Home Health when the doctor receives a maximum of 20 patients per day

when the doctor receives a maximum of 20 patients per day

The psychiatric emergency seems to have become a national issue, with 2 million French people treated for mental illness every year. On April 10, 2019, "Exhibitions" presents a special evening with an investigation behind the walls of psychiatric hospitals. The magazine gives voice to patients and their families, but also to the medical profession, often overwhelmed by a lack of staff.

When family members are overwhelmed by the disease, it is the emergencies of hospitals that have to take over. Every day, people at the Francois-Quesnay Hospital in Mantes-la-Jolie (Yvelines) are admitted to violent behavior, sometimes under police supervision. Dr. Nassim Messaoudi is a psychiatrist, responsible for the crisis unit and the negotiations about care. It alternates emergency consultations and interventions; between the two services, located in two separate buildings, he has no minutes of rest despite working hours of ten hours.

Multiple pathologies and sensitive cases

Before deciding on the internment of patients arriving for first aid, he must start with a psychiatric interview, taking into account very specific safety rules to prevent possible derailments. Depression, bipolarity, schizophrenia, obsessive disorders … in this emergency room, the pathologies are frequent and the situations are often vulnerable: there are the violent or threatening patients, those who have stopped their treatment and who will eventually be needed to be hospitalized and in particularly sensitive cases. As a suicidal patient, who has that "wanted to get rid of it because everyone turned his back on him and said she was bipolar".

"I hope I do my job well, finally I try"

Between emergencies and consultations, the psychiatrist sees 10 to 20 patients a day. For some, a few minutes will suffice, but for others it will take a few hours, because sometimes it will take a long time to negotiate with patients to make them accept a limitation without limitations. Dr. Messaoudi therefore never has time to lose. "I hope I do my job well, finally I try"he decides. Despite the constant pressure, he does his best to respond to the urgency …

Excerpt from "Psychiatry: The Great Shipwreck", an overview of "Exhibits" to see 10 April 2019 at 9 p.m. on France 3.

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