Question 16423 — health establishments

Summary

Mr. Thomas Portes alerts the Minister of Health, Families, Autonomy and Disabled People on the protection of patients and staff of psychiatric establishments during episodes of high heat, in particular at the public health establishment of Ville-Évrard, in Seine-Saint-Denis. As heat waves multiply and intensify due to climate change, healthcare facilities must face increasingly difficult reception and working conditions. This situation particularly concerns psychiatric services, where hospitalized patients can combine several vulnerability factors: severe psychiatric pathologies, forced hospitalizations, difficulty expressing their discomfort, sleep disorders, agitation, anxiety, isolation or dependence on healthcare teams. The health risks are all the more significant as certain treatments frequently prescribed in psychiatry can alter the body's adaptation to heat. The National Agency for the Safety of Medicines and Health Products recalls that several medications, notably certain neuroleptics and psychotropic drugs, can aggravate the risks linked to high heat or disrupt thermoregulation mechanisms. In the MP's constituency, the EPS Ville-Évrard constitutes a major psychiatric establishment. Its historic site in Neuilly-sur-Marne alone concentrates 278 beds, or nearly two-thirds of the establishment's hospitalized patients, including 175 full-time adult hospitalization beds, crisis beds, long-term hospitalization beds and a specialized reception center. According to information provided by representatives unions at the establishment, a heatwave alert has been in effect since the start of the week, while non-hospital structures regularly report temperatures above 35°C in the morning. Adjustments to schedules or closures of structures have reportedly been decided in certain centers, without these measures currently appearing sufficiently uniform across the establishment. This concentration of Vulnerable populations require particular attention to the material conditions of hospitalization, even though heatwave episodes can increase tensions in the units, degrade sleep, worsen staff exhaustion and compromise the quality of care. Recent union alerts highlight a broader concern: psychiatric services remain insufficiently integrated into hospital adaptation policies to climate change. General prevention measures cannot suffice when vulnerable patients live for several days in overheated premises, sometimes without access to truly cooled spaces, and when caregivers must maintain continuity of care in degraded working conditions. He therefore questions him about the measures that the Government intends to implement in order to establish a national inventory of temperatures observed, cooling equipment available and investment needs in psychiatric services. He also asks her if she is considering the establishment of a national plan for adapting psychiatric establishments to high heat, combining dedicated funding, emergency solutions during heatwaves, targeted air conditioning when the state of health of patients requires it, thermal renovation of buildings, solar protection, ventilation, greening and systematic integration of psychiatric specificities in health management plans for heat waves.

Machine translation from French. The official text remains authoritative.

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