{"id":13521,"date":"2022-10-10T16:07:19","date_gmt":"2022-10-10T14:07:19","guid":{"rendered":"https:\/\/peoplesphere.be\/fr\/?p=13521"},"modified":"2023-07-29T09:56:47","modified_gmt":"2023-07-29T07:56:47","slug":"sante-mentale-meme-prise-charge-sorganise-lexplosion-phenomene-inquiete-concerne-groupes-de-population-precaires","status":"publish","type":"post","link":"https:\/\/peoplesphere.be\/fr\/sante-mentale-meme-prise-charge-sorganise-lexplosion-phenomene-inquiete-concerne-groupes-de-population-precaires\/","title":{"rendered":"Sant\u00e9 mentale: m\u00eame si la prise en charge s&rsquo;organise, l&rsquo;explosion du ph\u00e9nom\u00e8ne inqui\u00e8te et concerne des groupes de population pr\u00e9caires."},"content":{"rendered":"<p>Solidaris a analys\u00e9 la consommation de soins de sant\u00e9 mentale ces dix derni\u00e8res ann\u00e9es et a coupl\u00e9 ce monitoring \u00e0 la r\u00e9\u00e9dition d\u2019une vaste enqu\u00eate, men\u00e9e pour la 1\u00e8re fois en 2012, portant sur la sant\u00e9 mentale des Belges et leur perception du secteur. Il en ressort des avanc\u00e9es majeures notamment en ce qui concerne la connaissance du syst\u00e8me et le recours aux professionnels. Les chiffres montrent cependant que les besoins ont explos\u00e9 en 10 ans alors que la prise en charge est rest\u00e9e plut\u00f4t stable.<!--more--><\/p>\n<p>Si la crise sanitaire li\u00e9e \u00e0 la Covid-19 a mis en exergue les enjeux en mati\u00e8re de sant\u00e9 mentale et a permis des avanc\u00e9es dans ce domaine (cf. nouvelle convention INAMI qui vise \u00e0 une meilleure accessibilit\u00e9 financi\u00e8re aux soins psychologiques ambulatoires), elle a \u00e9galement point\u00e9 le manque criant de donn\u00e9es permettant d\u2019objectiver la prise en charge et de d\u00e9velopper une offre en sant\u00e9 mentale r\u00e9pondant aux besoins de la population.<\/p>\n<p>Solidaris a d\u00e8s lors lanc\u00e9 en 2021 un Barom\u00e8tre pour documenter la consommation de soins rembours\u00e9s en sant\u00e9 mentale. La 2\u00e8me \u00e9dition de ce Barom\u00e8tre a \u00e9t\u00e9 coupl\u00e9e \u00e0 une enqu\u00eate visant \u00e0 cerner la connaissance et la perception du secteur par la population francophone et son \u00e9volution en 10 ans. Cette approche compl\u00e9mentaire et in\u00e9dite permet d\u2019apporter un \u00e9clairage nuanc\u00e9 sur le secteur.<\/p>\n<p>En 10 ans, on constate deux r\u00e9elles avanc\u00e9es :<\/p>\n<ul>\n<li>La connaissance de l\u2019offre de soins en sant\u00e9 mentale et le recours aux professionnels de la sant\u00e9 mentale se sont nettement am\u00e9lior\u00e9s. Alors qu\u2019il y a 10 ans les personnes ressentant une d\u00e9tresse psychologique se tournaient majoritairement vers leur famille et leurs amis, elles sont aujourd\u2019hui une sur 3 \u00e0 chercher de l\u2019aide aupr\u00e8s d\u2019un psychologue (5% en 2012).<\/li>\n<li>La satisfaction globale des patients par rapport \u00e0 la prise en charge est \u00e9galement en progression, passant de 5,8\/10 en 2012 \u00e0 7,2\/10 en 2022.<\/li>\n<\/ul>\n<p>Certains r\u00e9sultats sont nettement moins positifs, voire inqui\u00e9tants :<\/p>\n<ul>\n<li>En 10 ans, la proportion de personnes qui expriment un \u00e9tat anxieux, angoiss\u00e9 ou d\u00e9pressif quasi en permanence a explos\u00e9, passant de 10% en 2012 \u00e0 35% en 2022. Alors que les besoins ont augment\u00e9 sur la p\u00e9riode, la consommation de soins rembours\u00e9s par l\u2019assurance obligatoire est rest\u00e9e globalement stable.<\/li>\n<li>Par ailleurs, cette consommation de soins est plus \u00e9lev\u00e9e quand certains facteurs se cumulent comme le fait d\u2019\u00eatre une femme, d\u2019\u00eatre dans une situation de pr\u00e9carit\u00e9 (statut BIM), d\u2019\u00eatre dans une famille monoparentale ou encore d\u2019\u00eatre jeune.