Associated with the multidisciplinary team at Henri-Ey Hospital Center, “the team spends most of their time outside the walls. They are the eyes and ears of the hospital in the world of street and danger,” describes Julien Panettiere, Head of the Mobile Unstable Psychiatry (EMPP) team. , coordinated by a psychiatrist, consisting of two nurses and a social worker.
missions
“The goal is to reach people who are very vulnerable, who have psychiatric disorders, but who are not registered in the care system, or who are excluded or have no access. The idea is to go and meet with them. To identify and assess needs, and accompany them towards psychiatric care in particular, but Also the dentist, the attending physician … ”, explains Julian Panettiere.
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This structure is also supported by Henri-Ey Hospital partners (collective center for social work, social services, associations that welcome the homeless, etc.). “There are needs among partners who are increasingly facing instability. Our job is to support these audiences. Currently, the mobile team is dynamic to meet its partners and those who don’t know us,” continues the director, who is also a health executive.
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Interviews or meetings…
Several times a week, EMPP operates at Chartres Refuge Point, which serves as a daycare center for people at risk. In addition, every Tuesday morning, the EMPP participates in meetings with various services (Meet and Concierge, Integration Center, Accommodation and Social Reintegration Center, Cada, etc.) which are held in the Foyer foyer. Welcome to Chartres (Fac). “We give them an update on our support. Our partners give us an overview of the situations and team questions… Has there been a clash between a couple? It tells us if there has been significant alcohol abuse or if the person is more sad than usual,” confirms Priscilla Taub, a nurse EMPP program. College meetings are also organized with unstable people who want or need it.
looting
In addition to these interventions, EMPP accompanies the patrols, in partnership with Restos du coeur, six times a month, on Wednesdays, from 9 pm to 11 pm or on Sunday, from 6 pm to 9:30 pm. Thieves distribute food parcels, we prepare a table and drink coffee, we can go “to them”. It’s not always easy, but we’re starting to call it a “mobile team” verbally. We don’t force people, we leave the cards. We weave day by day. It is accurate work. We really accompany them to the doctor, to the emergency room when they don’t have a way to move around,” confirms Priscilla Taipe. The EMPP also does a bit of biology if needed. She does some home assessments, if they fall within her area of expertise.
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field social worker
When people’s problems relate to the social sphere, they are then directed to the EMPP social worker who begins the process. “This audience is made up of people who exclude themselves from the devices, they do not demand their rights, she has this vigil. She participates in coordination with her colleagues in the hospital social service. She makes contact when there is hospital admissions for unstable people and exits with a return to the streets. We are dealing with audiences. in permanent disruption in their family, institutional and social pathways. It is up to us to adapt the procedures so that we are safety nets in this middle, between getting out of the psychiatric hospital and back on the street to avoid interruption of care, rights and monitoring,” explains Julien Panettier.
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hyphen
“The EMPP represented more than 1,000 consultations during 2020. More than 240 patients were examined, including 90 new patients,” notes Fabien Omigner, director of information and communications systems at the Henri-Ey Foundation.
Fabien Omnier notes that “The Henri-Ey Foundation will strengthen its medical and psychiatric centers, which are counseling points. Resources are allocated to increase the ability to receive counselling. EMPP will be able to count on colleagues who are preparing. The EMPP Referral Physician works at CMP in Chartres, so It creates a link.
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