Support and care at home

• Building a trusting and sustainable relationship
• Dealing with the illness (psychoeducation)
• Regaining and maintaining independence and self-determination
• Developing a needs-based daily routine
• Stabilizing mental balance
• Supporting medical therapy
• Developing strategies for dealing with anxiety
• Countering social isolation through joint outdoor activities
• Supporting and promoting personal responsibility through conversations
• Perceiving and observing the progression of health and illness
• Recognizing potential crisis situations and jointly developing action strategies, such as skills, breathing and relaxation exercises, real and imaginary emergency kits, etc.
• Promoting independent use of medication, observing and learning to recognize the effects and side effects of medication
• Advising and involving family members
• Coordinating and referring to further support
• 24-hour on-call service

Building a trusting and sustainable care relationship Since insured persons with schizophrenia often cannot trust their perceptions and, for example, perceive other people as threatening, they find it very difficult to accept help and to allow contact. Securing/supporting medication treatment Without help, insured persons usually withdraw socially, stop taking medication and avoid visits to the doctor. In addition, the doctor relies on expert external observation of the effects and possible side effects of the medication. Psychoeducational work with the insured persons in which the insured person - precisely because of their self-alienation - learns to classify symptoms of illness and crisis, accept help, avoid triggering stressful situations, etc. Support in dealing with the illness appropriately This applies to both the insured person and their relatives. Due to the severity of the illness and the associated changes in behavior and disruptions in the ability to form relationships, relatives must also be counseled. Otherwise, tensions can arise, which in turn can exacerbate the crisis. During an acute phase of the illness, insured persons sometimes need to be accompanied in everyday activities that are important for treatment or for their survival. For example, while shopping, it is easier to observe whether paranoid fears, such as those of a particular building, persist than if the situation is merely discussed with the insured person retrospectively. At the same time, during such a phase, it must be ensured that the insured person has food at home, avoids harmful alcohol consumption, etc. SOURCES: Joint recommendations for the implementation of the contract pursuant to Section 132a for home psychiatric specialist nursing care in Lower Saxony by: AOK – The Health Insurance Fund for Lower Saxony *) BKK Central Regional Association, Siebstraße 4, 30171 Hanover IKK classic, Tannenstraße 4b, 01099 Dresden *) SVFLG as Agricultural Health Insurance Fund *) Knappschaft - Regional Directorate Hanover *) - BARMER GEK - Techniker Krankenkasse (TK) - DAK Gesundheit - Commercial Health Insurance Fund - KKH - HEK - Hanseatic Health Insurance Fund - HKK Joint authorized representative with power to conclude contracts: The Association of Statutory Health Insurance Funds (vdek), Berlin, represented by the head of the Lower Saxony regional office, simultaneously acting for the regional associations of statutory health insurance funds in Lower Saxony with the participation of the Lower Saxony Working Group for Outpatient Psychiatric Care of the State Advisory Board Psychiatry Lower Saxony Vera Kropp Brigitte Harnau Helmut Frauenheim Wilfried Kanngießer *) in the performance of the duties of a regional association

• Fachärzten
• Hausärzten
• Sozialpsychiatrische Diensten
• Krankenhäusern
• Fachkrankenhäusern
• Arbeitsagenturen
• Jobcentern
• Betreuern
• Betreuungsvereinen
• Begegnungsstätten
• Angehörigen
• Institutsambulanzen
• Klienten