Question

To what extent is the unavailability of hospital beds an obstacle to a mobile team with a crisis function?

Problem description

Hermes Plus is a project where the involvement of hospitals and therefore the interaction between hospital and mobile team, is quite different compared to the other 107 projects.  Hermes Plus does not make part of a hospital, which makes it sometimes difficult to realise an urgent hospitalisation.  On the other hand, up to now our team had only to deal with one situation where hospitalisation seemed necessary

Impact - effect

Working mobile with crisis situations in the home situation needs that one can fall back on possibilities for hospitalisations.  In Lille-East, we witnessed that the crisis team wanted to plan two hospitalisations at one afternoon (that, anyway, couldn’t take place because of the limited number of available beds).  We are not sure if the lack of involvement of hospital partners is in fact a disadvantage or advantage

To do

Within our team we should consider the importance of being involved as a team in the decision leading to hospitalisation, or vice versa, avoiding hospitalisation.  It’s important we could make structural arrangements in both directions.   Regarding the possibilities for a rapid referral  for an admission, we don’t think that we need a large number of beds, taking into account the clients we serve today (one of the founding partners of Hermes Plus, the Sanatia Hospital, has engaged to keep one bed available).  In any case, it doesn’t seem appropriate to us to rely exclusively on the procedure of compulsory admission

Theme

Hospitalisation

Topic

decision process (leading to an admission, avoiding an admission to hospital)

Reference -  contact

Steven Lambrecht, Suzy Van Hecke (Hermesplus, crisisteam)

Mobile team

2A

Project

Hermesplus

Intership abroad - place

Lille

Date

June 2013