2024-09-01 03:30:16
Left, bed in a room at the CRUP Unit. On the right are patients in the CRUP corridor. July 30, 2024, Saint-Denis (Seine-Saint-Denis).
Seven patients were admitted, 10 were discharged, and two were waiting for beds near home… Just after 10 a.m. on July 30, psychiatrist Nadia Cheffi took a break in her office while speaking with the monitoring team Psychiatrist Nadia Cheffi has been taking a break in her office after the meeting. She explains that everyday arithmetic reflects “Good turnover” Established within the Psychiatric Emergency Unit (CRUP). The new department, which the young doctor has been in charge of for ten months, is part of the emergency room of the Saint-Denis de la Fontaine hospital. Even though it belongs to the public health institution located in the Ville-Evrard mental hospital in Neuilly-sur-Marne (Seine-Saint-Denis).
“Our goal is to move the ‘psychiatric patients’ who arrive there in severe crisis and at risk of sinking out of the emergency room as quickly as possible and make room for them in one of our fifteen beds, She explained, They are assessed and treated quickly, then reintegrated into care pathways within the department’s urban or hospital settings. » All this within a maximum of seventy-two hours. Sometimes even less: the average treatment time for the 1,500 patients who have passed through CRUP since it opened in September 2023 is thirty-six hours. Another encouraging result: a quarter of the patients could be sent home and followed up as an outpatient.
Symbolic of the hospital crisis, which intensified over the summer, “stretcher patients” clogged emergency departments and was the result of a tight supply of psychiatric care. People with mental disorders often pose great difficulties to emergency services who are unable to care for them. On February 14, a patient in the psychiatric emergency room of the Hospital de Poulpin (Toulouse University Hospital) committed suicide after ten days on a stretcher, causing a riot among the nursing staff.
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“Attack quickly and attack hard to prevent the crisis from worsening” : This is a bit like the philosophy of Fayçal Mouaffak, director of the Ville-Evrard Psychiatry Center, who defended the CRUP program for ten years before it was launched. Their common theme: welcoming patients “Dignified conditions”and allowed his team (three doctors, sixteen nurses, five nursing assistants) to do “With dignity” He insists that his job is to impose restrictions on and remove oneself from “The temporary nature of emergencies”.
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