Our mental health center’s teams from South-Estonia and Ida-Viru County visited Norway in April 2015. We visited St. Olav Hospital which is located in Trondheim. BUP Klostergata is one of five outpatient services in BUP, St. Olav Hospital. BUP Klostergata has approximately 600 patients covering from 0-18 years old. Work in this hospital is best described as being focused on development of new treatment methods and systemizing team work. For example there were formed teams who were specialized working with children and adolescence who have eating disorders, post-traumatic stress disorder, OCD etc.
There are 47 specialists in St. Olav Hospital’s outpatient team. There are therapists, psychiatrists, clinical educators, family therapists, psychologists and social workers. There are 3 teams formed by those specialists:
- Children team (0-12 year old) work with all mental health problems except ADHD. Team includes psychologists (1,9), psychiatrists (1), clinical educators (1,4) and family therapists (2,8).
- Neuro team includes 5 psychologists (2 of them are neuropsychologists), 4 psychiatrists, 2 clinical educators. This team has the most patients. The main mental health problems covered in this team are ADHD, Tourette syndrome, Aspergers syndrome, OCD.
- Adolescence team (13-18 year old) includes psychologists (5,2), psychiatrists (2,3), clinical educators (1) and family therapists (2). Main problems adolescence have are “introverse disorders” which include depression, anxiety, self-harm, suicidal behavior, behavioral problems and eating disorders. It is mainly found among teenage girls because of their stress level which is influenced by higher expectations and ambitions.
Our teams had a chance to meet one of the specialists from each team and learn their experience.
Mainly family doctors refer patients to the hospital. There is good cooperation between II and III level specialist who all work to provide the help needed to children and adolescence with mental health problems. Hospital’s team comes together once a week to look through all the referrals sent by the family doctors and decide whether any case needs further intervention. Less serious cases are sent to I level specialists. So there is a good cooperation between family doctors, I, II and III level specialists.
Hospital’s team has created priority guideline, which helps to make the decision whether further investigation is needed. Our team had also a chance to be part of the deciding process.
Our team is extremely thankful for the opportunity to visit St. Olav Hospital’s outpatient teams and we definitely gained a lot of knowledge on how to develop our outpatient team work in Estonia.