Psychose émergente chez l'adolescent et le jeune adulte : l'accès aux soins en question : À partir des données du centre pilote français de détection et d'intervention précoces

Abstract : Since the 1990s, research in the field of early detection and intervention for psychotic disorders has been widely developed. The aim is to identify those at risk of developing these disorders in order to prevent or delay the onset of the disease and limit its psychosocial consequences. Today, there are hundreds of centers in the world that specialize in this preventive approach. In France, the pilot center is the C'JAAD, an evaluation center for adolescents and young adults in Sainte-Anne hospital in Paris. According to data collected from 330 subjects received at the C'JAAD, we sought to identify the determinants of access to care for these early intervention centers. We used mixed methods, combining quantitative and qualitative analyzes to offer a better understanding of this complex issue. We observed that access to care is a multifactorial process that depends in particular on displayed symptoms, degree of experienced stigmatization, mobilization of the entourage and training of primary care professionnals. Starting from a historical perspective of the concept of subjects "at risk of psychosis" and in light of our findings taking into account the specificities of our health care system, we attempt a reflexive approach to this paradigm of Early Intervention in Psychiatry and propose suggestions to improve prevention of psychotic disorders in France.
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Master Thesis
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Alice Oppetit. Psychose émergente chez l'adolescent et le jeune adulte : l'accès aux soins en question : À partir des données du centre pilote français de détection et d'intervention précoces. Médecine humaine et pathologie. 2016. ⟨dumas-01630450⟩

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