[Care in an LTC unit: between psychosis, fantasy and challenge].

In nursing homes, residents with psychiatric disorders are cared for alongside other residents. While the clinical presentation is different to that of dementia, the caregivers need to adopt a new approach in order to provide the necessary long-term support. Their social representations of madness must also be questioned. The integration of psychotic residents into a nursing home must be anticipated and prepared through exchanges and interventions overseen jointly by the geriatric and psychiatric teams.