L\u2019entretien pr\u00e9sente l\u2019\u00c9quipe mobile intersectorielle pour enfants confi\u00e9s \u00e0 l\u2019aide sociale \u00e0 l\u2019enfance (ASE), cr\u00e9\u00e9e il y a un peu plus de quatre ans et port\u00e9e conjointement par l\u2019Assistance publique\u2013H\u00f4pitaux de Marseille (AP-HM, CHU) et le Centre hospitalier de Valvert (CHS). Cette \u00e9quipe intervient en p\u00e9dopsychiatrie aupr\u00e8s d\u2019enfants de 0 \u00e0 12 ans confi\u00e9s \u00e0 l\u2019ASE, sur plusieurs arrondissements de Marseille ainsi que sur les communes de La Ciotat, Cassis et Aubagne, \u00e0 raison de 60 \u00e0 80 enfants suivis par an.<\/p>\n
Le projet est issu d\u2019un appel \u00e0 projets national visant \u00e0 renforcer la p\u00e9dopsychiatrie. Les promoteurs, deux p\u00e9dopsychiatres exer\u00e7ant en centre m\u00e9dico-psychologique (CMP), ont constat\u00e9 que les enfants confi\u00e9s \u00e0 l\u2019ASE figuraient parmi ceux ayant le plus besoin de soins tout en y acc\u00e9dant le moins, en raison notamment d\u2019un rep\u00e9rage insuffisant et d\u2019un turnover important des professionnels \u00e9ducatifs, pas toujours form\u00e9s \u00e0 l\u2019identification pr\u00e9coce des troubles. Les parcours de placement sont marqu\u00e9s par des ruptures fr\u00e9quentes (changements de foyers et donc de secteur sanitaire), impliquant une r\u00e9inscription \u00e0 chaque fois sur une nouvelle liste d\u2019attente en CMP.<\/p>\n
Ces enfants pr\u00e9sentent souvent des v\u00e9cus traumatiques li\u00e9s aux motifs du placement, auxquels peuvent s\u2019ajouter d\u2019autres exp\u00e9riences difficiles durant leur parcours, sans qu\u2019il y ait toujours un r\u00e9f\u00e9rent stable pour rep\u00e9rer et signaler leurs difficult\u00e9s. La pr\u00e9valence des troubles est indiqu\u00e9e comme tr\u00e8s \u00e9lev\u00e9e, avec un enfant confi\u00e9 \u00e0 l\u2019ASE sur deux d\u00e9veloppant des troubles \u00e0 l\u2019\u00e2ge adulte. Le dispositif repose sur l\u2019intervention \u00ab en milieu \u00e9cologique \u00bb, c\u2019est-\u00e0-dire au plus pr\u00e8s des lieux de vie, pour mieux comprendre les enjeux relationnels avec les \u00e9ducateurs et \u00e9laborer des projets de soins \u00e0 partir de la r\u00e9alit\u00e9 quotidienne de l\u2019enfant, le bureau de consultation hospitalier \u00e9tant jug\u00e9 peu propice \u00e0 l\u2019instauration d\u2019un lien permettant un v\u00e9ritable dialogue.<\/p>\n
L\u2019exp\u00e9rience, conduite dans le cadre d\u2019une coop\u00e9ration entre un CHU (AP-HM) et un CHS (CH de Valvert) sur plusieurs inter-secteurs de p\u00e9dopsychiatrie, commence \u00e0 essaimer, sans que des pr\u00e9cisions chiffr\u00e9es sur cette diffusion ne soient fournies. Le texte met ainsi en \u00e9vidence des enjeux de coordination entre protection de l\u2019enfance et sant\u00e9 mentale, de continuit\u00e9 des parcours, de rep\u00e9rage pr\u00e9coce des troubles et de formation des professionnels de l\u2019ASE, dans un contexte de forte vuln\u00e9rabilit\u00e9 psychique des enfants confi\u00e9s.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" L\u2019entretien pr\u00e9sente l\u2019\u00c9quipe mobile intersectorielle pour enfants confi\u00e9s \u00e0 l\u2019aide sociale \u00e0 l\u2019enfance (ASE), cr\u00e9\u00e9e il y a un peu plus de quatre ans et port\u00e9e conjointement par l\u2019Assistance publique\u2013H\u00f4pitaux […]<\/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 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