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Brulin-Solignac D, De Jesus A, Bouchard JP. [Psychiatric intensive care units]. SOINS; LA REVUE DE REFERENCE INFIRMIERE 2022; 67:37-39. [PMID: 36681504 DOI: 10.1016/j.soin.2022.11.008] [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: 11/12/2022]
Abstract
The intensive psychiatric care units are intermediate health structures between the sector psychiatric services and the units for difficult patients. Prisoners can be treated there under article D. 398 of the Code of Criminal Procedure.
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Affiliation(s)
- Diane Brulin-Solignac
- Institut psycho-judiciaire et de psychopathologie (IPJP), Centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France; Unité de soins intensif psychiatrique (Usip), Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Unité pour malades difficiles (UMD), Pôle de psychiatrie médico-légale, Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France
| | - Arnaud De Jesus
- Institut psycho-judiciaire et de psychopathologie (IPJP), Centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France; Centre hospitalier du Pays d'Eygurande, La Cellette, 19340 Monestier-Merlines, France
| | - Jean-Pierre Bouchard
- Institut psycho-judiciaire et de psychopathologie (IPJP), Centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France; Unité de soins intensif psychiatrique (Usip), Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Unité pour malades difficiles (UMD), Pôle de psychiatrie médico-légale, Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Psychologie-criminologie-victimologie, Cours de Gourgue, 33000 Bordeaux, France; Statistics and Population Studies Department, Faculty of Natural Sciences, University of the Western Cape, Robert-Sobukwe road, Bellville, 7535 Cape-Town, South Africa.
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[Units for difficult patients]. SOINS; LA REVUE DE REFERENCE INFIRMIERE 2022; 67:34-36. [PMID: 36681503 DOI: 10.1016/j.soin.2022.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The ten French units for difficult patients are secure psychiatric services which receive people suffering from mental pathologies who could have committed or have committed dangerous acts. Among the mental health structures presented in this dossier, the units for difficult patients are those which admit prisoners with psychological disorders and problems of dangerousness for the longest period of time. As fully-fledged care facilities, they offer intensive and multi-professional care.
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Barbey P, Guiresse G, Brulin-Solignac D, Bouchard JP. [Management of patients with addictions in units for difficult patients]. REVUE DE L'INFIRMIERE 2022; 71:37-39. [PMID: 36150838 DOI: 10.1016/j.revinf.2022.05.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
The links between mental pathologies and violent acts, which can go as far as homicide, are a major concern for many mental health professionals. Addictive co-morbidities, which are increasingly frequent, are an additional risk factor for some of these patients to commit dangerous acts. Psychiatric and psychological care for pathological perpetrators of such violence can be provided under certain conditions in units for difficult patients, with addiction treatment if necessary.
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Affiliation(s)
- Pauline Barbey
- Unité pour malades difficiles (UMD), pôle de psychiatrie médico-légale, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France
| | - Gabrielle Guiresse
- Unité pour malades difficiles (UMD), pôle de psychiatrie médico-légale, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France
| | - Diane Brulin-Solignac
- Unité pour malades difficiles (UMD), pôle de psychiatrie médico-légale, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France
| | - Jean-Pierre Bouchard
- Unité pour malades difficiles (UMD), pôle de psychiatrie médico-légale, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France; Statistics and Population Studies Department, Faculty of Natural Sciences, University of the Western Cape, Robert-Sobukwe road, Bellville, 7535 Cape Town, South Africa.
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Délivrance du titre de psychologue en France : entre nécessité et absence de formation à l’exercice des psychothérapies. ANNALES MEDICO-PSYCHOLOGIQUES 2022. [DOI: 10.1016/j.amp.2022.03.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Nolla-Vilella F, Fleury L, Sadras-Neret A, Laborde E, Bouchard JP. [Social care for patients hospitalised in units for difficult patients]. SOINS; LA REVUE DE REFERENCE INFIRMIERE 2022; 67:13-16. [PMID: 35995493 DOI: 10.1016/j.soin.2022.05.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The units for difficult patients are secure psychiatric wards that receive mentally ill people who could have committed or have committed dangerous acts. As part of the overall care of these patients, the treatment of their social problems by social workers plays an essential role. These interventions provide the psychosocial benefits necessary for the stabilisation and evolution of these subjects.
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Affiliation(s)
- Françoise Nolla-Vilella
- Unité pour malades difficiles, Pôle de psychiatrie médico-légale, Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Unité de soins intensifs psychiatriques, Pôle de psychiatrie médico-légale, Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie, Centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France
| | - Laura Fleury
- Unité pour malades difficiles, Pôle de psychiatrie médico-légale, Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie, Centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France
| | - Amandine Sadras-Neret
- Unité pour malades difficiles, Pôle de psychiatrie médico-légale, Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie, Centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France
| | - Elsa Laborde
- Unité pour malades difficiles, Pôle de psychiatrie médico-légale, Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Unité hospitalière spécialement aménagée, Pôle de psychiatrie médico-légale, Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie, Centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France
| | - Jean-Pierre Bouchard
- Unité pour malades difficiles, Pôle de psychiatrie médico-légale, Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie, Centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France; Statistics and Population Studies Department, Faculty of Natural Sciences, University of the Western Cape, Robert Sobukwe road, Bellville, 7535 Cape Town, South Africa.
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Brulin-Solignac D, Guiresse G, Bouchard JP. [Units for difficult patients in the mental health care system]. REVUE DE L'INFIRMIERE 2022; 71:40-41. [PMID: 35550099 DOI: 10.1016/j.revinf.2022.01.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The links between mental pathologies and violent acts, which can go as far as homicide, are a major concern for many mental health professionals. Psychiatric and psychological care of pathological perpetrators of such violence can be carried out under certain conditions in units for difficult patients.
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Affiliation(s)
- Diane Brulin-Solignac
- Unité pour malades difficiles, pôle de psychiatrie médico-légale, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France
| | - Gabrielle Guiresse
- Unité pour malades difficiles, pôle de psychiatrie médico-légale, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France
| | - Jean-Pierre Bouchard
- Unité pour malades difficiles, pôle de psychiatrie médico-légale, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France; Statistics and Population Studies Department, Faculty of Natural Sciences, University of the Western Cape, Robert-Sobukwe Road, Bellville, 7535 Cape Town, South Africa; Ordre des avocats de Bordeaux, 1 rue de Cursol, 33000 Bordeaux, France.
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