Question

Which diversity of shelter type places are possible for persons with mental problems, who are in crisis and don’t need hospitalisation?

Problem description

When a user can’t be hospitalised (no bed available, or hospitalisation is not adequate, ….), but he doesn’t have a place to live, he’s re-orientated by social services outside mental health (e.g. forster home, day shelter, night shelter…)

Impact - effect

These structures require capacity for autonomy, adaptation, acceptance of community life which the user doesn’t always have,  they are not always very appropriate and sometimes unaccustomed for this target group, which sometimes creates difficulties for the team these structure.  There might be: lack of knowlegde regarding the mental pathology, fear of the target group, misrepresentations (e.g. “only hospital can deal with this”, “they are dangerous”, etc.), and sometimes the crisis could be triggered or stressed by the inadequacy of the professionals

To do

To do : diversify the possible types of shelter.  An example found in Lille: the AFTAH structure, a therapeutic family foster, existing since 2000.  Short of long stay, it is a real alternative to hospitalisation.  This family  placement is therapeutic in itself: intimate, family shared, a daily life programme, non-psy expertise.  It needs to work in a network with the treatment doctor, with the home care teams (e.g. nurses) and with a team that ensures a proper conduct of the complex relations between the host and the guest

Theme

Continuing care pathway

Topic

Actors involved (services, professionals), “who”

Reference -  contact

Valérie Bauwens, Françoise Vandaele

Mobile team

2A

Project

Région du Centre

Intership abroad - place

Lille

Date

November 2013