All the Units have multidisciplinary teams, with intervention programmes suited to the needs of patients.

Main objectives:

• Promote quality of life;
• Promote social inclusion;
• Provide greater autonomy through an appropriate intervention programme;
• Promote the maintenance/structuring of personal identity and self-determination;
• Support the integration in socio-occupational or professional activities.

UNITS

St. Benedict Menni

St. Benedict Menni Unit, aimed at moderate support, with capacity for 47 patients.

It is designed to promote autonomy, well-being and quality of life, through an appropriate intervention programme with a pro-rehabilitative approach, which provides a favourable environment for the maintenance/structuring of personal identity.

St. John of God and St. Anthony

Units that can cater for 54 and 57 patients, respectively. Aimed at people with mental illness and/or disability with a low degree of dependence in terms of daily life activities.

 Sacred Heart of Jesus

The Sacred Heart of Jesus unit can accommodate 50 patients. This inpatient unit includes patients with a reduced to moderate degree of dependence in their daily life activities.

St. Augustine and St. Raphael

St. Augustine and St. Raphael units can accommodate 39 and 40 patients, respectively. These units are designed to assist people with mental illness and/or disability, who have a high degree of dependence and need support to meet their basic needs, namely hygiene, clothing, food, etc.

Geriatric psychology clinic / > disability - Friar Júlio dos Santos

Unit providing care for people with psychiatric disorders, aged 65 or over and/or with a high degree of disability/dependence.

It can accommodate 45 patients on long-term care treatments.

A Snoezelen room is included in its facilities, destined as a multisensory environment (MSE) for stimulation of patients, which also serves the whole Health Centre.

In addition, Gymnasium "Angulo" is the place where the Health Centre patients attend movement classes.

ACUTE/SUB-ACUTE PSYCHIATRIC CLINIC

The St. John of Avila acute/sub-acute clinic was opened in 2011, although there had long been an acute mental illness service at the Telhal Health Centre.

It accommodates patients with mental illness/disability in acute/sub-acute stages, aiming at clinical and functional stabilisation. The maximum length of stay is 90 days.

The therapeutic intervention is ensured by a multidisciplinary team, consisting of Psychiatrists, GPs, Nurses, Assistants, Psychologist, Rehabilitation Technician and Social Worker. The referral is made through an external psychiatric consultation at the Telhal Health Centre and after referral by psychiatric services (information circular letter N.10/2014/DPS/ACSS) and by subsystems or private entities.

NOVO RUMO CLINIC

Novo Rumo Clinic for Alcoholic Patients assists patients with a history of alcohol abuse, through a treatment and recovery programme based on an integrative theoretical, bio-psycho-social and spiritual model.

Supported by a multidisciplinary team, it guarantees interventions provided by Psychiatry, General Practice/ Internal Medicine, Nursing, Psychology, Social Work and Occupational Therapy.

It can accommodate 16 patients.

Treatment is voluntary. The recovery programme lasts four weeks, involves the development with the patient of an individual intervention plan and is based on an individual, group and family approach.

The therapeutic intervention works range from motivation and preparation for hospitalisation to physical detoxification and the development of strategies and competencies for abstinence and prevention of relapse. However, the self-determination of the patient during the entire treatment and recovery process is of utmost importance.

Referral is made through the external consultation of the Sector for Alcoholic Patients of the Telhal Health Centre and after referral by the psychiatric services (information circular letter N.10/2014/DPS/ACSS) and by subsystems or private individuals.

Geriatric psychology clinic / > disability - Friar Júlio dos Santos

A unit providing care for people with psychiatric disorders, aged 65 or over and/or with a high degree of disability/dependence.

It can accommodate 45 patients on long-term care treatments.

A Snoezelen room is included in its facilities, destined as a multisensory environment (MSE) for stimulation of patients, which also serves the whole Health Centre.

The Rehabilitation Services have a multidisciplinary team and are organised along two lines:

• Residential
• Occupational

 Residential

The training of skills is individualised, based on the Individual Intervention Plan and includes: Training of basic, instrumental and advanced daily life activities, namely, hygiene, clothing, meals, medication management, money management, domestic management, shopping, use of community resources, socialisation, means of communication, occupation, leisure, time management; Maintenance of skills that have already been learned.

INTRA-INSTITUTIONAL RESIDENTIAL UNITS

The inter and transdisciplinary intervention in psychosocial rehabilitation aims to achieve the greatest possible degree of autonomy by the patient, improve their quality of life and enhances the exercise of citizenship, through interventions adjusted to the needs and characteristics of each patient.

Thus, it has the following facilities:

- Brother Cândido Rehabilitation Unit (20 patients)

- Modular Rehabilitation Units I, II and III (8 patients each)

- Blessed Olallo Rehabilitation Unit (22 patients)

- Autonomy Training Residence - Vivenda Romã (7 patients) - integrated in the RNCCI pilot projects, it aims at providing maximum individual autonomy, preparing patients to deal effectively with daily demands, making them able to (re)integrate in the community.

