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Better funded healthcare provision, increased prevention... What the parliamentary report on the mental health of minors recommends

Better funded healthcare provision, increased prevention... What the parliamentary report on the mental health of minors recommends
A young patient in a psychiatric day hospital, France, on March 13, 2024.

A young patient in a psychiatric day hospital, France, March 13, 2024. CHRISTINE BIAU/SIPA

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An "ambitious policy" for the mental health of minors : a report, voted on Wednesday, July 9, by the National Assembly's Children's Rights Delegation, recommends a graduated, better coordinated, and better-funded range of care, as well as increased prevention in the family, school, and digital environment.

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After six months of work and around forty hearings, a fact-finding mission, co-led by Nathalie Colin-Oesterlé (Horizons) and Anne Stambach-Terrenoir (La France insoumise), notes the gap between the growing need for care and the "constrained supply, linked to the shortage of health professionals, to a territorial disparity as well as to a reduction in hospital resources" , and "often illegible for parents" .

In unison with previous reports and feedback from professionals, they highlight the "harmful consequences" (late treatment, increased use of psychotropic drugs, emergency room congestion, etc.) and each insist on the "urgency" to act, in a year where mental health is a "major national cause." It is estimated that half of psychiatric disorders appear before the age of 15.

Consolidate existing healthcare provision

In its 54 recommendations, not all of which are shared by the two co-reporters, the report recommends consolidating the existing healthcare provision "rather than developing new systems and increasing the number of expert centres" .

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This offer must be "graduated" and sectorized, relying in particular on general practitioners and adolescent centers, as well as on medical-psychological centers, with resources to be strengthened, and on crisis centers attached to pediatric emergency rooms and psychiatric hospitals, to be created.

The health, social, medico-social and educational sectors must also coordinate better, argue the elected representatives, particularly for young people in child welfare services (ASE), "over-represented in the active list of patients suffering from mental health problems without benefiting from long-term care" .

Reform of psychiatry funding

Funding must also be adequate, argues the report, which recommends, among other things, a reform of the funding of psychiatry and an increase in the value of child psychiatry consultations.

At the same time, more prevention is needed in the various environments of minors (family, school, digital, etc.): support for pregnant women and young parents; sufficient number of school doctors, school nurses and psychologists; regulation of the digital environment to counter the harmful effects of exposure to screens and social networks.

In June, the government unveiled a plan to better identify and treat mental health disorders, as well as to make public psychiatry more attractive, but failed to convince many healthcare professionals who regretted the insufficient measures and the lack of clarity regarding financial resources.

By The New Obs with AFP

Le Nouvel Observateur

Le Nouvel Observateur

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