programs among the European countries.FOR PARTICIPANTS;The EQF (European Qualifications Framework) will be taken as reference in order to develop the competencies that the participants have, and it will be ensured that the participants will blend the competencies they have with the new competencies they have acquired and adapt them to the cultural structure of their country. In this process, the improvement of the participants will be encouraged and the duplication of previous competencies will be prevented. As a result of the planned activities, the participants;•Increased knowledge in terms of professional quality and quantity,•The participants can communicate effectively with other project stakeholders,•Supporting sustainable development,•To learn and apply sub-disciplines of PABSEM, these basic competencies all participants;•To acquire the skills and competencies that can provide quality service in this field,•Learning different education systems for art therapy,<< Implementation >>It is expected that the proportion of the elderly population will increase even more in the total population in Europe in the coming period. This will make it necessary to change policies for the elderly and to form new political elements. Due to the long process of this change, NGOs also have a big role with decision makers. We will try to develop solutions to burnout syndromes of multimorbid individuals who are in a disadvantaged position towards local, national and European dimensions, starting with our responsibilities as 5 institutions that set off with this awareness and ensure the preparation of this project. For this reason, three types of actions are planned in our project to improve the quality of life of multimorbide people over 65 years old. All of these disciplines that are the basis of our application have been gathered under the name of PABSEM. In this context, the overall aim of the project is to reduce the health costs of elderly multimorbid individuals with alternative approaches to burnout syndromes and to increase the quality of life of elderly multimorbid individuals.The activities to be implemented in this context are as follows: a) 5 transnational project meetingsb) 2 WPc) International Symposiumd) Other: Project needs analysis, Logistics preparation, Web sharing, Establishment of the Executive Commission; Preparing Evaluation Survey; e-newsletter; Focus Meeting; Communication Strategy; Pre-test application; Establishing an Audit Commission; EPALE data sharing; SEG data upload; Linguistic Preparation; Social Media Strategy; Corporate Identity Design; Risk management plan; G + NETWORK; Article Writing; Website setup; Uploading data to the online library; Seminars; Suggestion Report; Workshop; Intellectual Property Application; EFQM; Competence Development Survey; R&D Studies; Sharing Experience Writing the final report; Membership to International Umbrella Institutions; OER (Open Educational Resources )<< Results >>The success of the project depends on the results of O1, O2, and E1 as well as the dissemination plans. In this context:O1: PABSEM will develop a new understanding.There is no comparable data on the relationship between multi-therapy and multi-morbit across Europe. Our project will be an opportunity to make this comparison. Pre-test at the beginning of the project and post-test comparisons at the end of the project will provide accurate information about the target group. The steps of the research process to increase transferability will be described in detail. In particular, themes and categories will be clearly defined so that the target group can easily understand. It is possible to talk about many variables such as process and environment in burnout syndromes of elderly multimorbid individuals. The variables that affect this process can affect health costs positively or negatively. One of the most important points for the project to function properly is the level of transferability. During the transferability of our project, the analysis of its data will be carried out by obtaining more than one expert opinion.O2: Publishing manual books and e-book to increase the quality of life of multimorbid individuals. The handbook & e-book will be drafted thanks to the results achieved from the research carried on the O1. The handbook & e-book will be divided into different chapters. Each partner will be involved in developing the content while bringing specificity according to its cultural national context, research made on multimorbidity and needs analysis resulted at the level of the partnership and the level of participants and target group. These two books will become a working tool for adult educators, art & Music therapists, as they will provide guidelines and methodologies on how to support persons with multimorbidity during education activities or tours. A section will include examples of successful practices in the practice, developed both by educational and health organizations. A contact list in the Music and artistic sectors in the partners’ areas will be as well integrated into the document, to facilitate the creation of contacts and strategies between the two disciplines (art and music). Instructions on the procedure to develop PABSEM models of monuments and other performing works will be included.E1:The introduction of the O1 and O2 which will be the Intellectual Outputs of the project, will be made at an international Symposium. It was decided to hold a Symposium as a multiplier event, since the paper to be presented brought scientific innovation and addressed an original topic. Academicians, non-governmental organizations working in the field, Ministry of Health, nursing home managers, health workers, art therapists and private nursing home managers, and local, regional, national authorities and policy makers will be invited to this Symposium. In addition, they will be informed about our project through the local and national press at the press conference. In addition, those who watch the live broadcast on facebook and twitter will be indirectly included in the project.D1:Dissemination planning was made to communicate with our stakeholders and target groups, to expand the multimorbide network, which is our primary target group, to convey our project to wider audiences, and to contribute to institutional, economic and social development.