Papers by pauline guezennec
Pratiques en santé mentale, 2019
Les conseils locaux de sante mentale sont largement plebiscites dans notre pays et font desormais... more Les conseils locaux de sante mentale sont largement plebiscites dans notre pays et font desormais partie de son paysage social. Parmi ceux-ci, 85% ont souhaite mettre en place des instances collectives d’analyse de situations complexes, c'est-a-dire de reflexion et d’action concernant des habitants qui posent question ou probleme aux acteurs sociaux locaux. Cet article souleve les difficultes que pose ce type de pratique tant sur le plan ethique que juridique et appelle a la plus grande prudence quant a la creation de telles pratiques en particulier dans le cadre des CLSM.
French journal of psychiatry, Nov 1, 2018
French journal of psychiatry, Nov 1, 2018
La loi du 26 janvier 2016 inscrit les Conseils Locaux de Sante Mentale (CLSM) comme une instance ... more La loi du 26 janvier 2016 inscrit les Conseils Locaux de Sante Mentale (CLSM) comme une instance consultative des futurs projets territoriaux de sante mentale (PTSM). Demarche de coordination pour un territoire de proximite, presidee par un elu local, co-animee par la psychiatrie publique, integrant les usagers et les aidants, les CLSM se deploient progressivement sur l’ensemble du territoire national : debut 2018, plus de 200 CLSM couvrant environ 2000 communes sont operationnels et une soixantaine est en projet. Le CLSM permet une approche locale et participative pour le deploiement d’actions de prevention co-construites par les acteurs locaux et d’actions favorisant le parcours de soins des usagers et reduisant les inegalites sociales de sante. Le Centre Collaborateur de l’OMS porte depuis 2017 le centre national de ressources et d’appui aux CLSM. Au 1er trimestre 2018, le centre a produit un nouvel etat des lieux national et a pilote une evaluation nationale effectuee par l’Ecole des Hautes Etudes en Sante Publique (EHESP) a travers deux dimensions : la place des CLSM dans la territorialisation de la sante mentale et les elements essentiels pour la creation d’une politique locale et participative en sante mentale. A travers trois approches differentes, les interventions montreront en quoi les acteurs de la psychiatrie publique se sont approprie cette demarche : Pourquoi mettre en place un CSLM ? Quelles implications et quelles innovations concretes pour la sante mentale et la psychiatrie ? Quel futur pour cette demarche de sante publique ?
Le centre collaborateur de l’organisation mondiale de la sante pour la recherche et la formation ... more Le centre collaborateur de l’organisation mondiale de la sante pour la recherche et la formation en sante mentale de Lille (CCOMS) apporte un appui methodologique depuis 2008 aux territoires souhaitant s’engager dans la mise en place d’un conseil local de sante mentale (CLSM). Le developpement de cette demarche en France avec plus de 120 conseils locaux operationnels a ce jour a conduit le CCOMS a realise un etat des lieux pour recenser leurs pratiques et leurs activites.Cette enquete met en exergue les grandes orientations des CLSM mais souligne la singularite de chaque territoire en termes de fonctionnement et de priorites.
Journal of Public Mental Health, 2013
Purpose-The purpose of this paper is to update the Global Model of Public Mental Health (GMPMH) i... more Purpose-The purpose of this paper is to update the Global Model of Public Mental Health (GMPMH) in light of the WHO QualityRights project. Design/methodology/approach-Being able to refer to international conventions and human rights standards is a key component of a genuine global approach that is supportive of individuals and communities in their quest for recovery and full citizenship. The GMPMH was inspired by the ecological approach in health promotion programs, adding to that approach the individuals as agents of mental health policies and legislation transformation. The GMPMH integrates recovery-and citizenship-oriented psychiatric practices through the Ottawa Charter for Health Promotion (WHO, 1986). Findings-Updating the GMPMH through the WHO QualityRights Toolkit highlights the need for a new form of governance body, namely the Civic Forum, which is inclusive of local communities and persons in recovery. People with mental health disabilities, intellectual disabilities, and substance use conditions can be "included in the community" (UN Convention on the Rights of Persons with Disabilities, Article 19) only if the community is informed and welcoming, for instance through a Civic Forum and its organizing Local Council of Mental Health. Research limitations/implications-Transition from social marginalization to full citizenship represents a daunting challenge in public mental health care. An approach that focuses primarily on individuals is not sufficient in creating access to valued roles those individuals will be able to occupy in community settings. Instead, public intervention and debate are required to promote and monitor the bond of citizenship that connects people to their communities. Originality/value-The GMPMH is the result of a conceptual cross-breeding between recovery and health promotion (WHO, 1986). The GMPMH is an offspring of the ecological approach in health promotion programs, adding to that approach individuals as agents of mental health transformation. It refers to international conventions and human rights standards as a central component of a genuine global approach. A community-based participatory research design is well suited, which includes a Civic Forum for local communities to become involved and supportive of service users in their quality and human rights assessments.
Journal of Public Mental Health, 2013
Purpose-The purpose of this paper is to update the Global Model of Public Mental Health (GMPMH) i... more Purpose-The purpose of this paper is to update the Global Model of Public Mental Health (GMPMH) in light of the WHO QualityRights project. Design/methodology/approach-Being able to refer to international conventions and human rights standards is a key component of a genuine global approach that is supportive of individuals and communities in their quest for recovery and full citizenship. The GMPMH was inspired by the ecological approach in health promotion programs, adding to that approach the individuals as agents of mental health policies and legislation transformation. The GMPMH integrates recovery-and citizenship-oriented psychiatric practices through the Ottawa Charter for Health Promotion (WHO, 1986). Findings-Updating the GMPMH through the WHO QualityRights Toolkit highlights the need for a new form of governance body, namely the Civic Forum, which is inclusive of local communities and persons in recovery. People with mental health disabilities, intellectual disabilities, and substance use conditions can be "included in the community" (UN Convention on the Rights of Persons with Disabilities, Article 19) only if the community is informed and welcoming, for instance through a Civic Forum and its organizing Local Council of Mental Health. Research limitations/implications-Transition from social marginalization to full citizenship represents a daunting challenge in public mental health care. An approach that focuses primarily on individuals is not sufficient in creating access to valued roles those individuals will be able to occupy in community settings. Instead, public intervention and debate are required to promote and monitor the bond of citizenship that connects people to their communities. Originality/value-The GMPMH is the result of a conceptual cross-breeding between recovery and health promotion (WHO, 1986). The GMPMH is an offspring of the ecological approach in health promotion programs, adding to that approach individuals as agents of mental health transformation. It refers to international conventions and human rights standards as a central component of a genuine global approach. A community-based participatory research design is well suited, which includes a Civic Forum for local communities to become involved and supportive of service users in their quality and human rights assessments.
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Papers by pauline guezennec