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148 Health systems in transition France doctors in hospitals and the rest in private and mixed practices. The density of psychiatrists was 22 per 100 000 inhabitants in 2012. However, geographical heterogeneity is high. Although no reliable figures are available, it is estimated that about 35 000 psychologists work in France, either as salaried employees or in private practice. Besides the psychotherapies mentioned above, they also offer psychological support and follow-up in the context of schools or as part of social welfare provisions. As a result of the de-institutionalization policy that started in France more than four decades ago in the 1980s, the vast majority of care in the psychiatric sector is ambulatory, with 77% of patients over the course of a year treated exclusively on an outpatient basis (DREES, 2013c). In terms of hospital care, part-time stays accounted for 89% of hospitalizations in 2011. Services provided by the health and social care sector for the disabled People disabled by severe mental illnesses may also receive services from the health and social care sector for the disabled. Many organizations for the disabled offer a wide range of services to mentally ill patients, including housing, health care treatment, professional training, schooling for children, professional education and sheltered workshops. However, only a few are fully dedicated to the population with mental illness. Tables 5.3 and 5.4 show institutions of the health and social sector that provide services to adults and children with mental health-related disabilities and the share of the affected population for whom they provide services.
Health systems in transition France 149 Table 5.3 Institutions of the health and social sector that provide services to adults with mental health-related disabilities: overall capacity and share of the affected population served Institution Overall capacity (2010 or last year available) Percentage of adults with mental health-related disabilities served (2010 or last year available) Specialized reception centres (maisons d’accueil spécialisé) 23 968 a 12.4 a Medical reception centres (foyers d’accueil médicalisé) 20 448 a 24.3 a Sheltered workshops (etablissements et services d’aide par le travail) Occupational rehabilitation centres (centres de rééducation professionnelle) 116 016 a 21.5 a 9 765 a 12.7 a Pre-orientation centres (centres de pre-orientation) 1 250 a 32.3 (2009) b Social support services for disabled adults (services d’accompagnement médico-sociaux pour adultes handicapés) 7 282 a 40.1 a Companies for disabled people (entreprises adaptées) – 4.5 (2001) c Respite care health beds (lits halte soins santé) 501 (beds; 2007) d 29.1 (1995) e Temporary reception centres for disabled adults 517 a 15.6 a (etablissements d’accueil temporaire pour adultes handicapés) Experimental centres for disabled adults 4 399 a 25.9 a (etablissements expérimentaux pour adultes handicapés) Mutual aid groups (groupes d’entraide mutuelle) – 100.0 a Residential care homes (foyers d’hebergement) 39 494 a 17.4 a Assisted living centres (foyers de vie) 46 798 a 19.20 a Multipurpose reception centres (foyers d’accueil polyvalent) 4 658 a 16.40 a Social life support services (services d’accompagnement à la vie sociale) 38 165 a 23.70 a Sources: a DREES, 2013c; b FINESS, 2014; c DREES, 2001; d FNARS, 2008; e Marpsat, 2002.
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Contents Contents Preface
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Preface Preface The Health Systems
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Acknowledgements Acknowledgements T
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Abstract Abstract This analysis of
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1. Introduction 1. Introduction The
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