Question

Isn’t it just natural that mobile teams will meet people avoiding care or don’t want to engage with services, and that sufficient time should be invested in creating a therapeutic alliance?

Problem description

Today we are only working with patients demanding help and accepting us to meet them. We do not use coercion.  It would be interesting, as it is the case in Geneva and Lausanne, to work with care avoiders, but there is still no agreement about this.  Moreover, there’s a lack of consensus on a specific methodology or approach for care avoiders.  The team doesn’t wish to proceed too intrusively, perceived as threatening or intimidating

Impact - effect

The most vulnerable people risk to be the first to miss the boat.   However, this group does make part of the frequent users (heavy users) of services for whom hospitalisation is no longer a solution.  These are the people that get excluded from society,  because of psychotic problems, homelessness..

To do

To do: it is important to think about a way to engage to this group of people who are often most in need of our care.   To achieve this, perseverance and determination will be necessary, even if the person doesn’t ask for help or care.  It should be possible to invest about 3 weeks in creating an therapeutic alliance.  If this alliance can’t be established, and the person continues to resist and to mistrust,  then the intervention can be stopped, informing the person in question

Theme

Starting up and further development/deployment of mobile teams

Topic

engagement / care - annoying - "meddling" (limits of an assertive approach)

Reference -  contact

Marie Vlieghe

Mobile team

2A

Project

réseau santé Namur

Intership abroad - place

Genève

Date

November 2012