June 11, 2023, a fifth charitable and compassionate evening was held atthe Olympia in Paris between professionals in the mental health sectorand artists with the aim of finding funds and donations to help researchin psychiatry. and thereby come to the aid of patients. ---- The poorrelation ---- One in 5 French people are affected by a psychologicaldisorder, or 12 million people. Depression, bipolar disorders,schizophrenia... so many illnesses that induce incomprehension, denialor fear. In France, only 4% of the research budget is devoted to mentalhealth, which records 2 million consultations per year and 415,000hospitalizations. Mental health is the leading expenditure item byhealth insurance pathology. Estimated costs, 109 billion euros per year.However, France remains behind European countries. In the United States,the contribution is 16%, in Finland 10%, in the United Kingdom 7%, inSpain 6%... For the leaders who have succeeded one another at theÉlysée, at Matignon or at the Ministry of health, psychiatry will alwayshave been the poor relation of health. One of the consequences of theseten-year failures, without funding, is the recurring lack ofpsychiatrists. In 2022, 40% of full-time doctor positions were notfilled in hospitals. But they are also closed beds, structures that arenow obsolete or have disappeared in principle and for the "benefit" of apooling of resources and caregivers. For patients: a fifth of thepopulation, months of waiting for a consultation, Up to 18 months ofwaiting for a child psychiatrist depending on the territory. Childrenand adolescents suffering from such disorders will therefore not bedetected early and properly supported afterwards. Covid hasn't helpedthings. Quite the contrary. In hospitals, the glaring shortage of staffprevents the correct care of patients both inside and outside theinstitution. This defection of caregivers and companions, denounced somany times by staff in struggle (1), is not without impact on patientsin hospital structures: fewer outings, therapeutic workshops, etc. Theseshortages lead to a strong return to confinement, restraint and systemicmistreatment of the patient.What to remember from the "Assises de la psychiatrie"?On September 29, 2021, with the ongoing Covid epidemic, President Macronclosed the "Mental Health and Psychiatry Conference". He denounced theunderinvestment in the discipline and wanted to -refound it- with a planof 30 measures and 1.3 billion in funding over the next 5 years.Let us remember that in France "public" psychiatry was sectoral. Thus ina territory (60,000 inhabitants), a public healthcare system accessibleto all allowed the prevention, reception, care and monitoring ofpatients in and outside the hospital. Care provided by amultidisciplinary team. This network allowed open, local and responsivepsychiatry for the patient. The "psychological" hospital or EPSM (2) hadsupplanted the asylum.Today, liberal policy and its "austerity" lot is entrusted to managers,to a health technocracy. The dismantling of the "psychiatry" follows thefate of other public services. Yesterday, psychiatric hospitals receivedan annual operating grant. Since the 2021 reform, this allocation islinked to the activity: guidance, diagnosis, short-term care, etc. Thefinancing method is aligned with the private sector. An aberration whichdoes not take into account the specificity of public establishmentswhich welcome 7 days a week and 24 hours a day. Deprived, the publicpsychological sector finds itself with an overload of patients which thelucrative private sector does not assume. This funding is subject to theexistence and presentation of "innovative projects". Yesterday'smultidisciplinarity results in specializations of disorders identifiedby a segmentation of teams and therefore of care itself. Psychiatry hasbecome a medical discipline like any other freed from social, culturalimplications... Society, citizens would be threatened! They must beprotected, we are told after each tragedy or news item. Following theexploitation of such allegations, the security forces want morerepression. Hence the preponderance of social control and confinementwithin the walls of the hospital or prison. For those in power, from theÉlysée to the directors of the institution, time is money. However,psychiatry is essential time to welcome, listen to the person oppositeand accept their rhythm - their time - to understand the disorder, thedistress, the whole of the patient. In the age of "new practices" andsoftware, this time is shortened by medicalization and immediatediagnosis. We identify, we specialize, we select... There will becurable patients and others. There will be those who have the means toseek treatment and those who do not.The psychiatric hospital cut outIn the absence of resources and personnel, managers think of the privatesector. This will undoubtedly cost less than hiring from the public withthe much-requested salary increases. In 2021, only one in three Frenchpeople were cared for by a healthcare professional according to a CSAsurvey. The hospital in crisis is overwhelmed, and for good reason!Taking advantage of the Assizes, the president calls on privatepsychologists. It serves the liberal sector which does not benefit fromprices which it considers too low. This will be the student voucher, the"100% psych" package for children from 3 years old after prescriptionfrom a referring doctor. The unblemished presidential communication iswell relayed by the editors. 