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Psychosocial rehabilitation of schizophrenic patients in France

Published online by Cambridge University Press:  16 April 2020

L Singer  and
T Kapfer
L Singer
Affiliation:
Clinique Psychiatrique, Hôpitaux Universitaires de Strasbourg, F-67091Strasbourg cedex
T Kapfer
Affiliation:
Centre d’Aide par le Travail, 27 rue de la Fédération, F-67100Strasbourg cedex, France
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Summary

The authors examine the situation of rehabilitation of schizophrenic patients in France. After describing the methodology of their survey, the results are given. The housing facilities include halfway houses, “therapeutic” flats. The rehabilitation facilities include outpatient clinics with vocational units and rehabilitation centres such as vocational centres and sheltered workshops. In addition, a few centres provide placement and follow-up in the workplace. This type of centre is a recent innovation which helps stabilized schizophrenic patients find a regular job. The Fondation Santé des Étudiants de France (the health foundation of French students) deserves particular mention because it provides rehabilitation to high school and university students. In the discussion, the authors emphasize the insufficient number of such facilities, due to French psychiatrists only quite recently becoming aware of the importance of rehabilitation, which in turn, leads to insufficient funding of public mental health. As a result, most of the rehabilitation facilities were created and are now managed by private associations such as Les Croix Marines, UNAFAM, MGEN, Fondation Santé des Étudiants, Route Nouvelle Alsace, CAPPA Clermont-Ferrand, etc. In addition, their administrative tutelage is so complex that very few new facilities are developed. In view of their experience, the authors suggest that a large number of vocational centres should be built since they provide an essential service. Thus schizophrenic patients could enjoy a decent life in our society and not become one of the already many homeless. The European Union and the Council of Europe ought to consider the increase of such centres as a significiant aspect of their mental health policy.

Keywords

rehabilitationschizophrenicshousing facilitiesvocational helpFrance
Type
Research Article
Information
European Psychiatry , Volume 11 , Issue S2: The rehabilitation of patients with long-term psychiatric disorders , 1996 , pp. 66s - 70s
Copyright
Copyright © Elsevier, Paris 1996

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