Question

To what extent we can expect a certain specificity (specialisation) of a mobile team, and how to develop it?

Problem description

Our team can count on very committed and experienced people.  Experienced in terms of seniority and working with different target groups.  However, specific target groups (e.g. addiction problems, personality disorder, double diagnosis, …) need a specific approach, especially since we are working in the home situation.  Also, we notice a tensions between working in a generalist of specialist way.  There’s a tendency to count on competencies rather than pathology

Impact - effect

The team members get a fresh start, but without a solid background.  There is a risk of increased expressed emotion, of loss of engagement towards the client, of disconnecting.  A sense of failure takes the upper hand.  Nevertheless,  we can already count on the experience of some of our colleagues in the teams regarding working  with personality disorders

To do

To do: we have found some inspiration sources in GGZ Mondriaan.  Certain clients with a personality disorder are referred to a specialist centre (PsyQ , a psycho-medical  programme).  Only clients with a so called “clean, neat PD with the potentiality of integration”, and a psychiatric vulnerability, are included in the mobile teams.  The team in Kerkrade engaged a psychologist experienced in working with personality disorders, for two days a week, organising short term individual therapy.  There’s also a group for women with PD.

In any case, we must aim a better match with the residential settings regarding the treatment and approach in home situations for persons with personality disorders.

Theme

Specific problems and working in mobile teams

Topic

Personality disorders

Reference -  contact

Annemie Anckaert, Myriam De Meyere, Jasper De Bruyne

Mobile team

2B

Project

Noord West-Vlaanderen

Intership abroad - place

GGZ Mondriaan

Date

February 2014