Question

How can we encourage and more often benefit from the consultation around the psychiatric patient?

Problem description

In Belgium we can profit from the so called « consultation meeting around the psychiatric patient ».  But the organisation context is much different from the one in Lausanne, and the yield is often limited.  The administrative component is a burden, and the conditions for being financed for these consultations are rigid.  The number of financed consultation meetings is fixed at 3 per year (per patient).  Not less, because then one does not meet the condition for financing, not more, which means that additional consultation meetings are not financed.  These consultation meeting are fully used.  It is difficult to get a doctor around

Impact - effect

We often meet situations for which these consultation meeting around the psychiatric patient could be interesting to avoid that patients and other partners could come into troubles.  Not organising a meeting can lead to a decision taking of one single partner and exclusion of other care professionals.   There is also the risk that the collaboration between several partners is affected, and that these partners will have the feeling that their work is not taken into consideration

To do

To do :  we could consider to take profit of these formal network consultations, outside any financial framework, and based on the “network colloquium”, a type of consultation that is frequently used in Lausanne, and in which the SIM-team is participating for a large part of their caseload.  This type of colloquium permits a consultation between partners and a joint engagement.  It will prevent unilateral decision taking by any individual partner which could bring a partner in trouble.  In Lausanne we witnessed how one partner in difficulty (a community house) could profit from this type of consultation and found a supportive resource in the network.  The objective of these meeting is to re-orientate the actions based on the state of the art

Theme

Continuing care pathway

Topic

Coordination of an continuing care pathway

Reference -  contact

Jean Maquet, infirmier en chef, EM d’Henri Chapelle

Mobile team

2B

Project

RéSME

Intership abroad - place

Lausanne (SIM)

Date

February 2014