Description
There is insufficient coordination between psychiatric clinics in Brno and organizations providing social services for mentally ill patients. The project objective is to develop a complex program of social health care services for people with severe mental illness in Brno. The aim of the project is to create the program and improve the health, social, working and residence status of people with severe mental illness through services of the team. The fulfilment of this goal will lead to reduction of their long-term hospitalization. The main output of the project will be establishment of the functioning cooperation between Psychiatric clinic and mobile team of the project promoter, certified effect of complex program´s for persons with severe mental illness and draft of strategy of health-social services for Brno. The primary target group are mentally ill patients with severe illness living in the area of Brno. The project will be based on connection of activities of Psychiatric clinic, esp. Crisis center and the mobile team of Sdružení Práh. The projects includes also the know-how transfer from Norwegian partner, Vestre Viken Hospital Trust, Division of Mental health and Addiction.
Summary of project results
The reasons why was the project needed: 1) Insufficient cooperation of health and social services in the care of patients with severe mental illness in the city of Brno. 2) Low level of support for a deteriorated state of the patients in their natural environment. 3) Insufficient support system of social services for patients with low functional capacity and inadequate contact with the social environment, health and social services. The aim of the project was to create the complex program of social health care services and improve the health and social, work and residence status of people with severe mental illness through services of the mobile team. This goal has been fully achieved. Implemented activities: • There are two mobile teams in Brno centre and Brno Bystrc. Teams consist of ambulant psychiatrists, psychologist, psychiatric nurses and social workers. Teams provided services to 50 clients during the project. • The activities of Práh jižní Morava, z.ú. and Psychiatric Clinic of the University Hospital and the Psychiatric Hospital Brno Psychiatric ambulance in Brno have been linked. There is a system of consultation on patients and complex program of social health care services in Brno. • Evaluation through GAF and CAN • It was written a document "The Strategy for a Comprehensive Program for the Care of People with Mental Illness" • We have initiated closer cooperation with local government, police and health rescue services within the whole system of comprehensive care for people with mental illness. We organized 2 lectures and 2 workshops All the established cooperation will continue. The mobile team will continue to operate within the Mental Health Center. The average value of GAF clients at entry into the project was 49. The lowest measured GAF was 19. In subsequent measurements, it was verified that health and social functioning improved by about 6 points on average. Described qualitatively, this means that clients in this project have fewer health problems and work better socially. Assessment of needs CAN has shown that the greatest unmet needs were in areas of physical and mental health, housing and self-threats. The most clients maintained or restore their social status. There was not much influence on getting the job but it helped keep it. In the area of housing, it improved its quality.
Summary of bilateral results
We established a partnership with Norwegian partner, Vestre Viken Hospital Trust, Division of Mental health and Addiction at the beginning of the project in 2015. We have gained valuable experience and inspiration through videoconferencing and email communications and personal meetings with B. J. Andersen. Direct cooperation with the Norwegian partner has ended. The transfer of good practice, however, continues. The main ideas - evaluating the effect of care, working with all parts of complex system of care, assertive client contact and coordination of care, have been taken over by our mobile team and are part of The Strategy for a Comprehensive Program for the Care of People with Mental Illness.