Question

How to integrate treatment in the home situation and treatment in a residential setting?

Problem description

Not for every client it’s clear what the possibilities are in case of dysregulation.  Often we have to start looking for possibilities, to negotiate (“haggling”) hoping to find a solution

Impact - effect

This is not only requiring a lot of time and energy of the team member of the mobile team, but also of the client and will hinder working on a recovery process.  This creates a sense of incomprehension regarding each other ‘s functioning (mobile, residential)

To do

To do: the psychiatrists of the district team manage themselves some beds in the admission unit 3a (Heerlen, learning place).  They stay available during the hospitalisation.  In case of an admission to hospital, the case manager will transfer the written objectives to the hospital (a contact within 24 hours).  Furthermore,  objectives will be evaluated at the end of the hospitalisation.  The case manager (social – psychiatric nurse) continues to play a central role in the client’s treatment during the admission.   We can explore a first step, that is, how to involve the treating psychiatrist in the treatment or recovery plan.  By inviting, for instance, this psychiatrist to participate yearly to a well prepared and structured meeting regarding the treatment plans of their patients, including clear instructions concerning hospitalisation (when, how, where, etc.)

Theme

Hospitalisation

Topic

Role of the mobile team when the user is admitted to hospital: inreach in residential units, early discharge

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