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Letot J, Beaulieu A, Hagbarth I, Noleau C, Marchina B, Guetta M, Benarous X. [Activities of the "Amae" mobile team for early intervention in perinatal care]. SOINS. PEDIATRIE, PUERICULTURE 2024; 45:18-23. [PMID: 38945676 DOI: 10.1016/j.spp.2024.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/02/2024]
Abstract
In 2023, the "Amae" mobile perinatal early intervention team in the child psychiatry department of the Pitié-Salpêtrière hospital followed 49 families for almost 412 home visits. The coexistence of biopsychosocial vulnerability factors was the rule. Generally requested by maternity hospitals (45% in antenatal care), the team offers care focused on parent-child bonds during visits at home, and facilitates the articulation of the different fields involved in contexts at high risk of care breakdown.
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Affiliation(s)
- Jessica Letot
- Service de psychiatrie de l'enfant et de l'adolescent, Hôpital Pitié-Salpêtrière (AP-HP), 83 boulevard de l'Hôpital, 75013 Paris, France
| | - Annik Beaulieu
- Service de psychiatrie de l'enfant et de l'adolescent, Hôpital Pitié-Salpêtrière (AP-HP), 83 boulevard de l'Hôpital, 75013 Paris, France
| | - Isabelle Hagbarth
- Service de psychiatrie de l'enfant et de l'adolescent, Hôpital Pitié-Salpêtrière (AP-HP), 83 boulevard de l'Hôpital, 75013 Paris, France
| | - Chloé Noleau
- Service de psychiatrie de l'enfant et de l'adolescent, Hôpital Pitié-Salpêtrière (AP-HP), 83 boulevard de l'Hôpital, 75013 Paris, France
| | - Bénédicte Marchina
- Service de psychiatrie de l'enfant et de l'adolescent, Hôpital Pitié-Salpêtrière (AP-HP), 83 boulevard de l'Hôpital, 75013 Paris, France
| | - Michael Guetta
- Service de psychiatrie de l'enfant et de l'adolescent, Hôpital Pitié-Salpêtrière (AP-HP), 83 boulevard de l'Hôpital, 75013 Paris, France
| | - Xavier Benarous
- Service de psychiatrie de l'enfant et de l'adolescent, Hôpital Pitié-Salpêtrière (AP-HP), 83 boulevard de l'Hôpital, 75013 Paris, France.
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Vitte L, Hauguel C, Benoit V, Genet MC, Letot J, Bruel H, Delaunay F, Le Roux P, Gerardin P, Devouche E, Apter G. Panda Unit, a Mother-Baby Unit Nested in a Neonatal Care Service. Front Psychiatry 2022; 13:889557. [PMID: 36016980 PMCID: PMC9396235 DOI: 10.3389/fpsyt.2022.889557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 06/23/2022] [Indexed: 11/13/2022] Open
Abstract
The PANDA unit is a full-time mother-baby hospitalization unit based on an original model of care for vulnerable dyads. It is located within a neonatal unit allowing tripartite care (perinatal psychiatry, neonatology and post-natal care). It thus differs from traditional mother-baby units in its close links with the other perinatal care actors, allowing comprehensive health and mental health care in the immediate post-partum period. Patients admitted to the Panda Unit may have been referred during the antenatal period or taken into care in an emergency if the mother's clinical condition requires it, in the aftermath of childbirth. During their stay, the dyads are evaluated daily by a perinatal psychiatrist. This includes assessment of maternal clinical state, the newborn's development and the quality of mother-infant interactions. During the first 6 months of use, 24 dyads have benefited from PANDA care. Three women among 5 were admitted during the antenatal period and almost one-third were aged under 21. The first primary diagnosis during the antepartum was major depressive disorder, two-fold that of personality disorder or bipolar disorder alone. At the end of PANDA stay, close to 3 women among 4 were back to their home with their child, and an out-of-home placement was mandated for 4 infants. PANDA unit is a step toward continuous and comprehensive integrative care. The mother and baby do not leave the maternity ward, and management of mother, baby, and their interactions can start immediately after birth. Considering the importance of the first months of life in the establishment of fundamental links and bonding, PANDA offers an innovative opportunity for what we hope will be both therapeutic and preventive for at-risk dyads. The detection, and ultimately prevention and management of risk of abuse and neglect is another major challenge that this unit hopes to address from the very beginning.
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Affiliation(s)
- Lisa Vitte
- Hospital Group Du Havre, Le Havre, France.,Laboratoire de Psychopathologie et Processus de Santé, Université Paris Descartes, Paris, France
| | | | | | - Marie-Camille Genet
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Descartes, Paris, France.,Service Universitaire de Pédopsychiatrie, Hospital Group Du Havre, Le Havre, France
| | - Jessica Letot
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Descartes, Paris, France.,Service Universitaire de Pédopsychiatrie, Hospital Group Du Havre, Le Havre, France
| | - Henri Bruel
- Chef de Service Néonatologie, Hospital Group Du Havre, Le Havre, France
| | - Florian Delaunay
- Chef de Pôle Maternité, Hospital Group Du Havre, Le Havre, France
| | - Pascal Le Roux
- Chef de Pôle Pédiatrie, Hospital Group Du Havre, Le Havre, France
| | - Priscille Gerardin
- Faculté de Médecine et de Pharmacie, Université de Rouen, Mont-Saint-Aignan, France
| | - Emmanuel Devouche
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Descartes, Paris, France.,Service Universitaire de Pédopsychiatrie, Hospital Group Du Havre, Le Havre, France
| | - Gisèle Apter
- Service Universitaire de Pédopsychiatrie, Hospital Group Du Havre, Le Havre, France.,Faculté de Médecine et de Pharmacie, Université de Rouen, Mont-Saint-Aignan, France
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Kurukgy JL, Benoit L, Benoit JP. [History and current challenges of paediatric psychiatry in maternity units]. Soins Psychiatr 2018; 39:14-16. [PMID: 30473101 DOI: 10.1016/j.spsy.2018.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The legal framework of mother-baby care has evolved over the last thirty years driven by innovative programmes put in place by hospital health professionals. Liaison in perinatal care lies at the crossroads of different temporalities and treatment objectives, and requires constant dialogue between the liaison caregivers and those in maternity. The aim is to form a holding environment facilitating the establishment of an adapted response to the complexity of the clinical situations encountered.
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Affiliation(s)
- Jean-Luc Kurukgy
- Service de pédopsychiatrie de Saint-Denis, centre hospitalier de Saint-Denis, 2, rue du Dr Delafontaine, 93200 Saint-Denis, France.
| | - Laelia Benoit
- Maison de Solenn-MDA, hôpital Cochin, 97, boulevard de Port-Royal, 75014 Paris, France
| | - Jean-Pierre Benoit
- Service de pédopsychiatrie de Saint-Denis, centre hospitalier de Saint-Denis, 2, rue du Dr Delafontaine, 93200 Saint-Denis, France
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