Has the sectorization of psychiatric services in France really been effective

  • V. Kovess
  • B. Boisguérin
  • D. Antoine
  • M. Reynauld
Original Paper

Abstract

This paper describes the implementation of the French sectorization policy during the last 20 years, and how effectively it has delivered care to patients suffering from severe mental health disorders. This change in policy has resulted in a dramatic and progressive decline in full-time hospitalization and an increase in outpatient care, without, however, any marked increase in the readmissions rate. The resources and services provided by a representative section are described, followed by an account of a plan for closing psychiatric beds in a specific area of the centre of France. The full implementation of the policy has some distance to go, but the graded way in which it was carried out seems generally to have protected patients from adverse consequences. However, there has been little formal evaluation, and more is required before the policy can be deemed to have been successful.

References

  1. Antoine D (1993) La psychiatrie en chiffres. La Sante Mentale 72:Google Scholar
  2. Antoine D, Beck F (1993) Les personnes hospitalisées en psychiatrie en octobre 1991. Informations Rapides 42:Google Scholar
  3. Belliard E (1990) L'hôpital psychiatrique en 1986 et ses récents bouleversements. Confrontations psychiatriques 32:Google Scholar
  4. Masse G (1992) La psychiatrie ouverte. Editions ENSPGoogle Scholar
  5. Masse G, Petitjean F, Caroli F (1984) Le secteur de psychiatrie générale. Encycl Med Chir Paris Psychiatr 37915 A10, 2-1984Google Scholar
  6. Vidon G, Flament M, Wetsch Benque M (1993) Soins et réhabilitation aux schizophrènes: à propos d'une étude de suivi sur 300 patients. Congrès Mondial de Psychiatrie, Rio de JaneiroGoogle Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • V. Kovess
    • 1
    • 2
  • B. Boisguérin
    • 3
  • D. Antoine
    • 4
  • M. Reynauld
    • 5
  1. 1.DIM Laboratoire Associé Paris VFrance
  2. 2.CHS La VerrièreLe Mesnil Saint DenisFrance
  3. 3.Direction Générale de la SantéMinistère de la SantéParisFrance
  4. 4.SESIMinistère de la SantéParisFrance
  5. 5.Université Clermont FerrandFrance

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