Community mental health service: an experience from the East Lille, France

Roelandt, Jean Luc; Daumerie, Nicolas; Defromont, Laurent; Caria, Aude; Bastow, Paula; Kishore, Jugal

doi:10.4103/0971-8990.143884

Cited by 10 publications

(5 citation statements)

References 14 publications

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“…But other good features of progressive mental health services we have touched on show respect and humanity either in service design or service delivery, but where this doesn't involve equalising relationships of any sort. As Basaglia appears to have said, ‘taking care of a person, not leaving him to his own devices under the cloak of some abstract notion of liberty, but at the same time avoiding controlling him and imposing on him preconceived therapeutic objectives’ (Roelandt et al ., 2014, p. 16). The hypothesis that humanising isn't always equalising deserves further investigation.…”

Section: Discussionmentioning

confidence: 99%

“…It would thus be more accurately described as a service user-led service. Notice however that we only know (from the evidence of Roelandt et al ., 2014) that it is service user-led at the level of delivery. Informal conversations with professionals involved in leading services in East Lille suggests that the initial design was primarily led top-down, by professionals.…”

Section: Some Worked Examplesmentioning

confidence: 99%

“…Again the goals were social inclusion and the removal of stigma, but the relationship in focus was that between clinical and non-clinical populations as a whole, not between clinical populations and clinicians. And again, the drive towards doing so was organised ‘by psychiatry teams and municipal authorities’ (Roelandt et al ., 2014, p. 11), with as far as we can tell no service user involvement at that particular point of intervention.…”

Section: Some Worked Examplesmentioning

confidence: 99%

“…A particularly rich case study comes from Lille in Northern France, where the Eastern Lille Public Psychiatric Sector has seen a number of progressive developments in community psychiatry over the last 30+ years (Roelandt et al, 2014). 4 These developments were based in turn on Basaglia's work (Basaglia, 2010) in Gorizia and Trieste.…”

Section: East Lillementioning

confidence: 99%

“…5 also bears some similarities to 4 and 1. Roelandt et al (2014) stress that art was not only used as a therapy, but also designed as an activity service users could engage in together with other people, 'establishing equality between patients and non-patients'. So once again, there is an ambition to equalise relationships or even out hierarchies of knowledge and power.…”

Section: East Lillementioning

confidence: 99%

See 4 more Smart Citations

Co-Production is Good, but Other Things are Good Too

Harcourt,

Crepaz-Keay

2023

Roy. Inst. Philos. Suppl.

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The world of mental health has become used to the notion of co-production as a good thing. While the paper is not a critical analysis of co-production, the authors make the case that while it is a good thing, it is not the only good thing; and it is neither sufficient, nor necessary for good things to happen in mental health services. Alternative concepts of progressive innovation in this field are introduced. Real world case studies (most of them previously unpublished) are then worked through to test which concept(s) – co-production, or the alternatives, or neither – are the better fit, bearing in mind the complex relationships to be negotiated, not just between service users and mental health professionals, but between service users and members of other professions, and of the general public. Finally, the question is raised as to whether there is anything (such as the flattening of hierarchies or stigma reduction) which all these innovations – co-production and the alternatives – have in common.

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Section: Discussionmentioning

confidence: 99%

Section: Some Worked Examplesmentioning

confidence: 99%

Section: Some Worked Examplesmentioning

confidence: 99%

Section: East Lillementioning

confidence: 99%

Section: East Lillementioning

confidence: 99%

See 3 more Smart Citations

Co-Production is Good, but Other Things are Good Too

Harcourt,

Crepaz-Keay

2023

Roy. Inst. Philos. Suppl.

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How service users and carers understand, perceive, rephrase, and communicate about “depressive episode” and “schizophrenia” diagnoses: an international participatory research

Roelandt

Baleige

Koenig

et al. 2020

Soc Psychiatry Psychiatr Epidemiol

Self Cite

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Background For ICD-11, the WHO emphasized the clinical utility of communication and the need to involve service users and carers in the revision process. Aims The objective was to assess whether medical vocabulary was accessible, which kinds of feelings it activated, whether and how users and carers would like to rephrase terms, and whether they used diagnosis to talk about mental health experiences. Method An innovative protocol focused on two diagnoses (depressive episode and schizophrenia) was implemented in 15 different countries. The same issues were discussed with users and carers: understanding, feelings, rephrasing, and communication.

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Following ICD-11, Rebuilding Mental Health Care for Transgender Persons: Leads from Field Experimentations in Lille, France

Baleige¹,

Chenelière

Dassonneville

et al. 2022

Transgender Health

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Psychiatrists have long been charged with access and coordination of care for transgender persons. This is now challenged by the World Health Organization's removal of diagnoses of mental illness related to gender identity in the 11th revision of the International Classification of Diseases. Using French field experimentations based on informal and primary care and free and informed consent, we discuss key challenges for a new organization of mental health care respectful of human rights. Developing informal and primary care as well as peer support has emerged as promising. Mental health expertise should be transferred from tertiary to secondary care.

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Community mental health service: an experience from the East Lille, France

Cited by 10 publications

References 14 publications

Co-Production is Good, but Other Things are Good Too

Co-Production is Good, but Other Things are Good Too

How service users and carers understand, perceive, rephrase, and communicate about “depressive episode” and “schizophrenia” diagnoses: an international participatory research

Following ICD-11, Rebuilding Mental Health Care for Transgender Persons: Leads from Field Experimentations in Lille, France

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