Fond-Harmant Laurence, Kane Hélène, Baumgart Jade Gourret, Absil Gaetan, Philippart Anne, Deloyer Jocelyn, de Wilmars Serge Mertens, de Moffarts Vinciane, Moraitou Marguerite, Gavrilă-Ardelean Mihaela, El Hage Wissam, Marazziti Donatella, Denis Frédéric
ACSAE Agence de Coopération Scientifique Afrique Europe, Grand Duchy of Luxembourg.
Université Paris Sorbonne Paris Nord, LEPS, Laboratoire Educations et Promotion de la santé UR 3412, UFR Santé, Médecine, Biologie Humaine, France.
Clin Neuropsychiatry. 2023 Aug;20(4):279-287. doi: 10.36131/cnfioritieditore20230407.
This article takes stock of the research work carried out in Europe over the period 2020-2022 by a multidisciplinary consortium of specialists in psychiatry and mental health that brings together university research laboratories, psychiatric hospitals, universities, and training centers. Our work focuses on the difficulties encountered by care and psycho-social support professionals during the COVID-19 period. These difficulties are individual and organizational to ensure a service of accompaniment and follow-up of psychiatric users. What synthesis can we achieve of our successes, our failures, our limitations, and for which avenues of work for the future? After presenting the methodological protocol, we conduct a self-critical reflection of the achievements in 3 main axes of analysis: 1. Evolution of working conditions in a context of uncertainty, 2. Organizational dimensions and hindered care, 3. Digital technologies. From these results emerges a set of controversies and ethical questions relating to the legitimacy of remote care, confidentiality and protection of personal data, and equity in access to care. It appears that the professional practices deployed during the COVID-19 health crisis question the way in which the organization of care and social support integrate the possibilities offered by digital applications. They are about promoting the autonomy and empowerment of mental health service users and professionals. From this perspective, the extension of this work develops a forward-looking approach included in Community digitization policies for new European projects. It appears necessary to carry out multidisciplinary in-depth work, by 2030 on hospital psychiatry and "outside the walls", the care pathway of the user, social support, digitalization, data management, and the training of professionals in technological changes.
本文总结了2020年至2022年期间欧洲一个由精神病学和心理健康领域的专家组成的多学科联盟开展的研究工作，该联盟汇聚了大学研究实验室、精神病医院、大学和培训中心。我们的工作重点关注护理和心理社会支持专业人员在新冠疫情期间遇到的困难。这些困难涉及个人和组织层面，以确保为精神病患者提供陪伴和后续服务。我们能对自己的成功、失败、局限性进行怎样的总结？未来的工作方向又有哪些？在介绍了方法方案后，我们从3个主要分析轴对所取得的成果进行了自我批评性反思：1. 不确定背景下工作条件的演变；2. 组织层面和受阻的护理；3. 数字技术。从这些结果中出现了一系列与远程护理的合法性、个人数据的保密和保护以及护理可及性公平性相关的争议和伦理问题。看来，新冠疫情健康危机期间所采用的专业做法对护理和社会支持的组织方式如何整合数字应用所提供的可能性提出了质疑。这些做法旨在促进心理健康服务使用者和专业人员的自主性和赋权。从这个角度来看，这项工作的扩展为新的欧洲项目制定了一种前瞻性方法，纳入社区数字化政策。到2030年，有必要就医院精神病学以及“院外”的用户护理途径、社会支持、数字化、数据管理以及专业人员在技术变革方面的培训开展多学科深入工作。
