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US News: Mental Health: A Guide to Good Practice for the First Gestals

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This is a bit equivalent to the lateral security position, the first gesture taught during first aid lessons to deal with medical emergencies. These are the "first words, first plays, facing someone who cracks or scratches or delirium. How to help it, accompany it, possibly towards a care? " questions Dr. Alain Mercuel, psychiatrist at Hospital Sainte-Anne, Paris. Code name "PSSM", for first aid in mental health, an approach come from Australia. Initially, one could be a bit skeptical in this form of technical trivialization of mental disorders. And then we say why not? Especially since there is need.

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Often, including in simply access to care, mental patients can be misunderstood, poorly treated, sometimes put aside or attached with emergency straps, for lack of a minimum clinical situation. Created in Australia in 2001 by an educator, who herself suffered severe psychic disorders, and by a medical teacher, it is a simple training program, which is unpretentious. It quickly spread throughout the world and is now used in 28 countries (Sweden, Finland, Netherlands, Denmark, United Kingdom, Ireland, Switzerland, Germany, Canada, in some American states, etc. )

"first prevention relay"

It is now developing in France, with the approval of the Ministry of Health. The goal ? Forming aids at a two-day internship, which "aims at [their] to be attentive and to recognize the first manifestations or the worsening of mental disorders, to behave in a suitable way to get in touch With the person and gaining confidence, and to know sufficiently professional and non-professional resources to guide or help him orient themselves towards adapted care. The target is the general public, that is, anyone 18 years of age or older, " is explained in the program. Since 2019, the PSSM France association, which manages these disposals, has trained more than 12,000 people.

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This training is basic. "There is no diagnosis, insists the PSSM France association. The mental health rescuers are not experts. They are intended to become a first prevention and guidance relating to health professionals. " Through role plays, testimonials, exercises, trainees will be driven to discover the world of psychic disorders, "to adopt a less stigmatizing look and learning to react from the first signs or at A crisis occurring in their near circle: friend, neighbor, colleague, family, public supported in a professional setting.

"Knowing how to be modest"

Faced with a person seeming to suffer from psychic disorders, the PSSM plan therefore encourages listening to "without judging, comforting, informing and encouraging to consult health professionals, without forcing the hand." Obviously, one is never quite far from the cliché and simplifications. Thus, during the fourteen hours of training, is highlighted an "action plan" with its mnemonic means ( "ventilate", to approach, listen, comfort, encourage, inform). "And this attitude should apply to the most common disorders: depressive, anxious, psychotic and drug or alcohol disorders," Note PSSM France.

We see it, it is not the revolution. "You have to know how to be modest, but it can help avoid bad understanding of situations," notes Dr. Mercuel. In short, a small step. At the Enciabales Congress, on January 19, the Minister of Health, Olivier Véran, gave a momentum to this program launched by Agnès Buzyn. "The prevention of psychic suffering involves solidarity. The development of the First Aid Program in Mental Health contributes, " has announced, greeting an " device that has been proven abroad and is also a very beautiful awareness vector. "

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