Jean-Luc Roelandt

• WHO collaborating center EPSM Lille Meteopole

Objectives: Indigenous people experience poorer mental health compared to the general population. Socioeconomic gaps partly explain these disparities. However, there is variability between populations and French overseas territories are understudied. This study examines the prevalence of mental health problems among Indigenous people in New Caledo...

Introduction : Au sein de la population présentant des troubles psychiques sévères et persistants, on observe une surreprésentation des facteurs de risque et des pathologies cardiovasculaires. Une personne chez qui un diagnostic de schizophrénie ou de troubles bipolaires a été porté aurait deux à trois fois plus de risque de mourir d’une maladie ca...

Mental Health at Work for Psychiatric Nursing Staff: a Reflective Review of the Epistemological and Institutional Challenges of RPSY Research RPSY research aims to explore the links between practices in providing care, particularly the practice of constraint (isolation, restraints), psychosocial risks (PSR) and mental health at work for nursing sta...

Introduction: This qualitative study based on focus group study aims to identify experiences, expectations, and representations of people with long-term mental illness and their caregivers regarding cardiovascular disease and its risk factors. The aim of this work is to build a cardiovascular risk reduction program for people affected by long-term...

Introduction: Cardiovascular diseases represent one of the major causes of mortality in France and are the main cause of excess mortality in people suffering from long-term mental disorders (LTMD), apart from causes related to suicide. Aim of the study: The aim of this article is to identify, from the point of view of primary care and psychiatri...

Objective: This study looks at tobacco use among persons with psychiatric disorders and its management in public psychiatric units in France. Methods: A thematic analysis based on semi-directive interviews with 10 patients and 9 caregivers was carried out. Results: Patients use tobacco to deal with their emotions and mood swings. However, ment...

Objective: There are no reports on the burden of suicidal ideation and suicide attempts in the general population of French Polynesia (FP). We aimed to improve suicide prevention and mental health care by assessing the prevalence of suicide risk and major mental health disorders and care among adults in FP. Methods: We conducted the Mental Healt...

Mental health in the general population: Images and realities in Tahiti. The Survey on Mental Health in the General Population (SMPG) was conducted in French Polynesia between 2015 and 2017. It highlights the prevalence of major mental disorders and suicide risk among adults in the general French Polynesian population. The quota sampling method was...

Purpose: Women with Alcohol Use Disorder (AUD) might be particularly vulnerable to psychiatric comorbidities. However, population surveys have yielded disparate findings. We used data from the French Mental Health in the General Population survey to investigate gender-related risks of psychiatric comorbidities associated with AUD. Methods: A cross-...

Introduction The rates of alcohol and illegal drug use and the prevalence of alcohol and illegal drug use disorders (AUD and DUD) are high in prison populations, particularly in men entering jail. However, these rates have never been exhaustively assessed and compared to those of the general population in France. Methods We based our research on t...

Purpose We sought to measure the prevalence of psychotic symptoms (PSs) and psychotic disorders (PDs) in a sample of men entering jail and to compare these prevalences with those observed in the general population. We also aimed to explore the sociodemographic and clinical factors associated with PSs and PDs. Methods The Mental Health in the Priso...

People with severe mental illness (PSMI) have a shorter life expectancy and are more likely to have cardiovascular disease than the general population. Patients, carers, psychiatric professionals and primary care providers can all play a role in increasing PSMI physical health. The present qualitative exploratory study aimed to explore the views of...

La conjonction des concepts de rétablissement et de psychiatrie citoyenne débouche sur une approche centrée sur la pleine citoyenneté qui remet en question l’architecture des ordres de participation et de pouvoir dans la société. Pour y arriver, il est indispensable de remettre en question certaines constructions idéologiques réductionnistes. C’est...

(238 words) Research has consistently shown high levels of post-traumatic stress disorder (PTSD) in correctional settings. We aimed to compare the prevalence rates of trauma exposure, subthreshold PTSD, and full PTSD in incarcerated people with those observed in the general population. We used the Mini-International Neuropsychiatric Interview to sc...

