Friday, November 30, 2007

Guidelines for Care


Today, I got an invitation in the mail from Ypsilon, a Dutch organization for family members of people with Schizophrenia. It was an invitation for the Christmas evening with drinks and snacks. I don't go to their monthly activities or meetings, but perhaps I ought to...

On the inside of the invitation was this list (I've translated it from the Dutch):

Guidelines for Good Medical and Community Care for People with Schizophrenia or Psychosis:

1. Involvement of parents, family members, and those closely involved with treatment and guidance, in deliberation with the patient, when possible.
2. Continued ambulant care that's arranged before discharge from the clinic. Attention to possible dual-diagnosis. No discharge without an observation plan and agreement in care plan/care agreement on paper.
3. Support in self-care, house-keeping, budgeting, debt advice, via care plan/care agreement. (inclusive SSI and insurance.)
4. The right to a safe and individually suited living arrangement with modern facilities in an environment where safety and human dignity are guaranteed.
5. Prescribed medications offered in the form preferred by the patient, pills or injection. Realization of hospitable and pleasant (brunch) policlinicals within own location—potentially with an expert volunteer—to ensure medication intake.
6. Good attention to physical health. Yearly medical screening for heart and artery illnesses, and diabetes; half-yearly dental check-up, and encouragement of physical activity.
7. The offering of and guidance toward constructive daily activities, work, or study, including transportation, if necessary. Opening of day programs on Sundays to break the "empty Sunday" routine.
8. Offering of psycho-education. Liberman modules and cognitive behavioral therapy to support functioning in society.
9. Attention to life questions, depression, suicidal thoughts, and absence of meaning in life, possibly by a spiritual care-giver.
10. Attention to the development and maintenance of social contacts and relations, and for vacation possibilities.

Ypsilon 2007

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