During their stay in the rehabilitation units, patients have an active role in their rehabilitation process, based on recovery, sharing responsibilities with the technical team and family, to ensure the smooth running of the project, enhancing their empowerment, self-determination, quality of life and social inclusion.

COMMUNITY RESIDENTIAL UNITS

The living units, with maintenance and/or training of autonomy in the community, integrate patients with no residential alternative but with community reinsertion competences. They do not have a fixed length of stay and include the following services:

Protected Life Units (Joint Ordinance 407/98)

- Girassol Residence (6 patients)

- Golfinho Residence (5 patients)

Independent Living Unit (Joint Ordinance 407/98)

- Orchid Residence (6 patients)

Autonomous Unit still without protocol

- Vontade Residence (4 patients)

Autonomous Unit

- Esperança Mental Health Autonomous Residence (6 patients)

A unit integrated in the pilot project of the National Integrated Continued Care Network, aimed at people with a reduced degree of psychosocial disability due to serious mental illness, clinically stabilised, without adequate family or social support. The therapeutic programme of the residence is based on the Individual Intervention Plan and includes: psychosocial support, support in planning daily life activities and integration in professional or socio-occupational activities, access to general and specialised medical care, medication management support, access to social and leisure activities.

OCCUPATIONAL SERVICES

The Occupational Workshops provide patients with a space to carry out different activities that contribute in a rewarding way to the maintenance and/or development of their abilities. It can accommodate 40 patients and is open on working days from 9 a.m. to 4.30 p.m.

The Productive Activity Workshops aim to offer patients a structured occupational space that allows them to acquire/maintain work habits and pre-labour practice, in order to improve their overall quality of life. It can accommodate 45 patients and is open on weekdays from 9 a.m. to 4.30 p.m.

The Hospitality Day Area is an occupational service, which aims to provide a structured environment, focused on the expectations, interests and needs of psychiatric patients, in order to enhance maximum autonomy and improve their quality of life. Thus, it aims to provide therapeutic and occupational support to non-institutionalised patients (preventing the so-called "revolving door" syndrome) and to patients integrated in rehabilitation units or in other units of the Telhal Health Centre.

It can cater for 35 patients and is open on weekdays from 9 a.m. to 4.30 p.m.

Vocational Training aims to promote the empowerment of people with mental illness and disability, through the acquisition of employability skills and greater community integration, contributing to an increase in empowerment. It contemplates interventions that encourage the recovery and learning of personal, relational and social skills, mobilising different community actions and creating new social relations, towards active citizenship.

As part of this process, there are two Vocational Training courses aimed at the acquisition of knowledge, skills, attitudes and forms of behaviour required to perform the functions of a profession. The training component of the courses is theoretical and practical.

- Computer Course

- Gardening Course

It can accommodate 20 patients (8 for each training course), and the maximum duration of each course is 22 months.

Intervention centre for sports and leisure: Desportivamente.

Intervention centre for Art and recreational-cultural purposes: Experimentarte and atelie's de arte.

This service, open to persons from any region of the country, includes consultations of various specialties:

• Psychiatry
• Alcoholology
• Gerontopsychiatry
• Child psychiatry
• Psychology and Psychotherapy
• Neuropsychology
• Neurology
• General clinic
• Medicine and Dental Prosthetics
• Ophthalmology

The institution has no psychiatric emergency service, so all admissions, when there are vacancies, are evaluated by the outpatient consultations service.

It is open on weekdays from 8.30am to 5pm. Appointments can be made in person at the Outpatients Department or by phone (+351) 219 179 200.

Consultations are private, and there are no agreements with funding bodies.

The Telhal Health Centre is a healthcare centre dedicated to the treatment/assistance of patients aged 18 years old or more in Psychiatry and Mental Health, Psychosocial Rehabilitation and Alcoholism.

The admission process to Telhal Health Centre starts by means of a psychiatric or alcohol abuse outpatient consultation, following referral by psychiatric services (information circular letter N.10/2014/DPS/ACSS) and by the sub-systems or private entities, which may be scheduled by telephone on 219 179 200, between 8.30 a.m. and 5 p.m. on weekdays.

For the evaluation consultation, you should be accompanied by the person requesting admission and, whenever possible, by a clinical report (stating the reason for the admission), a nursing report and an updated social report, so that a full assessment of the situation can be made, the need for admission and its suitability for the admission units we have available.

According to the Mental Health Act in force, the Telhal Health Centre cannot allow any compulsory internment without the informed consent of the patient in question, which will always happen after a psychiatric and nursing mental health evaluation is carried out by our specialised staff.

If the patient is not a beneficiary of any of the health subsystems with which CST has agreements (AMFA, IASFA, PSP, GNR), they will have to be referred by a psychiatrist from the psychiatry department of the public hospital in their place of residence, through a valid document approved by its board of directors. In situations where there is no referral by the National Health System, the CST has private internment facilities.