<\/li>\n<li>Une majorit\u00e9 de la population estime que l\u2019investissement dans la prise en charge de la sant\u00e9 mentale est insuffisant : i. ce n\u2019est pas une priorit\u00e9 du gouvernement (cela concerne 68% des personnes interrog\u00e9es), ii. cela passe apr\u00e8s la sant\u00e9 physique (70%), iii. ce n\u2019est pas assez accessible financi\u00e8rement (57%).<\/li>\n<li>La connaissance du secteur reste perfectible surtout pour certains profils tels que les jeunes et les personnes en situation de pr\u00e9carit\u00e9, parmi lesquels plus d\u2019une personne sur 2 d\u00e9clare ne pas connaitre la diff\u00e9rence entre un psychologue, un psychiatre et un psychoth\u00e9rapeute.<\/li>\n<\/ul>\n<p>Nos chiffres montrent par ailleurs que :<\/p>\n<ul>\n<li>Les groupes de population d\u00e9clarant davantage de besoins (les femmes, les familles monoparentales et les personnes en situation de pr\u00e9carit\u00e9) sont aussi ceux qui consomment plus de soins de sant\u00e9 mentale rembours\u00e9s par l\u2019assurance maladie.<\/li>\n<li>Les m\u00e9dicaments occupent toujours une place importante dans la prise en charge de la sant\u00e9 mentale. En 2022, 17,6% des personnes ressentant des difficult\u00e9s d\u00e9clarent en prendre continuellement ou souvent ; c\u2019est 2,5 fois plus qu\u2019il y a dix ans.<\/li>\n<li>Le m\u00e9decin g\u00e9n\u00e9raliste joue un r\u00f4le central dans la prise en charge de la sant\u00e9 mentale en tant que prescripteur mais aussi de par son r\u00f4le d\u2019acteur de la 1\u00e8re En effet, 61% des personnes interrog\u00e9es dans le cadre de l\u2019enqu\u00eate disent avoir d\u00e9j\u00e0 fait appel \u00e0 leur m\u00e9decin g\u00e9n\u00e9raliste pour un probl\u00e8me d\u2019anxi\u00e9t\u00e9, angoisse ou d\u00e9pression (contre 52% en 2012). Les donn\u00e9es Solidaris (pour une premi\u00e8re d\u00e9livrance en 2021) montrent que le m\u00e9decin g\u00e9n\u00e9raliste est le professionnel qui initie la prise d\u2019antid\u00e9presseurs dans 76% des cas.<\/li>\n<\/ul>\n<p>Pour le Secr\u00e9taire g\u00e9n\u00e9ral de Solidaris, Jean-Pascal Labille : \u00ab\u00a0<em>Il est imp\u00e9ratif de d\u00e9velopper une vision de la prise en charge de la sant\u00e9 mentale et de poursuivre les investissements dans le secteur afin que toute personne en d\u00e9tresse psychologique puisse \u00eatre accompagn\u00e9e par un professionnel de la sant\u00e9 si elle le souhaite.\u00a0\u00bb<\/em>\u00a0Concr\u00e8tement, la Mutualit\u00e9 recommande de :<\/p>\n<ul>\n<li>Renforcer l\u2019offre en sant\u00e9 mentale pour la rendre plus accessible notamment financi\u00e8rement ; en particulier pour les groupes de population manifestant plus de besoins ;<\/li>\n<li>Analyser le r\u00f4le des m\u00e9decins g\u00e9n\u00e9ralistes dans la prise en charge de la sant\u00e9 mentale, notamment dans le cadre de la prescription de m\u00e9dicaments ;<\/li>\n<li>Poursuivre l\u2019am\u00e9lioration de la connaissance du secteur de la sant\u00e9 mentale par la population ;<\/li>\n<li>D\u00e9velopper la promotion et la pr\u00e9vention en sant\u00e9 mentale en agissant notamment sur les d\u00e9terminants sociaux de la sant\u00e9.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><em>Source: Institut Solidaris<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Solidaris a analys\u00e9 la consommation de soins de sant\u00e9 mentale ces dix derni\u00e8res ann\u00e9es et a coupl\u00e9 ce monitoring \u00e0 la r\u00e9\u00e9dition d\u2019une vaste enqu\u00eate, men\u00e9e pour la 1\u00e8re fois en 2012, portant sur la sant\u00e9 mentale des Belges et [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[65,10],"tags":[838,665],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.0 - 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