● in the “SfantaMaria”Psychiatry Hospital of Vedea, Arges county, it was
found that some of the checked observation reports included the date of release in
advance; the claimed reason was that patients were proposed for release in the
following month when the settlement threshold has been reached during the current
month, as negotiated through the contract with the Health Insurance House of Arges;
therefore, the patient’s date of release was postponed for financial reasons, related to
the settlement of medical services, not for medical reasons. Recommendation: to
release patients depending on their state of health; to specify the diagnostic upon
release and the date of release strictly on the date of release of the patients - since the
patients’ release was postponed for financial reasons, related to the settlement of
medical services, and some FOCGs included the release date in advance/a changed
date of release or no diagnostic upon release.
Regarding psychological assistance:
● psychologists used a standard medical register used in the hospital, with improper
headings for the provided psychological assistance; ● no psychological reports were
drawn up and no protocols were elaborated pursuant to psychotherapy sessions; ● a
register of special events was not drawn up; ● psychological practices did not have a
computer with a printer; a computer had to be purchased for psychological practices,
to facilitate the administration of tests and electronic records of psychological acts
(assessments, counselling), keeping two copies of assessments included in the
observation report, etc. (the Psychiatry Hospital of Gătaia, Timis county);
Recommendations: ● to provide the required technical and methodological
equipment for the psychologists’ professional activity; ● each psychologist should
use the Register of professional acts, issued by the College of Romanian
Psychologists, to be numbered, sealed and registered at the unit’s secretariat; ●
psychologists should draw up individual intervention plans for each patient included
in the counselling or psychotherapy programme, stipulating the objectives and
recommended activities in order to reach the objectives; ● to intensify
complementary mental health care services playing a part in the patients’ recovery,
such as psychological counselling and psychotherapy and to fill in psychological
counselling reports and psychotherapy protocols; ● to draw up a special events
104
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