Question

If we find that a mobile team does not meet some critical ingredients of a prototype 2a or 2b team, and tends to look like an ambulatory mental health service “+” (upgrade), do we then whether or not have to adjust our concept?

Problem description

The doctors associated with our mobile teams don’t prescribe any medication, they are not mobile or not enough, the team is unable to respond always rapidly to questions, there are not many opportunities to pass the estafet-baton.  So we realise that we don’t respond to several critical ingredients of a mobile team type 2A. At the same time we do not meet critical ingredients of a 2B-Team (type ACT, AOT), because we do not target patients with very severe psychiatric problems and with a history in residential facilities

Impact - effect

Our team is rather a “sector team” (like in France: “équipe de secteur”), which is rather a MH-ambulatory service.  Type CMHT, but more intensively than the current MH-ambulatory services in our region, and including home treatment which the current ambulatory services don’t deliver).  So our type of mobile teams is more a prerequisite to the existence of mobile teams type 2a and 2b, and our team may just fill the gaps in the current ambulatory mental health.  Referring to the Birmingham model, source of inspiration for the functional map in the Guide, our team is closer to a « Community Mental Health Team » than to a CRHT (Crisis Resolution Home Treatment) or AOT (Assertive Outreach, ACT) type of team.  These two types are supposed to offer a real alternative for distinct target populations

To do

to do: 1) Clarify the current role and place of our mobile team, and find out, together with the partners, what the reasons can explain why the team is not responding to key ingredients (reasons that could be linked to our working area) of the practice in prototype 2a and 2b teams

2) Evaluate, in a better way, the consequences of this conclusion, and try to consider some of these key ingredients as guidelines for an adjustment

Theme

Starting up and further development/deployment of mobile teams

Topic

critical success factors for starting up and further development/deployment

Reference -  contact

Dr Antoine Maisin

Mobile team

2A and 2B

Project

Région Hainaut

local support - expert

Jean-Luc Roelandt

Date

May 2013