Question

How to apply the shared caseload methodology without compromising on some benefits of the individual approach?

Problem description

It’s not so obvious to work in the home situation with an individual approach (distance, of duty, …).  The shared caseload approach is also difficult as there are many patients and a high turnover, it’s almost impossible that the complete team has a certain understanding of view on a patient’s situation. On the one hand one needs different visions or views (shared caseload), but on the other hand a patient in crisis is in need for an individual approach (individual team member, counsellor, companion).  Moreover, referring patients is a problem, sometimes it takes months before the ambulatory mh-services can take it over

Impact - effect

At this moment there’s a lack of continuity of care.   In a hospital unit one sees the patient functioning in the hallway, in the living room, in therapies… which is impossible in the home situation where, however, there is a lot of information obtained about the living environment of the patient.  Because it’s impossible for each team member to see the patient, it is not easy to follow and understand the individual situation

To do

To do : as a team we want to create a balance between shared caseload and individual approach, and to be aware of the pros and cons of both methods. The experts illustrated the shared caseload approach in the teams in Birmingham, where there is no exclusive contact between patient and team member.  We want to explore whether some disadvantages don’t weigh to heavily on: the professional (less important as an individual professional), the patient (irritation caused by the many changes), holding a steady course, …

Theme

Starting up and further development/deployment of mobile teams

Topic

critical success factors for starting up and further development/deployment

Reference -  contact

Dette Court, Raf Remans

Mobile team

2A

Project

Reling

Lokale support – naam expert

Mervyn Morris and Atie Dekker