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The public institution Šiauliai District Mental Hospital Eugenijus Mikaliūnas Tartu International Conference 2007 10 31. Psychosocial Rehabilitation model in Šiauliai District Mental Hospital . Hospital recourse 2006-12-31d. Number of beds – 200 Daytime Inpatient Department – 41 places

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slide1
The public institution Šiauliai District Mental Hospital

Eugenijus Mikaliūnas

Tartu International Conference

2007 10 31

Psychosocial Rehabilitation model in Šiauliai District Mental Hospital
hospital recourse 2006 12 31d
Hospital recourse 2006-12-31d.

Number of beds – 200

Daytime Inpatient Department – 41 places

Medical staff – 120 establishments

Services provided for – 400 000 people

Income per annum – 8,5 million Lt.

E. Mikaliūnas

2007.10.31 Tartu International Conference

the public institution iauliai district mental hospitals report on the activities of year 2006
The public institution Šiauliai District Mental Hospitals’ report on the activities of Year 2006

Patients treated – 2864

Bed-days – 61228

Average time of patient treatment – 21,4 days

Bed functioning – 306

Bed turnover – 14,32

E. Mikaliūnas

2007.10.31 Tartu International Conference

partners
Partners

Primary health

care level

Secondary health care level

Public institution Šiauliai District Hospital

Family doctors

Department of Psychotherapy

Psychiatric department of children and adolescent.

Mental health care centres

Public institution ŠDMH

Šiauliai public institution Nursing Hospital, Psycho geriatric subdivision

Šiauliai public institution Center for Addictive Disorders

Public institution

Šaukėnai

Mental Hospital

E. Mikaliūnas

2007.10.31 Tartu International Conference

schema of provided services
Schema of Provided Services

THE RECEPTION AND CONSULTATIVE DEPARTMENT

Department of Psychiatric Crises services

Departments of General Psychiatry services

Department of Daytime Psychiatric services

Department of Psychosocial Rehabilitation services

E. Mikaliūnas

2007.10.31 Tartu International Conference

departments of provided services
Departments of Provided Services
  • Reception
  • Planned and urgent consultations
  • Consultations in general medicine hospitals

THE RECEPTION AND CONSULTATIVE DEPARTMENT

  • Consultation in Reception and Consultative Department (psychiatrist, mental health nurse, social worker)
  • 100 beds Inpatient Department

CRISIS DEPARTMENT

DEPARTMENT OF GENERAL PSYCHIATRY

100 beds Inpatient Department

DEPARTMENT OF PSYCHOSOCIAL REHABILITATION

41 places, 16 of them - seasonal

DAYTIME IMPATIENT DEPARTMENT

E. Mikaliūnas

2007.10.31 Tartu International Conference

medicine staff recourses in treatment department
Medicine Staff Recourses in Treatment Department

Psychiatrists – 17

Nurses – 44 :

Reception and Consultative Dep. – 6

Emergency State Dep. – 18

General Psychiatry Dep. – 15

Care administrators – 5

Nurse assistants – 41 :

Emergency State Dep.– 28

General Psychiatry Dep.– 13

In total: 102

E. Mikaliūnas

2007.10.31 Tartu International Conference

staff recourses of psychosocial rehabilitation department
Staff Recourses of Psychosocial Rehabilitation Department

Head of the department

Administrator

Psychiatrist

Social worker

Medicine psychologist

Specialist of psychosocial rehabilitation

Mental state nurse (for occupation)

Occupational therapist (ergo therapist)

Arttherapist

Occupational therapist for physical preparation

Music therapist

Physical medicine and rehabilitation nurse

Occupational nurses

In total: 30

E. Mikaliūnas

2007.10.31 Tartu International Conference

aims of psychosocial rehabilitation department
Aims of Psychosocial Rehabilitation Department

Establish a multidisciplinary team, that applies methods, alternative to pharmacological treatment for the inpatients in the hospital and Day Department.

Help people with severe and long-lasting mental disturbances to improve life quality.

Help to adjust successfully to the environment and feel life satisfaction with the minimal specialists' supervision.

Help to restore and maintain lost skills and acquire new one's.

E. Mikaliūnas

2007.10.31 Tartu International Conference

team of the psychosocial rehabilitation department
Team of the Psychosocial Rehabilitation Department:

Psychiatrist (1)

Psychologist - psychotherapist (1)

Medical psychologists (3)

Social workers (5)

Mental health nurses for occupation (5)

Occupational therapists (3)

services
SERVICES:

Long-term psycho pharmacological treatment

Psychotherapy (group and individual)

Psychosocial rehabilitation:

Restoration and teaching of domestic skills:

Personal budget planning

Individual food preparation

Food preparation in a group

Buying, composing menu

Ware washing and care

Knitting, sewing

Drawing, clay modelling

E. Mikaliūnas

2007.10.31 Tartu International Conference

services14
SERVICES:

Hygiene skills restoration

Social skills training

Developing leisure time spending skills and integrated living in a community skills:

Swimming pool

Social services centre

Exhibitions

Theatre

Computer skills training

Discussions about ethics

E. Mikaliūnas

2007.10.31 Tartu International Conference

slide17
Community – as a roof, where we hide during slasher rain, as a fireplace where we get warm in a cold winter day.

Z. Bauman

Social thinker

E. Mikaliūnas

2007.10.31 Tartu International Conference

models of ps y chosocial rehabilitation
MODELS of Psychosocial Rehabilitation

CONSERVATIVE MODEL

Treatment supplement applying special interventions with the aim to prevent handicap. E.g. Psychological programme for the client and his family, occupational therapy, leisure time therapy.

E. Mikaliūnas

2007.10.31 Tartu International Conference

models of ps y chosocial rehabilitation19
MODELS of Psychosocial Rehabilitation

CLIENTS' CHOSEN GOAL MODEL

Highly specialized treatment, when a client has a need to develop specific skills and specialists formulate tasks an interventions to reach this goal. E.g.: social skills training.

E. Mikaliūnas

2007.10.31 Tartu International Conference

models of psychosocial rehabilitation
MODELS of Psychosocial Rehabilitation

INTEGRATIVE MODEL OF SERVICES AND INTERVENTIONS:

Long term support after treatment. Integration of services and interventions. Specialists evaluate client's needs and help is assigned according to the conditions and demands. E.g.: long-termed and thorough community treatment.

E. Mikaliūnas

2007.10.31 Tartu International Conference

psychosocial rehabilitation of patients with schizophrenia
Psychosocial rehabilitation of patients with schizophrenia

Community based

methods of treatment

Rehabilitation

Family therapy

Methods of psychosocial

rehabilitation

Individual

psychotherapy

Group therapy

Self-help group

Maurizio Pompili et. all

World J Biol Psychiatry, (2004) 5,201-210

E. Mikaliūnas

2007.10.31 Tartu International Conference

psychosocial interventions for patients with schizophrenia
Psychosocial interventions for patients with schizophrenia

Individual therapy

Psychosocial

interventions

Family therapy

Psychotherapy

Group therapy

Social therapy

Problem solving strategies

Community-based

methods of treatment

Crisis centers

Hospitalisation

Self-help groups

Supported

employment

Assertive community

treatment

Social skills training

Occupational

rehabilitation

E. Mikaliūnas

2007.10.31 Tartu International Conference

Maurizio Pompili et. all

World J Biol Psychiatry, (2004) 5,201-210

the end
The end

THANK YOU FOR YOUR ATTENTION!