Mental health clinics at LNA Santé

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Mental health clinic: definition & functioning

Mental health problems may be defined as disorders that affect the psychic health of a person, thus threatening his or her balance. These problems do not all constitute serious and chronic psychiatric disorders and can also be intermittent states but which sometimes need hospitalisation.

Mental health clinics thus welcome patients affected by psychiatric problems. This hospitalisation may be voluntary, or inpatient hospitalisation without consent, in the various forms known (care without consent on request from a third party, as an emergency or according to a decision from a government representative).

Moreover, depending on their pathologies and care needs, patients can be admitted according to various forms of hospitalisation: full hospitalisation, day hospitalisation or night hospitalisation.

Patients in our clinics benefit from individual and personalised care with a consultant psychiatrist. The latter welcomes the patient and prescribes and dispenses treatment adapted to the individual. The psychiatrist will listen to the issues described, make a diagnosis and prescribe appropriate care (medicine, psychotherapy, educational therapy of the patient, psychosocial rehabilitation care). The consultant psychiatrist is the doctor appointed to handle the monitoring of care throughout the patient's care pathway according to the individual care plan determined with the team.

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LOOKING FOR A SURGICAL CLINIC?

Our mental health clinics welcome patients in full hospitalisation, day hospitalisation, night hospitalisation or aftercare.

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Who can be admitted to a mental health clinic?

Any person with mental problems, whether severe, chronic or temporary, can be admitted to a mental health clinic. This admission often results from an episode triggering a crisis and the need to give a patient medical and supervised care.

The main objective of hospitalisation is to manage a crisis situation and find elements likely to restore balance. This makes it possible to protect and observe a person in a controlled environment and enables the preparation of a diagnosis and its adjustment.

How does a patient enter a mental health clinic?

There are two possible modes of mental health hospitalisation:

VOLUNTARY PSYCHIATRIC CARE ADMISSION

Voluntary psychiatric care is the norm. This is the situation for around 90% of hospitalised patients.

In this type of hospitalisation, the patient is aware of the seriousness of his or her state and agrees to a care plan. They have exactly the same rights as all other patients hospitalised in other medical specialisations. This entails, among other things, freedom of movement and the possibility of leaving the establishment when they wish.

PSYCHIATRIC CARE WITHOUT THE PATIENT’S CONSENT

Where the patient’s health status does not enable consent owing to the seriousness of his or her mental issues, enforced hospitalisation may be imposed. Under the law, there are two psychiatric regimes which do not require consent, namely psychiatric care on request from a third party, in an emergency or in the event of imminent danger; and psychiatric care in accordance with a decision from the Government Representative.

The Maison de Santé d’Epinay, an LNA Santé establishment, is authorised to receive patients admitted to psychiatric care without consent.

 

An activities room in the aftercare space of the Maison de Santé d'Epinay

The specialisations and technical equipment in our mental health clinics

Our establishments welcome exclusively adults (aged over 15 years and 3 months) suffering from mental health problems.

Our establishments have a complete range of technical equipment, offering therapeutic activities that fit directly into the patient’s personalised care plan:

  • Physical activity and fitness room
  • Occupational therapy room
  • Therapeutic workshop room
  • Mindfulness relaxation and meditation room
  • Computer room
  • Therapeutic apartment
  • Therapeutic kitchen
  • …
The Clinique la Brière is one of the rare establishments which offers electroconvulsive therapy

Other, more specialised infrastructures are also available in our establishments:

  • Electroconvulsive therapy (ECT)
  • Calming spaces
  • Light therapy room
  • rTMS room

In addition, our establishments have an outdoor environment suited to various activities, with landscaped gardens and walking routes.

The types of hospitalisation in mental health clinics

FULL HOSPITALISATION

Full (or complete or full-time) hospitalisation is hospitalisation where the patient stays in the clinic.

DAY HOSPITALISATION

Day hospitalisation is for people whose health condition requires treatment during the day, but who are still able to live in their own home. Day hospitalisation can be appropriate in various cases, either as an alternative to full hospitalisation so the patient can stay in his or her environment and thus avoid periods of crisis, or to enable a transition period between full hospitalisation and the total independence of the patient, or to propose a care offer to complement the external monitoring of a patient. According to their needs, patients come for one or more half-days per week. They benefit from care provided by a qualified team (psychiatrists, psychologists, occupational therapists, psychomotor therapists, specialist coaches, nurses, etc.) and can take part in therapeutic activities.

