At the CMP in Bron, an unprecedented collaboration with a general medicine center is streamlining access for “psychological” patients to quality somatic care.
the Bron Medico-Psychological Center (CMP) (CH Le Vinatier) shares its premises with a general medicine center: the Community and Planetary Health Center (CSCP) known as Le Jardin. The two structures collaborate in the form of an integrated system, in order to facilitate access to care for vulnerable people and to streamline exchanges between professionals. On the CMP side, the lack of somatic care among people with long-term psychiatric conditions (ALD) and their difficulty in finding referring general practitioners were the driving forces behind this initiative.
Built on an associative model, Le Jardin is based on the principles of community health, and pays particular attention to health inequalities and the involvement of users in the care pathway. The team is made up of general practitioners, medical assistants, a health mediator, an Asalée nurse (specialist in therapeutic patient education and support for chronically ill people) and two project coordinators.
In practice, CMP/CSCP collaboration takes different forms: addressing protocols; multi-professional clinical meetings; shared care for patients in psychiatric ALD requiring somatic care and for patients in the somatic health center requiring psychiatric advice; think tanks on shared reception of users, destigmatization of mental illness and inclusion; co-facilitated psychotherapeutic groups (depression, sleep, food hygiene, physical activity, etc.); training; informal exchanges in common spaces…
“Being in the same place breaks down a lot of resistance to somatic care! It’s as if the therapeutic alliance was transferred to our colleagues…”
“The clinical benefits are difficult to “objectivize”, since they do not necessarily enter into our “psy” evaluation grids, but we are working to identify the success factors to promote this project, specifies Anita Haïk, psychiatrist responsible for the CMP. For our part, we observe the multiple advantages of this collaboration every day! Well-known patients of the CMP, for whom we had made multiple attempts to support somatic care, agree “as if by magic” to make an appointment with our colleagues, and engage in real follow-ups. Our common values create a climate of trust and give hope to people who are often marginalized and far from common law structures.” Please note, this initiative received funding from the Fondation de France as part of its calls for projects Mental illnesses: access to care and social life.
• Contact: A. Haïk, [email protected]
