Question

Is it an utopia that a 2a-team would fulfil a gatekeeping role?

Problem description

there is still insufficient consensus on the role of the 2a-team as a gatekeeper for hospitalisations.  As there is about the way this could be developed, or what could be a first step

Impact - effect

Without at least realising certain aspects of a gatekeeping role, the number of admissions will probably not be reduced of the right decisions will not be taken (both in situations with indication and contraindications for admission)

To do

To do: in order to think about the role of gatekeeper, we must make arrangements with a number of partners in the first place and let it develop slowly. The internal collaboration with emergency services is an advantage (but also a trap), clear orientation towards GP’s is very important. Good coordination with free consultations (eg on campus Kortenberg) and function 1 is essential

Theme

Hospitalisation

Topic

Interventions at or before the front door (of emergency units, psychiatric units, psychiatric emergency units), gatekeeping

Reference -  contact

Tom Prenen

Mobile team

2A

Project

Leuven-Tervuren

Lokale support – naam expert

Kevin Heffernan

Date

September 2012