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Homeless People Mental Health Unit (E.S.M). Berlin, October 2005 María Isabel Vázquez Francisco Recalde. Homeless People Mental Health Unit (E.S.M ). The Equipo de Atención Psiquiátrica a Enfermos Mentales Sin Hogar-Homeless People Mental Health Unit (E.S.M): Was created in May 2003
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Homeless People Mental Health Unit (E.S.M). Berlin, October 2005 María Isabel Vázquez Francisco Recalde
Homeless People Mental Health Unit (E.S.M) • The Equipo de Atención Psiquiátrica a Enfermos Mentales Sin Hogar-Homeless People Mental Health Unit (E.S.M): • Was created in May 2003 • Provided by: • Madrid Mental Health Services (SERMAS). • The general division of Social Services of Madrid Community Social Services Advisory Commission
Homeless People Mental Health Unit (E.S.M). • The team consists of: • A psychiatrist • Two nurses • Four youth and community worker • A psychologist (part time/2 days per week) • A social worker
Homeless People Mental Health Unit (E.S.M).Objectives. • To improve mental health services for homeless people • To facilitate integration of mentally ill patients into mainstream services. • ACT+REHABm .....
Target Population • Mentally ill homeless (+dual) • Severe, enduring • Old • Phisical Risk • Street People • 18 years old • Living in Madrid city • Not being attended in mainstream mental health services
Enduring Severe Mental illness • Negative Syndrome • Handicap/Disabbilities • Homeless • Lifestyle • Social • Drugs • Stigma • Barriers • Personal • Professional Coordination Rehabilitation/support Political/educational Trainnig
COORDINATION PANNEL Mainstream Social Services Mainstream Mental Health Services Socio sanitary resources E.S.M Coordination Pannel Individualised treatment programs DNI, Housing... Diag, treatment ... S.Services ESM
COORDINATED WORK • ESM: • Engagement • Follow up work • Diagnosis • Medical treatment • administration • COMMON GROUND: • INDIVIDUALISED • TREATMENT PROGRAM: • Individualised work • Follow up work and evaluation • Family contact .... • UMES: • To facilitate and take • clients to different • resources • To obtain documents, • social benefits DETECTION OF MENTALLY ILL HOMELESS PEOPLE BY U.M.E.S. Social Report for the E.S.M • FIRST COORDINATED • INTERVIEW • Inicial visit of social • worker and psychiatrist • to the client. • OBJECTIVES • Engagement and Preliminary • Diagnosis. SOCIAL- HEALTH INTEGRATION. Integration of mentally ill Homeless people into mainstream mental health and social services CP CP CP C.P: Coordination Pannel
Social- Sanitary Integration • Rehabilitation/Support • Structured long term individualized plan • Critical Time/Crisis • Out streets • Mainstream Mental Health/Social • Subteams • Coordination Pannel • Social Services • MENTAL HEALTH Services
Rehabilitation Model/ACT Coordination • Social Services • Street Teams • Shelters • NGO´s Street work Individualised/”Taylored”plans
Mental Health C.P • Monthly meeting • July 2005 • Mental Health Services • Continued Care plans • Who • When • How • Need • Follow up
Low Demand Centro Abieto Puerta Abierta Transition FIR. CASI Sociosanitary Resources Mental Health Services Other Housing Rehabilitation Subteam
TREATMENT Compliance Awareness Relapse Outreach DRUGS DAILY LIFE Skills Training SUPPORT Counselling Rehabilitation
Does it work? • ????????? • Short time experience • Barriers • Develop a range of housing, stable, long term, and adapted to different patterns of patients • Drugs