Treatment in Multi-Professional Mental Health Clinics
A multi-professional mental health clinic is a dedicated treatment framework in which professionals from various fields of mental health work together, such as psychiatry, psychology, social work, clinical criminology, nursing, art therapy, occupational therapy, nutrition, and more. Each one provides care in their area of expertise, and as needed, several professionals are combined who work in coordination with each other to provide comprehensive and holistic treatment as much as possible according to the needs of the patient.
Unique characteristics of multi-professional mental health clinics
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Biopsychosocial approach
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Use of different therapeutic models
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Adjusting the intensity of treatment
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Treatment continuity and working in extensive interfaces
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Treatment coordination
- Treatment coordination: Since treatment in the clinic is provided by a multi-professional team, the main therapist is defined as the coordinator or manager of the treatment, and their role is to synchronize the treatment between the various team members, maintain the overall picture, lead the treatment plan, and implement various steps.
- Biopsychosocial approach: According to this approach, medical treatment and drug monitoring should be combined with emotional treatments (conversational or through other channels, such as art therapy, animals, etc.), treatment with a behavioral and functional emphasis, and a systemic view of the person within their environmental, social, and community context. Each of the therapeutic professions uses the biopsychosocial approach. For example, the psychiatrist does not only deal with drug treatment, but combines emotional and conversational treatments and addresses rehabilitation and social aspects.
- Use of different therapeutic models: The use of therapeutic models varies depending on the type of clinic and its scope of activity. The treatment can be provided in the form of individual or group sessions, couple or family therapy, or dyadic (parent-child). In addition, it can be provided face-to-face or using technologies such as video calls with a therapist, or through technology through which the treatment is conducted (e.g. a therapeutic app or VR), with the treatment usually accompanied and supervised by a human therapist.
- Stratification of responses: Coping with mental crises and psychiatric disorders is dynamic and changes according to the periods and changes that the person goes through, and therefore the response over time should be flexible and adapted. The multi-professional clinic provides a variety of treatments at varying levels of intensity, using different therapeutic models and different professionals, with a frequency and duration of treatment determined according to clinical needs.
- Treatment continuity and working in extensive interfaces: Treatment in a multi-professional clinic often accompanies patients over a long period of time, especially when it comes to serious mental illnesses, and therefore it also contains elements of coordination and treatment inside and outside the clinic. Whether it concerns complementary and parallel services and treatments, such as contact with the primary physician or with the treatment coordinator in a rehabilitation basket, or whether it concerns referral and readmission from more intensive settings and services. For example, referral to hospitalization or a balancing home, contact with the intensive framework as needed, and receiving the patient back to the clinic upon discharge.
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Who is suitable for treatment in multi-professional clinics?
- Those who experience a severe psychiatric disorder, which causes functional disability or significant mental distress and impairs quality of life.
- More complex cases in which a broad and holistic perspective is required by several professionals from different schools of thought in order to create an adapted and integrated treatment plan. For example, a person who needs psychiatric treatment and monitoring, psychotherapy, assistance in exercising rights and improving daily functioning.
- Cases in which expertise is required that only exists in the multi-professional clinic, for example, eating disorders.
- People who need treatment in a dedicated framework or group treatment provided within a specific multi-professional clinic, for example crisis treatment units, post-hospitalization continuum of care units, group treatment for those experiencing a crisis in the third age.
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Who is not suitable for treatment in multi-professional clinics?
In cases of low-medium intensity, or if there is a preference for individual and permanent treatment with a single therapist. For example, a person who needs psychotherapy only or psychiatric monitoring only.
Important
Important
Not all complex cases require treatment in a multi-professional clinic. There are many cases in which a single therapist can be the right choice.
Multi-professional mental health clinic services
- Initial assessment (intake): Examination and assessment of the patient's mental state. Depending on the nature of the problem, intensity and frequency of treatment, a sorting process is conducted and referral to the appropriate type of treatment is made.
- Diagnosis, treatment and psychiatric and drug monitoring: Management of the condition, including reducing symptoms, early identification and providing coping methods, strategies and support factors; psycho-educational intervention to promote adherence to treatment and the ability to self-care. In addition: Adjusting drug treatment, examining its effectiveness, monitoring side effects and conducting follow-up tests.
- Psychotherapeutic treatment: Psychotherapy is based on emotional-conversational therapy, which can be given in a variety of therapeutic approaches and in combination with different strategies, such as behavioral therapy, dyadic-play therapy, art therapy and more. It can be said that psychotherapy is actually a therapeutic tool that is used by almost all mental health professions, according to clinical needs and through various professionals and according to their training.
- Social work and exercise of rights: Social workers help in emotionally coping with distress and mental crises, support the family, and assist in exercising rights and maintaining a therapeutic and rehabilitation continuum.
- Art therapy: There are 6 sub-types of art therapy: Drama, psychodrama, movement and dance, visual art, bibliotherapy, and music.
- Occupational therapy: Building a therapeutic intervention program that aims to help cope with the functional implications that stem from the mental disorder. The program addresses all areas of functioning, while addressing enabling and limiting factors in occupations and the environment.
- Nursing: Comprehensive support and management of the treatment and recovery process – from improving functioning and health, through guidance and assistance in decision-making and medication monitoring, to appropriate referrals and exercising rights.
- Nutrition: Personal nutritional therapy helps in coping with the symptoms of mental disorders and the side effects of medications, improves quality of life and functioning, and contributes to strengthening the physical and mental condition. Nutritional therapy plays a central and significant role in the treatment of eating disorders.
Types of multi-professional clinics
The process of referring for treatment
The process includes several steps:
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1Receiving a referral
You can contact the mental health services at the HMO directly to receive a referral for a professional assessment, whether through the clinic secretariat, the HMO hotline, a doctor or a primary physician, or directly to the mental health array.
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2Initial assessment
In order to assess the mental state and the appropriate treatment framework, an initial assessment session will be held. After that, a referral for the appropriate treatment will be received, whether it is individual treatment, treatment in a multi-professional clinic, day treatment, a balancing house, etc. An additional and more comprehensive assessment (intake) will be done upon admission of the patient to the treatment framework, usually by the treating party themselves.
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3Determining a treatment plan
The clinic's team will determine for the patient, in collaboration with them, a comprehensive and personalized treatment plan and the appropriate therapeutic interventions. Each patient will be assigned a staff member to manage the treatment process.
The duration and frequency of treatment will be determined in advance and presented to the patient, as an organized plan in accordance with the goals of the treatment.
Costs and financing of treatment
Treatment at a multi-professional clinic is included in the health basket and is provided free of charge, with the exception of a quarterly deductible or associated fees as usual.
The service at multi-professional mental health clinics is provided through HMO (Clalit, Meuhedet, Maccabi, Leumit) clinics, or through providers who work through an arrangement with the HMOs, such as outpatient clinics in hospitals, clinics of public organizations, associations and private providers.