02-06 May Pecs 1 ADNAN MENDERES UNIVERSITY PSYCHIATRIC CLINIC AND PSYCHIATRIC NURSING PRACTICES DR. HÜLYA ARSLANTAŞ

02-06 May Pecs 2 Adnan Menderes University Psychiatric Clinic There are 10 beds for inpatients 4 men and 6 women Approximately 200 patients per year Daily acceptance of 9 outpatient Accepts 600 – 700 patients per month in policlinics

02-06 May Pecs 3 Of Patients: 35% have anxiety disorders, somatoform disorders and personality disorders 20% bipolar affective disorder 15% psychotic disorder 30% others (Sleep disorder, other disorders, etc.)

02-06 May Pecs 4

5 MONDAYTUESDAYWENDESDAYTHURSDAYFRIDAY GOOD MORNING MEETING VISITGOOD MORNING MEETING GROUP THERAPY OCCUPATIONAL THERAPY VISITGROUP THERAPY Activity Groups VISIT

02-06 May Pecs 6 Hospitalization of Patients Acceptance Introducing the service Explaining of the servis rules Explaining the clinical visiting times Explaining the visiting times

02-06 May Pecs 7 Weekly Duties Good Morning Meeting Group Therapy Occupational Therapy Activity Groups Education Meetings for Patients and Families

02-06 May Pecs 8 Good Morning Meetings All hospitalized patients are get together in the meeting room of the clinic In this counsil following are discussed: How the patients experienced in processed day and by the night. If there is any clinic-related problem(s)

02-06 May Pecs 9 Group Therapy In the history Groups are made like Yalom Currently Interpersonal Role Analysis Group Therapy Model (KARAT-G) is used This model was developed by the Director of our clinical and seems the most appropriate for our culture. KARAT-G is a six-stepped therapy method, ant has the same patient choice criteries and group improvement factors of Yalom

02-06 May Pecs 10 The Steps of the KARAT-G  Definition of the role  Quid pro quo or the cost of the role  The gain of the role  The acquisition of the role  The relation of the role with the disease  The normalization of the role

02-06 May Pecs 11 Occupational TherapyI Implemented by an instructor from People Education Center and an occupational therapist nurse Attendants are patients who will this therapy Patients are not under pressure to do anything Patients do not make anything inevitable. Sufficient is when they are sitting on an occupational desk and observing other patients actively involved into therapies

02-06 May Pecs 12 Occupational Therapy II The products of occupational therapy sessions are sold in a kermes or bazaar organized once per year by the patients themselves Money from kermes is used to get new supplies

02-06 May Pecs 13 Activity Groups Every Wendesday’s afternoon an activity named “Sweed Wendesday” organized by the hospitalized patients is made. Caks, pies, deserts etc. were made and eaten by the patients themselves

02-06 May Pecs 14 Activities Sometimes patients are tooked away to go to films, theaters, or conserts

02-06 May Pecs 15 EducationI Educational meetings for patients and families are made. In general, such meetings are organized for the patients with schizophrenia, mood disorders and their families

02-06 May Pecs 16 EducationII The topics of education in these meetings are: Communication skills Problem solving skills Relaxation exercises Drugs side effects The symptoms of the patients and coping with them The refractory symptoms of patients and coping strategies Avoiding alcohol and addicts

02-06 May Pecs 17 Some Other UniversitiesI Some university clinics carry out certain different activities in addition to those made by us. Hacettepe University in Ankara Cumhuriyet University in Sivas

02-06 May Pecs 18 Some Other Universities II Good Morning Meetings Expression of patients themselves Social activities milieu Determination of the similar life histories Oriantation Meeting to Work Decreasing the social izolation Improving self-esteem Supporting the self-esteem

02-06 May Pecs 19 Some Other Universities III Book reading sessions Flowers’ care sessions Wall paper (My mind plays game to me) [A newspaper prepared by the patints self] Social activity sessions Cinema session Sports session

02-06 May Pecs 20 Some Other Universities III Education meetings Taking responsibility Coping skills Corrections of false knowledge Avoiding abusive addictions/habits Sleep hygiene Medicine education Coping with stress Relaxation exercises Psychoeducation

02-06 May Pecs 21 Some Other Universities IV Occupational therapies Tea/coffee times Group therapies

02-06 May Pecs 22 Some Other Universities V Family edutaion sessions Coping skills Corrections of false knowledge Avoiding abusive addictions/habits Sleep hygiene Medicine education Coping with stress Relaxation exercises Psychoeducation

02-06 May Pecs 23 THANK YOU VERY MUCH FOR YOUR ATTENTION