[Some consequences of catchment area psychiatry: a stand against sectorization].
The author presents a critical and polemic essay bearing on the organization of psychiatric services based on catchment areas. Several negative consequences are discussed: the loss of initial goals related to community psychiatry, the adoption of a major first-line role for psychiatrists and the identification of psychiatrists to the treatment of chronic and severe psychiatric disorders. Catchment area psychiatrists and psychiatric teams frequently function in a unique manner within the medical profession, and their spreading throughout the community leads to the development of closed subcultures often characterized by resistance to change and a lack of academic motivation. Catchment area psychiatry is also described as generating crisis after crisis and as detrimental to the positive evolution of former mental hospitals.
Borgeat
F
F
Département de psychiatrie, Université de Montréal, Québec.
D002391:Catchment Area, Health; D003156:Community Mental Health Services / Q000639:trends*; D003688:Deinstitutionalization / Q000639:trends; D006297:Health Services Accessibility / Q000639:trends; D006801:Humans; D007400:Interprofessional Relations; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D010348:Patient Care Team / Q000639:trends*; D011792:Quebec
Quelques inconvénients de la psychiatrie de secteur: un plaidoyer contre la sectorisation.