Question

How can we improve our interventions for care resistant persons ?

Problem description

Currently, our team is not responding to help demands of care resistant persons

Impact - effect

Certain services and / or professionals of our network are asking for direct interventions of the mobile team in the environment of the patient, and this based on their social and / or medical expertise.  Currently, we prefer our offices (orientation platform) as the location for the first meeting and contact, with the aim to realise our expertise and elaborate our objectives of intervention.   This is not allowing a rapid intervention in a crisis situation (like we experienced at the learning place in Lausanne).  In situation like these, we suggest the help demanders to contact the urgency services of the general hospitals who appeal to the mobile team once urgencies are dealt with

To do

To do : encourage interventions for care resistant persons by 1) inquiries of the health- and crisis state; 2) “colloque singulier” (unique consultation) between the case manager and the doctor-psychiatrist in order to analyse the demand and the objectives to be achieved; 3) rapid intervention; 4) go to the place, with the care demander, where the patient is  staying and 4) the presence of a doctor-psychiatrist on the field, if necessary

Theme

Acute care pathway

Topic

Coordination of an acute care pathway

Reference -  contact

Brigitte Curtz, assistante sociale de l’équipe mobile Henri-Chapelle

Mobile team

2B

Project

RéSME

Intership abroad - place

Lausanne / Yverdon (SIM)

Date

February 2014