Question

How to work with a user in absence of a demand and in denial, for whom the network is challenging us and for whom we sense a need to be followed by the team?

Problem description

The EMSA teams only works with users who are in care.  However, sometimes we have to work in absence of a demand or engagement with services

Impact - effect

The population in our region of persons not seeking care risks to be the first to miss the boat, although this group seems to be most vulnerable

To do

To explore :

- Preventively: to develop and establish joint crisis plans during our interventions (type absence of demand) and forward this to the network (by fax) to share the expectations of the user in case of decompensation:  prevention in case the user is again in absence of demand or disengages

- Organise a specific consultation (without the presence of the user), about the problem of absence of demand or engagement.  This can be a ‘pretext’ to meet the predisposing network in advance, to search for resources and actionable insights for and around the user

- Evaluate the risks and the possibilities during the first contact

Theme

Starting up and further development/deployment of mobile teams

Topic

engagement / care - annoying - "meddling" (limits of an assertive approach)

Reference -  contact

Marie Engelbienne, Dr Virginie Roobaert

Mobile team

2b

Project

Hainaut Occidental

local support - expert

Maud Lapaire

Date

September 2014