The Centre for Consultation and Expertise (CCE) occupies a unique position within the Dutch national healthcare system. The CCE is a supplementary service to standard healthcare services.
Individuals in need of long-term care sometimes face the situation that their quality of life is in danger of becoming seriously compromised. Should they or their caregivers be no longer able to find solutions, they can apply to the CCE for ‘exceptional care’. We work with independent experts in order to provide customised advice and support. In doing so, the CCE is a supplementary service to standard national healthcare services.
New ideas and expertise can be derived from this exceptional care service. We share this new knowledge with care professionals in the entire sector: it’s one of our core values. The CCE thus contributes to the overall quality of care.
The CCE focuses on all clients in need of exceptional care who already receive long-term care. We are active in the field of care for persons with disabilities, in the nursing and care of the elderly, and also in the mental healthcare sector. The CCE has a long history of experience in caring for people with intellectual disabilities, physical disabilities, profound multiple disabilities, autism, non-congenital brain injuries, behavioural disorders or deaf blindness. The CCE consists of one national and three regional offices.
The CCE accepts applications for consultation when there are serious concerns about a client’s quality of life. Sometimes, individuals can fall between the cracks. He or she has complicated medical and/or psychological problems, exhibits severe problem behaviour or seems to have bleak future prospects. The CCE takes action only when problems cannot be resolved within the standard healthcare system. Care professionals can also consult the CCE for a second opinion about an existing care plan. No costs result from enlisting the CCE’s aid; the CCE is fully funded by the government.
The CCE has a large pool of consultants throughout the Netherlands, who advise on the possibilities of better treatment and care for clients. They are professionals such as (educational) psychologists, behavioural experts, doctors, nurses and psychiatrists. These professionals are not on the CCE payroll, but are temporarily enlisted on the basis of their expertise.
It is because the CCE only deals with complex issues that its approach is multidisciplinary, using different points of departure and a wide range of specialties. After all, factors such as the physical and social environment of clients can be a factor.
Consultations are evaluated and provide new insights into the factors which resulted in success or failure for a certain approach, such as knowledge of disorders, problem behaviour and treatment methods, for example.
Our long experience with consultations is the impetus for developing new expertise. The CCE has an external focus and is dedicated to sharing the expertise resulting from consultations with other healthcare organisations. In this way, specific expertise is not only of benefit to the individual client concerned, but to all clients nationwide.
This expertise is obviously shared amongst CCE’s own consultants, but also with healthcare professionals in the sector as a whole, for instance by means of work conferences and publications.
In the Netherlands, it is possible to be granted financial aid for clients with exceptional care needs. In order to requisition or request this kind of financing, organisations must devise a care plan. The CCE provides advice on whether this care plan is well-suited to the client concerned.
CCE's operating principles
Focus on the client
Our work is client-based. Starting from the client's perspective, we strive to explain problem behaviour by answering the questions: what exactly is the client experiencing and what environmental factors are causing the behaviour? In tandem with caregivers and client representatives, we explore what the client needs.
Fresh external perspective
The use of external experts is essential to our method. These experts are deployed so that we can furnish unbiased, customised advice which is not limited to a single care sector.
Discussions and dialogue are at the heart of our search for solutions. Caregivers, relatives, friends and other external parties are always our interlocutors. Our role is strictly temporary and is intended as an adjunct to existing care.
Specialised in complex care
We share the expertise and experience resulting from consultations and assessment reviews with care professionals. To facilitate improvements in complex care, we also provide feedback to care institutions related to work processes, cultural aspects and structural organisation.
Mental Health in Intellectual Disability
The Mental Health in Intellectual Disability (MHID) platform is a cooperative organisation between a number of centres of expertise and professional organisations in the Netherlands and Flanders (Flemish Belgium), that are involved in preventative measures and care in the field of mental health for those with intellectual disabilities. The CCE is a member of this platform. This cooperative organisation was founded in 2005 with the following goals:
- exchanging expertise re this subject (nationally and internationally)
- streamlining individual activities in this sector
- stimulating the development of new expertise
- increasing the expertise of caregivers and professionals
The platform is closely affiliated with the European Association on Mental Health and Intellectual Disability (EAMHID), the leading European cooperative organisation in the field.
If you would like more information about the CCE, please contact the national office and send an email to: ...