New Dutch Legislation and Preventive Coercive Home Health Care for Excessive Alcohol Consumers

Excessive alcohol consumers are in need for effective and targeted thiamine interventions to prevent the development of Korsakoff’s syndrome. Coercive home health care might be a solution to reach excessive alcohol consumers. In many parts of the world, an expansion is seen of more coercive community practices. Due to new legislation in the Netherlands, preventive coercive home health care is permitted. The objective of this article is twofold. Firstly, to describe this new Dutch legislation and secondly, to explore literature to identify themes that might contribute to less-intrusive coercive interventions at the excessive alcohol consumer’s home. Four articles have been identified which concentrate on experiences regarding coercive home health care. Preventive coercive home health care might benefit from a stable and trusting relationship. For healthcare organizations, this means that they need to pay attention to the health and safety of their employees to prevent outflow

Thuiszorg of verpleeghuis na ziekenhuisopname?

Ontslag uit het ziekenhuis van patiënten levert soms de vraag op of zelfstandig thuis wonen nog wel verantwoord is. De eigen professionele verantwoordelijkheid voor het leveren van goede medische zorg speelt hierbij een rol. In dit artikel worden diverse onderwerpen aangestipt die een rol spelen bij het kiezen van een oplossingsrichting in deze casus: mentorschap of een rechterlijke machtiging voor een onvrijwillige opname aanvragen en de overstijgende verantwoordelijkheid van de verschillende professionals

Inzage in het medisch dossier

Inzage in het medisch dossier is een recht dat iedere patiënt heeft. Maar kan iedere patiënt op elk tijdstip de gegevens in het dossier begrijpen en zijn de gegevens in het dossier op elk moment in een opname betrouwbaar? In dit artikel worden de juridische en ethische aspecten van inzage in het medisch dossier na een crisisopname beschreven

Transcending Responsibility. Developing a new interdisciplinary educational program

Aim of the proposal and urban challenge it addresses* (max 200) The aim of this proposal is to develop an educational program with the provisional name ‘Care and Law’. The aim of this multidisciplinary educational program is to increase the knowledge of future professionals working at the intersection of health, wellbeing and law in the urban environment of Amsterdam. In the Amsterdam metropolitan society, legal and healthcare professionals (including social workers) are increasingly confronted with issues at the intersection of (health)care and justice. Special areas of interest are the problems surrounding people suffering from a mental illness, youngsters that cause nuisances of themselves on the streets and homeless people. The approach to this kind of problems requires a multidisciplinary approach. This means that healthcare, social welfare and legal professionals have to work together, for instance to apply for involuntary care. However, these professionals all have their own perspective and responsibility in these situations which often results in tensions among the professionals and as a result a delayed provision of care (van den Hooff, 2015). External partner(s) (if applicable) Project description abstract (max 750 woorden) We like to develop a new educational program in which students from different faculties work together on real time cases. At this moment, students at the Faculty of Applied Social Sciences and Law and the Faculty of Health are primarily trained in a monodisciplinary manner. They may be better equipped for their future work, if they get interdisciplinary training and courses. They need to learn what is meant by ‘Transcending Responsibility’; which means to be open to the perspective of the others professionals and to create a new shared responsibility (van den Hooff, 2015). In this project, we like to work together with and learn from the expertise of other members of the consortium to enhance the quality of this educational project. The focus of the present project is to develop a new multidisciplinary educational program surrounding legal and care related themes. The idea is to familiarize students with the legal contexts in which they have to operate (for instance themes related to pressure and coercion) as well as the welfare and care context in which the client/patient is situated (the care from neighborhood teams, youth care teams or mental health care teams). In addition, student might jointly develop integrated approaches based on case studies from the professional field. We like to be inspired, informed about and discuss innovative approaches which make interdisciplinary educational programs possible. Maybe it is possible to develop an international educational program with members of the consortium

Extramural healthcare for patients suffering from Korsakoff's syndrome: new nursing and legal challenges

Patients living at home who suffer from Korsakoff's syndrome (KS) need highly specialistic care from competent healthcare professionals who can bridge the gap between specialistic and generalistic care. Patients suffering from KS lack insight into their illness and often do not have any care demands for themselves. A voluntary admission is not at issue. However, they need professional care due to physical and mental deterioration and without help they will literally drink themselves to death. An involuntary admission is only possible when the criteria mentioned in the Dutch Compulsory Admission Act (BOPZ) are met. Generally, the presence of KS is insufficient to consider a mental disorder, which means that an involuntary admission will not be possible. The only possibility for this group will be extramural healthcare. In 2020 two new acts will replace the BOPZ. The Compulsory Mental Health Care Act (WvGGZ) and the Care and Compulsion Act (WZD). The WZD can be applied on patients suffering from Korsakoff's syndrome. Both acts offer the possibility to apply coercive home healthcare. Healthcare professionals working with patients suffering from KS note that they are missing experience, skills and information about working in an extramural setting. What competencies do they need to provide good care for people with KS? New challenges are created when the new legislation has to be applied. This research project investigates, firstly, what good extramural care is for patients suffering from KS. Secondly, what competencies extramural healthcare professionals need in order to provide care that increases the quality of life of people with KS, meet the needs of people with KS and their informal caregivers, and takes into account the human rights of these patients