Question

How to take into account the distraught families, having a complicated relationship in a situation where there is no help demand for a young adult or adolescent with a psychological problem?

Problem description

So far, we encouraged the evaluation of a demand at the orientation platform, where the demand for help is evaluated in order to charge (or not to charge) the mobile team.  When the mobile team seems not to be recommended, an orientation to the external network or a hospitalisation will follow.  When parents show up with their child, we could consider the mobile team in case the child is not seeking help.  On the other hand, our novice mobile team is not yet familiar with situation where parents ask an intervention at home for their child (adolescent, young adult)

Impact - effect

1) No joint objectives elaborated between family, young person and the network partners in order to take charge of the situation

2) A coercive admissions is probably too frequently the first contact of the young person with psychiatry and care network

3) Missing the opportunity for the family to feel heard

4) Insufficient use of the available resources (family, external network), and the risk to run to fast with the young person

5) The risk of breaking family and  / or therapeutic relationship of young person with a lack of help demand

6) An exhausted family and external network

To do

To do : explore the added value of working with a methodology for anamneses, as the one used in Prangins:  anamneses with the person expressing a help demand (in some situations the parents or the external network) aims to evaluate the family situations, the social, environmental and behavioural situations of the young person from the point of view of the person(s) asking for help.  Then plan a second consultation, or with the young person if, in the best case scenario, he accepts or in collaboration with the family as partner of the interventions in the home situation.  This allows the team to introduce joint objectives with the family and the young person for a treatment or support in the home situation.  Perhaps this can be realised, step by step, at the orientation platform.

Not to do: work with the demand for help, too rapidly focussing on the young person, engaging as a team without involving the family, as a professional you should avoid to formalise a family anamneses on your own

Theme

Starting up and further development/deployment of mobile teams

Topic

useful practice supporting instruments important for starting up and further development/deployment

Reference -  contact

Bozard Valèrie, infirmière de l’EM de Henri-Chapelle

Mobile team

2B

Project

RéSME

Intership abroad - place

Lausanne - SPN Prangins

Date

February 2014