Question

Is there a possibility that, within a period of time, the final direction will be the responsibility of the psychiatrists attached to the 2B team?

Problem description

Because of the limited availability (6 hours/week), there is no possibility for the psychiatrists to make assessments in the home situation.  The team psychiatrists is not by definition the treating psychiatrist

Impact - effect

An individual case manager can observe symptoms of a client, but doesn’t have the expertise or the mandate to make a diagnosis.  In the Dutch context, psychiatrists are much more available for the teams (0,8 WTE per 200 clients).  By consequence, the psychiatrist is actively participating in the team by making assessments and starting up treatment pathways during home visits.

The team psychiatrist must follow the diagnosis, made by the treating psychiatrists.  Often, our team is noticing behaviour that is not always compatible with the diagnosis.  And for the team psychiatrist, questioning the diagnosis set by a colleague, is not evident.

To do

ervoor pleiten dat de psychiater meer inzetbaar is  en tevens nagaan of er binnen ons systeem een mogelijkheid is dat de eindregie in handen komt van de psychiater verbonden aan het 2B team

Theme

Role of psychiatrists

Topic

Number of hours/week available for the team, number of WTE psychiatrist (full-time, part-time..)

Reference -  contact

Gerrit Vanhee, Virginie Wydoodt

Mobile team

2B

Project

Ieper-Diksmuide

Intership abroad - place

GGZ Mondriaan

Date

February 2014