Prise en charge des mineurs non accompagnés aux urgences : exemple d’un protocole mis en place dans un service d’urgences psychiatriques (notice n° 252732)
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| fixed length control field | 03801cam a2200313 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250112072053.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Todorov, L. |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Prise en charge des mineurs non accompagnés aux urgences : exemple d’un protocole mis en place dans un service d’urgences psychiatriques |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2024.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 49 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The number of unaccompanied minors refugees (UMR) in France has been increasing steadily for several years. Access to healthcare is a major issue for these young people, especially access to mental health care. According to several studies, there is a high prevalence of mental disorders among migrant children, particularly depression, anxiety, and post-traumatic stress disorder. However, experience shows that access to mental health care can be limited by many obstacles, with the issue of parental authority when hospitalization is necessary. The centre psychiatrique d’orientation et d’accueil (CPOA) is a regional psychiatric emergency department in Paris, with around 10,000 consultations per year, including several hundred consultations for minors over 16 years of age, around 10% of whom are UMR. We have therefore developed a protocol to provide equal access to psychiatric care for UMR from the emergency departments. It introduces the path taken by these young people on their arrival in France, and the various questions to be asked from a legal point of view, in order to overcome any obstacles and provide the best care for these young people, whatever their administrative situation. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Les mineurs non accompagnés (MNA) pris en charge par la protection de l’enfance en France sont en constante augmentation depuis plusieurs années. L’accès aux soins est un enjeu majeur chez ces jeunes, en particulier l’accès aux soins psychiatriques. En effet, plusieurs études ont montré que la prévalence des troubles mentaux chez les enfants migrants, dont les MNA, était élevée notamment les taux de dépression, l’anxiété et les troubles de stress post-traumatique. Or l’expérience montre que de nombreux obstacles peuvent limiter leur prise en charge médicale, notamment aux urgences avec la question de l’autorité parentale pour les soins, en cas de nécessité d’hospitalisation. Le centre psychiatrique d’orientation et d’accueil (CPOA) est un service d’urgences psychiatriques à vocation régionale situé à Paris, qui compte environ 10 000 consultations par an, parmi lesquelles plusieurs centaines de consultations de patients mineurs âgés de plus de 16 ans, dont environ 10 % de mineurs non accompagnés. Ainsi, nous avons rédigé au CPOA un protocole de prise en charge visant à faciliter l’accès aux soins psychiatriques depuis les services d’urgences. Il récapitule d’une part le parcours de ces jeunes à leur arrivée en France, et d’autre part les différentes questions à se poser sur le plan juridique, permettant de s’affranchir des éventuels obstacles et de délivrer des soins optimaux à ces jeunes, quelle que soit leur situation administrative. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Accès auxsoins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Urgences psychiatriques |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Hospitalisation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Mineur non accompagné |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Health care access |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Hospitalization |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Unaccompanied minor refugee |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Psychiatric emergencies |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Aucouturier, Etienne |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Rault, M. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bernat, A. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Gourevitch, R. |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Annales françaises de médecine d’urgence | 14 | 5 | 2024-10-31 | p. 302-308 | 2108-6524 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-annales-francaises-de-medecine-d-urgence-2024-5-page-302?lang=fr">https://shs.cairn.info/revue-annales-francaises-de-medecine-d-urgence-2024-5-page-302?lang=fr</a> |
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