Question 12283 — health

Summary

Ms. Muriel Ressiguier questions the Minister of Solidarity and Health about the deterioration of psychiatric care in France. On June 28, 2018, the Minister presented her roadmap for mental health and psychiatry, in which she affirms her desire to revalorize this discipline so that it is no longer the poor relation of medicine. The three main areas of intervention that it has defined aim in particular to identify more prevent suffering and mental disorders early, prevent suicide, improve the conditions of social inclusion for people with mental disabilities and guarantee coordinated care pathways by structuring local services. It is indeed urgent to change the way we look at mental disorders and enable caregivers to provide quality follow-up to patients who are constantly increasing due, among other things, to increasingly numerous stress factors in modern societies, particularly at work. According to the WHO, one in four people are affected by a psychiatric disorder during their life in Europe. In France, the professional exhaustion syndrome commonly called burn-out has become a social issue. Although an essential discipline, sector psychiatry in France is, on the contrary, experiencing serious difficulties as in For several months, worrying situations have been witnessed in several French university hospitals, such as in Amiens, Rouen, Le Havre, and even in Montpellier. In each of these hospital centers, caregivers denounce the lack of staff, the lack of beds, the lack of resources allocated to their discipline or even worse, the closure of care units. This is the case in his constituency in Montpellier, where the director of the CHU made the choice to close a 19-bed anxiety and depressive disorders care unit, to develop outpatient services without involving all the caregivers concerned who recommend keeping 5 beds. What will become of vulnerable patients, left to their own devices in the evenings and weekends? Can the service of general interest provided to citizens that public psychiatry fulfills be neglected to this extent? In Montpellier, caregivers collectively expressed their dissatisfaction, supported by patients' families and patients themselves. In Amiens, they did not hesitate to camp at the gates of their establishment for two long months to protest. And in Rouvray, Rouen and Le Havre they began a hunger strike. Faced with the alarm bells ringing by all public psychiatry professionals, is it really relevant, with a constant budget, to close services, without put in place the human and financial resources to ensure effective care for all patients knowing that they are more and more numerous and precarious and that private clinics will not take care of them? What does she say to caregivers who are demanding, as in Rouen, the creation of positions, or in Montpellier, to be fully involved in the current reorganization? In her action plan, she announced that she wanted to make psychiatry a health priority without increasing budgets for this discipline. She asks her how, in these circumstances, she will give caregivers the human and financial means to ensure a quality public psychiatric service.

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