Directed by Dr P.-F. Godet (center director) and Dr. M. Bonaïti (unit director), l’Escale is intended to extend rehabilitation therapy to patients after the acute phase of the disease so they can regain a more autonomous life outside the hospital.
The unit is based on the key principle of rehabilitation which is helping patients with psychic disorders to regain control over their everyday life. The key objectives are therefore to reinforce their acting power, help them express desires and succeed in their life project.
In this context, their stay in the unit is a step between a total hospitalization in a psychiatric ward and an individual or collective housing.
The multidisciplinary team consists of nurses, educators, medico-psychological helpers, neuropsychologists, a social worker and an occupational therapist.
L’Escale is both an assessment center and a unit using specific rehabilitation tools and a place focusing on everyday life as work axis, encouraging patients to actively participate various life moments in the unit and in their therapy. A mobile rehabilitation team was created to support the patients in organizing their projects outside the hospital, follow up during the consolidation phase and make sure the competent sector is informed.
This mobile team consists of a nurse, a specialized educator, an occupational therapist, a social worker and a neuropsychologist. The social worker and the neuropsychologist also work as course coordinator.
The department particularly values the functional assessment of patients to offer them a treatment program as close as possible to their life project issues. This assessment is the “rehabilitation diagnostic” and consists of:
- clinical assessment,
- neuropsychological assessment,
- functional assessment for skills: autonomy, social skills,
- functional assessment for the personal resources available: environment, family, etc.
Therapies inside the unit are centered on individual and collective dimensions and require active participation of the patient to encourage autonomy and social relationships. Innovative customized therapeutic tools are gradually added, such as:
- social skills training,
- health training,
- cognitive remediation,
- mediation groups.
Mode of admission
People from the whole geographic territory covered by the Saint-Cyr-au-Mont-d’Or hospital are admissible. L’Escale currently hosts 12 patients in full hospitalization. This unit is intended for stabilized patients whose clinical condition and relationship skills open for group work, and is part of a therapeutic program. These patients either have been hospitalized for more than 3 months with psychiatric disorders which disable them to do social tasks and be discharged, or show after the acute phase of the first impairments a low autonomy level, putting them at risk to be chronically hospitalized. The patients are sent by the referring team as part of their projects. After 1 month, a first assessment is sent to the referring team. After 3 months, a synthesis is organized with the referring team to decide on the therapy orientation.
Départemente de réhabilitation psychosociale
Pôle Caladois, Centre hospitalier spécialisé