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REFERRAL CENTERS

Lyon: CL3R

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Presentation

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The SUR, rebranded CL3R in 2013 by ARS Rhône-Alpes (see admission form) is a center unique in France, offering psychosocial rehabilitation tools to the Rhône-Alpes population (Ain, West of Isère and Rhône).

Targets

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The CL3R receive patients with stabilized psychic disorders. These patients can be referred by public or private psychiatric hospitals or medico-social sector.

Objectives

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The objective is to improve the patient’s social and professional reinsertion using their preserved resources. The center designs comprehensive patient therapies, for the sake of the patient.

The CL3R specificity is to highlight various levels of understanding the disease (symptoms, neurocognition, social cognition, metacognition, psychic functioning, motivation, insight, disease awareness, autonomy in every day life and subjective factors) in the life trajectory assessment for patients with psychic disabilities. These assessments can be performed as part of an expert activity (useful for partners) or before starting a rehabilitation therapy with the center.

The center uses a positive and constructive approach. It opposes a static and fatalist idea of psychotic disorders which can’t open to rehabilitation. The objective is to identify the skills the patient still has and help him acknowledge them so he can build an adapted life project.

The disease consequences (social and professional deinsertion, low self-esteem, low treatment observance…) and associated cognitive impairments (impairments in memory, attention, executive functioning and social cognition) are difficulties which can be overcome using specific therapeutic tools to identify the patient’s skills and help him build a life, social and professional project.

Therapy’s progress

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The medical team designs a customized therapy, depending on the patient skills (preserved skills) and the objectives they set to themselves. They perform together a comprehensive assessment to identify the patient’s skills and build a realistic project (employment, housing project…). Patients whose assessment supports their professional reinsertion, are trained if necessary during technical workshop held by the center.

Team

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The CL3R consists of medical and socio-educative professionals. Various professions are involved, encouraging a fertile environment, for the patients benefit.

Documentation

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You may download the CL3R booklet by clicking here
             You may download the patient leaflet by clicking here

Contact

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The CL3R is a two-pole outpatient center.  The first pole is located in Rue Sarrazin, 69008 Lyon (see Map) and the second pole is located inside Le Vinatier hospital (see Map), at 95 Boulevard Pinel, 69500 Bron.

You may contact the CL3R from Monday to Friday, between 9.00 am and 5.00 pm at +33 (0) 4 26 73 85 33.

Saint-Etienne: REHACOOR42

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Presentation

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The Groupement de Coopération Sociale et Médico-Sociale (GCSMS) REHACOOR 42 was founded in January 2014 by the associations Recherches & Formations and Actiform, in association with the Saint-Etienne University Hospital.

Based on 40 years of research in supporting patients with psychic disability, REHACOOR 42 helps them recover through a comprehensive, integrated and coordinated approach from every health care professionals West of Rhône-Alpes region. 

The cooperation group REHACOOR 42 is a backbone directing two programs:

  • The Centre Référent de Réhabilitation Psychosociale in Saint-Etienne

  • The «Handicap psychique» network

Targets 

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REHACOOR 42 is intended for: 

  • people with a mental disorder, who wish to question or redefine their life project, depending on their professional aspirations. 

  • professionals who treat, support and/or help patients with a psychic disability (caregivers, educative, social and public workers, professional insertion advisors, family, friends…)

Context

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In the «psychiatry and mental health» segment of the SROS Rhône-Alpes, the ARS has set to give patients with a psychiatric or psychic disability a better access to rehabilitation and psychosocial reinsertion therapies.

Referral centers are the second out of three layers in the regional organization, and are set to give patients with a mental disorder in an acute phase a better access to psychosocial rehabilitation therapies.

Referral centers work in an upstream network (sanitary sector) and a downstream network with support professionals (social, medico-social and economic sectors). Recover abilities and gain autonomy only matters if used in «real life», i.e. in close relationships and exchanges with other people, in society, by rehearsing social roles to which every one aspire (having a home, working, being in a relationship, having fun, traveling…).

They require to focus on knowledge, tools, programs, mutual help, people involvement, political orientation…

Objectives

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For the patient, the objectives are to:

  • reinforce preserved skills and reduce the disease negative symptoms,

  • improve the patient’s self-determination and ability to act,

  • reduce stigmatization and self-stigmatization effects,

  • support the patient family and friends, and their immediate surrounding.

In parallel, with an inclusive objective, a network program is set to:

  • organize the diverse professional networks into a downstream support structure,

  • improve medical, social and medico-social resources management,

  • create insertion opportunities for patients,

  • experiment altogether new work modalities from identified needs

Developed tools

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To complete its missions, REHACOOR 42 focuses on 4 action layers:

  • offer specific therapies (assessment, psychoeducation, cognitive remediation, psychosocial skills, case management)

  • sensitize and train most professionals to the psychosocial rehabilitation principles, methods and tools,

  • contribute to the network, particularly by improving cooperation between medical, social and medico-social sectors,

  • participate in research and studies, to improve knowledge and practices. 

REHACOOR 42’s team

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  • Psychiatrist

  • Coordinator

  • Clinical psychologist

  • Neuropsychologist

  • Nurse

  • Specialized educator - art therapist

  • Occupational therapist

  • Medico-administrative worker

  • Administrative worker

Furthermore, the rehabilitation center uses Charité’s CATTP resources in terms of cognitive remediation and therapeutic education, and the LIFT (Lieu d’Insertion par la Formation et le Travail) resources for the professional aspects of the patient’s project.

Grenoble : C3R

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Missions

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C3R’s objectives are to:

  • offer psychosocial rehabilitation and cognitive remediation therapies on the East part of Rhône-Alpes region, in collaboration with psychiatry wards and professionals,

  • participate in training the local teams

  • help coordinate medical and medico-social partners to improve medical and reinsertion therapy consistency.

  • conduct further research in cognitive sciences and psychosocial rehabilitation.

  • The C3R uses the RéHPsy network and expert centers in schizophrenia and Asperger syndrome in adults to answer these questions.

  • Psychosocial rehabilitation therapies at the referral center:

  • Customized support in life project (housing and every day life management, social life, work) for patients with psychic disability, with help of referring teams.

Objectives are to:

  • assess the patient’s symptoms, cognitive functioning, every day life abilities and resources,

  • offer a specialized pluridisciplinary opinion, depending on the patient difficulties and skills.

Offered programs

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The C3R uses the following therapeutic tools:

  • psychoeducation for patients and their relatives and friends,

  • cognitive remediation: memory, attention, executive functioning (RECOS, RehaCom), social cognition (Gaïa, ToMRemed),

  • social skills training

  • own resources (self-esteem, stress management),

  • workshops intended to acquire and/or reinforce every day life abilities

  • professional reinsertion support

Team

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Managing Doctors: Dr Elisabeth Giraud-Baro, Dr Julien Dubreucq and Dr Benjamin Gouache

Documentation

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You may download the C3R presentation leaflet by clicking here: 

Contact

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Address: Centre Référent de Réhabilitation psychosociale et de Remédiation cognitive - 26 avenue Marcellin Berthelot - 38000 Grenoble

Telephone: +33 (0) 4 76 56 44 40