AFTERCARE

“This is a medium-term living unit used to ensure, after the acute phase of a disease, the continuation of acute care and the treatments necessary for rehabilitation with the aim of restoring patients to their normal level of independence”.

The aim of the Aftercare unit is to welcome adult patients after mental health hospitalisation to support their psychosocial rehabilitation. After the acute phase of a psychiatric disorder, this allows the patient to be treated in an intermediate structure to ensure optimal preparation for a return home. The objective of this hospitalisation is to enable the patient to rediscover the right balance, in a protected setting, and to create a personal reintegration plan through various individual or collective therapy workshops.

The care goals pursued by an aftercare unit are to:

  • Improve the patient’s care path in the field of psychosocial rehabilitation,
  • Facilitate, through rehabilitation, the social or professional reintegration of patients: independence in the taking of medication, lodging, budget management, hygiene, life plan, training plans, professional ambitions, the management of free time, and to reconnect with their families and loved ones,
  • Give patients a genuine stake in their care plan and treatment,
  • Share the expertise of professionals to assess the pathology and to train future professionals.

NIGHT HOSPITALISATION

The night hospital welcomes patients who have gone beyond the crisis phase and acquired a certain independence during the daytime, but who still need support and supervision at night and/or during the weekend.

The treatment starts at the end of the day and continues with medical surveillance at night, with a view to eventual reintegration.

The patients admitted to night hospitalisation must have a treatment plan determined in conjunction with the medical and paramedical team.

Our mental health clinics in France

  • Mental health
Épinay-sur-Seine
-
Maison de Santé d’Epinay
Type of support
  • Full hospitalization
  • Day hospitalization
  • Night hospitalization
Specialties
  • Psychiatry
  • Medical psychiatry
  • After-care centre
1 place Docteur Jean Tarrius 93800 Épinay-sur-Seine, France
Access the website
  • Mental health
Guérande
-
Clinique La Brière
Type of support
  • Day hospitalization
  • Night hospitalization
  • Full hospitalization
Specialties
  • Psychiatry
27 Rue de Mesquer 44350 Guérande, France
Access the website

Multi-disciplinary, highly qualified teams

Made up of qualified professionals, specialised in supporting patients suffering from psychiatric disorders, the teams in our mental health clinics bring their expertise to bear to provide care to patients, in conjunction with the patient’s attending physician.

THE MEDICAL TEAM

  • Psychiatrists

The patients admitted to our mental health clinics benefit from individual monitoring, with a unique consultant psychiatrist. The latter organises the patient’s hospitalisation and handles his or her medical supervision throughout this period.

If the patient’s health condition requires it, according to his or her particular needs, some practitioners may also intervene in the care process:

  • Cardiologists
  • Neurologists
  • Anaesthetists
  • Internal medicine specialists

THE PARAMEDICAL TEAM

  • Nurses
  • Caregivers
  • Physiotherapists
  • Occupational therapists
  • Adapted physical activity (APA) coaches
  • Psychomotor therapists
  • Psychologists
  • Neuropsychologists
  • Social workers
  • Educational and social support staff
  • Dieticians
  • Specialist coach

THE PHARMACEUTICAL TEAM

The pharmacists in our establishments handle the supervision and administering of the medication prescribed to you. They coordinate measures concerning the proper use of medication and facilitate the implementation of an organisation enabling the monitoring and assessment of prescriptions.

THE OTHER SPECIALISED FUNCTIONS

Other professionals work with the care teams and may intervene during the hospitalisation. These include:

  • Receptionists, hospital and maintenance workers
  • Administrative team
  • Events/entertainment team

Mental health clinics committed to patient well-being

POSITIVE TREATMENT

Our clinics are committed to actions that foster the promotion of positive treatment. This concept can be defined as a positive approach associated with ‘risk memory’. Above all, it is a promise of attention, consideration and respect for the dignity of patients and their loved ones.

RISK MANAGEMENT

Verifying the identity of the patient is essential throughout his or her hospitalisation, for safety reasons. It must be possible for the care and/or medical staff to identify every patient at all times during his or her stay in the establishment, to prevent the risk of a medical error connected with incorrect identification. This is why patients will be asked to prove their identity at various times. If you are prescribed electroconvulsive therapy sessions, you will be issued with an identification bracelet.

