Franck Nicolas, Laforcade Michel
Centre ressource de réhabilitation psychosociale et de remédiation cognitive, Université de Lyon, Lyon, France.
ARS Nouvelle-Aquitaine, Bordeaux, France.
Perspect Psychiatr Care. 2018 Oct;54(4):527-529. doi: 10.1111/ppc.12264. Epub 2018 Feb 25.
Organizing the management of severe mental disorders at the national level is a major challenge given the complexity of the disorders and the diversity of responses needed to address all the needs. A founding principle for the creation or development of measures consists in structuring care programs around functional and personal recovery, and not only clinical recovery. The fact that the French psychiatric field is currently being modernized by its missions being redefined within territorial mental health projects gives the opportunity to generalize these principles. This article illustrates how the creation of a hierarchical organization of psychosocial rehabilitation can (a) give more coherence to the part of the French mental health system, (b) improve the quality of care, and (c) promote social inclusion and recovery of people with severe mental disorders.
鉴于严重精神障碍的复杂性以及满足所有需求所需应对措施的多样性,在国家层面组织严重精神障碍的管理是一项重大挑战。制定或完善相关措施的一项基本原则是,围绕功能恢复和个人康复而非仅仅临床康复来构建护理项目。法国精神科领域目前正通过在地区心理健康项目中重新界定其使命而实现现代化,这为推广这些原则提供了契机。本文阐述了建立社会心理康复分级组织如何能够(a)使法国心理健康系统的这一部分更具连贯性,(b)提高护理质量,以及(c)促进严重精神障碍患者的社会融入和康复。