Question 11214 — health

Summary

Ms. Gabrielle Cathala draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the manifest failure of the “My psychological support” system and to the urgency of a profound reform of the provision of psychological care in France, in particular due to criteria excluding certain people from the system. The system excludes in particular people who suffered sexual violence during childhood when this violence has had psychotraumatic consequences leading to severe depressive disorders. The “My psychological support” system offers up to twelve sessions of psychological support with a partner psychologist, with 60% covered by health insurance and 40% by complementary health insurance. The inclusion criteria for the system for supporting psychological support sessions are defined in the decree of March 8, 2022 relating to prices, billing codes and inclusion criteria for the system for covering psychological support sessions. Children and adolescents aged 3 to 17 years inclusive can benefit from this system, as long as they present a situation of uneasiness or psychological suffering which may cause concern among those around them, as well as adults when they suffer from anxiety disorders or mild or moderate depression, or misuse of tobacco, alcohol or cannabis, or even mild eating disorders. However, people with a long-term illness or disability for psychiatric reasons, a severe form of depressive or anxiety disorders or suicidal risks, eating disorders with signs of severity, mental health disorders cannot benefit from this system. severe neurodevelopmental disorders, severe psychiatric history in the last 3 years for adults and in the last two years for minors or a situation of dependence on psychoactive substances. The exclusion criteria established for this system, with a purely budgetary vision, by limiting access only to patients suffering from mild to moderate disorders, prevent adequate treatment of more serious and chronic disorders. As mentioned, the system immediately excludes people who suffered sexual violence during childhood since this violence has an extremely serious psychotraumatic impact. However, sexual violence experienced during childhood constitutes a major public health issue that is still insufficiently addressed. 5.4 million adults in France have been victims, with serious consequences : psychological disorders, chronic pain, addictions, dissociation, suicidal attempts. Unaccompanied victims have a reduced life expectancy of 13 to 20 years. Designed without consultation with psychologists and user associations, the “My psychological support” system was financed to the tune of 170 million euros in 2024 and its cost was 75 million in the first quarter of 2025. However, it proves incapable of responding to the real psychological needs of the population. The Convergence of Psychologists in Struggle, which brings together 21 groups and claims to bring together “a quarter of the profession”, denounces an “inadequate” system which “misses its target”. According to them, the budgetary shift towards “My psychological support” is to the detriment of other more relevant and effective measures. Under the pretext that the system has been implemented, regional agencies of health would have notably stopped the financing of local systems, which had been operating for years. Currently, people excluded from the system find themselves without a viable solution, with medical-psychological centers (CMP) being suffocated by a glaring lack of resources and treatment delays of several years. The MP draws the attention of the Minister to the need to create psychologist positions in CMP and CMP children and adolescents, to include all people who need psychological monitoring. She also questions him about the exclusion criteria established in the “My psych support” system with a purely budgetary vision, preventing adequate treatment for more serious and chronic disorders. She also asks him to specify the reasons for the absence of a suitable system for adults who have suffered violence. sexual during childhood.

Machine translation from French. The official text remains authoritative.

Timeline

No timeline events have been ingested for this record yet.

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

No documents linked.

Sponsors

No sponsors or actors listed by the source.

Related records

No cross-record relationships stored yet.