More results through cooperation Nico Overvest MHA Programmemanager

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More results through cooperationNico Overvest
MHAProgramme-manager
Collaboration of treatment centres for people
with a (mild) mental retardation and complex
problems

Dichterbij Specialistische Zorg, Venray.
Trajectum-Hanzeborg, Zutphen Altrecht-Wier, Den
Dolder. De Bruggen Specialistische Zorg,
Zwammerdam.. Trajectum-Hoeve Boschoord, Boschoord
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Borg in English
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Borg in Dutch
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Outline

• Which 5 centres are collaborating?
• Client population and treatment vision
• Why do they collaborate?
• Which concrete issues?
• Organisation of the collaboration
• Conclusions
• Questions

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1. Which 5 centres are collaborating?
The regions

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To what sectors do they belong?
Borg
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2. Client population and treatment vision

• Client population
• always a mild mental retardation
• almost always a DSM IV disorder
• a lot of challenging behaviour
• DBD-MMR

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Treatment vision

• Multidisciplinary
• standard clinical behaviourist, psychiatrist,
  group therapy, specialist therapies, social work
• standard ambulatory behaviourist, psychiatrist,
  case manager
• further diagnostics and treatment needs
• Integral
• living/working/leasure

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3. Why do we collaborate?Is it worth the while?

• 11111gt5?

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Benefits

• Professionals to improve treatment
• Management to realise strategic advantage

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Difficulties

• Professionals
• Losing control on your own products
• Not-invented-here syndrome
• Management
• Fearing strategic disadvantage

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With a view to treatment

• The client group is small
• The problems are complex and have multiple causes
• Treatment requires a lot of expertise and
  experience
• First reason
• Collaboration increases the possibilities to
  improve treatment

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With a view to the care chain

• Clients get stuck in
• the MH system
• the MR system
• the judicial system
• the public health care system of large cities
• Second reason
• Improvement of the position in the care chain
• De Borg (the partner institutions) as focal point
  where work is done for the improvement of the
  care chain

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With a view to legislation and regulation

• Focused at large groups MH, MR, the Justice
  Department
• Tailored legislation and regulation regarding
• care financing
• building requirements
• the specification of judicial sanctions
• Third reason
• Influencing legislation and regulation

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Take together

• To improve the treatment quality
• To improve the care chain
• To influence legislation and regulation

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4. Which concrete issues?With a view to treatment

• Scientific research
• Target group and measuring instruments Koot and
  Tenney (2003 2007)
• Effect evaluation Wiersma, Drieschner and Hesper
  (2007-2012)
• Research consortium with, among others,
  psychofarmaceuticals Stolker, Heerding and
  Scheiffes (2008-2012)
• Advantages
• more data
• more reliable result

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Improvement of treatment

• interchange between professionals
• exchange of treatment modules
• improvement of treatment modules
• addiction
• aggression
• in future sexuality
• diagnostic formulary

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Group leader training

• in collaboration with a higher education college
• 16 teaching days,
• intervision, own client, project
• now for the fifth time
• planning 2008/2009 production of a basic
  textbook

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Improvement of the care chain

• De Borg as nationwide interlocutor for
• The construction of new treatment centres for
  treatment in a forensic framework
• Probation Services evaluation of diagnosis
  instrument
• The prison system work for the continuation of
  care
• Health care in the cities contribute to finding
  solutions
• The Ministry of Justice as care buyer

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Improvement of the care chain (2)

• De Borg visualizes the target group
• It promotes research
• by academics
• by inspections
• It produces a leaflet for semi-skilled
  professionals with
• suggestions for recognition
• suggestions for treatment

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Influencing legislation and regulation

• Legal framework for retention of specialism
• Rules for care financing
• clinical
• ambulatory
• research and innovation

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Influencing legislation and regulation (2)

• Improvement of utility of sanctions in criminal
  law
• Appropriate instructions for mandatory yearly
  accounts

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5. Organisation of the collaboration

• Legal person Foundation
• Management Executive Committee and Management
  Consultative Body
• Advisory groups
• Office of De Borg

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6. Conclusions

• Clients get better treatment through the
  collaboration of these five centres.
• Collaboration is never boring and often
  challenging
• Therefore we think
• 11111 10

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7. Questions

• Questions following this presentation
• Other collaborative experiences?

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Many thanks for your attention!!

• www.de-borg.nl
• n.overvest_at_altrecht.nl