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Yıl:2019; Cilt: 9; Sayı: 2>> Özet
Psikiyatride Güncel; 2019;9(2):132-137
İyi bir Toplum Ruh Sağlığı Merkezi için ipuçları
Y Temur, EG Yalçın
Rukiye Yasemin Temur, Nazilli Devlet Hastanesi Nazilli, AydınElif Güneş Yalçın, Zonguldak Atatürk Devlet Hastanesi TRSM, Zonguldak
Toplum Ruh Sağlığı Merkezi (TRSM) hizmet vereceği alanı ve nüfusu değerlendirerek başlamalı ve ihtiyaç duyduğu fiziki ve insan kaynaklarını belirlemelidir. Hastaların/danışanların hizmeti alma şekli ve sıklığına göre gruplar belirlenip bu gruplara özgü hizmet sunumu planlanabilir. Merkezler, ofis odaklı kullanımdan çok yaşayan ve terapötik ilişki içinde onaran, şahsa ve topluma ait stigmaların kırıldığı yerler olmalıdır. Farklı mesleklerden ve disiplinlerden gelen çeşitliliğin hasta ve ekibin gelişmesi yönünde kullanılması iyileşme araçlarını güçlendirecektir. İyi bir TRSM, sahip olduğu insan kaynaklarının donanımını artırmalı ve bu donanımı hastaların faydalanımına sunabilmelidir. Vizit ve vaka tartışmaları gibi ekip toplantıları da gelişimde etkilidir. Ekip toplantılarında hizmeti planlama, ekibin güçlü ve zayıf yönleri dışında ekip dinamikleri de konuşulmalıdır. Ekibin ve üyelerinin yaşadığı sorunlar ve hayal kırıklıkları da birlikte karşılanmalı çözülmelidir. İyileşimin en büyük kaynağının birey ve yakın kaynakları olduğu ve yeterli destek sağlandığında herkesin değişim ve gelişim göstereceği unutulmamalıdır. Hastanın/danışanın gerçekliğinden ve katılımından uzak, kapalı kapılar ardında yapılacak bakım planının yeterli bir ilerleme göstermeyeceği bilinmelidir. Merkezler işleyiş ve gelişimlerini düzenli olarak izlemeli, işe yaramayan uygulamalarını değiştirmelidir. Farklı yöntemleri deneyimledikçe ekibe uygun çalışma yöntemleri geliştirilmelidir.
Tips for a good Community Mental Health Center
Community Mental Health Center (CMHC) should start by evaluating the area and the population it will serve and should identify the physical and human resources needed. The groups should be determined according to shape and frequency of patients’/clients’ receive the service and the service delivery can be planned specifically to these groups. Rather than being office oriented, the centers must be living places that heal within a therapeutic relationship and individual and social stigmatization is broken. Using diversity of different professions and disciplinaries towards improvement of the patients and the team will empower the healing tools. A good CHMC should increase the equipment of its human resources and the present this equipment to patients’ service. Team meetings and case discussions are also effective in development. In team meetings, team dynamics should also be discussed in addition to service planning, strengths and weakness of the team. Problems and disappointments should be resolved all together. It should be noted that the most important source of healing is the individual and his/her immediate resources and everyone can change and improve when adequate support is provided. One should know care planning away from the reality and participation of patient/client, would not provide an adequate progress. Centers should regularly monitor their functioning and progress, and change useless practices. Through experiencing different methods, working methods appropriate for the team should be developed.

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