Lovisenberg Diaconal Hospital: Serving a Diverse Population with Specialized Mental Health Care
Lovisenberg Diaconal Hospital, located in a catchment area with approximately 200,000 residents divided into three districts, caters to individuals with mental health challenges, addiction issues, and economic struggles. The hospital's Secured Ward 2A provides specialized care with a focus on patients who are at risk to the public. Admission sources vary, including the emergency ward, forensic institutions, and other hospitals. The hospital conducts comprehensive assessments, collaborates with various stakeholders, and emphasizes rehabilitation and discharge planning to foster community integration for patients. Challenges include housing shortages, limited long-term care facilities, dual diagnosis treatment, and balancing health care with legal needs.
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Presentation Transcript
Lovisenberg Diaconal Hospital Catchment area: ca 200000 population divided in 3 districts Population in general migrants addiction problems economical challenges
Secured Ward 2A Part of open door policy Not a forensic ward/department A ward with better resources/capacity few patients (8-10) 3 specialistis + competent staff
Admission 1. Through our emergency ward Emergency room in the city, GP or OPD 2. From forensic institution (mostly local forensic clinic) 3. From another hospital ( Vinderen) 4. From prison
Type of patients Mentally disordered people who are a risk to the public Violence/aggression issues or in need of better resources Sentenced to treatment /have court decision ( 5.0). Mostly by coercion ( 3-3), compulsive treatment patient initiated admission
Assessement Clinical psychiatric assessement and somatic evaluation Various instruments Exampel: Mini, SCID, YMRS, HCR-20, AUDIT/DUDIT, CFI (cultural formulation interview), Function (ADL), interests, etc. Socio-economic situation
Cooperation 1. Family (several project and competance groups) 2. Districts (weekly meetings) 3.Court/Police (psychiatry-group within the police dpt.) 4. Other institutions/ criminal services/ forensic clinic 5. Out patient department. (need for risc-management plan?)
Rehabilitation and discharge plan Provide high quality community based mental health care for the majority depends on effectively caring for and controlling the disruptive and violent. Therapeutic rather than custodial culture. (many projects) We prepare patients to live a normal life in the community
Challenges Housing in the districts Few long-term insititutions Double diagnosis and the treament of drug addiction Balance between health and law
Future plans/wishes? Become a pure forensic ward. Higher economical resources Think about continuity and the possibility to follow up our own patients
