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Rita DriesSenior lecturer Mental Health Care
Katholiek Hogeschool KempenDepartment of Health Science
Herentalsstraat 702300 Turnhout – Belgium
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
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
TURNHOUT North-east of Belgium
15 km from the border with the Netherlands40 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
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
Secondary education
General academic secondary education
Technical secondary education Vocational secondary education Art secondary education Post secondary education (18-21
years of age)
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
Association K.U.Leuven
Bachelor and Master in Nursing and Midwifery
Association Catholic University of Leuven
Health Care Education - KHK
Private, Catholic school
Approximately 1250 students and 200 lecturers
Different educational programmes over different depart-ments and different levels
Health Care Education
Katholieke Hogeschool Katholieke Hogeschool KempenKempen
Department of Health CareDepartment of Health Care
Sint ElisabethSint Elisabeth
Hoger instituut voor Hoger instituut voor verpleegkunde Sint-Elisabeth verpleegkunde Sint-Elisabeth
TurnhoutTurnhout
Navormingscentrum HIVSETNavormingscentrum HIVSET
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
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)
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)
Health Care Education - Nursing
Third year General
Theoretical aspects of nursing (8) Ethics (3) Psycho-social science (4)
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)
Health Care Education - Nursing
MENTAL HEALTH CARE IN BELGIUM
The psychiatric client
The organization of mental health care in Belgium
Evolution from institutional to community orientated care
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
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
The organization of mental health care in Belgium
Level 0 The client himself and his
environment ‘ex-client’ in self supporting groups
The organization of mental health care in Belgium
Level 1 General practioner Pharmacist Care at home
The organization of mental health care in Belgium
Level 2 The psychiatrist / neurologist The psychologist Center for mental health (C.G.G.)
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
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
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
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
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