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Rita Dries Senior lecturer Mental Health Care

Rita Dries Senior lecturer Mental Health Care. Katholiek Hogeschool Kempen Department of Health Science Herentalsstraat 70 2300 Turnhout – Belgium rita.dries@khk.be. 10,3 ml. inhabitants 30.000 km 2 surface. BELGIUM. 10 moi in habitants Surface 30 000 km 2

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Rita Dries Senior lecturer Mental Health Care

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  1. Rita DriesSenior lecturer Mental Health Care Katholiek Hogeschool Kempen Department of Health Science Herentalsstraat 70 2300 Turnhout – Belgium rita.dries@khk.be

  2. 10,3 ml. inhabitants30.000 km2surface

  3. BELGIUM • 10 moi in habitants • Surface 30 000 km2 • Three languages : Flemish, French, German • Borders : Northsea, The Netherlands, Germany, Luxemburg, France. • Independant since 1830 • Kingdom : King Albert 2 • Religions : majority Roman Catholic, Islamite, Protestant, Jewish

  4. FLANDERS • Northern part of Belgium • Flat country • Beautiful cities of art and world-famous painters • Recently federal state with its own parliament and governement • Dutch-language area, most Flemish people speak several languages

  5. TURNHOUT • North-east of Belgium 15 km from the border with the Netherlands 40 km from Antwerp, 80 km from Brussels • 40 000 in habitants • Well know for printing and playing cards industry • Student-city : several schools on several levels

  6. Schoolentrance

  7. Marketplace with church

  8. Castel of the Dukes – 13 th century

  9. EDUCATION IN BELGIUM

  10. 1. Levels • Nursery education (2,5-6 years of age) • Primary education (6-12 years of age) • Secondary education (12-18,19 years of age) • Higher education non university (+ 18 )one cycle – two cycle • University (+ 18) candidate, licentiate,doctorate • Compulsery education from 6-18 • Possibility to combine working and learning from 16-18

  11. Secondary education • General academic secondary education • Technical secondary education • Vocational secondary education • Art secondary education • Post secondary education (18-21 years of age)

  12. 2. Organization • Public school, civil authority community, province, municipality • Private school, private initiative not civil authority complying with all legal instructions mayority are catholic schools

  13. Health Care Education - KHK

  14. Association K.U.Leuven Association Catholic University of Leuven Bachelor and Master in Nursing and Midwifery

  15. Association K.U. Leuven • Members • 12 polytechnics • 1 university • 70.000 students

  16. Health Care Education - KHK • Private, Catholic school • Approximately 1250 students and 200 lecturers • Different educational programmes over different depart-ments and different levels

  17. Health Care Education Katholieke Hogeschool Kempen Department of Health Care Sint Elisabeth Hoger instituut voor verpleegkunde Sint-Elisabeth Turnhout Navormingscentrum HIVSET

  18. Health Care Education - KHK • Higher education (Bachelor) • midwifery training (3 years – 180 credits) • medical secretaries (3 years – 180 credits) • nursing education (3 years – 180 credits) • 60 credits a year (total: 180 credits) • 135 credits general • 45 credits specific • General, pediatric, and geriatric nursing, mental health care and community care • theory and training

  19. Health Care Education - Nursing • First year • Theoretical aspects of nursing (7) • Basic skills of nursing (8) • Applied skills of nursing (8) • Anatomy and pathology (7) • Biomedical science (5) • Psycho-social science (5) • Philosophy, ethics and law (7) • Clinical placement (13)

  20. Health Care Education - Nursing • Second year • General nursing (10) • Mental health care (5) • Community care (5) • Pediatric nursing (5) • Geriatric nursing (5) • Psycho-social science (3) • Nursing science (3) • Philosophy, ethics and law (4) • Clinical placement (15) • Capita Selecta (5)

  21. Health Care Education - Nursing • Third year • General • Theoretical aspects of nursing (8) • Ethics (3) • Psycho-social science (4)

  22. Health Care Education - Nursing • Third year • General, pediatric, geriatric nursing, community care and mental health care • Acute aspects (13) • Chronical aspects (6) • Clinical placement (18) • Project (8)

  23. Health Care Education - KHK • Continuing education • Bachelor after bachelor(6)

  24. MENTAL HEALTH CARE IN BELGIUM

  25. MENTAL HEALTH CARE IN BELGIUM • The psychiatric client • The organization of mental health care in Belgium • Evolution from institutional to community orientated care

  26. The psychiatric client Negative • Prejudices in our society • Impopular - low social value - low moral value - dangerous behaviour - negative behaviour • Difficult quality controle • Incompetence of the care worker

  27. The psychiatric client Positive • What is a psychiatric patient? (consciousness, memory, thinking, mood, perceptions …) • Evolution to scientific approach • Looking to the client as a holistic person • Empathy, unconditional acceptance, authenticety • Rehabilitation idea

  28. The organization of mental health care in Belgium Level 0 • The client himself and his environment • ‘ex-client’ in self supporting groups

  29. The organization of mental health care in Belgium Level 1 • General practioner • Pharmacist • Care at home

  30. The organization of mental health care in Belgium Level 2 • The psychiatrist / neurologist • The psychologist • Center for mental health (C.G.G.)

  31. The organization of mental health care in Belgium Level 3 • Psychiatric ward in a general hospital (PAAZ) • Psychiatric hospital (P.C) different sectors, open and closed wards, short and long stay • Psychiatric care center (PVT) chronical psychiatric clients, idea of rehabilitation

  32. The organization of mental health care in Belgium Level 4 • Day-hospital • Night-hospital • Occupation therapy • Sheltered living • Community mental health care • Day-activity center • Work-coaching

  33. The organization of mental health care in Belgium Organisation of the ward : crisis • 30 beds • Open or closed • Maximum stay 2 month • 1 or 2 beds for one room • Client is paying a smal price, the rest is covered by the insurence

  34. The organization of mental health care in Belgium Organisation of the ward : long stay • 30 beds, 1 or 2 beds for a room • Small groups, 6-8 persons • Mostly open • Maximum stay 18 months • Total stay 5 years • Resocialisation • Client is paying a smal price, the rest is covered by the insurence

  35. The organization of mental health care in Belgium Organisation of the ward : care center • 30 beds, 1 bed for 1 room • Open • Living in groups of 10 persons • Stay for the rest of their life • Rehabilitation • Client is paying half of the price, the rest is covered by the insurence. Some clients have an extra private insurence

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