Care pathways

Mental healthcare has meanwhile been working hard at the development of care pathways. Care pathways can be seen as concrete and time-bound treatment trajectories for an individual patient.

Care pathways achieve clarity for the patient; s/he knows the course of the treatment trajectory, knows the treatment goals and the therapies (sometimes various therapy modules, administered simultaneously or successively) that have been formulated.
Mental healthcare usually defines care pathways around diagnostic categories. Since Foundation Centrum ’45 works with trauma-related problems, the care pathways have been developed according to a different model. Five problem areas have been formulated, which correspond with the trauma-related complaints that the patients of Foundation Centrum ’45 typically present.
Thus, one or more problem areas can be identified as requiring treatment. These problem areas – listed during the stocktake of the diagnostics stage – are then linked up with the treatment goals and subsequently to the treatment / therapy modules. It is thus that the treatment plan is drawn up.

These are the five problem areas:

  1. Complaints related to the posttraumatic stress disorder (PTSD) such as re-experiencings, nightmares, irritability, a fear of thinking about the traumatic experiences.
  2. Complaints of a psychosocial nature and related to the trauma complaints, such as problems with one’s direct environment, at work, with finances, etc.
  3. Personality problems that play a part during the trauma treatment. These could include problems in contacts with others, self-image problems, problems with views of the world.
  4. Other complaints originating in the traumatic experiences that could play a part such as depressive complaints, phobic complaints, problems with addictions (alcohol, drugs, Internet) and physical complaints as a result of, for instance, tensions (comorbidity).
  5. Family and relationship problems that stem from trauma-related problems and complaints (system problems).

The problem areas form the basis from which the treatment goals are set. These will be defined as clearly as possible, together with the patient. Clear means here: concrete and understandable, preferably measurable, result-oriented and time-bound to a certain period of time.
Next, the place where the patient is best treated is looked at. This may be the outpatient clinic, the day/part-time clinic (one day a week) or the clinic (two or more days and nights a week).

Finally, the treatment is decided upon. The treatment forms are described in the product catalogue (in preparation).