Question
How can we, as partner within a network, increase co-operation?
Problem description
In ‘107’, working as a network for ‘our’ patients is set as a target. Avoiding that patients are shifted between organisations and, when necessary, try to do this seamlessly. However, this is not experienced as such, in the daily practice of the mobile crisis team. We are working hard on this. There is still much thought from the point of view of the organisation, rather than taking the needs of the patient as a starting point. The idea that we are one network, “together”, is not yet promoted everywhere. This is also in line with the feeling that the general idea that clients are best helped at home, hasn’t convinced the average (residential) care provider
Impact - effect
The right patient does not always end up in the right place. Patients are too often quickly referred to residential care. Which explains that the cooperation between partners is sometimes more difficult than hoped for. There are still patients who don’t find a place in the range of treatment supply. There are still long waiting lists in ambulatory settings, primarily in very specialised services, but also in the CGG (mh-ambulatory services). Mobile teams can not sufficiently count on support from the residential partners and end up with a heavy workload. It is still a long way to put 'shared responsibility' as network partners into practice
To do
To do: it is worthwhile to reflect on a number of lessons from the Netherlands, in times that is was difficult over there as well. "Shared responsibility" was concretised by a common patient record, while the slogan "You become better at home" was promoted and partners put responsibility on each other when certain proposals didn’t fit into this framework. A psychiatric hospitalisation is considered as an interlude in ambulatory care (the same for a follow-up by a crisis team). According to this philosophy, there always was a team member of the crisis team represented in the team meetings in the psychiatric hospital, to shorten the stay in hospital. We should also invest in a first step that could bring the mobile crisis team closer to the entrance gate, to initiate in this way the recovery movement at all levels of mental healthcare
Hyperlink
Theme
Hospitalisation
Topic
Role, place and function of the hospital
Reference - contact
Ellen Beets
Mobile team
2a
Project
Noolim
Intership abroad - place
Noord-Holland-Noord (IHT)
Date
September 2014