We aimed to examine the association between religious beliefs and observance and the prevalence of psychiatric disorders, psychotic symptoms and history of suicide attempts in the French general population. The cross-sectional survey interviewed 38,694 subjects between 1999 and 2003, using the MINI. Current religious beliefs and observance were ide...

Background/Objective: The most recent versions of the two main mental disorders classifications—the World Health Organization's ICD-11 and the American Psychiatric Association's DSM–5—differ substantially in their diagnostic categories related to transgender identity. ICD-11 gender incongruence (GI), in contrast to DSM-5 gender dysphoria (GD), is...

E-mental health (eMH) encompasses the use of digital technologies to deliver, support, or enhance mental health services. Despite the growing evidence for the effectiveness of eMH interventions, the process of implementation of eMH solutions in healthcare remains slow throughout Europe. To address this issue, the e-Mental Health Innovation and Tran...

Objectives Insomnia is a public health problem with many repercussions. It affects a significant proportion of the general population worldwide, but the estimated prevalences in different countries are difficult to compare due to the use of heterogeneous methodologies. The objectives of the study were to compare the prevalence of insomnia in the ge...

Introduction: On a global scale, bringing together schools and public child psychiatry services is favored to promote the development of early interventions that could improve health trajectories, from prevention to treatment, for children exposed to psychological and psychiatric difficulties. In a public health perspective, contextualizing these...

Background Electronic mental (e-mental) health offers an opportunity to overcome many challenges such as cost, accessibility, and the stigma associated with mental health, and most people with lived experiences of mental problems are in favor of using applications and websites to manage their mental health problems. However, the use of these new te...

BACKGROUND Electronic mental (e-mental) health offers an opportunity to overcome many challenges such as cost, accessibility, and the stigma associated with mental health, and most people with lived experiences of mental problems are in favor of using applications and websites to manage their mental health problems. However, the use of these new te...

Background For ICD-11, the WHO emphasized the clinical utility of communication and the need to involve service users and carers in the revision process.AimsThe objective was to assess whether medical vocabulary was accessible, which kinds of feelings it activated, whether and how users and carers would like to rephrase terms, and whether they used...

Background Very little research has been conducted to appraise the merits of including municipalities and their local health providers in the promotion of digital health programmes. While more and more municipalities have locally implemented a health strategic plan and have focused on building local network of professionals, how do the latter react...

Purpose: Better know social representations and socio-cultural aspects of mental illness (FP) is critical to reduce stigma and improve care and prevention of psychiatric illness. Methods: The Mental Health in General Population Survey (MHGP) was carried out in French Polynesia (FP) in 2015 and 2017, with questionnaires on social representations of...

Background: Schizophrenia diagnosis is associated with special communication difficulties between clinicians, service users and caregivers, which may hinder the therapeutic alliance, treatment compliance, and rehabilitation. A clinically useful psychiatric nosology should improve communication between all final users. Aim: To evaluate the accessibi...

Bipolar spectrum disorders encompass heterogeneous clinical manifestations and comorbidities. A latent class analysis (LCA) was performed in 1846 subjects who experienced an episode of abnormally elevated or irritable mood to identify homogeneous groups of subjects, based on the distribution of 11 manic and 7 psychotic symptoms. LCA identified five...

Background: Suicide constitutes a cause of death which could be prevented by e-health programs accessible to the general population. Effective promotion has the potential to maximize the uptake of such programs. However, few e-health programs have been combined with promotion campaigns. The primary objective of this trial is to assess the effective...

Background.: The aim of the present study was to estimate prevalence rates of psychiatric and substance use disorders in male and female prisoners on admission to prison in the north of France and compare the frequency of these disorders to the general population. Methods.: This cross-sectional survey on Mental Health in the Prison Population (M...

Background: Persons with a diagnosis of severe mental illness have a life expectancy that is 20 years lower than the general population, and they are disproportionately affected by cardiovascular disorders. Improving the management of cardiovascular risk is one of the main challenges for the public health system. In the care pathway of persons wit...

