title: [Psychiatric chronicity and organization of services].
abstract: A study conducted in a Montreal area psychiatric institution focuses on the impact of chronic patients on in-patients services delivery system. This article shows a disarticulation of the system, from the first to the second line and within the second line. The authors suggest that when the length of stay is extended beyond a certain time frame, it becomes increasingly difficult to reconcile continuity and complementarity of services: by congesting the system, chronic psychiatric population is decreasing the accessibility of services.
mesh_terms: D002908:Chronic Disease; D003156:Community Mental Health Services / Q000458:organization & administration*; D003266:Continuity of Patient Care; D006769:Hospitals, General; D006801:Humans; D007902:Length of Stay; D001523:Mental Disorders / Q000628:therapy*; D010343:Patient Admission; D011567:Psychiatric Department, Hospital / Q000458:organization & administration; D011792:Quebec
vernacular_title: Chronicité psychiatrique et organisation des services.