\u00c0 la suite de l\u2019annonce de la ministre de la Sant\u00e9 en juin, le d\u00e9put\u00e9 Michel Barnier a d\u00e9pos\u00e9 une proposition de loi visant \u00e0 interdire la contention m\u00e9canique en \u00e9tablissement psychiatrique \u00e0 compter du 1er janvier 2030. Le texte entend aller au\u2011del\u00e0 du simple encadrement existant dans le code de la sant\u00e9 publique pour poser un principe d\u2019interdiction pure et simple, tout en pr\u00e9voyant une p\u00e9riode transitoire pour permettre la formation des professionnels et la r\u00e9organisation des \u00e9tablissements. D\u2019ici 2030, le cadre juridique actuel encadrant le recours \u00e0 la contention demeure applicable, afin d\u2019\u00e9viter tout vide juridique.<\/p>\n
La contention m\u00e9canique y est d\u00e9finie comme l\u2019entrave physique d\u2019un patient, par exemple \u00e0 l\u2019aide de sangles sur un lit ou d\u2019une camisole de force. Bien qu\u2019elle soit officiellement pr\u00e9sent\u00e9e comme une mesure de dernier recours, les donn\u00e9es nationales les plus r\u00e9centes de l\u2019Institut de recherche et documentation en \u00e9conomie de la sant\u00e9 (Irdes) montrent un usage encore important en psychiatrie. En 2022, 76 000 personnes ont \u00e9t\u00e9 hospitalis\u00e9es sans leur consentement \u00e0 temps plein en psychiatrie en France ; 37 % ont \u00e9t\u00e9 plac\u00e9es \u00e0 l\u2019isolement et, parmi elles, 11 % ont fait l\u2019objet d\u2019une contention m\u00e9canique, soit pr\u00e8s de 8 000 personnes.<\/p>\n
Le texte souligne cependant des \u00e9volutions de pratiques : 10 % des \u00e9tablissements psychiatriques d\u00e9clarent ne jamais recourir \u00e0 la contention m\u00e9canique et rendent compte d\u2019un usage nul ; un nombre croissant d\u2019\u00e9tablissements se fixe par ailleurs un objectif de \u00ab z\u00e9ro\u2011contention \u00bb. Dans ce contexte, la proposition de loi vise \u00e0 g\u00e9n\u00e9raliser ces pratiques en fixant une \u00e9ch\u00e9ance l\u00e9gale d\u2019abolition de la contention m\u00e9canique, avec une mise en conformit\u00e9 progressive du secteur psychiatrique. Le dossier l\u00e9gislatif est mis \u00e0 disposition pour le suivi de cette initiative parlementaire dans le champ de la sant\u00e9 mentale et des droits des patients.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" \u00c0 la suite de l\u2019annonce de la ministre de la Sant\u00e9 en juin, le d\u00e9put\u00e9 Michel Barnier a d\u00e9pos\u00e9 une proposition de loi visant \u00e0 interdire la contention m\u00e9canique en […]<\/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-16680","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\/16680","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=16680"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/16680\/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=16680"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16680"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16680"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}