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

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Coordination by Mutual Agreementpsychiatric
care FOR patients who live at home

• Patrick Janssens
• DGGZ Antonin Artaud CSM

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SOCIAL CONTEXT non-residential mental health
services

• Prior objective
• offer care to people who suffer from important
  psychiatric diseases,
• in order to enable them to live in society

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Social Psychiatry - 3 dimensions

• Balanced care
• Social awareness, normal life
• No improper institutional rules

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Psychiatry - CoordinationDomiciliary Care

• Conceptcreate and support a network of social
  workers around 1 patient

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Psychiatry - CoordinationDomiciliary Care

• Objectiveoffer coherence and coordination
• Methodology
• hold coordination meetings

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Psychiatry - CoordinationDomiciliary Care

• In practice- each organisation can participate
  - an organisation can mention a new patient

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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

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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)

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Psychiatry - CoordinationDomiciliary Care

• Deontological conditions- approval of client-
  communication according to deontological rules
• Psychiatric knowledge
• - concept situated in non-residential mental
  health service

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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

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Psychiatry - CoordinationDomiciliary Care

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

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Psychiatry - CoordinationDomiciliary Care

• Results - part 3 - seamless
• - only few direct consequences
• - support of improved quality
• - improved strength of domiciliary care

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psychiatrist
national health service
client
workline
family support
daycentre
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manager
psychiatrist
landlord (proprietor)
daycentre
volunteer
client
cleaners
family support
pharmacist
social housing
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tutor
social service centre
volunteer
s.w. Foyer
client
family support 12
general practitioner
domiciliary care
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dismissal manager
s.w. Home
client
social service centre
psychiatrist dggz
s.w. DGGZ
Salvation Army
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s.w. cgg
s.w. cgg
s.w. Domiciliary Care
psychiatrist
family support
client
neighbour 1
neighbour 2
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DGGZ Antonin Artaud CSM