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Coordination by Mutual Agreement psychiatric care FOR patients who live at home

Coordination by Mutual Agreement psychiatric care FOR patients who live at home. Patrick Janssens DGGZ Antonin Artaud CSM. SOCIAL CONTEXT: non-residential mental health services. Prior objective: offer care to people who suffer from important psychiatric diseases,

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Coordination by Mutual Agreement psychiatric care FOR patients who live at home

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  1. Coordination by Mutual Agreementpsychiatric care FOR patients who live at home Patrick Janssens DGGZ Antonin Artaud CSM

  2. SOCIAL CONTEXT: non-residentialmental health services • Prior objective: offer care to people who suffer from important psychiatric diseases, in order to enable them to live in society

  3. Social Psychiatry - 3 dimensions • Balanced care • Social awareness, normal life • No improper institutional rules

  4. Psychiatry - CoordinationDomiciliary Care • Concept:create and support a network of social workers around 1 patient

  5. Psychiatry - CoordinationDomiciliary Care • Objective:offer coherence and coordination • Methodology: hold coordination meetings

  6. Psychiatry - CoordinationDomiciliary Care • In practice:- each organisation can participate - an organisation can mention a new patient

  7. Psychiatry - CoordinationDomiciliary Care • Conditions:- 3 social workers - a social worker asks for coordination- explicit approval of patient- problems in care are supposed to be caused by underlying psychiatric problems

  8. Psychiatry - CoordinationDomiciliary Care • Minimal construction:- client - trusted representative- 2 other social workers- employee of PsyCoT (general practitioner who has a central role) (trusted representative - ego supporting)

  9. Psychiatry - CoordinationDomiciliary Care • Deontological conditions:- approval of client- communication according to deontological rules • Psychiatric knowledge: - concept situated in non-residential mental health service

  10. Psychiatry - CoordinationDomiciliary Care • Results - part 1- 70 to 85% of demands originate from domiciliary care- coordination in the whole Brussels region - in problematic situations, care will be continued - usually 5 to 6 social workers for 1 client

  11. Psychiatry - CoordinationDomiciliary Care • Results - part 2- 55 dossiers, cooperation with 116 institutions- sensitization regular domiciliary care services - low-cost methodology (2 FTE) - transferable methodology

  12. Psychiatry - CoordinationDomiciliary Care • Results - part 3 :- seamless - only few direct consequences - support of improved quality - improved strength of domiciliary care

  13. PsyCoT national health service psychiatrist client workline family support daycentre

  14. PsyCoT manager landlord (proprietor) psychiatrist daycentre volunteer client cleaners family support pharmacist social housing

  15. PsyCoT tutor social service centre volunteer s.w. Foyer client family support 1+2 general practitioner domiciliary care

  16. PsyCoT dismissal manager s.w. Home client social service centre psychiatrist dggz s.w. DGGZ Salvation Army

  17. PsyCoT s.w. cgg s.w. cgg s.w. Domiciliary Care psychiatrist family support client neighbour 1 neighbour 2

  18. DGGZ Antonin Artaud CSM

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