It is not only with mental health problems that it is always best to seek help from a professional as soon as possible and to address problems before they can go to the extreme. The psychiatric and psychological outpatient clinic is often a person's first point of contact with mental health care and is primarily for those whose treatment cannot be delayed. Like other facilities, our outpatient clinics are focused on diagnosis and treatment, where you will get answers to basic questions. We also place a strong emphasis on linking with community care services.
Outpatient clinics are open from 8am to 4pm.
Outpatient care at the Mental Rehabilitation Center offers patients medium-term help with mental health problems that do not require hospitalization. Treatment includes both psychiatric and psychological evaluations so that patients receive comprehensive support in difficult life situations.
At present, this type of outpatient care is only for patients who have made an appointment.
It is used for acute examination, basic crisis management and planning of early acute care (outpatient, inpatient and inpatient). It also serves as a possible contact in case of crisis or acute difficulties after primary care. The management of further action is always decided by the physician. The Acute Outpatient Clinic is available non-stop, and during the out-of-hours of the outpatient clinic, its operation is stitched to the Acute Reception.
The outpatient clinic is open 24 hours a day, but longer waiting times on site must be expected.
Acute admission provides care for patients brought in by EMS units in need of acute or urgent psychiatric care. At the same time, for the same reasons, it is used to examine patients referred by other departments (emergency admissions of hospitals - especially Hospital Hořovice - and other psychiatric facilities).
The care is intended for patients under 18 years of age.
For children who find themselves in a difficult life situation we offer short-term psychological help in the form of crisis intervention. We help to manage acute stress, with the aim of stabilising the psychological state and restoring a sense of security. Both children and parents receive support in a crisis situation or a referral to set up further psychological or psychiatric care.
Esketamine therapy represents a modern approach to treating resistant depression, a condition in which the patient does not respond to other standard antidepressant treatments. Esketamine is administered as a nasal spray and always in the presence of a trained healthcare professional. Patients are referred on the basis of an initial indication assessment and a referral from an outpatient psychiatrist is essential for scheduling!
Treatment is provided on an outpatient basis where esketamine is administered on the premises of the Mental Rehabilitation Centre. The administration is followed by a 2 hour rest period where the patient is regularly monitored by a nurse. After the observation the patient goes home. The regimen of administration of esketamine is twice a week in the first month of treatment, once a week in the second month and then, according to the agreement with the doctor, once or twice every 14 days. As a rule, treatment with esketamine lasts at least 6 months. After two months of therapy, a decision is made to continue or discontinue the therapy depending on the effect.
More information about the treatment regimen can be found on the website of the State Office for Drug Control here.
Michaela Tylová is an experienced nurse with many years of experience in inpatient and outpatient care, specializing in psychiatry and addiction care. She graduated from the Secondary Medical School in Prague and further extended her professional education by specialising in psychiatry.
During her professional career, she gained extensive experience in a number of healthcare institutions, including the General University Hospital in Prague, the Královské Vinohrady University Hospital, the Hospital of the Sisters of Charity of St. Charles Borromeo and others. She has worked in orthopaedic clinics, dental surgeries, nursing homes, detoxification centres and psychiatric clinics. A significant portion of her career has been devoted to working with patients with addictions, including managing a child and adolescent detoxification center where she held the position of station nurse.
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