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PLACE OF A CRISIS RESOLUTION TEAM IN THE PUBLIC CARE SYSTEM: THE EXPERIENCE IN MARSEILLES
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Ana Sayfa > Seçtiğiniz Site Kısmı > VIII. EFTA AVRUPA AİLE TERAPİSİ DERNEĞİ KONGRESİ > WORKSHOP > |
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ULICE (Unité Locale d’Intervention de Crise et d’Evaluation / Crisis Intervention and Assessment Local Team) is a crisis resolution team created in 2008 at the University Hospital of Marseilles, France. It deals with patients and their family who experiment crisis situations, at home if necessary, and during a short time. By using systemic tools it aims at promoting access to mental health care and avoiding psychiatric hospitalization. This project takes place in a context of dramatic expansion of crisis resolution programs for about 40 years, following the deinstitutionalization movement in many countries; Comparing to classic community mental health care, that focus on the individual, one of the specificities of crisis resolution teams is to focus on the context. Influenced by the systemic model, it involves the patient as well as his family and more broadly his social network. Thus, the crisis is seen as a crisis of the system and not of the patient only. The crisis is perceived as an opportunity of change for the system and may be not solved while excluding the symptomatic individual through a psychiatric hospitalization. We will first present the results of a study describing the activity of ULICE trough the characteristics of the patients we meet, care we provided and their becoming. We will then relate a case. Finally we will discuss the place of this team in the public mental health community care system in France.
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