Question 17023 — health

Summary

Ms. Véronique Ludmann draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the difficulties encountered by mayors and the police in carrying out compulsory hospitalization in the event of serious psychiatric disorders. In several municipalities, worrying situations have recently highlighted the limits of the current system. People with disorders severe psychiatric conditions, sometimes known to social services and having requested help, have demonstrated behavior that is dangerous for themselves or others. These episodes caused deep trauma among the population and strongly mobilized local elected officials, security forces and emergency services. However, to initiate hospitalization without consent by decision of the mayor or state representative, the law requires a detailed medical certificate. In many areas, particularly rural or peri-urban areas, elected officials find themselves faced with a shortage of doctors available to establish this observation in an emergency. This deficiency creates an operational vacuum, leaving mayors helpless in situations where public safety is involved. Furthermore, certain recurring behaviors require rapid intervention, but come up against the same administrative and medical obstacles. In this context, the MP wishes to question the Minister on the solutions envisaged to guarantee the effectiveness of the automatic hospitalization system. She asks him in particular if the creation of a “commissioned” doctor, designated by the State or by the ARS, could be studied in order to ensure the availability of an authorized practitioner in the event of a psychiatric emergency; if a reform of the legal framework for hospitalization without consent is envisaged to better respond to extremely emergency situations encountered by local elected officials and finally what measures the Government intends to take to strengthen support for mayors, often on the front line in the face of these crises and guarantee the safety of residents as well as that of people suffering from psychiatric disorders. Also, she asks him to kindly indicate the directions it intends to take to improve the management of these critical situations.

Machine translation from French. The official text remains authoritative.

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