Rita Dries Senior lecturer Mental Health Care

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Rita DriesSenior lecturer Mental Health Care

• Katholiek Hogeschool Kempen
• Department of Health Science
• Herentalsstraat 70
• 2300 Turnhout Belgium
• rita.dries_at_khk.be

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10,3 ml. inhabitants30.000 km2surface
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BELGIUM

• 10 moi in habitants
• Surface 30 000 km2
• Three languages Flemish, French, German
• Borders Northsea, The Netherlands, Germany,
  Luxemburg, France.
• Independant since 1830
• Kingdom King Albert 2
• Religions majority Roman Catholic, Islamite,
  Protestant, Jewish

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FLANDERS

• Northern part of Belgium
• Flat country
• Beautiful cities of art and world-famous painters
• Recently federal state with its own parliament
  and governement
• Dutch-language area, most Flemish people speak
  several languages

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TURNHOUT

• North-east of Belgium
• 15 km from the border with the Netherlands
• 40 km from Antwerp, 80 km from Brussels
• 40 000 in habitants
• Well know for printing and playing cards industry
• Student-city several schools on several levels

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Schoolentrance
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Marketplace with church
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Castel of the Dukes 13 th century
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EDUCATION IN BELGIUM
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1. Levels

• Nursery education (2,5-6 years of age)
• Primary education (6-12 years of age)
• Secondary education (12-18,19 years of age)
• Higher education non university ( 18 )
  one cycle two cycle
• University ( 18)
  candidate, licentiate,doctorate
• Compulsery education from 6-18
• Possibility to combine working and learning from
  16-18

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Secondary education

• General academic secondary education
• Technical secondary education
• Vocational secondary education
• Art secondary education
• Post secondary education (18-21 years of age)

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2. Organization

• Public school, civil authority
  community, province, municipality
• Private school, private initiative
  not civil authority
  complying with all legal
  instructions mayority are catholic
  schools

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Health Care Education - KHK
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Association K.U.Leuven
Association Catholic University of Leuven
Bachelor and Master in Nursing and Midwifery
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Association K.U. Leuven

• Members
• 12 polytechnics
• 1 university
• 70.000 students

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Health Care Education - KHK

• Private, Catholic school
• Approximately 1250 students and 200 lecturers
• Different educational programmes over different
  depart-ments and different levels

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Health Care Education
Katholieke Hogeschool Kempen Department of Health
Care Sint Elisabeth
Hoger instituut voor verpleegkunde Sint-Elisabeth
Turnhout
Navormingscentrum HIVSET
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Health Care Education - KHK

• Higher education (Bachelor)
• midwifery training (3 years 180 credits)
• medical secretaries (3 years 180 credits)
• nursing education (3 years 180 credits)
• 60 credits a year (total 180 credits)
• 135 credits general
• 45 credits specific
• General, pediatric, and geriatric nursing, mental
  health care and community care
• theory and training

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Health Care Education - Nursing

• First year
• Theoretical aspects of nursing (7)
• Basic skills of nursing (8)
• Applied skills of nursing (8)
• Anatomy and pathology (7)
• Biomedical science (5)
• Psycho-social science (5)
• Philosophy, ethics and law (7)
• Clinical placement (13)

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Health Care Education - Nursing

• Second year
• General nursing (10)
• Mental health care (5)
• Community care (5)
• Pediatric nursing (5)
• Geriatric nursing (5)
• Psycho-social science (3)
• Nursing science (3)
• Philosophy, ethics and law (4)
• Clinical placement (15)
• Capita Selecta (5)

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Health Care Education - Nursing

• Third year
• General
• Theoretical aspects of nursing (8)
• Ethics (3)
• Psycho-social science (4)

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Health Care Education - Nursing

• Third year
• General, pediatric, geriatric nursing, community
  care and mental health care
• Acute aspects (13)
• Chronical aspects (6)
• Clinical placement (18)
• Project (8)

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Health Care Education - KHK

• Continuing education
• Bachelor after bachelor(6)

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MENTAL HEALTH CARE IN BELGIUM
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MENTAL HEALTH CARE IN BELGIUM

• The psychiatric client
• The organization of mental health care in Belgium
• Evolution from institutional to community
  orientated care

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The psychiatric client

• Negative
• Prejudices in our society
• Impopular
• - low social value
• - low moral value
• - dangerous behaviour
• - negative behaviour
• Difficult quality controle
• Incompetence of the care worker

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The psychiatric client

• Positive
• What is a psychiatric patient?
• (consciousness, memory, thinking, mood,
  perceptions )
• Evolution to scientific approach
• Looking to the client as a holistic person
• Empathy, unconditional acceptance, authenticety
• Rehabilitation idea

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The organization of mental health care in Belgium

• Level 0
• The client himself and his environment
• ex-client in self supporting groups

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The organization of mental health care in Belgium

• Level 1
• General practioner
• Pharmacist
• Care at home

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The organization of mental health care in Belgium

• Level 2
• The psychiatrist / neurologist
• The psychologist
• Center for mental health (C.G.G.)

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The organization of mental health care in Belgium

• Level 3
• Psychiatric ward in a general hospital (PAAZ)
• Psychiatric hospital (P.C)
• different sectors, open and closed wards, short
  and long stay
• Psychiatric care center (PVT)
• chronical psychiatric clients, idea of
  rehabilitation

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The organization of mental health care in Belgium

• Level 4
• Day-hospital
• Night-hospital
• Occupation therapy
• Sheltered living
• Community mental health care
• Day-activity center
• Work-coaching

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The organization of mental health care in Belgium

• Organisation of the ward crisis
• 30 beds
• Open or closed
• Maximum stay 2 month
• 1 or 2 beds for one room
• Client is paying a smal price, the rest is
  covered by the insurence

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The organization of mental health care in Belgium

• Organisation of the ward long stay
• 30 beds, 1 or 2 beds for a room
• Small groups, 6-8 persons
• Mostly open
• Maximum stay 18 months
• Total stay 5 years
• Resocialisation
• Client is paying a smal price, the rest is
  covered by the insurence

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The organization of mental health care in Belgium

• Organisation of the ward care center
• 30 beds, 1 bed for 1 room
• Open
• Living in groups of 10 persons
• Stay for the rest of their life
• Rehabilitation
• Client is paying half of the price, the rest is
  covered by the insurence. Some clients have an
  extra private insurence