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SAINT-ETIENNE: REHACOOR 42

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). Recovering abilities and gaining autonomy only matter 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 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.