title: [Access to care and maintenance in the community of persons who are difficult to engage in psychiatric treatment].
abstract: Psychotic patients to not access easily to psychiatric care. First, psychotic disorders are difficult to identify among a great number of non psychotic depressive and anxious disorders. Second, inpatient care has shortened and now focus on acute care rather than long stay. For some psychotic patients, desinstitutionalization means exclusion and marginalization. Intensive case management can answer these needs in collaboration with relatives and professionals of patient's social network. Results and care's steps of intensive case management as practiced in Lausanne are described and illustrated with cases vignettes.
authors.affiliation: Unité de Psychiatrie communautaire, Département Universitaire de Psychiatrie Adulte, Site de Cery, 1008 Prilly. charles.bonsack@hospvd.ch
authors.forename: Charles
authors.initials: C
authors.lastname: Bonsack
authors.forename: Thomas
authors.initials: T
authors.lastname: Haefliger
authors.forename: Suzanne
authors.initials: S
authors.lastname: Cordier
authors.forename: Philippe
authors.initials: P
authors.lastname: Conus
mesh_terms: D019090:Case Management; D003688:Deinstitutionalization; D006297:Health Services Accessibility; D006801:Humans; D011570:Psychiatry / Q000379:methods*; D011618:Psychotic Disorders / Q000628:therapy*; D012944:Social Support