1. Rita Dries Senior lecturer Mental Health Care Katholiek Hogeschool Kempen Department of Health Science Herentalsstraat 70 2300 Turnhout – Belgium rita.dries@khk.be

4. 10,3 ml. inhabitan ts 30.000 km 2 surface

5. BELGIUM 10 moi in habitants Surface 30 000 km 2 Three languages : Flemish, French, German Borders : Northsea, The Netherlands, Germany, Luxemburg, France. Independant since 1830 Kingdom : King Albert 2 Religions : majority Roman Catholic, Islamite, Protestant, Jewish

6. FLANDERS Northern part of Belgium Flat country Beautiful cities of art and world-famous painters Recently federal state with its own parliament and governement Dutch-language area, most Flemish people speak several languages

7. TURNHOUT North-east of Belgium 15 km from the border with the Netherlands 40 km from Antwerp, 80 km from Brussels 40 000 in habitants Well know for printing and playing cards industry Student-city : several schools on several levels

8. Schoolentrance

9. Marketplace with church

10. Castel of the Dukes – 13 th century

11. EDUCATION IN BELGIUM

12. 1. Levels Nursery education (2,5-6 years of age) Primary education (6-12 years of age) Secondary education (12-18,19 years of age) Higher education non university (+ 18 ) one cycle – two cycle University (+ 18) candidate, licentiate,doctorate Compulsery education from 6-18 Possibility to combine working and learning from 16-18

13. Secondary education General academic secondary education Technical secondary education Vocational secondary education Art secondary education Post secondary education (18-21 years of age)

14. 2. Organization Public school, civil authority community, province, municipality Private school, private initiative not civil authority complying with all legal instructions mayority are catholic schools

15. Health Care Education - KHK

16. Association K.U.Leuven Bachelor and Master in Nursing and Midwifery Association Catholic University of Leuven

17. Association K.U. Leuven Members 12 polytechnics 1 university 70.000 students

18. Health Care Education - KHK Private, Catholic school Approximately 1250 students and 200 lecturers Different educational programmes over different depart- ments and different levels

19. Health Care Education Katholieke Hogeschool Kempen Department of Health Care Sint Elisabeth Sint Elisabeth Hoger instituut voor verpleegkunde Sint-Elisabeth Turnhout Navormingscentrum HIVSET

20. Health Care Education - KHK Higher education (Bachelor) midwifery training (3 years – 180 credits) medical secretaries (3 years – 180 credits) nursing education (3 years – 180 credits) 60 credits a year (total: 180 credits) 135 credits general 45 credits specific General, pediatric, and geriatric nursing, mental health care and community care theory and training

21. First year Theoretical aspects of nursing (7) Basic skills of nursing (8) Applied skills of nursing (8) Anatomy and pathology (7) Biomedical science (5) Psycho-social science (5) Philosophy, ethics and law (7) Clinical placement (13) Health Care Education - Nursing

22. Second year General nursing (10) Mental health care (5) Community care (5) Pediatric nursing (5) Geriatric nursing (5) Psycho-social science (3) Nursing science (3) Philosophy, ethics and law (4) Clinical placement (15) Capita Selecta (5) Health Care Education - Nursing

23. Third year General Theoretical aspects of nursing (8) Ethics (3) Psycho-social science (4) Health Care Education - Nursing

24. Third year General, pediatric, geriatric nursing, community care and mental health care Acute aspects (13) Chronical aspects (6) Clinical placement (18) Project (8) Health Care Education - Nursing

25. Health Care Education - KHK Continuing education Bachelor after bachelor(6)

26. MENTAL HEALTH CARE IN BELGIUM

27. The psychiatric client The organization of mental health care in Belgium Evolution from institutional to community orientated care

28. The psychiatric client Negative Prejudices in our society Impopular - low social value - low moral value - dangerous behaviour - negative behaviour Difficult quality controle Incompetence of the care worker

29. The psychiatric client Positive What is a psychiatric patient? (consciousness, memory, thinking, mood, perceptions …) Evolution to scientific approach Looking to the client as a holistic person Empathy, unconditional acceptance, authenticety Rehabilitation idea

30. The organization of mental health care in Belgium Level 0 The client himself and his environment ‘ex-client’ in self supporting groups

31. The organization of mental health care in Belgium Level 1 General practioner Pharmacist Care at home

32. The organization of mental health care in Belgium Level 2 The psychiatrist / neurologist The psychologist Center for mental health (C.G.G.)

33. The organization of mental health care in Belgium Level 3 Psychiatric ward in a general hospital (PAAZ) Psychiatric hospital (P.C) different sectors, open and closed wards, short and long stay Psychiatric care center (PVT) chronical psychiatric clients, idea of rehabilitation

34. The organization of mental health care in Belgium Level 4 Day-hospital Night-hospital Occupation therapy Sheltered living Community mental health care Day-activity center Work-coaching

35. The organization of mental health care in Belgium Organisation of the ward : crisis 30 beds Open or closed Maximum stay 2 month 1 or 2 beds for one room Client is paying a smal price, the rest is covered by the insurence

36. The organization of mental health care in Belgium Organisation of the ward : long stay 30 beds, 1 or 2 beds for a room Small groups, 6-8 persons Mostly open Maximum stay 18 months Total stay 5 years Resocialisation Client is paying a smal price, the rest is covered by the insurence

37. The organization of mental health care in Belgium Organisation of the ward : care center 30 beds, 1 bed for 1 room Open Living in groups of 10 persons Stay for the rest of their life Rehabilitation Client is paying half of the price, the rest is covered by the insurence. Some clients have an extra private insurence