Mental health outpatient clinics
Treatment is received by appointments at the clinic or during visits at the patient's home. The frequency of visits depends on actual needs. In general, it is once a month, but may also be more or less frequently. With established pharmacotherapy regimen, not more rarely than every 3 months. Medical services at the mental health outpatient clinic are provided by a psychiatric doctor, a psychologist and/or a psychotherapist. The clinic should also ensure the availability of a social worker and an environmental nurse.
A psychiatrist or a mental health outpatient clinic can be visited by anyone without referral or with a referral, issued by a family doctor or another specialist, also psychiatric, e.g. responsible for hospital discharge.
How is a visit arranged at such a clinic?
On the first appointment, a complex diagnosis of disorders is obtained, together with analysis of psychological-social conditions (family, occupational and social situation) and biological-medical conditions (somatic disorders and conditions). The diagnosis of the sensations, reported by the patients, is obtained with participation of a psychiatrist and a psychologist, sometimes also of a social worker or an environmental nurse.
Depending on diagnostic results, treatment on site is proposed (psychotherapy, pharmacotherapy or combined). If it is found that mental disorders result from a somatic disease, the patient is referred to another specialist (neurologist, internal doctor, endocrinologist, cardiologist). When concomitance of mental and somatic disease is identified, a parallel therapy is conducted, both a the mental health outpatient clinic and at nother specialised clinic.
In case of certain conditions and disorders, the patient is referred from the outpatient clinic of mental health to a more specialised clinic of mental health, e.g.:
- outpatient clinic of memory disorders (disturbed memory, dementia),
- outpatient clinic of sleep disorders (permanent problems with sleep),
- outpatient clinic of neurotic and personality disorders (anxiety disorders, stress-related disorders, neurosis, disturbed personality, eating problems).
The majority of mental disorders and conditions may effectively be treated in all the above-mentioned outpatient clinics.