Homeless People Mental Health Unit E'S'M'

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Homeless People Mental Health Unit (E.S.M).

• Berlin, October 2005
• María Isabel Vázquez
• Francisco Recalde

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Homeless People Mental Health Unit (E.S.M)

• The Equipo de Atención Psiquiátrica a Enfermos
  Mentales Sin Hogar-Homeless People Mental Health
  Unit (E.S.M)
• Was created in May 2003
• Provided by
• Madrid Mental Health Services (SERMAS).
• The general division of Social Services of Madrid
  Community Social Services Advisory Commission

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Homeless People Mental Health Unit (E.S.M).

• The team consists of
• A psychiatrist
• Two nurses
• Four youth and community worker
• A psychologist (part time/2 days per week)
• A social worker

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Homeless People Mental Health Unit
(E.S.M).Objectives.

• To improve mental health services for homeless
  people
• To facilitate integration of mentally ill
  patients into mainstream services.
• ACTREHABm

.....
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Target Population

• Mentally ill homeless (dual)
• Severe, enduring
• Old
• Phisical Risk
• Street People
• 18 years old
• Living in Madrid city
• Not being attended in mainstream mental health
  services

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• Enduring Severe Mental illness
• Negative Syndrome
• Handicap/Disabbilities
• Homeless
• Lifestyle
• Social
• Drugs
• Stigma
• Barriers
• Personal
• Professional

Coordination Rehabilitation/support Political/educ
ational Trainnig
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COORDINATION PANNEL
Mainstream Mental Health Services
Mainstream Social Services
Socio sanitary resources
E.S.M
Coordination Pannel
Individualised treatment programs
DNI, Housing...
Diag, treatment ...
S.Services
ESM
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COORDINATED WORK
ESM Engagement Follow up work Diagnosis Medical
treatment administration COMMON
GROUND INDIVIDUALISED TREATMENT
PROGRAM Individualised work Follow up work and
evaluation Family contact .... UMES To
facilitate and take clients to different
resources To obtain documents, social benefits
DETECTION OF MENTALLY ILL HOMELESS PEOPLE BY
U.M.E.S. Social Report for the E.S.M

• FIRST COORDINATED
• INTERVIEW
• Inicial visit of social
• worker and psychiatrist
• to the client.
• OBJECTIVES
• Engagement and Preliminary
• Diagnosis.

SOCIAL- HEALTH INTEGRATION. Integration of
mentally ill Homeless people into mainstream
mental health and social services
CP
CP
CP
C.P Coordination Pannel
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Social- Sanitary Integration

• Rehabilitation/Support
• Structured long term individualized plan
• Critical Time/Crisis
• Out streets
• Mainstream Mental Health/Social
• Subteams
• Coordination Pannel
• Social Services
• MENTAL HEALTH Services

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Rehabilitation Model/ACT
Coordination

• Social Services
• Street Teams
• Shelters
• NGOs

Street work Individualised/Tayloredplans
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Mental Health C.P

• Monthly meeting
• July 2005
• Mental Health Services
• Continued Care plans
• Who
• When
• How
• Need
• Follow up

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Rehabilitation Subteam

• Low Demand
• Centro Abieto
• Puerta Abierta
• Transition FIR. CASI
• Sociosanitary Resources
• Mental Health Services
• Other Housing

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TREATMENT Compliance Awareness Relapse
Outreach
DRUGS
DAILY LIFE Skills Training
SUPPORT
Counselling
Rehabilitation
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Does it work?

• ?????????
• Short time experience
• Barriers
• Develop a range of housing, stable, long term,
  and adapted to different patterns of patients
• Drugs