Introduction La dépression psychotique (DP) est un trouble mental sévère souvent sous-diagnostiqué alors qu’il existe des facteurs de risque, caractéristiques, traitements et prises en charge spécifiques [1], [2], [3], [4]. L’objectif de cette étude est de rechercher des caractéristiques sociodémographiques et cliniques associées aux DP en comparan...

Background France is one of the Western European countries most affected by suicide, an epidemiological burden and high societal cost of several million euros/year. Several European projects have either implemented web-based interventions for care of mental disorders or recommended online actions which have demonstrated their effectiveness for suic...

Background: For the World Health Organization, electronic health (eHealth) is seen as an effective way to improve therapeutic practices and disease prevention in health. Digital tools lead to major changes in the field of mental medicine, but specific analyses are required to understand and accompany these changes.

Aims Psychotic symptoms can occur in the general population, and alcohol use disorder (AUD) is an identified vulnerability factor. However, it remains unclear how AUD is associated with psychotic symptoms, depending on the underlying psychiatric condition. We aimed to compare the prevalence of psychotic symptoms among subjects with different types...

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BACKGROUND. For the 11th version of the International Classification of Diseases, the WHO recommended to rename transgender transidentity as “gender incongruence”, to remove it from the chapter of mental and behavioral disorders, and to put it in a new category titled “Conditions related to sexual health”. This should contribute to reduce stigmatis...

Environment risk factors have different impact on bipolar and psychotic disorders: an analysis of MHGP survey - Volume 49 Issue 7 - Baptiste Pignon, Pierre A. Geoffroy, Pierre Thomas, Jean-Luc Roelandt, Ali Amad

BACKGROUND For WHO, e-health would be seen as an effective way to improve therapeutic practices and prevention in health. Digital tools lead to major changes in the field of mental medicine. Specific analyses are required to understand and well accompany these changes. OBJECTIVE Our objective was to highlight representations, actual uses and usabi...

Background: For WHO, e-health would be seen as an effective way to improve therapeutic practices and prevention in health. Digital tools lead to major changes in the field of mental medicine. Specific analyses are required to understand and well accompany these changes. Objective: Our objective was to highlight representations, actual uses and u...

https://www.anp3sm.com/wp-content/uploads/2014/06/Antoine-Baleige-180627-Poster_Copsycat_ANP3SM.pdf

Background: Inpatient care accounts for the majority of mental health care costs and is not always beneficial. It can indeed have detrimental consequences if not used appropriately, and is unpopular among patients. As a consequence, its reduction is supported by international recommendations. Varying rates of psychiatric inpatient admissions there...

Objective: Individuals with psychotic symptoms may actually correspond to various subgroups, characterized by different patterns of psychotic symptoms as well as specific sociodemographic and clinical correlates. We aimed to identify groups of individuals from the general population with specific patterns of psychotic symptoms. Methods: In a 38,...

Purpose: No lifetime utilization of mental health treatment (NUMT) is an indicator of the treatment gap among people in need of treatment. Until now, the overall prevalence and predictors of NUMT have never been explored in France. Methods: In a 39,617-respondent survey, participants were assessed for NUMT, i.e., no lifetime psychotherapy, psych...

Rapport d'étape de l'étude CIM-USAGERS coordonnée par le Centre Collaborateur de l'Organisation Mondiale de la Santé pour la recherche et la formation de l'EPSM Lille-Métropole. http://www.ccomssantementalelillefrance.org/sites/ccoms.org/files/pdf/190225_RapportEtape.pdf

Background: Involuntary psychiatric care remains controversial. Geographic disparities in its use can challenge the appropriateness of the care provided when they do not result from different health needs of the population. These disparities should be reduced through dedicated health policies. However, their association with the supply of health an...

Introduction.– As a part of the development of ICD-11, WHO recommended to remove gender identity disorders from the chapter on mental and behavioural disorders to a non psychiatrising chapter. Current classifications consider that the presence of psychological distress and impairment are necessary and sufficient to consider transgender as a mental...