30 measures and 1.3 billion over fiveyears. His then Minister of Health, O.Véran, announced the inevitableestablishment of the "toll-free number" for people who are going throughdifficult times, with dark thoughts, morbid thoughts... The objective isto strengthen preventing suicide, the second cause of death among youngpeople after road accidents. These are always good measures to take,some of which are welcomed because they have been awaited byassociations for so long. But we are far from the mark, the solutionsare not up to par and in no way resolve the bankruptcy of the publicpsychiatric hospital.No more than the "Ségur" of health responded to the misery of the publichospital, the 30 measures and 1.3 billion in funding over the five yearsto come, resulting from these "assembly" did not resolve neither thehealthcare system nor the fate of more and more patients in need of care.With a return of patients to the public hospital reduced in human,material and financial resources, the inevitable violence breaks out.Violence against staff who take on their work at all costs despiteausterity policies, violence from exasperated patients waiting foranswers, support, or left on the streets and wandering. Violence in theinstitution which by default responds more and more with confinement andrestraint - although prohibited without a doctor's prescription -. Thedramas of Reims where a nurse was murdered and a medical secretaryseriously injured, the drama of Bordeaux..., unfortunately, once againexpose a degraded state of affairs through this violence.Thus at the EPSM of Caen, which takes care of 70% of the population ofCalvados. Following management's announcement of the closure of 28 bedsin the admission department in April, the mobilized staff pointed outthe closure of around a hundred beds in 10 years, denounced the budgetcuts and their poor conditions. of work. The director wanted to bereassuring: "with cutting-edge psychiatry, and innovative projects, theEPSM will regain its attractiveness..." But in the meantime, this June6, 2023, according to the CGT, "there was a need to reopen isolationrooms with reduced staffing. Due to lack of space, a difficult patient"was placed in a locked seclusion room, which is not regulatory.» Thepatient destroyed 3 rooms and managed to set fire in his room, injuring- without seriousness - three agents. As the director comments: "Theseare things that happen, there is no link between staff numbers andpatient symptoms".Oh yes! The Psycodon...They decline. 06 15 2023.Notes1 At the Rouvray hospital (Rouen), after 3 months of indefinite strikeand numerous actions following the silence of management and supervisoryauthorities, 7 employees will begin a hunger strike in March 2018...Oneexample among many others.2 EPSM: Public Mental Health Establishment.Discrimination and union repressionOn July 26, 2023, the CGT called for a rally of solidarity and "forunion freedom of expression" in front of the Beauvais court. This was tosupport the secretary of the CHI section -Fitz-James-: InterdepartmentalHospital Center of Clermont (Oise).An executive and the HR director of the CHI considered themselvesdefamed by a CGT leaflet from 2022. Satirical leaflet in which the uniondenounced the closure of 145 beds since 2018, 65 missing nursingpositions including around twenty doctors and the absence of 8 nursingpositions in the emergency reception service, i.e. a third of the staffin the said service. For management, the urgency was the creation of aposition and the hiring of an IT manager.And, while the trade unionist was summoned to the Beauvais court thissummer for indictment, management recognized that 120 positions werevacant at the hospital and closed a 10-bed unit as well as a therapeuticworkshop.This complaint from the HR Directorate - Human Resources Department, theinterrogations of CGT activists about the leaflet, and the indictment oftheir union leader for defamation is an intimidation towards each andevery CHI employee who dares to disclose it outside the institution themiserable working conditions of workers and the violence suffered bypatients as a result. Muzzle the voices of workers in their workplaces!An aspect of the government's repression against anyone who challengesits policies.According to the CGT, more than 400 activists are currently the targetof legal proceedings. More than 1,000 of them are under threat ofongoing dismissal procedures.Let us recall the summons of S. Menesplier national leader of the Energyunion, summoned to the gendarmerie, but also that of RTE agents arrestedat their homes in the early morning by the DGSI as part of the fightagainst pensions... A repression denounced by other union organizationsof course including Solidaires which believes that "the government wantsto criminalize union action".Thus, last March in the middle of a strike against pensions, in aninternal note from the Ministry of Labor, Olivier Dussopt's servicesmade recommendations against the right to strike. A series of case lawswhose aim would be to facilitate the dismissal of elected staffofficials guilty of "hindering freedom of work".Discrimination and union repression (during retirement) or socialrepression (in Bouc Bel Air at the Lafarge cement plant, in the basins,in the Neighborhoods, etc.) represents a real strategy, put in place bythe Macronian power and the employers to annihilate any dispute.They decline. 8 09 2023http://oclibertaire.lautre.net/spip.php?article3965_________________________________________A - I N F O S N E W S S E R V I C EBy, For, and About AnarchistsSend news reports to A-infos-en mailing listA-infos-en@ainfos.ca
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