Question 7666 — health establishments

Summary

Mr. Jean-Claude Raux questions the Minister of Health and Prevention following the closure of 17 beds at the Loire Atlantique Nord psychiatric establishment (EPSYLAN), or 48% of the reception capacity of one of the two admission units at the West Pole. A decision following a failure of psychiatric doctors, while the situation of chronic overoccupancy of beds had already been reported in November 2022 by the caregivers of this establishment. This closure is another shovelful of dirt thrown into the grave of psychiatry, the poorest relative of medicine. Once again, it seems that eyes are turning away, as clinical psychoanalyst Harold Hauzy pointed out in an article published in the newspaper Le Monde on March 11, 2023. Yet the facts are there, psychological disorders are omnipresent in the French population and are no longer taken into account. charge. In this case, with regard to the West Pole, it concerns 47 municipalities, a population area of ​​220,000 inhabitants, for a department which each year welcomes nearly 17,000 new arrivals, not to mention that the establishment was forced to welcome patients redirected last summer during the closure of equivalent services located in Sarthe. To evoke this new wave of closures, cynicism could lead us to say that arithmetic reality is incomprehensible but the tragedy of the situation makes us think that prioritization is no longer appropriate, that the arbitrations are no longer human but rather accounting and financial. It must be remembered that the consequences for patients, families and caregivers are catastrophic. Local elected officials too must face the distress caused by this situation, where patients and families are left to their own devices. Hospitalization times are exploding and placing the responsibility for non-care on other professionals in the sector. When this establishment represents almost 55% of the territory of Loire-Atlantique, an entire sector is destabilized, especially since solidarity between establishments is not possible since November 2022, 50 psychiatric beds have been closed. For the professionals, it is always and again the feeling of abandonment that predominates. They are constantly warning and the minister does not seem to hear them. Thus, in view of the calamitous situation, a response is expected so that the care and support of patients is ensured in dignified conditions for them, their families and caregivers, this entire section of society that we want to hide at all costs, is not in addition dehumanized.

Machine translation from French. The official text remains authoritative.

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