QUALITY APPROACH

Our mental health clinics have been committed to a quality approach for a number of years. The objective is the continuous improvement of the quality of the care and services provided to patients, to ensure optimal conditions of safety and comfort during their stay. The establishments have met the requirements for ‘Haute Autorité de Santé’ certification, an external assessment procedure covering the operations of the entire structure and its practices. Our mental health clinics collect a set of national indicators, the results of which can be found on the website www.scopesante.fr

THE COMITÉ DE LUTTE CONTRE LA DOULEUR

Pain is not fatal. The medical and paramedical team undertakes to assess pain and treat it and provide the patient with all useful information. The CLUD (Comité de Lutte contre la Douleur – Pain Management Committee) organises, coordinates and monitors actions aimed at improving the management of pain.

THE ETHICS COMMITTEE

In each mental health clinic, the ethics committee meets regularly to discuss specific topics and situations, to shed light on them or provide responses to questions about choices, decisions, actions and events connected with the provision of care. This committee is a multidisciplinary body composed of healthcare professionals and people chosen for their skills and interests in ethical matters.

 

How admission to a mental health clinic works

THE DOCUMENTS REQUIRED FOR ADMISSION

In order to organise the patient’s hospitalisation under optimal conditions, the following documents must be provided on admission:

  • An original copy of a currently valid photo ID,
  • A ‘Vitale’ card and social security certificate,
  • A valid mutual health insurance card.

And, depending on the case:

  • A ‘Couverture Maladie Universelle’ (Universal Health Cover – CMU) certificate,
  • An ‘Aide Médicale de l’État’ (State Medical Assistance – AME) certificate,
  • For foreigners: a European health insurance card, residence card or certificate confirming health insurance cover.

Do you have any questions about care in our mental health clinics? We have the answers!

Health insurance (social security) will cover 80% of the costs of your stay.

Whatever the establishment, some costs must be met by the insured party:

  • The deterrent charge – or residential fee – is the portion of healthcare expenses to be borne by the patient once the health insurance has reimbursed its portion. It has existed since the very creation of social security and applies to all medical costs eligible for reimbursement: consultation with a doctor, bio-medical analysis, X-rays, purchase of prescribed medication, etc.

If the patient is covered by social security, either 100% or 80% of the costs of his/her stay may be covered. The 100% rate applies to long-term health conditions (ALD) or if the patient benefits from CMU (universal health cover). With the 80% rate, the deterrent charge of 20% will be met by the mutual insurance company or the patient

For hospitalisation of more than 30 days, 100% of the cost will be met (excluding private rooms)

If the patient is not covered by social security, he or she must meet all the costs of hospitalisation.

  • The daily hospital charge of €15 per day in a mental health clinic represents the patient’s financial contribution to accommodation, catering and maintenance costs incurred through his or her hospitalisation. It is owed for each day of hospitalisation, including the day of departure.
  • Any comfort supplements (single room, television, etc.)
  • Excess fees

These fees must be covered by a mutual insurance company.

Information about the departure process and details of its organisation will be finalised the day before with the psychiatrist who reports to the care and social teams.

If the patient’s health condition requires it, and subject to a medical prescription, a transport voucher may be provided.

The patient will be issued with a satisfaction questionnaire on departure to provide suggestions for improvements, reinforcing the actions of the teams and enhancing the quality of care and services provided. The annual results are displayed in our establishments.

Social security will meet part of the costs for a stay in a mental health clinic, provided that the patient has signed up to a health insurance scheme. The sums reimbursed are the accommodation expenses, transport costs and medical fees. The deterrent charge (20% of the accommodation expenses), daily charge, lump-sum contribution and any accommodation supplements for which the patient is responsible may be covered by his or her mutual insurance company.

Legally enforced hospitalisation applies when the patient does not consent to treatment or lacks the capacity to do so. This hospitalisation without consent is justified when the patient’s mental issues make consent impossible and when his or her condition requires immediate care with supervision in a hospital environment. In this case, a third party shall sign a handwritten admission application. This third party may be a family member, close friend or person acting in the patient's interests (but may not be a member of the care staff or management of the hospital establishment).

Admission without consent is only possible in the Maison de Santé d’Epinay.

A typical day in a mental health clinic is structured around several key, personalised moments according to the individual needs of each patient.

Mornings are generally dedicated to purely medical time. This is the time when patients meet with their consultant psychiatrist or other medical staff from the establishment. The patient’s physical monitoring also takes place in the morning (vital signs, etc.).

Some treatment activities may take place in the morning if they do not interfere with the patient’s medical evaluations.

Afternoons are mostly devoted to the various therapeutic activities proposed to patients and conducted with the paramedical teams at the establishment.

At 8 p.m., patients must be in their unit and can no longer move around freely outside their hospitalisation unit.