French University Psychiatry and Research

France has one of Europe's largest psychiatrist per inhabitants ratios (around 12,500 for 63 million of inhabitants) as well as one of the richest medical care systems, devoting nearly 1 percent of its gross domestic product to mental health expenditure through its national Social Security. Most psychiatric care is organized in psychiatric hospitals (two beds out of three), with 15,000 beds in public general hospitals, including university hospitals. There are 31 university psychiatric departments in France, with 1.5 percent of French psychiatr [...]
Psychiatric Patients’ Rights and Users Groups

The rules of the public health field in France and relations between the different actors have undergone a swift evolution in recent years. At the heart of these changes lies the question of patients' rights, among which are the patient's right to information on his or her state of health. Simultaneously, the role of patients groups has grown steadily, giving them a voice and the recognition of both professionals and users of the health system, whom they accompany in the "empowerment" over their health. Over the past 10 years the two main assoc [...]
Private Psychiatry in France

Fifty percent of French psychiatrists are private practitioners, and one-third of them treat inpatients. We first examine the birth of private psychiatric practice during the nineteenth century. We then examine some of the changes in recent decades that account for the current situation. Finally, we present the results of a survey that allow us to compare patients hospitalized in private and public facilities.
Content Type Journal ArticleDOI 10.2753/IMH0020-7411380405Authors
P. Clery-Melin, Clinique du Château de Garches, Garches, FranceL. [...]
Nonsectorized Psychiatry in France

Increasing and new demands on sectorized general public mental health services together with an age of restricted funding gave rise to national reorganizations of health care for specific populations. These changes primarily affected persons suffering from addictive disorders, homeless persons, and victims of acute major stressful events.
Content Type Journal ArticleDOI 10.2753/IMH0020-7411380404Authors
R. Dardennes, Service d'Appui, Santé Mentale et Exclusion Sociale, Hôpital Sainte Anne, ParisN. Chidiac, Service d'Appui, Santé Mentale e [...]
Consultation-Liaison and Emergency Psychiatry
Consultation-liaison (C-L) and emergency psychiatry are two aspects of public psychiatry that experienced considerable development during the last decade in France. Major disparities still persist as regards endowment in professional resources and organization of C-L activity from one general hospital to another. Several emergent practices are described that underlie the role attributed to the C-L psychiatrist or psychologist as an expert in some systematic screening or assessment requests, as well as address the issue of combining, for some cl [...]
The Sectorization System in France

Since the 1960s, French public mental health services have been organized in sectors, with each sector team providing mental health care for a mean population of 54,000 inhabitants. This organization is aimed at providing continuity of care for patients from an identified area. The reduction in the number of hospital beds has been more progressive in France than in the United States and other European countries. In 2000, there were 9.4 beds for 10,000 inhabitants over 20 years old. The sectorization system has shown its efficacy in terms of acc [...]
The French Mental Health System

This article provides an overview of the French mental health system. Unlike the U. S. mental health-care system, which is characterized by high costs, commercialism, and a provider system clearly divided along socioeconomic lines, France's mental health system provides cost-effective universal health and social insurance. The article outlines the development of mental health care in France as well as the implementation of sector system approach to health care, which is suggested as a model for reform of the U. S. mental health system.
Content [...]
Guest Editor’s Introduction

Guest Editor's Introduction
Content Type Journal ArticleDOI 10.2753/IMH0020-7411380400Authors
F. Rouillon, Psychiatric Department (CMME) at Sainte Anne Hospital, University Paris Descartes
Journal International Journal of Mental HealthPrint ISSN 0020-7411
Journal Volume Volume 38
Journal Issue Volume 38, Number 4 / Winter 2009-10
[...]
Clinical Judgment and Clinical Significance in Psychotherapy Practice
Abstract The use of outcome measurement in psychotherapy practice is briefly discussed, as is Jacobson and Truax’s (J Consult Clin
Psychol 59:12–19, 1991) conception of clinically significant change. A more flexible and user friendly application of clinically significant change
compatible with clinical judgment is proposed for psychotherapy practice. Examples are given and a free Windows program is
described for computing RC and estimating the probability associated with it.
Content Type Journal ArticleCategory Original P [...]