In Haute-Garonne, a psychiatrist’s sad observation of a “catastrophic” hospital situation

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dr Pascal Marie is President of the Establishment Medical Commission (CME) of the Hospital Center Gérard Marchant. As in October 2021, the psychiatrist draws a worried testimony from his industry. A nationwide psychiatrist strike has been announced for Tuesday, June 28.

Like more than 130 colleagues in Haute-Garonne, you will be informed of the situation in your specialty. Is Psychiatry Really Bad?

When doctors speak (our June 15 issue) it’s always a sign of concern. But unfortunately there is nothing new since our last warning in 2019… the situation is dire. The hospital is exhausted from the Covid-related health crisis, a time when it has thrown away its last effort. Psychiatry suffers from an attractiveness crisis. In ten years we have lost almost 50% of psychiatrists, this is how it goes, and there is no prospect of stabilization for ten years. The caregivers also leave, they are generally disappointed with what the Ségur de la santé has brought; There are years of catching up to do when it comes to remuneration, but the demands are greatest when it comes to the meaning of the work.

Also read:
Haute-Garonne: the psychiatrists’ warning about the lack of funds

Is Psychiatry Forgotten?

Yes, it is about the subsidy and funding aspect. But never before has she been so in demand with patients. One in five French people will be affected in their lifetime, and one in two will walk through a device door for themselves or a loved one. Mental illness kills more than cancer and the impact on society and the environment is enormous.

“Population has increased by 30%, psychiatric beds have been reduced by 30%”

What are the characteristics of the Haute-Garonne?

In 20 years, the population of Haute-Garonne has increased by 30%. Public psychiatric beds have been reduced by 30% and account for only a quarter of the total supply. All the difficulties in the industry then crystallize in the emergency room.

What solutions can be offered?

In a year all psychiatric emergency physicians have been eliminated or renewed and there are still vacancies. We must optimize the existing resources and increase the care provided by private clinics in their emergencies. It is imperative that all the care offered by the territory applies to the patients of the territory and that the care time does not end after 5 p.m. The emergency fire should not overshadow the forest behind it. While this will be a priority question this summer, answers need to be found elsewhere as well. Everyone knows that summer will be complicated, but less so when there are prospects for the future. I’m not worried about practitioners’ commitment, I’m worried about their exhaustion, we know how to do better, but can we?

Doctors’ strike and demonstration Tuesday 28 June

A day of mobilization and action is planned for Tuesday 28 June as part of a call for a nationwide strike led by a union of public sector psychiatrists.

In Toulouse, the collective of psychiatrists, already authors of an alarm forum, planned a rally between 12 p.m. and 3 p.m. in front of the headquarters of the ARS Occitanie. The number of doctors on strike promises to be significant.

“We want to explain the urgency of the situation and ask for help. There are still 4 doctors missing in the emergency room this summer… Some days are even vacant in the schedule! “, explains Dr. Nicolas Navarro, psychiatrist and addict at Toulouse University Hospital.

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