Assertive communitive Treatment
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Transcript of Assertive communitive Treatment
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ACT
Assertive Community Treatment
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Ambulant
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Der pasienten oppholder seg hjemme / ute
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Forskning
”Ambulant” eller ”ambulante team” – ikke forsket på
Forskes på ulike typer team
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Trinnvis modellA: Primærhelsetjeneste støttet av spesialister
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B: A+ hovedformer for psykisk helsevern: poliklinikker, ambulante team, akuttavdelinger, langtidsavdelinger, arbeidsrelaterte tilbud
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C: B + Spesialiserte tilbud med spisskompetanse for undergrupperundergrupper - ACT
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Typer ambulante team
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Hvorfor
Ambulant?Ambulant?
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Døgninnleggelse
stigmastigma
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Spare penger
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MålgruppenTo – 2 – innleggelser i institusjon eller
henvisninger som ikke har ført frem til innleggelse siste to år.
Over 18 år
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ICD-10: F20-29 ICD-10: F31
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Tilleggskriterier > 1
Rusproblematikk
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Varierende
mental tilstand
sosial funksjon
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Dårlig samarbeid om foreskrevet behandling
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Problemer med relasjoner
og tilknytning
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Store negative konsekvenser ved tilbakefall
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Lettere kognitive forstyrrelser
2020
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Behov for oppsøkende behandling
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Kommune
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Moss 28 040 innb.
Rygge 13 712 innb.
Råde 6 465 innb.
Våler 4 020 innb.
52 237 innb.
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Tilleggsproblemer
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155
105
42
197
91
186
0
50
100
150
200
250
Mer enn 2innleggelser
Rusproblemer Boligproblemer Kriminalitet Egenomsorg Unndrar segbehandling
Problemerfamilie/nettverk
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Evaluering/forskning
Sluttrapport leveres november 2010.
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Hvem har ikke
nytte av ACT?
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Pasienter med personlighetsforstyrrelse
som hoveddiagnose
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Pasienter medrusavhengighet
som hoveddiagnose
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Rettspsykiatriske og
alvorlig kriminelt belastede
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Pasienter med hovedsakelig
negative
psykotiskesymptomer
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ACT – fra USA
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Hva er ACT ? Fidelity
Unndrar seg behandling definert av innleggelses mønster og bruk av tvang
Alvorlige og varige mentale problemer
Oppsøkende, pågående, teambasert og flerfaglig arbeidsform (80% utenfor kontoret
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Hva er ACT ? Fidelity
Økt kontakt med pasienten (daglig til ukentlig)
Individualisert behandling
In vivo praksis (der pasienten er)
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Hva er ACT ? Fidelity
God bemanning (1:10)
Vekt på medikasjon
Størst vekt på pasientenes ønsker og behov
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Familiestøtte
All støtte og behandling fra teamet der det er hensiktsmessig
Integrert rusbehandling
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Hva er ACT ? Fidelity
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Samarbeide med andre - IP
Stabilisering av kriser
Langvarig støtte og tilgjengelighet hver dag
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Hva er ACT ? Fidelity
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ACT utviklet i Madison, Wisconsin, Ca 1970
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ACT utvikling 1970 - 1980
L. Stein og M. Test
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Evidense basert
Senere gjentatt dokumentert gjennom forskning i ulike land
inkludert Danmark
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England
prof. Mervyn Morris Birmingham Universitet, Institute of Mental
Health - veiledning av ACT-team4444
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England320 AO-team over hele landet CMHT-team
Forensic community teamHome Treatment team / Crisis IntervensionEaly intervensions -team
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Vernepleier
Sosionom
LederPsykolog
Sekretær
PsykiaterSykepleier
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Risikofaktorer
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Støtte brukerne i deres prosess
mot er et
bedre liv
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Medikamenthåndtering
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Aktivt oppsøkende tjenester
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Aktivitet i hverdagen,
med eller uten støtte
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Integrert rusbehandling
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