Question

How to estimate that a certain situation is a crisis situation that should be met by a 2a-team ?

Problem description

At the moment receiving the request, is often difficult to evaluate whether the situation is really a crisis situation.  How to define periods of pre- and post-crisis?  Even within our crisis team, it’s very difficult to agree about crisis criteria

Impact - effect

The network does not necessarily have the same analysis of the situation. It is only during the first meeting with the client and the care demander that we realise that it is indeed a crisis situation. If this is not the case, then it is difficult to refuse a follow-up

To do

To do: consider the value of an analysis of the demand at the moment of reception, in pairs (nurse – psychiatrist), and of a systemic approach, as implemented by team ERIC. The presence of a psychiatrist permits to evaluate immediately the situation from psychiatric perspective, not only from the perspective of the user or the network.  The psychiatric function permits to negotiate eventually about hospitalisation, when necessary. Different contacts (professional or not) are taken in order to get a global idea of the situation.  According to the systemic model, team ERIC perceive the situation as an imbalance of the system.  What caused this imbalance?  Is the symptom a cause, or rather a consequence of this crisis?  What are the risks related to this crisis?

Theme

Crisis and risk

Topic

crisis assessment

Reference -  contact

Christelle Druwez, Dominique Hautrive

Mobile team

2a

Project

Région Hainaut

Intership abroad - place

E.R.I.C.

Date

June 2014