[Outpatient mental health consultations: reducing delays, optimising organisation].

The Hauts-de-France psychiatry unit has oriented its organisation to facilitate access to care. While the aim is to improve the time taken for patients to be seen, it corresponds to a need on the part of users that has been growing over the years. The key is an early clinical assessment of care situations, followed by an appropriate response for the patient in terms of referral and follow-up.

[Towards ending compulsory community treatment in recovery approaches].

Psychiatric compulsory community treatment programmes are widely and heterogeneously used measures of coercion. The recovery oriented mental health service 59G21 used them to minimize violating the rights of persons under compulsory care. Based on a clinical situation of failing this objective, we discuss their place in the health system and the reasons why we chose to move towards a "zero recourse" objective.

Reshaping Community Mental Health Services during the COVID-19 Epidemic - Report from the 59G21 Service in Lille, France.

The COVID-19 pandemic led to a rapid transformation of the health care system to cope with the risk of contamination and of developing a severe form of the infection. Although it is an international crisis, strategies have been decided nationally. In France, priority was given to hospital reorganization, especially intensive care units.

[Towards a partnership-based care approach to adolescence].

The transition from child psychiatry to adult psychiatry is difficult. The need to reinforce this 'bridge' between the services is clear. A system focused on the assessment and orientation of adolescents, set up a year ago by Lille-Métropole public mental health service, aims to favour collaboration on a local level between the different players from the social, medical and educational sector working with young people aged between 12 and 21 in order to facilitate this transition.

['Zero isolation', a care practice oriented towards recovery].

Some institutions do not have an isolation room. Agitation is managed otherwise, with the idea that restraint or isolation can only be a terrible experience. The care pathway is therefore designed to favour autonomy and to limit restrictions of freedom.

Mortality of people suffering from mental illness: a study of a cohort of patients hospitalised in psychiatry in the north of France.

Background: The mortality of people suffering from psychiatric illnesses is far higher than that of the general population, all categories of diagnosis combined; mortality statistics can be used as an index of quality of care. The aim of this study was to assess the all-cause mortality in psychiatric patients covering all diagnostic groups.

Methods: The living or deceased status of 4,417 patients of majority age hospitalised in a public mental health establishment between 2004 and 2007 were requested from French National Institute for Statistics and Economic Studies on 1st January 2011.