Serpsy (Soins \u00c9tudes et Recherches en Psychiatrie) a signal\u00e9 un probl\u00e8me li\u00e9 \u00e0 l\u2019Arr\u00eat\u00e9 du 26 juin 2026 fixant la liste des actes et soins pouvant \u00eatre r\u00e9alis\u00e9s par les infirmiers dipl\u00f4m\u00e9s d\u2019\u00c9tat. \u00c0 la suite de cette alerte, l\u2019ADRpsy (Association pour le D\u00e9veloppement de la Recherche en Soins en Psychiatrie) a engag\u00e9 une d\u00e9marche de contestation ciblant l\u2019article 4 de l\u2019arr\u00eat\u00e9, qui mentionne la \u00ab pose de contention physique ou m\u00e9canique ponctuelle \u00bb comme un soin infirmier r\u00e9alisable sur prescription m\u00e9dicale.<\/p>\n
Selon Serpsy et l\u2019ADRpsy, cette qualification de la contention comme \u00ab soin \u00bb pose un probl\u00e8me juridique et \u00e9thique majeur. Elles rappellent que le droit fran\u00e7ais, notamment l\u2019article L.3222-5-1 du Code de la sant\u00e9 publique, distingue clairement l\u2019isolement et la contention des actes de soin : il s\u2019agit de mesures de dernier recours, strictement encadr\u00e9es, destin\u00e9es \u00e0 pr\u00e9venir un dommage imm\u00e9diat ou imminent. Cette distinction a \u00e9t\u00e9 confirm\u00e9e par le Conseil constitutionnel et par la jurisprudence de la Cour europ\u00e9enne des droits de l\u2019homme. Pour ces acteurs, assimiler la contention \u00e0 un soin infirmier prescrit risque de banaliser une mesure coercitive qui restreint la libert\u00e9 d\u2019aller et venir et doit rester exceptionnelle, motiv\u00e9e, trac\u00e9e et contr\u00f4l\u00e9e.<\/p>\n
Les associations soulignent que les formulations r\u00e9glementaires ont un impact sur la formation des professionnels, l\u2019organisation des services et les pratiques quotidiennes, en structurant les repr\u00e9sentations professionnelles. Elles estiment donc n\u00e9cessaire de contester cette qualification, en psychiatrie comme dans d\u2019autres contextes o\u00f9 la contention est utilis\u00e9e en dehors du cadre r\u00e9glementaire, afin de pr\u00e9server les garanties juridiques construites ces derni\u00e8res ann\u00e9es en mati\u00e8re de respect des droits fondamentaux des patients.<\/p>\n
Pour ne pas remettre en cause l\u2019ensemble de l\u2019arr\u00eat\u00e9, une demande de modification de l\u2019article concern\u00e9 a \u00e9t\u00e9 formul\u00e9e par recours gracieux aupr\u00e8s du minist\u00e8re de la Sant\u00e9. La d\u00e9marche, initialement port\u00e9e par l\u2019ADRpsy, s\u2019est \u00e9largie \u00e0 d\u2019autres organisations, dont l\u2019association Preuve et Espairs Rh\u00f4ne, et pourrait encore rassembler d\u2019autres partenaires. Cette mobilisation collective vise \u00e0 renforcer la port\u00e9e, la l\u00e9gitimit\u00e9 et la visibilit\u00e9 du recours, au nom d\u2019une exigence partag\u00e9e de d\u00e9fense d\u2019une psychiatrie respectueuse des droits fondamentaux, sans nier la complexit\u00e9 des situations cliniques ni les responsabilit\u00e9s des professionnels.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" Serpsy (Soins \u00c9tudes et Recherches en Psychiatrie) a signal\u00e9 un probl\u00e8me li\u00e9 \u00e0 l\u2019Arr\u00eat\u00e9 du 26 juin 2026 fixant la liste des actes et soins pouvant \u00eatre r\u00e9alis\u00e9s par les […]<\/p>\n","protected":false},"author":1,"featured_media":4388,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[5],"tags":[70,227],"class_list":["post-16589","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-mentale-et-psychiatrie","tag-santementale-fr","tag-ia"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/16589","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16589"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/16589\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/4388"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16589"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16589"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16589"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}