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“How can a mobile crisis team set up outpatient and personalised mental healthcare? A sociological analysis based on data from the Brussels healthcare network”

Pesesse, Sophie
(2023) EAOF 2023 - 6th Conference on Assertive Outreach: “Implementation of community mental health services: making it happen!” — Location: Leuven (2023.September.20AD)

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  • Pesesse, SophieUCLouvain
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Abstract
Introduced in 2009, the Belgian reform, commonly known as "Psy 107", is fully in line with the global movement to rationalise and deinstitutionalise mental health care, and aims to completely reorganise services in this sector. To this end, mobile crisis teams have been created in 2011 in Brussels and constitute a completely innovative asset. They are in fact responsible for providing intensive care at home, thus participating in the development and promotion outpatient mental health care. Indeed, as the mobile offer was relatively underdeveloped, this new service was designed to facilitate access to care for patients who would have difficulties seeking for it. But how can they achieve their goals in the saturated care system? How can they set up outpatient care for their patients? How is the personalisation of their interventions carried out by the mobile crisis team? And on the basis of which elements? At the intersection of medical sociology and the sociology of public policy, my thesis focuses on the pathways of mental health care users in Brussels, and more specifically the way they are constructed. Using a quantitative database that records the activities of a Brussels mobile crisis team, I aim to answer the following question: what can these data reveal about these 'therapeutic pathways' and to what extent do they seem to meet the recommendations of the Psy 107 reform? In this communication, I will focus on two major tenets of the reform (the ambulatory and personalised nature of mental health care) and I will question, on the basis of these statistical data, the way in which they can be found in the daily practices of caregivers and in the Brussels mental healthcare network. More precisely, I will first analyse what the daily interventions of the mobile crisis team can reveal about the Brussels care network, and I will question the ambulatory nature of mental health care before and after these interventions. In a second step, I will question the way in which the care can be personalized and individualized.
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Pesesse, S. (2023). “How can a mobile crisis team set up outpatient and personalised mental healthcare? A sociological analysis based on data from the Brussels healthcare network”. EAOF 2023 - 6th Conference on Assertive Outreach: “Implementation of community mental health services: making it happen!”, Leuven. https://hdl.handle.net/2078.5/101443