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Homeless People Mental Health Unit (E.S.M).

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).

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  1. Homeless People Mental Health Unit (E.S.M). Berlin, October 2005 María Isabel Vázquez Francisco Recalde

  2. 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

  3. 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

  4. 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 .....

  5. 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

  6. Enduring Severe Mental illness • Negative Syndrome • Handicap/Disabbilities • Homeless • Lifestyle • Social • Drugs • Stigma • Barriers • Personal • Professional Coordination Rehabilitation/support Political/educational Trainnig

  7. 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

  8. 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

  9. 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

  10. Rehabilitation Model/ACT Coordination • Social Services • Street Teams • Shelters • NGO´s Street work Individualised/”Taylored”plans

  11. Mental Health C.P • Monthly meeting • July 2005 • Mental Health Services • Continued Care plans • Who • When • How • Need • Follow up

  12. Low Demand Centro Abieto Puerta Abierta Transition FIR. CASI Sociosanitary Resources Mental Health Services Other Housing Rehabilitation Subteam

  13. TREATMENT Compliance Awareness Relapse Outreach DRUGS DAILY LIFE Skills Training SUPPORT Counselling Rehabilitation

  14. Does it work? • ????????? • Short time experience • Barriers • Develop a range of housing, stable, long term, and adapted to different patterns of patients • Drugs

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