Introduction: We sought to examine the prevalence of anxiety disorders associated with migration in the first-, second- and third-generation. Methods: The French Mental Health in the General Population cross-sectional survey interviewed 38,694 individuals using the MINI. The prevalence of lifetime anxiety disorders, and comorbidities was compare...

Background: To compare the symptom patterns of major depressive disorder (MDD) among subjects with MDD and 1) no alcohol use disorder (AUD), 2) alcohol abuse and 3) alcohol dependence, respectively. Methods: In a general population survey of 38,694 French individuals, MDD and AUDs were assessed using the Mini International Neuropsychiatric Inter...

Background: Inpatient psychiatric readmissions are often used as an indicator of the quality of care and their reduction is in line with international recommendations for mental health care. Research on variations in inpatient readmission rates among mental health care providers is therefore of key importance as these variations can impact equity,...

RÉFLEXION AUTOUR DE QUATRE POPULATIONS VULNÉRABLES Les enfants vivant avec une maladie chronique, les adolescents malades chroniques dans la période de transition des soins, les personnes ayant un problème de santé mentale et les personnes âgées de plus de 75 ans. En France, plus de 80 % des programmes d’éducation thérapeutique du patient (ETP) son...

INTRODUCTION: The objective of this study, carried out in France, was to analyse important psychiatric sector disparities in the rate of compulsory hospitalizations as a function of the severity of disorders among the people hospitalized, and of certain variables linked to the territorial landscape (socio-demographic context, and primary and psychi...

Poster presentation of the main results of the HO study

Objective: Sadness is both a common experience in general population and one of the main criteria of major depressive disorder (MDD). We tested the hypothesis of a depressive continuum using sadness as an intermediate experience between well-being and disorder. Methods: A French cross-sectional Mental Health survey in General Population intervie...

Background We aimed to explore the sociodemographic and psychiatric correlates of psychotic symptoms in a large general population sample. Methods The French Mental Health in the General Population cross-sectional survey interviewed 38,694 individuals using the Mini International Neuropsychiatric Interview. We looked for associations between the p...

Objective: The development of alternatives to full-time hospitalization in psychiatry is limited because consensus about the benefits of such alternatives is lacking. This study assessed whether the development of such alternatives in French psychiatric sectors was associated with a reduction in involuntary inpatient care, taking into account othe...

Background: In the United States, first-generation immigrants (FGIs) show lower prevalence rates of alcohol use disorders (AUDs) than the native population, although they experience more psychosocial risk factors. This epidemiological phenomenon is called an "immigrant paradox." No previous study has investigated whether immigrants also exhibit a...

Introduction La santé mentale est fortement soumise aux déterminants sociaux, mais elle est également marquée par de forts taux de non-recours aux soins, eux-mêmes socialement conditionnés. Afin de lutter au mieux contre les inégalités sociales et territoriales de recours dans le champ de la santé mentale, il est indispensable de connaître les fact...

Introduction Pour faire face au fardeau épidémiologique et économique associé aux troubles mentaux, des soins optimaux sont indispensables. Or les variations de pratique peuvent remettre en cause l’équité, la qualité et l’efficience des soins, dès lors qu’elles ne résultent pas de différences de besoins entre les patients. S’il est estimé que ces v...

Resume: L’archétype du « fou » représente le paradigme du processus de stigmatisation et l’histoire de la folie apparaît comme une tentative de la faire disparaître en la médicalisant au profit de la notion de « maladie mentale ». Les résultats de l’enquête internationale SMPG nous montrent l’échec de la médicalisation de la folie à réduire la stig...

International recommendations for mental health care have advocated for a reduction in the length of stay (LOS) in full-time hospitalization and the development of alternatives to full-time hospitalizations (AFTH) could facilitate alignment with those recommendations. Our objective was therefore to assess whether the development of AFTH in French p...

