A psychiatric nursing home* (PNH) is a healthcare facility that provides patients suffering from a long-term, stabilised psychiatric disorder or mental disability with both mental health care and support. The patients in question do not need the specialised, multidisciplinary care a psychiatric hospital department provides but are not independent enough to live on their own or in a sheltered housing initiative* (SHI). PNH stays tend to be long-term in nature. Psychiatric nursing homes especially focus on the aspect 'residence' and the relevant support.
You can find an overview of the recognised PNHs in Flanders here.
The German-speaking Community counts one recognised and publicly managed psychiatric residential care home.
PNHs must meet specific recognition standards* before they are recognised and can qualify for government funding.
The supervision of the psychiatric residential care home is a competence of the German-speaking Community that controls its compliance with legal provisions and grants official recognition.
Care quality and patient safety
Wallonia has not developed a specific qualitative approach, although it is competent to draw up complementary quality standards. Its inspection work is therefore currently concerned only with the evaluation of organisational indicators (e.g. staffing standards) and some process indicators (e.g. the inspectors check whether seclusion records are being properly used).
Alongside inspections in the context of the approval procedures, it sometimes draws up recommendations on a specific subject or on the interpretation of a standard (e.g. recommendations concerning the deprivation of liberty in psychiatry), as well as holding regular consultations with hospital federations on different subjects.
Wallonia has recently gained a platform bringing together all healthcare actors (authorities, federations, insurance organisations, schools of public health), with the following five objectives:
- discuss the development of standards;
- produce indicators;
- plan and monitor the implementation of accreditation processes;
- structure inspection/approval and accreditation;
- share practices, in particular concerning processes.
Monitoring and evaluation
All site visits to do with the award of the first recognition, extension of recognition, closure and intermediate inspections are performed by the Care Inspection Agency.
These inspections have a double function:
• on one hand the inspection team checks the recognition standards;
• in addition the inspector encourages the sheltered accommodation initiatives in the area of self-improvement.
In most cases the inspector is on site for a day, after which he prepares his inspection report. The health care facility is given the chance to respond to this report, which may subsequently be modified by the inspector.
Accordingly the file manager at the Care and Health Agency sets time limits within which the facility must eliminate any shortcomings.
More info :
The government of the German-speaking Community mandates an inspector to control the compliance with legal provisions and to supervise the provision of care in this psychiatric residential care home. The inspector is entitled to carry out all examinations, controls and investigations deemed necessary.
The German-speaking community also subsidises building measures for the psychiatric residential care home.
The main legal regulation governing the psychiatric residential care home is the decree of 4 June 2007.
The following link provides further information about the psychiatric residential care home in the German-speaking Community: "Deutschsprachige Gemeinschaft Belgiens".
Wallonia is competent for the inspection and approval of psychiatric care homes in its territory (except for the German-speaking Community), see the portal "Action Sociale et Santé en Wallonie".
Common Community Commission (Brussels):
The standards are checked by the inspection service and the health service of the Common Community Commission annually. In addition, there are inspections carried out when there is a change in the number of beds, a new manager, a change in the asbl such as the name of the asbl, address or the location, a change in the objectives of the institution or the recognition standards.
* See Glossary