Three mobile teams at the bedside of mental health to fight against medical desertification

The health sector is not doing well. It’s no secret, but it doesn’t hurt to remember. Especially since this is more true in the rural areas of the Var, which are particularly affected by the problem created by medical deserts. And the mental health sector is no exception to the phenomenon, quite the contrary.

On the strength of this not exactly encouraging observation, the Henri-Guérin hospital center, located in Pierrefeu, is implementing tools that make it possible to make a healthcare offer accessible, in particular via medico-psychological centers (in Brignoles and Saint-Maximin), but also by the relatively recent establishment of mobile teams responsible for going as close as possible to patients. Sometimes to their homes, when possible.

However, this system is still too little known in the eyes of the benchmark establishment, and this is the reason that prompted its director, Jean-Marc Bargier, to organize a presentation of these tools for the partners who could use them. .

Elected officials, members of municipal social action centers, association leaders, or even municipal police officers, gendarmes: many of them are concerned. They still need to know.

Mobile teams for children and adolescents

Based in Saint-Maximin, this multidisciplinary team works with children and adolescents, between 3 and 18 years old. Equipped with a child psychiatrist, a health manager, a psychologist, a nurse, a specialized educator and a social service assistant, the team is mobilized after a report from the partners. “Do not stay alone in the face of a complicated situation, in a nursery for example”, insists Laurence Andrio, part of the child psychiatrist pole of the hospital center. She continues: “Our goal is to go to the family and the child, in the place where he lives, to accompany the patient towards treatment.”

Other missions are fulfilled by this unit (handover with fixed structures, continuity of care, hospitalization when the situation requires it, etc.).

Two other mobile teams have been set up for minors: one dedicated to perinatal care which also supports parents since the period of pregnancy is taken into account; and the “Maraude”, which focuses particularly on situations of precariousness for a fragile public. Especially among young people: “It should be noted that there has been a significant increase in suicide attempts among adolescents since the pandemic”recalls Laurence Andrio.

Mobile team for adults

When an adult person shows signs that may suggest psychiatric disorders, this is where the adult mobile team should be called upon. And the sooner the better. Because the almost constant objective of the care teams is to avoid hospitalization. Not only because beds are running out, but also, and above all, because hospitalization would mean that the crisis could not be avoided. “Consent to care is the rule”says Benoit Beauvillard, health executive.

To precisely avoid a crisis, the mobile team wants to be very reactive after reports from partners.

Two examples of care were also presented with, each time, contact from the day of the alert with the patient. Sometimes with positive outcomes, acceptance of care and re-establishment of psychiatric monitoring, and sometimes less for this case of compulsory hospitalization. “This type of hospitalization is a failure because the patient is taken out of normality.”

“Addictions” mobile team

The various mobile teams set up respond to a system often summed up by these two words: “Go to.” And the team dedicated to the problem of addictology is obviously part of this approach.

But if the support is personalized, with the desire to involve the patient’s entourage in the process, the consultations are this time offered in fixed locations: in Saint-Maximin and Barjols. But other premises are sought in the municipalities of the sector concerned.

After the consultations, a medical (also psychological) and social orientation is put in place. With, in sight, the will to work in coordination with the various actors intervening in the accompaniment of these publics.

“These devices are still young, which is why they must be presentedasserts Jean-Marc Bargier. This is why it is important, even vital to do, and to let people know.”

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Three mobile teams at the bedside of mental health to fight against medical desertification

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