Netværksbaserede indsatser som integreret tilgang

1. Netværksbaserede indsatser som integreret tilgang • The grass is always greener on the other side …

2. Agenda • Open dialogue • Examples • Does it work? • Conclusions

3. Open dialogue • The provision of immediate help • A social network perspective • Flexibility and mobility • Responsibility • Psychological continuity • Tolerance of uncertainty • Dialogism

5. Ungdomspsykiatrisk kriseteam

7. Outpatient crisis team - goals • Prevention of inadequat hospital admission by mobilisation of network-ressources • To plan necessary admissions • Easier access • ”minimal invasive psychiatry”

8. De unge og deres familier

9. The young patients and their families • To be present whenever an whereever there is a crisis • To create adequate alternatives to hospital admission • To create relief without unneccessary intervention into every day life

10. Praktiserende læger og henvisere

11. Gp’s etc. • To create the bedst solution according to ”minimal invasive psychiatry” principle • To provide quick help to the young patients and to their families • To make it easier to admit young patients

12. Forbedringsforslag

13. Information, PR, cooperation • Reorganisation • Reduction of patientload • Cooperation with ward staff

14. ”Den trygge vej”

15. Den Trygge Vej – ”The Safe Way”

16. ”Den Trygge Vej” – ”The Safe Way” • Coherence og coordination in favour of the children and their families • Clarification of expectations • Clarification of target problems • Mobilisation of ressources in the families and in the networks

17. Den Trygge Vej

18. www.ungmedskizofreni.dk

20. Does it work?

21. Does it work? • Psychosocial interventions are considered to be effective • due to individual adjustement • due to patient- and familiy involvement and –engagement • due to intensive cooperation

22. at både brukere, pårørende og personale rapporterer at metoden har bidratt positivt i forhold til “å trekke klientene aktivt inn i utformingen av eget behandlingsopplegg, stimulere til åpen kommunikasjon mellom pasienter, nettverksmedlemmer og fagfolk, øke innsikten i klientenes problemer, fremme sosial støtte, styrke evnen til mestring, og bidra til en bedring av samarbeidet mellom fagfolk fra førsteog andrelinjetjenesten”

23. Does i work ? • Makes clients being an acitive part in the formulation of their treatment plan • Stimulates an open communication between clients, network representants and professionels • Provides better insight into the clients problems • Advances social support • Strengthens coping abilities • Better coordination and cooperation between professionels representing the primary and the secondery health care system

24. Does it work ? handler det om at helsetjenesten i større grad skal invitere brukerne til å påvirke egen behandling og å mestre eget liv, samtidig som pårørende skal støttes og ivaretas. Åpen dialog handler i tillegg om at hjelperne skal bli dyktige til å lytte til hverandre og å samhandle med hverandre.

25. Does it work ? The Healthcare system has to • invite users to influence their treatment and to master their own lives • support relatives • Open dialog is about making helpers better to listen to and to cooperate with with each other

26. ConclusionsThere is need for: • Research, documentation • Continouos evaluation • Education • Joint venture: Public health care and social systems • Integration into the leadership support • Further development of treatment principles and strategies

27. Thank You very much