Question

Is it possible to inform doctors, working in an emergency room, better about the involvement of an mobile crisis team before they make the decision to hospitalise a person?

Problem description

Here in our region the psychiatrists determine the course of events, that is, in first instance a bed will be occupied, and only then a demand addressed to the mobile crisis team will follow

Impact - effect

Our objective to avoid hospitalisation is difficult to realise for clients who arrive in emergency units

To do

To do: the Intensive Home Treatment team in Noord-Holland-Noord is seeing every client (with mental health problems) arriving in emergency departments. It’s always a doctor and a social-psychiatric nurse who are doing the assessment together and who determine the course of the treatment.  There will be only decided to admit the client when nothing else is possible. No one is admitted without the advice of the IHT-team.  We can consider to inform our doctors even more about this issue.  It remains, however, a difficult issue as long as the wages of doctors remain dependent on bed occupancy

Theme

Hospitalisation

Topic

decision process (leading to an admission, avoiding an admission to hospital)

Reference -  contact

Suzanne Huybrechts

Mobile team

2a

Project

Halle-Vilvoorde

Intership abroad - place

Noord-Holland-Noord (IHT)

Date

September 2014