Background: The role of migration as a risk factor remains unknown for mood disorders because of poor data. We sought to examine the prevalence and severity of mood disorders (bipolar disorder (BD), unipolar depressive disorder (UDD) and dysthymia) in first, second, and third generation migrants in France. Methods: The Mental Health in the Gener...

In the early 70s, a general psychiatric sector of Armentières psychiatric hospital (today called the Public Mental Health Facility i.e. EPSM-Lille-Métropole) began to radically change tsi care paradigm. In three decades, the sector has switched form the asylum to the community from psychiatric hospitalization as the only response to care in the com...

INTRODUCTION: Mental health of migrant populations has become a major public health issue since these populations more often suffer from mental health problems than host populations. The influence of the migration process on the emergence of these disorders and its impact on future generations is uncertain. This study provides an estimate of the pr...

Résumé Objectif La santé mentale des populations migrantes est devenue un enjeu majeur de santé publique. Ces populations présentent une souffrance psychologique plus importante que les populations d’accueil. L’influence du processus migratoire sur l’émergence de ces troubles et ses conséquences sur les générations suivantes restent incertaines. C...

Résumé Cette étude observationnelle transversale et multicentrique sur des échantillons représentatifs de population générale adulte, portant sur près de 16 000 sujets, a été réalisée à partir de la base de données épidémiologiques et sociodémographiques collectées sur 18 sites répartis dans cinq régions du Monde, avec l’appui du centre collaborate...

The action research undertaken by health manager students at the Nice health manager training institution has helped to optimise the stay of patients with a mental disorder in general medical and surgical units. Based on the assessment of the training needs of caregivers working in these units, it enables the students to anticipate their future fun...

En France, le développement des alternatives à l’hospitalisation à temps plein (AHTP) en psychiatrie reste faible du fait d’une absence de consensus sur son bénéfice. Ce travail cherche à objectiver les variations des critères illustrant la qualité des prises en charge dans les secteurs français de psychiatrie générale et à mettre en évidence un li...

Explorer les représentations et les pratiques de «l’aller mieux» dans le domaine de la santé et de la santé mentale plus particulièrement, tel est l'objectif général de cet ouvrage dont les contributions portent sur les dynamiques, les acteurs, les ressources concrètes et le vécu de la guérison, du rétablissement, du «s’en sortir». Souvent psycholo...

La psychiatrie publique est une part essentielle du champ de la santé mentale mais ne peut pas faire sans les partenaires de son territoire. Elle ne peut être à l’écart des populations et des territoires et doit penser son déploiement sur le territoire en fonction des besoins des populations. Avec plus de 125 Conseils locaux de santé mentale (CLSM)...

Les soins de réhabilitation constituent désormais un registre incontournable de la prise en charge des personnes présentant des troubles psychiatriques chroniques et invalidants. Mais quels soins de réhabilitation sont-ils indispensables ? Prenant place dans quels parcours de santé ? Et proposés par quels dispositifs ? En d’autres termes, qu’est-ce...

La complexité des troubles psychiques et le passage d’une logique hospitalière à une logique territoriale nécessitent une coordination des actions locales entre les différents acteurs (sanitaire, social, éducatif, logement, insertion professionnelle, judiciaire, culturel, sportif). Aucun acteur ne peut prendre en charge l’ensemble des dimensions de...

L’Organisation mondiale de la santé (OMS) définit l’empowerment comme faisant « référence au niveau de choix, de décision, d’influence et de contrôle que les usagers des services de santé mentale peuvent exercer sur les événements de leur vie (…). La clé de l’empowerment se trouve dans la transformation des rapports de force et des relations de pou...

The World Health Organization collaborating centre for health research and training in mental health in Lille (WHO CC) has provided methodological back-up support since 2008 for regions wishing to become involved in the establishment of a local mental health council (LMHC). The development of this approach in France with more than 120 local operati...

The WHO, in their successive action plans have made recommendations highlighting the need for the inclusion of mental health in all areas within the community. The plan stresses the interest of empowerment by users and carer givers both in their health and organization of a medical and social system in mental health, which involves the entire commu...