Home care in mental crisis situations as a psychiatric hospitalization alternative


It is precisely in the most difficult moments that you are required to leave yourself,

get out of your home, and come to a stranger's room, to meet a stranger,

In order to help you find yourself.

Or maybe not?


We believe that there are situations in which a person needs the therapist to come over to him. To make the effort and insist on being together with him, in his space, in his situation. Without being alarmed and without giving up.

To meet this end, we developed SAT - Systemic Analytic Therapy, a clinical approach designed for situations of:

- Extradition and extreme avoidance

- Psychotic crises

- Violent behavior in the face of mental crises

- Suicidal behavior

- Ongoing severe psychopathology

When one member of the family suffers from a mental crisis, beyond the importance of reaching it, into his world, and perhaps even more so, the strength of the family is important. The family experience, the relationships between family members, have a tremendous impact on all its members and can be a source of support and change or vice versa. The voice of each family member is important and meaningful, and usually represents something that is connected to everyone. When one member of the family suffers, all members of the family are affected, and most often experience one or the other load, but they can all grow out of this crisis together.


Therefore, the model of the SAT approach emphasizes the whole family, and not just the family member in crisis. The model is based on four principles:


- Family conversation in the living room - With the caregiver arriving at the house, there is a meeting where you can talk about each family's struggles, strengthen relationships, and rebuild together.


- Multi-professional team - Due to the emotional burden the family faces in the crisis, there is an emphasis on teamwork, rather than one professional. One therapist will lead the treatment and meet with family or parents. The family member who is in crisis will most often meet with a therapeutic companion, who will meet him in his living space, accompany him in daily experiences and struggles.


- Intensity - It's important not to be left alone. Therefore, a program is being built that allows for several weekly meetings with the various caregivers, as well as high telephone availability, and are ready to reach you immediately if needed.


- Systemic - What happens inside the mind is very important, but what about life outside? Significant change, especially in crisis situations, often requires a change of environment, or support from it. The family system is part of that. In addition, as part of the team’s care, we are in contact, as appropriate, with community, educational, medical and occupational factors.


Applying these principles to our treatments allows us to be an effective and humane alternative to hospitalization or home removal.